how much is needed?

[jok200]

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I have started my residency already but since my program is a categorical I have been doing internal medicine for the past couple of months. I have been hearing that I need to know anatomy.. of course ! The problem is that anatomy was one of my worst courses in medical school and I honestly learned nothing. I am trying to learn as much as I can now since my medicine months have been very light (seriously). I have been thinking BRS anatomy as a text and Thieme anatomy atlas( I have always loved the thieme books )

My questions are:
1) How much anatomy should I learn ? (I understand that learning origin and insertion of muscles is beyond the scope of what I need)
2)What texts are sufficient?
3)What is the perspective of anatomy from a PM&R resident/physician?

Thanks again-

 

[AndyDufrane]

Hollinshead Anatomy Functional anatomy of back and limbs
Netter's

Be able to draw brachial plexus, including trunks/division/cord/branches and the muscles innervated by them

Know the roots and the reflexes/dermatomes/myotomes cold

 

[AndyDufrane]

Hollinshead Anatomy Functional anatomy of back and limbs
Netter's

Be able to draw brachial plexus, including trunks/division/cord/branches and the muscles innervated by them

Know the roots and the reflexes/dermatomes/myotomes cold

Perroto's book for EMG surface anatomy good too

 

[Jitter Bug]

All cold hard facts sink into your brain better when you have clinical correlations. You will learn your peripheral neuroanatomy (myotomes/dermatomes) when you learn your ASIA exam for SCI patients. You will learn your brain anatomy caring for stroke patients, and limb anatomy doing spasticity management for your SCI/CVA patients, and during your EMG months. Spine anatomy during clinics or dedicated spine rotations.

You actually will use a lot of anatomy in PM&R, but you have 3 more years to learn it. Try and see what your first few PM&R months will be once the schedule comes out and study those areas accordingly.

 

[deleted185747]

As a medical student anatomy was one of my strongest subjects. That being said, I am still learning anatomy as a PGY-4.

Some examples of what I'm still learning:
*Spine anatomy is complex, each lumbar and cervical vertebra is slightly different. Yes; I can differentiate L3 from L4 and from L5 if you hand me 3 different models.
*Muscle insertions are important; we had one guy come in with pain and a bruise over his posterior calf - it turned out to be a plantaris avulsion fracture!
*I'm still learning dermatomes because it depends upon which reference book you consult: Netter's pictures are idealized dermatomes and your patient's dermatome margin may be over by a few inches. See the work By Dr Marcia Wolfe.
*You will learn nerve anatomy during EMG as well as cord levels and muscle innervation.

Ditch the BRS anatomy- you don't need to study for anatomy mock boards anymore- you need clinical/useful information. Buy and read Braddom and Cuccurullo and consult Netter if you need more pictures.

You will use anatomy forever, even if you are reading a shoulder MRI. You will also be looking at CTs and MRIs of the brain so you better know what you are looking at.

 

[cartoondoc]

I agree that it's way easier to learn when you have a clinical correlate.

If you have a lot of time on your medicine rotations, READ ABOUT MEDICINE. It's an embarrassment when physiatrists don't know basic medicine.

 

[jok200]

Hey.. thanks everyone for the fast replying. I think I will definitely focus on the internal medicine for now and just review my neuroanatomy and other things that andydufrane said, because I definitely forgot some of that basic stuff.

thanks-

 

[RUOkie]

The other posters all had it down. One more thing to add. Hopefully, your PM&R program will have cadaver prosections to use. Some of the anatomy labs also need volunteers to do the prosections. If they have that, volunteer to do it. You will gain a newfold understanding of MSK anatomy.

Also, any diagnostic ultrasound you do will help tremendously. 15 yrs in practice, and I am still refining my functional anatomy now that I am incorporating US into my practice.

 

[PMR 4 MSK]

Rehab anatomy is neuro and muscles.

At this point, I'd save the brachial and lumbosacral plexi until you get more into your residency, they are quite complicated and I still need to refer to diagrams of them now and then. Learn the pathways and innervations of the arm - axillary, radial, musculocutaneous, ulnar and median nerves - motor and sensory. For the legs know femoral, obturator, sciatic, peroneal and tibial.

Get a good idea of sensory dermatomes - spinal cord levels.

know the reflex levels - as above, Hollinshead's book is great for all this.

Rehab Secrets can give you a good head start.