Chemistry

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KeratinPearls

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Im on chemistry rotation now...i'm using clinical compendium .... maybe supplement with Henrys? How's Osler for Chemistry?

Thanks.

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For the CH, use the followings:

- Clinical Compendium...read every line...You will also need to read the laboratory administration section, which also contains CH stuff.

- Osler notes are excellent in CH (as well as in BB). Some important information appears in the notes but not in the clinical compendium such as the instrumentation. Quality control is also explained very well in the notes.

- Henry is very good in the endocrinology section of the CH, which is an extremely important section in the CH. Electrolytes are also discussed very well in Henry. No need to read everything in Henry as the book is a reference book and not suitable for exam review (in my opinion).

- While in hospital, use the handbook of Clinical Laboratory Pearls..keep it in the pocket of your lab coat and use it as a quick reference..don't underestimate the small size of the book....it is excellent.!!!!!

The first three books can be complementary to each other but if you focus on the first two and "digest" them, you will be fine on the exams.

- When I was a resident in CH, my attending recommended Tietz Textbook of Clinical Chemistry. However, the book is large but the things are explained very well. I recommend using it as a reference only and you can borrow it from your hospital library.

- Don't forget:

* IMAGES..the compendium doesn't have images..For example, you need to see gels of serum electrophoresis, immunofixation..and know how to read them...you will find some in Henry and Teitz.

* RISE topics of CH..Go over the RISE items and you will surprise how many things you pay no attention to can come on the exams.....Do this during your study..NOT JUST BEFORE YOUR EXAM. Pathology needs repitition...Study hard during your rotation as if you have an exam in the end of the rotation..otherwise you won't do it well on the RISE or Board.....this was one of my mistakes!! Go over chapter by chapter and be organized..Ask the techincians to show you how they do things..do not expect everything from your attending...For example, the differences between control materials and calibrators in the instrumentation and the use of Westgard chart in the Quality control was explained to me by a technician in a way much better than my attending..!!



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Do you also need help in HEME/MICRO/BB?
 
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Any recommendations for Heme/Micro/BB would be welcomed, thanks.
 
Slightly off topic, but this question does relate to Patho's response and exam readiness.

Would you say the Clinical Compendium covers all of the CP areas a resident needs to know for RISE and CP boards? If not, does anything serve this purpose?

As it probably is most places, the CP rotations at my program (except for BB) would run the same way with no resident present. This nebulousness/lack of work that I have to do makes me have an uneasy feeling that I am not seeing and learning what I need to (even though there are fairly structured assignments and schedules). So, I was looking for a "common demoninator" source so to speak that will teach anything I don't end up seeing. Thanks.
 
BB:

The BB chapter in CP compendium and Osler notes in BB are perfect and contain all what you need to know.

When I started my BB rotation, I was reading AABB books such as technical manual. However, once the clinical compendium and osler notes emerged, I didn't use anything else.

Care should be taken for the followings:

- Antibody panels. Don't miss them and know how to do them. Unless you were trained very well how to do them, you can refer to any BB book (in addition to Osler and the compendium) until you become confident in them. Borrow any BB book from your hospital library and read the panel section and go over the examples.

- I don't recommend Henry in BB.

- The guy who authored the BB Osler notes is the same one who wrote the BB section of the Pearls of Clinical Laboratory..so they are the same...

- Two topics are not mentioned in the compendium:
+ Parentage or parenting testing.
+ Transplantation (present in the NEW Osler notes).

Read them (if you have time) or just skip them!


- As usual, go over RISE Items list of the BB (from 2003 to 2009..and the questions before 2003, from 1995 to 2002).
 
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HEM:


Hem is the major part of the CP.

HEM is divided into three parts:

Neoplastic
Non-neoplastic
Coagulation


The author of the CP compendium included the first two in one chapter and the third in a separate chapter. The compendium did great in HEM but it is NOT enough ..simply becasue there is no IMAGES.


You have to go over as many images as you can. Any good atlas can help in this regard.

Besides the compendium, I used the following:

- Robbins..its Hem chapter is very good especially in the non-neoplastic subjects such as anemias, hemoglobinopathies...etc. The neoplastic chapter is good too.

- Henry is not recommended in Hem but you can go over the images there. The FLOW CYTOMETRY SECTION in Henry is highly recommended though.


- Although Amazon.com is full of Hem atlases, I always prefer the materials from the CAP and ASCP. Use the following:
+ Color atlas of hematology (from the CAP).
+ Red cells atlas (from the ASCP).


- Any book for lymph node and bone marrow pathology..Images.

- I am not fan of WHO books as I don't like their style but you need the HEM one!! at least, for the images.

- The compendium in coagulation is excellent....

- While studying HEM, don't forget the molecular basis of disases...the bulk of Mo Path is based on Hem diseases !!!!.


- I have to emphasize that you cover images of peripheral smears, lymph nodes, bone marrow..........don't forget thymus and spleeeeeeeeeeeeeen.

- Again, don't forget RISE Items list...........
 
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