The ONE, the ONLY anatomy advice thread

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PrashanthL

Prashanth
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I am a medical student at NRI medical college, India. And I am wondering if anyone could give me tips regarding how to study anatomy.

I am feeling that anatomy is so vast and difficult and it is so detailed. But, I think that the other subjects- physiology and biochem are alright.

any help would be appreciated

thanks
 
Since apparently there are like 10 threads on how much anatomy sucks, I figured I'd make a thread for the survivors to share some tips on how to get through it. Please don't start any more anatomy threads guys- if all goes well, this'll become your one-stop shop.

I'll start.

1) For me, the best part of anatomy was that it ended. I considered it a huge bump in the road and nothing else. If you hate it, you hate it, and that's ok. No, it won't make you a bad doctor or mean that you'll fail out of med school.

2) Ask your upperclassmen what the expectations are and how you are tested. I found that our second years were my best resource as far as figuring out how to study, while people at other schools were basically useless.

3) As you go through structures, try to think of their function. Look at the body clinically. We happened to be tested on that stuff a lot so it was useful as far as our exams were concerned, but even if that's not the case, it's a good way of looking at things for later on (path etc). When you're doing the portal system, for example, imagine what would happen if the whole thing backed up- what would cause it to back up? Where would the blood go? What would happen next? It'll turn out to be important the next year at the very least.

4) Use dissection time as study time. A couple of people I had spoken to about anatomy told me often how useless dissections were, and I took it to heart. I then realized that I was wasting 4ish hours of my life mindlessly going through fascia. Open the Netter's and study while you do it. Quiz people in your lab group and ask them to quiz you. Name everything you see and think of where it goes/ where it comes from/ what could happen to it. Efficiency is key, and when you don't have any free time to begin with, dismissing lab time as a waste is just not smart.

5) Draw things. I am the least good artist ever, but I couldn't have gotten through some of the more complicated branchings of arteries if I hadn't drawn and redrawn them 100 times. If I remember correctly, I drew the entire course of the abdominal aorta on the back of my GI/pelvis exam in the beginning. It took up quite a bit of time but it saved a ton of it as well because whenever there was a question about vascular supply of something or hemorrhage from somewhere, I could just look at my drawing instead of having to think through the whole thing in my head.

6) Collaborate with your classmates. One of the things we did last year that turned out to be super useful is that we set up a google doc in which anyone could write down a structure their body had that was particularly well-dissected, aberrant, or hard to find. Whenever I went to lab to review, I'd take that document with me and go to all of those bodies. Chances are, those structures were tagged during the practical exam.

Alright guys, feel free to ask questions and M2s and above: write down your advice!
 
get netters flashcards. study the cards that pertain to what you will be doing in lab. the key is to study them before you get to the lab. if you know all the relationships and names before you walk into lab, all you have to do it point to stuff and name it. going to the lab before studying is worthless, you might as well not even go.
 
You have to absolutely spend time in the lab outside of scheduled lab periods.

Basic rule I used was for every scheduled hour that I was in lab, I would spend half hour outside of lab time either during evenings or weekends. So in a given week if we had 12 hours of lab, I'd spend 6 hours usually on weekends in the lab going over stuff.

Also, make friends with couple of people who are not in your lab group. Why? So you can go in the lab during weekends with them and you will have more than your own body to work with.

It makes a huge difference learning from another body during your review because you'll pick up new clues and landmarks on how to find a specific body part. This, in turn, will make easier for you to identify a body part during the practical.

Landmarks, landmarks, landmarks! It's all about the landmarks! That is simply the absolute best way to learn anatomy. Don't get lazy, read up in your dissector how to find a certain artery or how three different muscles in the same region are oriented with each other.
 
You have to absolutely spend time in the lab outside of scheduled lab periods.

Well, it's a personal decision for one thing, but I honestly think lab is a bad way to study. If you're quizzing each other it limits you to what your partner or group knows and can verify as correct, and then when it's your turn to quiz people you are spending time on things you already know. Study alone and you waste time looking stuff up. Might as well just learn everything outside of lab.

Landmarks are good, but do not rely on the ones you see in lab. They're different from cadaver to cadaver, depend on how you position things, and it's no guarantee they will even be visible on the practical. The profs deem what landmarks and bodies you will use when they lay out the practical. Checking out other cadavers is also silly, then you are just multiplying the number of variables to remember. It's inefficient memorizing a cue for each thing and a lot smarter to understand networks of multiple things that are universal from body to body- ie: major innervations, blood supplies, etc.

So imo the best strategy is this: 1) be familiar with the practical item names to the point where you can just write lists of them from memory. Now you basically have a mental word bank to choose from. 2) have a very good understanding of the relationships between structures- relationships between their blood supplies, their innervations, their origins and insertions, know what they have in common or what makes them distinct, their relative positions and attachments. This is more relevant to medicine, consistent between cadavers, and more reliable for the exam. If you just know the names and the relationships you can deduce the ID of anything they tag.
 
Landmarks and relationships are synonyms in anatomy.
 
I found going to lab outside of the scheduled dissection times with my friends really helped on the practical section of my exam. There really is no substitute for looking, identifying, and discussing structures and functions on the real cadavers with your buddies. It's totally different from studying with Netter's at home.
 
Pin tests in lab are the easiest, even if detailed.

Written tests can be difficult because they focus on minutia (branches of veins that aren't important etc)
 
Here's what you do:

Get together with 3-6 of your classmates. Divide up the body parts list (I'm assuming you get one). Each person is charged with knowing about their section and all the relevant co-relationships & clinical correlations. Assign one person to bone up on relevant imaging.

Meet in the dissection lab. Each person goes to a different body and finds the body parts they were assigned. Once that's done you go together as a group to each body, and each person teaches their assigned anatomy to everyone else.

This way you get to see anatomy on different cadavers, and you're not doing all the work yourself.
 
Lots of good advice here, I'll add these:

-http://anatomy.med.umich.edu/home.html

-As for lab sessions, I've found that they aren't initially helpful unless Professors or TAs are available to guide you. Not only will they tell you what is where, but they can also point out irregularities, unique features, and ways to remember what's going on with your cadaver. That has helped me the most. Also, if the TAs are good and friendly, they may be able to let you in on what sort of things the Professors like to test. So ask lots of questions, they are a valuable resource. (Hopefully, your school has people just as helpful as mine.)
 
A few things that really helped me:

1) Memorize the relevant figures in your atlas (we used Grants) prior to lab. If you wait until lab to learn a structure, then you probably won't get much out of the experience. If you use your lab time to connect the diagram you memorized to its physical object then you will be much better off.

2) If someone in your group enjoys dissecting (aka "aspiring surgeon") let them do their thing. The less time you spend dissecting the more time you can spend studying Netter's/Grant/etc

I'm not advocating not pulling your load, but if some members of your lab group want to dissect more than their fair share then I would recommend letting them.

3) If your lab has pre-dissected cadavers spend the time to learn them.
 
Our school is huge on making the in house exams like a simulation of Step 1, so it seems like it somewhat limits the kind of stuff the professors can ask. I find that doing a boat load of practice questions (old exams from other schools, BRS, that UoM site) is an efficient way to weed through the minutiae to find out what's testable and should be prioritized or what can be ignored.
 
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