Listen to Goljan a second time?

[GatorsWearJorts]

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Hi all,

I have 13 days until the test. I finished my first run through of everything including listening to all of Goljan. I am debating whether it is worth my time to listen to his stuff again. My plan for the next 10 days is to somehwat follow Taus last 2 week plan- and listening to corresponding Goljan lectures will really add a lot of time onto my days. I am considering just doing the 350 questions that go along with Goljan's book and going through the explanations instead of listening to him again.
For some background on where I stand: Last 6 or so block of Uworld at 65%. 34% of the qbank left to go. I took nbme6 today and got a 500, a little lower than my Uworld score predicts. Id really like to maximize my last 2 weeks- but I am finding my study endurance has drastically diminished this past week, so I am thinking I need more quality than quantity!
Thanks in advance for the input.

 

[chaostheory]

Hi all,

I have 13 days until the test. I finished my first run through of everything including listening to all of Goljan. I am debating whether it is worth my time to listen to his stuff again. My plan for the next 10 days is to somehwat follow Taus last 2 week plan- and listening to corresponding Goljan lectures will really add a lot of time onto my days. I am considering just doing the 350 questions that go along with Goljan's book and going through the explanations instead of listening to him again.
For some background on where I stand: Last 6 or so block of Uworld at 65%. 34% of the qbank left to go. I took nbme6 today and got a 500, a little lower than my Uworld score predicts. Id really like to maximize my last 2 weeks- but I am finding my study endurance has drastically diminished this past week, so I am thinking I need more quality than quantity!
Thanks in advance for the input.

Instead of listening to goljan, you should try reading the audio transcripts that are floating around. Since you know a good amt of patho by now, I think that you could skim through the transcripts pretty quickly.

 

[kdburton]

Hi all,

I have 13 days until the test. I finished my first run through of everything including listening to all of Goljan. I am debating whether it is worth my time to listen to his stuff again. My plan for the next 10 days is to somehwat follow Taus last 2 week plan- and listening to corresponding Goljan lectures will really add a lot of time onto my days. I am considering just doing the 350 questions that go along with Goljan's book and going through the explanations instead of listening to him again.
For some background on where I stand: Last 6 or so block of Uworld at 65%. 34% of the qbank left to go. I took nbme6 today and got a 500, a little lower than my Uworld score predicts. Id really like to maximize my last 2 weeks- but I am finding my study endurance has drastically diminished this past week, so I am thinking I need more quality than quantity!
Thanks in advance for the input.

If your endurance is diminishing then maybe Goljan audio is a good way to go in order to pound in important concepts. If I were you I would listen to it on a computer and see if you can't speed it up. He talks really slow and can easily be listened to on upwards of 2X if you've already heard him once. I personally have been listening to him on Real Player with this program Enounce (i think theres a free trial on the web), but I think you can use other programs to. That effectively cuts his ~30hrs down to 15 and you could build two of his lectures into the end of every day before bed when you're burned out.

 

[ENThopeful]

you have to be careful too with some of the things he says

polyarteritis nodosa is NOT p anca

and wedge pressure is NOT left ventricular pressure

those are only a few errors i can think of off the top of my head

 

[sgod34]

you have to be careful too with some of the things he says

polyarteritis nodosa is NOT p anca

and wedge pressure is NOT left ventricular pressure

those are only a few errors i can think of off the top of my head

I think what he means is PCWP can be used to estimate LV pressure during DIASTOLE (LV EDP). PCWP = PA pressure, but this in turn can estimate pressures in all 4 chambers. Since by definition PCWP is a measure of the end-diastolic pressures, it can also be used to measure preload.

PCWP = PA pressure = LA press = LV EDP = RA press = RV EDP

This relationship between PCWP and LV EDP can be used clinically in patients was suspected pathologies. IE in mitral stenosis and LV failure PCWP>LV EDP, in pulmonary edema PCWP > 20. What I did was add RA press and PCWP to the x-axis of the starling cure on pg 246 of 2009 FA which already had EDV and preload labeled.

An important thing to remember is that the relationship between LV EDP & LV EDV is NOT Linear!

 

[DrMichelle]

Also, a lot of the cancer metastasis information is just plain wrong. Maybe some of the information has changed since he gave the lectures, but just use caution when he talks about the most common cause of something or the most common metastasis to an organ.