High Yield Articles for Rounds

[jtg200]

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Does anyone know how to find the most relevant clinical articles that all the residents talk about on rounds?

 

[jackieMD2007]

Depends on who you ask and what specialty.
Ask the attendings or who ever what journals they like.
Sometimes people have a real preference.

Internal Medicine: New England Journal of Medicine was always a good bet.
Pediatrics: I liked "Pediatrics in Review" articles.

 

[Droopy Snoopy]

Are you asking for specific articles or just in-general 'how do I find stuff online'? Each specialty will have their watershed articles/studies. For example you probably won't get out of July in IM without knowing something about JNC VII, TIMI score for ACS, and Early Goal-directed Therapy just to name a few. If it's the latter then your best resource will be your librarian. S/he can give you about a million tips on how to search the hospital/school's subscriptions database (and the print versions too I guess).

 

[McGillGrad]

uptodate.com

 

[Jolie South]

uptodate.com

yea, but that's not primary literature. IM people get off on real RCTs.

 

[Brain]

uptodate.com

uptodate is a great place to start. They usually discuss the major studies and provide the article citations on the particular topic you search. From there, you can look up the original publications and print them out to look impressive on rounds.

 

[docbill]

Does anyone know how to find the most relevant clinical articles that all the residents talk about on rounds?

Why would a medical student bring articles around with them on rotations?

You must be really good if you know everything in the MGH pocket book and need articles to show how much better you are then the residents.

You can go a step further and bring a new article of clinical studies everyday to rounds, and make sure to make copies for all the residents and the attending!!! 🙄

 

[docbill]

uptodate is a great place to start. They usually discuss the major studies and provide the article citations on the particular topic you search. From there, you can look up the original publications and print them out to look impressive on rounds.

Oh you will look like some ass who needs a kicking.

 

[Brain]

Oh you will look like some ass who needs a kicking.

Perhaps. But like it or not, knowing the primary literature on the conditions your patients have and recommended treatments is a basic expectation on many rotations, especially IM. Think about which situation is better: someone who memorized what should be done, or someone who actually understands WHY. The point isn't necessarily to "look better", but it can separate average from above-average students. It was pretty common to bring articles at my school (and expected by certain attendings), but I guess it differs across different programs.

 

[NAGNAM]

Oh you will look like some ass who needs a kicking.

this is literally all i could think about during this thread.

 

[Jolie South]

Perhaps. But like it or not, knowing the primary literature on the conditions your patients have and recommended treatments is a basic expectation on many rotations, especially IM. Think about which situation is better: someone who memorized what should be done, or someone who actually understands WHY. The point isn't necessarily to "look better", but it can separate average from above-average students. It was pretty common to bring articles at my school (and expected by certain attendings), but I guess it differs across different programs.

Yea, unfortunately on medicine, talking about primary literature is expected. :/

We wouldn't bring the articles but mention "In the CHARM trial, blah blah blah."

 

[docbill]

Yea, unfortunately on medicine, talking about primary literature is expected. :/

We wouldn't bring the articles but mention "In the CHARM trial, blah blah blah."

That is correct. If you can name the trial when you are answering questions THEN that is impressive. having 2 or 3 pockets full of papers and walking around like a monkey is not impressive.

This is different than being asked to talk about something... ie assigned a topic to cover. Then yeah it is okay to look for an article. UpToDate is by far the best.

PS. Also unless your residents walk around with pubmed summaries in their pockets... you probably should not.

 

[docbill]

Perhaps. But like it or not, knowing the primary literature on the conditions your patients have and recommended treatments is a basic expectation on many rotations, especially IM. Think about which situation is better: someone who memorized what should be done, or someone who actually understands WHY. The point isn't necessarily to "look better", but it can separate average from above-average students. It was pretty common to bring articles at my school (and expected by certain attendings), but I guess it differs across different programs.

you are correct but you don't need to have the article with you to know why you are doing something. Maybe you are at an advanced program or something.

BUT for us, a 3rd year student who can present the case, describe a detailed Assesment and plan with medications and doses, and answer questions about the pt's plan, ie. why doing this Tx, why not using this other drugs etc... then that is prety good. If you can answer questions on trials and RCTs then you are even excellent.

For 4th year, you should be functioning as an intern, but with less pts. Being able to admit and do proper H&P and A/P without putting the pt at risk is what will be impressive. Again, naming the trial during rounds when asked is EXCELLENT. But there are only so many trials that are used in medicine, mostly in Cardiovascular (MI, DM, Stroke, HTN).

Ps. I am also a PhD and I know that in the research world, and research academic centers that is impressive.

 

[Jolie South]

That is correct. If you can name the trial when you are answering questions THEN that is impressive. having 2 or 3 pockets full of papers and walking around like a monkey is not impressive.

This is different than being asked to talk about something... ie assigned a topic to cover. Then yeah it is okay to look for an article. UpToDate is by far the best.

PS. Also unless your residents walk around with pubmed summaries in their pockets... you probably should not.

I think it is very attending dependent. My attending last month specifically told me that he expected me to look up a primary article relating to a problem on every one of my patients. The rest of the time, I would just use UpToDate.

 

[cpants]

For surgery, I would read the surviving sepsis article. Google it. They reference/pimp on that stuff all the time.