Topics which interns are supposed to know

[maverick_pkg]

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Had posted the thread in books for surgical residency...there wasnt a reply so posted it here as have a couple of days off and was hoping to start my reading. Hope its not a TOS violation. if it is sorry, wont happen again.

Here it goes:

Am an intern and am expected to read up the following for my next rotation:

Esophagus
Hernia
SBO
Appy
Gall bladder
Pancreatitis
Diverticulitis
Breast

Which book/books deal best with these topics - sabiston, schwartz, greenfield, acs?


Also which book would you guys recommend to get a good handle on chest tubes, respiratory issues, vent management in a surgical patient
AND
on postoperative management esp of complications?

 

[Winged Scapula]

Had posted the thread in books for surgical residency...there wasnt a reply so posted it here as have a couple of days off and was hoping to start my reading. Hope its not a TOS violation. if it is sorry, wont happen again.

Sorry...most of us don't look that far up on the forums. I'll give ya a pass this time! 😉

Here it goes:
Am an intern and am expected to read up the following for my next rotation:

Esophagus
Hernia
SBO
Appy
Gall bladder
Pancreatitis
Diverticulitis
Breast

Which book/books deal best with these topics - sabiston, schwartz, greenfield, acs?

That's up to you. If your program has a "house" book, you should use that. Otherwise, pick the one which is best suited to you. Conventional wisdom has that Greenfield has more basic science and ACS is more clinical, with details about how to do the procedures. As far Sabiston and Schwartz...again, 6 of 1, half dozen of the other. They will ALL cover these topics adequately although at the junior level you will want to focus on the basic science.

Also which book would you guys recommend to get a good handle on chest tubes, respiratory issues, vent management in a surgical patient
AND on postoperative management esp of complications?

For ICU issues, you can't go wrong with The ICU Book by Marino. Well written, easy to understand, detailed and use frequently by surgeons.

The surgical texts will also have info on common post-op complications and their management.

 

[maverick_pkg]

well ya thats what everyone says, that each has his favorite book. The problem that I am havng is how to decide for myself...should i read the same chapter from greenfield, sabiston, schwartz and then decide what suits my style. Wont each chapter be treated differently, so how do I choose which chapter to make the basis of book selection. how did u guys go about deciding? At our hospital, seniors have read differenent books based on whatever advice they got. I know it sounds stupid, but is there a good way to decide? thanks for your help

 

[Winged Scapula]

well ya thats what everyone says, that each has his favorite book. The problem that I am havng is how to decide for myself...should i read the same chapter from greenfield, sabiston, schwartz and then decide what suits my style. Wont each chapter be treated differently, so how do I choose which chapter to make the basis of book selection. how did u guys go about deciding? At our hospital, seniors have read differenent books based on whatever advice they got. I know it sounds stupid, but is there a good way to decide? thanks for your help

If your program doesn't have a recommended book, then you are free to choose from whichever one you like (even if they do have a recommended book you are free to choose). When you did clinical rotations, there were a wide variety of books to choose from; somehow you made the choice to go with one or the other.

Our "house" book was Greenfield, but I found it tough going. I switched to Cameron and use O'leary for the basic science stuff. I preferred those...others will tell you they preferred Sabiston or Schwartz or ACS (which, when I was a Chief became our "house" book, but I found it leaves a lot of topics out). If you have access to each of the books, perhaps reading a chapter out of each, on the same topic, will help give you a feel for the writing style and see what appeals to you.

In the end, all of these are classic books and will teach you what you need to know. The book you choose is not as important as the book you use. Find a book you like and will use.

 

[SLUser11]

well ya thats what everyone says, that each has his favorite book. The problem that I am havng is how to decide for myself...should i read the same chapter from greenfield, sabiston, schwartz and then decide what suits my style. Wont each chapter be treated differently, so how do I choose which chapter to make the basis of book selection. how did u guys go about deciding? At our hospital, seniors have read differenent books based on whatever advice they got. I know it sounds stupid, but is there a good way to decide? thanks for your help

I've read all of Sabiston and about 1/8th of Schwartz, and I personally like Sabiston a lot more. That would be my recommendation.

As for chest tubes, it's really a see one, do one, teach one type of procedure. Of course, there are plenty of ways to do it wrong. You probably won't need to do any reading for it.

Vent management and respiratory issues are a little more difficult. You'll likely be using mostly SIMV, so understanding how it works is important. Also, for bilevel/APRV, you should read this article.


Otherwise, experience is priceless, and there's no really good books that I've found.

 

[maverick_pkg]

thanks a lot guys

 

[Bitsy3221]

this article[/URL].

I say just read the chapter from The ICU Book about vent management. And I would not assume that any one particular mode is going to be used....I went to medical school at a place that used SIMV all the time, and during my sub I at one place, and then again at my current institution when I suggested that mode, I got crazy looks and informed that "no one uses that mode anymore" which, clearly, is not the case. Basically, I suggest having a basic familiarity with the different types of mechanical ventilation (volume v. pressure control) and read that article SLUser posted (a classic) and you will have a good basis for whatever they decide to throw your way.

 

[Blade28]

Vent management and respiratory issues are a little more difficult. You'll likely be using mostly SIMV, so understanding how it works is important. Also, for bilevel/APRV, you should read this article.

Nice link, thanks for this article!

I've found that G Surg tends to use SIMV, Medicine likes CMV, and we use BiLEVEL/APRV when we have those fancy vents available. 🙂