If one wants to be really good at inpatient

[Deepa100]

Ofcourse we must read and read but just wondering anyone here found any videos (for eg ACP board study for IM) to be useful? Just wondering.

---

Members don't see this ad.

 

[Otto of the Silver-Hand]

Do you mean real world good or pass the boards good?

 

[betamale]

Nope, but I read MKSAP 15 and 16 chapters and questions when I was an IM intern and medstudent and found them surprisingly very helpful for the wards with pretty good step by step management of diseases that are not always in many IM handbooks (which I also read including the Pocket Medicine and Washington Manual and Washington Manual for ICU).

I suppose, given overlap between IM and FM, the information would be useful for the FM boards as well.

 

[Deepa100]

I am just starting internship in FM, long ways before actually having to take the boards I just want to do good inpatient medicine. I looked the MKSAP 16, looks pricey but will consider it. Looks like it is the best.

 

[betamale]

true but there's always ITE to look forward to which may be used by programs to determine whether residents advance or not. good to be prepared. prep for step 3 if u haven't taken it.

 

[VA Hopeful Dr]

Honestly, as a new intern most of your learning will come from doing. Other good resources are UpToDate or old AFP articles. Admit a COPD patient, read the AFP article about it. Same with heart failure, pneumonia, chest pain/ACS, or whatever.

 

[JustPlainBill]

If you want to be good at inpatient, do an IM residency.....I'm only partially kidding there....I'm reviewing for boards right now and am really liking a book,"Family Practice Exam and Board Review" by Wilburg and Graber.....I think I"ll keep it for periodic review. Part of the problem with FM is that you have to be really conversant with a lot of material both in depth and breadth....depending on how many specialists and the attitude thereof during residency, you're either a "Wow, I don't see how you do that" or seen as a wannabe of their particular specialty.....usually the latter at most large opposed University based institutions.....I was actually told by a renal fellow that I was too stupid to read the English language.....No, I'm not kidding...but then again, I was also slapped in the head by an OB attending.....

 

[JustPlainBill]

As an afterthought -- I always like the Washington Manual for Inpatient ...they also make one for outpatient that's more IM outpatient than FM though.....the real art becomes how do you balance a patient in say, CHF whose serum creatinine is rising but you need to diurese them according to the BNP...or do you? COPD and right sided HF can also elaborate BNP...or can they....it's those grey zones that tend to be where the art of medicine and the experience of long time attendings is really valuable...but unfortunately, teaching skills are extremely variable.....from sitting at a conference table reading you a page from UpToDate and calling it teaching to actually sitting with you at the bedside in the ED and explaining the physical exam findings and HPI that leads to a diagnosis and likely lab results that later on turn out to be spot on......the latter happened like twice in 3 years at my program....

Good luck -- intern year is usually a beast, right around Christmas you're usually ready to go into car sales or become a Peruvian dog walker or try the professional surfing circuit...it passes and usually gets better....Just maintain a cheery attitude (which I didn't and got burned for it) and remember this one axiom from the military...

Keep your bitch sessions 100 miles from the flag pole....it will get back to the administration and cause you untold amounts of grief.

Good luck to you...