Build the perfect study plan in minutes.
Family Medicine Rotation / Clerkship: How to Survive It
Try for free! Read the interview here. The Cram Fighter team is always looking for ways to pass on great advice to medical students. To that end, we asked medical student Barrett H. Barrett H. One major difference between Step 1 and the Shelf exams is that Step 1 requires you to draw from your knowledge of basic science to connect the vignette to the correct answer. Or at least eliminate incorrect answers. In contrast, Shelf exam questions rely on clinical reasoning to arrive at the correct diagnosis or treatment.
The end result is that clinical experience become invaluable assets on test day. OME was useful as a primer or high-yield review.
I treated UWorld as an interactive text and tried not to pay attention to percent correct or incorrect. I also took at least one NBME for most rotations to get a feel for how clinical concepts in each field might be tested. These were most often Case Files and PreTest, respectively. My prep for each Shelf was pretty consistent: daily reading and questions with one or two NBME practice exams one to two weeks before the shelf.
Our shelf exams were always in the afternoon, so I would watch OME videos the morning of the test to target my weakest areas for each subject. Neurology Case Files and PreTest. In this particular rotation, these two resources really shined. Psychiatry I used First Aid for the Psychiatry Clerkship exclusively and found it sufficient for the boards and the wards.
Pediatrics Case Files and PreTest. This shelf is broad and difficult, but I found that reading up on patients was especially helpful for this shelf.
Top Resources for Your Surgery Rotation (UPDATED 2020)
I found the First Aid for this clerkship to be useful as a quick reference while working through the other two texts. Because this is the broadest shelf exam, I chose a more comprehensive text. Medicine is the largest category on UWorld, so there are plenty of practice questions to work through. What makes this one of the best shelf-prep texts for any rotation is a case-based structure that not only explains the reasoning for the most likely diagnosis and treatment but also why other diagnoses and treatments are less likely or appropriate.
It will feel like reading a medicine text, but remember — the Surgery Shelf is about knowing which treatment options to exhaust before choosing surgery, as well as pre- and post-op care.
For learning about specific operations and the questions you might be asked in the OR, read Surgical Recall."I Went Through Med School To Realize I Can't Stand The Sight Of Blood" (r/AskReddit)
At the beginning of each rotation, I identified the resources I wanted to use and tried to divide the number of pages to read or the number of questions to work through by the number of days available for studying.The one rotation in the field that I want to go to.
When I practice medicine, I plan to have my own outpatient clinic for treating adults and children 6 years old and up. Therefore, not only am I going to learn the medicine, I was going to learn how to operate an outpatient practice — from getting patients, to getting paid, to stocking the office, to scheduling the appointments, and to whatever else necessary for a successful thriving practice.
I have been disappointed. I started this rotation after my pediatric rotation. There is nothing much to say about this. People came in with complaints of pain. I diagnose a musculoskeletal dysfunction, and then I treat it with my hands without HVLA or high velocity low amplitude thrust. Personally, I feel that osteopathic medicine has as much benefit as stretching and massage. It makes the person feel good temporarily. I may offer it in my future practice if the demand is there.
Originally, I was supposed to work in a local outpatient practice, 5 minutes from my house. Unlike a private practice, a school clinic would survive even if it is unprofitable. At the very last moment, one day before I was supposed to start, I received a notice from the school that my preceptor the doctor I rotate with wanted to take a break and did not want any rotating students in his practice. Just my luck. So I fully expected to give shots, draw blood, and more. I gave lots of shots, but only drew blood once.
I also wrote out the whole SOAP note, from history all the way to the plan. It was a decent learning experience. For a simple upper respiratory infection, the time limit is not a problem. For for someone a bit more complex i. One of the doctors consistently stayed until midnight because he wanted to give quality care instead of rushing.
I absolutely hate the time limitations with the patients, which are indirectly in-place due to the artificially low reimbursements from government and insurance companies. That is why I have resolved not to accept any form of insurance.
Doing so prevents me from giving quality care to my patients. A something year old, African-American girl came in with a complaint of chest pain.The overnight team, usually a second or third year resident plus an intern, also goes over any new admissions or changes overnight. The cool thing about family medicine is that there is so much variety! You can also sign up for their Board Review questions for free! Skip to the end of this post to read about what I thought of those questions.
We were able to interview the patients on our own and do a physical exam as much as could be tolerated by the patient before presenting to the resident.
Our responsibilities as students varied depending on the resident we were working with. Some preferred you to go in first and get started taking a history, while others went in with you and evaluated the patient together. One of the most useful things I learned on this rotation was a proper presentation of a patient.
It came with practice and lots of feedback from the attendings. The day finished around usually, and I would be home by I did my best to try to study but most of my studying was done on the weekends.
For students who are not familiar with the series, Case Files walks you through 60 cases on commonly tested subjects in each subject. Family Medicine is said to be a difficult shelf exam, especially for students who have it earlier in the year. I thought Case Files did a good job covering a little bit of everything, and their charts were helpful.
Some of their explanations were dense and had to be read a few times before I remembered them all. Step Up to Medicine 4th edition This book is usually recommended for the Medicine shelf but the Ambulatory and Derm section was clutch. They are designed for residents in Family Medicine and so a lot of the questions were beyond the scope of what was needed for the NBME shelf exam.
Hopefully this gave some insight into the field and also helped for the NBME shelf exam. Love this! Good job! Thanks for the fam med study resource guide!
Great post! I start my second week in Fam Med rotation tomorrow my first rotation of 3rd year. My Shelf is scheduled for November I plan to start this week though and your post gave me an idea of good resources to use.
Comments Great guide! This error message is only visible to WordPress admins Error: There is no connected account for the user Feed will not update.Chances are, your third year clerkship grades will hinge more on your NBME Shelf exam scores than on your clinical evaluations. Do the questions for each rotation. Mark all questions you guess on or get wrong and do those again. Rinse and repeat. Take your shelf exams, nervously wait weeks for your scores to come back, and soldier on.
Then at the end of third year, reset it so you can start fresh and use it to study for Step 2 CK. While UW is, I believe, indispensable for several of the shelf exams, it is not sufficient. First Aid for the Psychiatry Clerkship is your must-read. Enjoy the psycation. More than any other shelf, the psychiatry shelf really stresses adverse effects of its medications. Every important drug has its one or two, and you need to know them cold.
All of them. When in doubt, you can always get through a Case Files book quickly and know that it will hit the highlights i. Many people advocate Blueprints Obstetrics and Gynecologyas it is quite readable and nearly exhaustive. Many of my peers who started with Blueprints never finished a single book before taking the exam. Finishing a single book is the most important thing; you need to have one cohesive point of view.
Definitely use it. Always focus on things that might seem similar and be able to tell them apart placenta previa vs vasa previa vs abruption. First Aid is overkill. You probably need two sources. You can sink a lot of time into that for little to no benefit. You should know a couple of big milestones per age group.
This informal packet is actually used by students around the world, is extremely quick, extremely high yield, and an old copy is available for free via Google or the official versionI suppose. This dense book is your essential read for the clerkship: excellent, organized well, good diagrams, and contains everything you need to know. Note, this is not the NMS Surgery textbook.
The Casebook is the best resource by far. After that, just do questions. Pay special attention to trauma management, which makes up a lot of the test. Many questions hinge on applying the ABCs properly, often comically obviating the need to know definitive management.
If you would do two things simultaneously in real life, never forget that one of them technically comes first based on the ABCs. I would not, however, rely on Recall as a primary studying guide when it comes to the shelf. Details about actual surgeries are not on the exam, but the management of surgical patients is.Psych is generally regarded as the easiest of all the shelf exams. Overview : There is always overlap when it comes to clerkship exam content.
For instance, if a patient comes in with increasing forgetfulness your differential list can be quite wide. You need to be able to differentiate brief psychotic disorder from schizophreniform from schizophrenia based on the timeline. And acute stress disorder from post-traumatic stress disorder.
And both of those from adjustment disorder. It seems easy and it is. But the diagnostic criteria and various timelines can blend together quite easily when you are taking a two hour hour test and each question has the same differential diagnosis list.
Resources : First Aid for the Psychiatry Clerkship is gold. It has everything you need for both the clerkship exam and step two. If you know everything in MTB then you will likely know all the high-yield stuff. But it is entirely comprehensive. And as always, UWorld is the gold standard for practice questions. Finishing the psych section is doable. If you finish those questions and want more I would next use PreTest for pysch. Granted, some of these questions are beyond low-yield and you should always know the basics inside and out before you delve into the esoteric.
Feel free to leave any follow-up questions you may have down below! Email Address. Get free 2-day shipping on the Eko Core Stethoscope. Enter your email address to subscribe to this blog and receive notifications of new posts by email. When will we start taking mental health seriously?Disclosure: This post may contain affiliate links which means I may get a commission if you make a purchase through my link at no additional cost to you.
Thank you for your support! Wait a minute! These are the resources I personally used and recommend to those in their surgery rotation and shelf exam prep. In my opinion, this is equivalent to Pathoma for pathology or First Aid for Step 1 — everyone should use it.
Honestly, you can read it in a few days. I recommend reading this during your first two weeks of surgery. This will help form your base of surgery knowledge you need to know.
Below I recommend other texts you can use throughout your rotation. During your last week try to go through Pestana more times. The questions are good practice for the shelf and your upcoming Step 2 exam. This is true. Not every patient who presents to the ER will need surgery. Do this only if you have time. Honestly, most of the medical management comes back to you after doing numerous practice questions.
Devirgilio Surger y was the text recommended by my school. Pros: The text presents high yield cases similar to the Case File series but goes over them in much more detail. It also presents you with questions about each case and then provides a paragraph or two of explanation.
There are also nice images of CT and X-ray findings. Regardless of your style of learning, Devirgilio has a good combination of textual and visual aids to facilitate your learning. Also, each section has questions in the back of the book.
The NBME® Medicine Shelf Exam
I selected to them all towards the end of my studying to help review all the material. If your surgery rotation is q3 call for eight weeks, this book may not be feasible for you.
Thus, you can skim or skip these areas if you want to be efficient. The book can also be redundant within the same chapter.
In a way, this is good to reinforce important topics.Sayonara Family Medicine. Before third year set off, I spent a lot of time reading the advice of medical bloggers and anonymous med-redditers. I found this advice extremely helpful and I just wanted to share how I approached each clerkship. Believe me, it will get easier with time. While on sub-specialty, you have guaranteed weekends off woo!
This is NOT an easy rotation to start with but I will say that subsequent rotations particularly family medicine and surgery were easier to approach given that I had already completed internal medicine. This shelf is unarguably challenging. For those of us without children or pets, placement is almost guaranteed to be outside of New Orleans. I had the opportunity to work in Rayville, Louisiana 45 minutes outside of my hometown of Monroe.
Some preceptors will give you the opportunity to draw blood, give vaccinations, and do other small procedures. Take advantage of this! There are a TON of sites for placement. Some at academic centers and some at private hospitals. It was really cool to see how life as a surgeon can vary depending on hospital affiliation.
If I could repeat the clerkship : That would be such a nightmare for me. Like Liked by 1 person. Like Like. You are commenting using your WordPress. You are commenting using your Google account. You are commenting using your Twitter account. You are commenting using your Facebook account. Notify me of new comments via email. Notify me of new posts via email. Presentations were what I feared the most prior to the start of clerkships. You quickly get so used to presenting that it is no longer a big deal.
History of Present Illness: The story given chronologically. Pertinent ROS. Any recent and important illnesses. Course in the ED. Alcohol intake. Tobacco use. Illicit drug use. Family History: Pertinent family history.