Best reference text for surgery?

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mdphd2b

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Hi all,

Just wondering on what's the best (and easiest to read) reference textbook for an MS3 on Surgery rotation. I mean a texbook that will go over the anatomy, describe the procedure, and have good drawings/pictures of the major steps.

Thanx for your help! 🙂
 
Lawrence Essentials of Surgery
 
Hi all,

Just wondering on what's the best (and easiest to read) reference textbook for an MS3 on Surgery rotation. I mean a texbook that will go over the anatomy, describe the procedure, and have good drawings/pictures of the major steps.

Thanx for your help! 🙂

As a third year student, no one is going to expect you to know the technical details of a case or how to do the major steps. Anatomy questions are fair game for pimping in the OR, although you won't really be asked anatomy on the shelf exam. More important for the floors and for the OR would be to know everything you can about the patient (for example, how they presented and how they've been managed so far prior to surgery), the type of procedure being done (don't walk into the room and ask "is this the whipple?"), the indications for the operation, the possible complications, and the expected results. Also, make sure you meet the patient before the case! I've known attendings who will make the student scrub out of the case if they find out the student didn't know anything about the patient.

As far as the best text to read, this is a harder question to answer because there's no single book that is the best for everything. What I, and others, found helpful was to use a combination of books. Surgical Recall is good for the pimping that happens on the floor and in the OR, but don't make the mistake of thinking that this will be enough info for the shelf exam. (You might also want to be careful about flashing Recall around on the wards. There are some old school attendings who really don't like the book.) Lawrence is a good text at the student level (Sabiston, Schwartz, and Greenfield are overkill for a third year student), and a combination of reading Lawrence and doing questions will be good prep for the shelf. If you have to take an oral exam too, I found Surgical Attending Rounds to be helpful prep for that.

It's a tall order to read all that, but if you set aside a little time every day, and keep photocopies or electronic versions of those books to read during downtime (like between cases) you'll be a star. But don't ever make the mistake of turning down a case to "go read." It might seem like a good idea and a better way to spend your time, but it's the kiss of death and will sink your subjective evaluation. Good luck!
 
From your initial question it seemed like you wanted something with plenty of details about the anatomy, the surgical procedure with steps. If this is what you actually want, then Lawrence is NOT the book to get. Although a good text, Lawrence is the icing on the cake and will not go into details about procedures or anatomy. If you truly want a "reference" text, then go with the three titles that I mentioned earlier. However, as others have said, those books are a bit much for the a MS III and for all intents and purposes will be worthless if you don't eventually plan to go into surgery.
 
Actually, if you want a text that goes over the actual steps of a procedure and shows you the relevent anatomy, things like Mastery of Surgery and Zollinger's are better. Definitely not necessary for a third year student. You can be a pretty pimp sub-I, though, if you take a glance in the library before a case. But I didn't even know what these books were until after my surgery sub-I because I'm a noob.
 
As noted above, its really hard to pick one text for a student which encompasses anatomy, pathology, technique, etc. It really doesn't exist.

Skandalakis and Skandalakis is good for an in-depth discussion, along with anatomy and drawings but msotly for hernia and a few other things. Lawrence is a good student level text but like most surgical texts, doesn't give you detailed anatomy. You might pull one of your gross texts out or as noted above, check out Zollinger in the library before cases to review the anatomy and procedure (don't buy it - its about $150).
 
Yeah, I was thinking of a book I could check out of the library, with good images to review before surgery. Of course, I would not use it for the shelf 🙂

Thanx
 
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