When did we learn Renal Tubular Acidosis?

[GonefromTX]

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Hey everyone,

Just looking through First Aid and I completely don't understand the types of RTAs. I might be missing something but did we learn it in phys, pharm, path or biochem? Also, whats a good resource to understand RTA? I currently use BRS phys, pathoma, sketchypharm and picmonic.

Thanks in advance!

 

[username456789]

We never learned it when I was in medical school. Had to teach myself when boards studying came along.

 

[Promethean]

We had a renal system where it was mentioned, kinda briefly.

This is why I have aggressively supplemented my medical school curriculum with other resources. BoardsBeyond.com has great videos. Pathoma. Conrad Fisher's MedQuest. Osmosis. Najeeb. When I hear several different sources covering the same topics, I get the hint that oh, this is actually something clinically / board relevant, as opposed to some of the minutia that makes it into the school's curriculum because it was important to that particular PhD who taught it.

Regarding RTA specifically, there are several great videos on youtube on this topic. I'd link to them for you but I'm sleepy and lazy and I found them with a simple search, so I believe they will be as easily revealed to you.

 

[Taddy Mason]

We never learned it when I was in medical school. Had to teach myself when boards studying came along.

Ditto.

 

[whatisthisstuff]

Hah I've been thinking the same thing

 

[GonefromTX]

Hah I've been thinking the same thing

What are u going to do to read up on that section? Firecracker/osmosis/DIT/Kaplan?

 

[W19]

You learn about 80% in med school of what you need to know for step 1, the other 20% is on you...

 

[whatisthisstuff]

What are u going to do to read up on that section? Firecracker/osmosis/DIT/Kaplan?

I tend to just type into google "whatever topic usmle" and see what comes up. I've used medbullets a few times for topics like that, seems like their explanations are pretty good. Also I especially read the Kaplan QBank explanations on topics I don't know so when that comes up I'm sure I'll spend some time with it.

 

[Redpancreas]

Hey everyone,

Just looking through First Aid and I completely don't understand the types of RTAs. I might be missing something but did we learn it in phys, pharm, path or biochem? Also, whats a good resource to understand RTA? I currently use BRS phys, pathoma, sketchypharm and picmonic.

Thanks in advance!

I never actually learnt about these outside of classes. I don't ever remember seeing it in UWorld but there's a table in FA and it never came up on Step or the wards. It's kinda complex


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[caramelbear]

Lolololol I thought this was just my school. I guess they all agreed to not teach their students about it.

 

[jqueb29]

I read this in my head like that scene from The Ringer..."when the **** did we learn renal tubular acidosis?"

 

[basophilic]

You learn about 80% in med school of what you need to know for step 1, the other 20% is on you...

And what fraction of the total med school preclinical course knowledge is that 80%? Or is it that Step 1 consists of all the preclinical knowledge you learn in med school PLUS material beyond that?

 

[Psai]

One thing about medical school that's hard to appreciate when you're in it is that there is only so much time and there is a ton to learn. If you wait for someone to spoon feed it to you, you will miss a lot. Really medical school is there to teach you the tools to be a self-directed learner. They teach you the vocabulary but using the language takes practice and experience. You won't be able to cover everything that there is.

I've frequently found on the wards that they didn't teach me about some common disease that I see all the time and at first I was like wtf but then I realized that there's no point of going over it if you will see it frequently. How much you know will be determined by how much time you put in to reading about your cases as well as general reading. You won't have something on your differential if you've never heard of it and someday your ignorance might hurt one of your patients.

I think I heard about rta from goljan but really it took me a great lecture from a nephrologist to really understand it. Sometimes it's hard to figure things out by yourself and you need help. There are a lot of people in the hospital that are experts in the things you're trying to learn and sometimes they're willing to help. You have to reach out though.

 

[basophilic]

And what fraction of the total med school preclinical course knowledge is that 80%? Or is it that Step 1 consists of all the preclinical knowledge you learn in med school PLUS material beyond that?

Edit: to add to this, I understand that two of the major "bibles" for the preclinical sciences are the Guyton physiology and Robbins basic pathology (the two subjects that are tested most heavily in Step 1, correct?). So if you count the knowledge in these two books plus things you learn in class for the other subjects like anatomy, microbio, pharma, etc., what percentage would that be of the knowledge tested on Step 1?

 

[Anicetus]

Renal systems block in second year covering pathology.

 

[DerpStore]

I had the exact same thought as I was preparing for step 1. When did I learn this? Looked complicated and low yield. It was on my exam, had a good chuckle in ole Prometric. Still don't know it. Not sure what the teaching point is here.

 

[Rekt]

Our professors kept mentioning it in passing saying "You'll learn this later in Renal/X/Y/Z" and here I am studying boards, we never learned it.

 

[Manual Disimpaction]

Not that high yield for step 1. I went in knowing simply the first aid info and that was much more than sufficient