Trying to dig into HOW(mechanism) things happen in pathology

[ftp902]

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So I realized that learning "HOW" part of pathogenesis or pathophysiology is crucial in learning but there are many times I waste a lot of time trying to find out how things happen instead of just memorizing it as it is.

How do you guys approach this? Do you guys find it worth to look over Uptdoate or wiki to make sure to learn how things happen? There also a lot of times where I spend so much time to just learn that mechanism is poorly understood.

 

[muhali3]

The how is really not that important at the end of the day. It really only matters for test questions 1st and 2nd year. From 3rd year on, the focus is on, clinical presentation -> form a differential diagnosis -> do a proper workup -> confirm the diagnosis -> treat according to whatever the evidence says (UpToDate,etc.).

 

[The Kraken]

Can you provide an example? The common things are well studied for sure, zebras less so obviously.

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[673441]

You'll get burned in med school doing that... There's just took much


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[Anicetus]

Read Big Robbins pathological basis once for those pathogenesis passages ONCE and then implement those concepts when you start memorizing the laundry lists for each disease.

 

[Goro]

I wouldn't use UptoDate. My students seem to love Goljian [sp?], Pathoma, and either of the two Robbins books.

I look at pathology and Pathophys as stepwise processes.

So I realized that learning "HOW" part of pathogenesis or pathophysiology is crucial in learning but there are many times I waste a lot of time trying to find out how things happen instead of just memorizing it as it is.

How do you guys approach this? Do you guys find it worth to look over Uptdoate or wiki to make sure to learn how things happen? There also a lot of times where I spend so much time to just learn that mechanism is poorly understood.

 

[Psai]

I wouldn't use UptoDate. My students seem to love Goljian [sp?], Pathoma, and either of the two Robbins books.

I look at pathology and Pathophys as stepwise processes.

Dr. Edward Goljan (goal-yan). Seems to be less popular these days but the audio is pure gold imo. Pathoma is a must have. Robbins is probably useful but too time intensive to be worth pursuing

 

[ortnakas]

We're actually tested on Robbins, so I always laugh a little when I read there's no time for it.

My personal system has been a pass of Pathoma to get the big picture, a fast read of Robbins, a pass of Robbins while taking notes, and then reviewing my notes/doing questions.

I recently discovered Goljan (about two weeks before the last block exam of second year) and it's super helpful, but a lot more time consuming than Pathoma.

"Baby Robbins" aka Pocket Companion to Robbins & Cotran is incredibly helpful-- it has the high yield parts of Robbins, and for a lot of chapters you could probably get away with that by itself. Mine's gone everywhere with me second year.

 

[Psai]

We're actually tested on Robbins, so I always laugh a little when I read there's no time for it.

My personal system has been a pass of Pathoma to get the big picture, a fast read of Robbins, a pass of Robbins while taking notes, and then reviewing my notes/doing questions.

I recently discovered Goljan (about two weeks before the last block exam of second year) and it's super helpful, but a lot more time consuming than Pathoma.

"Baby Robbins" aka Pocket Companion to Robbins & Cotran is incredibly helpful-- it has the high yield parts of Robbins, and for a lot of chapters you could probably get away with that by itself. Mine's gone everywhere with me second year.

lmao
A pass of robbins while taking notes hahaha

 

[Taddy Mason]

lmao
A pass of robbins while taking notes hahaha

No way I could do it, but I have classmates that read Big Robbins while taking notes. They've done it all of 2nd year and have managed to keep up and pass everything.

 

[ortnakas]

lmao
A pass of robbins while taking notes hahaha

It's worked very well for me, but I'm definitely not trying to pass it off as a universal method for everybody. And like I said, we're tested straight out of Robbins (it's a PBL program) so we definitely spend more time with it than people in lecture programs.

 

[Psai]

No way I could do it, but I have classmates that read Big Robbins while taking notes. They've done it all of 2nd year and have managed to keep up and pass everything.

Yeah it's possible but why would you? It is pretty inefficient and your time can be better spent elsewhere

 

[Taddy Mason]

Yeah it's possible but why would you? It is pretty inefficient and your time can be better spent elsewhere

I guess if its your preferred method you learn to become efficient with it. The people I know that do it are definitely a minority, but still find time to work out and have a social life. I was like that prior to med school and took that approach initially during MS1 with things like Guyton and Hall but couldn't make it work and be manageable, but a few did. Different strokes for different folks.