Wednesday 26 September 2007

Books bloody books !!!


OK, a new academic year is starting and everyone is panicking about what textbook to choose... So allow me to give the intermediate MD students some advice :

First of all, every person is different and therefore has a different way of learning.

There are people who can learn endless pages by heart, and reproduce them perfectly without really understanding what the hell they're talking about. Those people can do really well in medicine (at least, the pre-clinical years), and there are some excellent books out there that they can use for memorisation.

I, on the other hand, belong to a less fortunate group of people who can't memorise for love or money, and always have to find a way to work things out, starting from the minimal amount of information that their little brain is able to hold. And this group of people always seeks a specific type of book : those that do away with endless text and use loads of pictures, diagrams and tables to help you understand what's going on.

The books I would suggest to the second group would be the following :

Anatomy Textbooks :
  • Moore's Clinically Oriented Anatomy : a marvellous book, with well-written text, loads of clinical correlations and a large number of high-quality images, diagrams and tables. Its negative points are the large amount of small, insignificant details it contains (which can be overwhelming) and the fact that it only makes sense if you read a whole chapter at a time, from beginning to end. Therefore it's a book that requires time, and can't really be used for revision. But I still consider it the ultimate anatomy textbook that is currently available, and did use it for my study.
  • Gray's Anatomy For Students : A very well thought-out book, that has excellent images and tables, but does away with the insignificant details of Moore's. Sometimes it seems too simplistic, but it has been proven to be more than enough for our exams, and really makes your life easier compared to Moore's. If I had to start the course over again, it would certainly be my choice.
Anatomy Atlases :
  • Both Rohen's and McMinn's photographic atlases are great. The latter looks a bit more contemporary, but I would be happy to use any of the two (or both !). Photographic atlases are be much better than drawn ones for spotting test preparation, because it is done on real specimens, where the arteries aren't red, the veins aren't blue and the nerves are anything but yellow.
  • Sobotta's and Netter's are the two great drawn atlases, which aren't very useful in the dissection lab but offer great help when the textbook's illustrations aren't clear enough. Small differences exist between them, and they're both on the expensive side (especially Sobotta), but they're worth it.
  • Imaging Atlas of Human Anatomy : A book that is essential for the imaging part of the spot test, and which can also give you an excellent 3D perspective of the anatomical relations in the trunk, which are otherwise quite hard to understand.
Revision Books :
  • Instant Anatomy : I don't know of anyone who doesn't have this book, and this says something. It doesn't make too much sense at the beginning of the year, but when you reach May it proves to be an indispensable revision tool.
  • Anatomy At A Glance : The whole of anatomy, crammed into 170 pages, half of which are pictures ? Including clinical correlations ? This book is useless as a main textbook but a great last-minute read that can make the difference between passing and failing.
  • MCQs In Anatomy (Lumley et al.) : I won't lie to you, saying that this book is good. In fact, I would normally not even touch it with a bargepole. You see, most of the questions in this book require you to know a ridiculous amount of completely pointless anatomical detail, which is completely useless for a medical student. BUT (and every sentence starting with a 'but' means trouble is on the way), one of the anatomy lecturers seems to be in love with it, and all the head and neck MCQs in the MDII final exam are usually taken straight from this book. So do get it, and make sure that you learn all the stupid details about the various insignificant foramina of the palate...
[MDII] Neuroanatomy :
  • Fitzgerald's Clinical Neuroanatomy And Neuroscience : Huge book, with abundant useless detail, but it seems to make loads more sense than the textbook recommended by the lecturer. Use at your own risk, though, because neuroanatomy exam questions seem to be completely unrelated to both the book and the lectures... [UPDATE : More information and a set of notes are here !]
Histology :
  • Ignore the textbooks and try to get your hands on a set of lecture notes. I will try and publish my notes on this blog in the near future. [UPDATE : The notes are here !]

Embryology and Cell Biology :

  • Ignore the textbooks and use Prof.Cuschieri's lecture notes, which can be found on his website.
Physiology Textbooks :

  • Pocock and Richards' Human Physiology : Short, simple and comprehensive. Far easier than Ganong's and far shorter than Guyton's, without lacking in content.
  • Master Medicine Physiology : This book was recommended to me by a colleague and I found it ideal for the study of cardiorespiratory physiology, which seems to be quite long even in Pocock's.
  • Use the lecturer's notes for endocrine physiology, they're short, simple and comprehensive.
  • Ignore the Israels' Hematology book that is recommended by the hematology lecturer, because it's far too detailed and sometimes incomprehensible. Pocock covers the topic very well.
Biochemistry Textbooks :

  • Lippincott's : Probably the simplest biochemistry book available that we can use.
  • Avoid Stryer's at all costs, I know far too many people that bought it and never opened it.
  • Also use the lecture notes provided by Prof. G. Hunter and Dr. T. Hunter. They're quite short and the exam questions are always out of them.
[MDII] Genetics :

  • Most of the material covered in the lectures isn't available in medical genetics textbooks. Thankfully, lecture notes are provided and they're reasonably short and quite easily comprehensible.
[MDII] Neuroscience :

  • Neuroscience (Purves et al.) : Excellent book but extremely long and detailed for the purposes of our course.
  • The notes provided by one of the two lecturers are even longer and even more detailed (and not particularly well-written). Ignore them, for the sake of your sanity.
  • Get your hands on past papers, and study very selectively from Purves.
[MDII] Pathology and Microbiology :

  • Ignore the books and use the lecture notes.
  • Make sure you get your hands on some past papers, because they are essential.

[MDII] Pharmacology :

  • Again, ignore the books and use lecture notes.
  • Past papers are easily available and should help you organise your study.

7 comments:

Anonymous said...

Sound blog. Very helpful and appreciated. Great work!

Anonymous said...

Dear Foreigner, I'd like to know your opinion on the study/books concerning acid-base balance 'taught' by Prof. William Bannister

Daniel said...

Hey,
Well done for this blog! It's a great initiative and as far as i'm concerned, you're sticking to the truth! (i.e. I agree to your ideas :-)
One thing: Can some past papers be made available? Or if not due to some blessed law blah-blah, can there be ...erm... organised distribution of these past papers?
Thanks and well done once again!
2nd year

The Foreigner said...

Dear Daniel,

there is a huge stack of past papers in a corner of my room, and I am planning to go through them and share the ones I consider valuable (e.g. I'm not going to share papers from the early 1990s, because they have become obsolete).

Until then, be patient and try to keep up with your study. Everybody will tell you how tough second year is, but if you devote a reasonable amount of time to study, there is nothing to fear !

Anonymous said...

while i agree with most of your book suggestions i urge all first years to go to mireva (or any bookstore for that matter) and spend a few minutes looking a few minutes looking at the books for yourself, personal prefernces differ, for example i personally found the 'Imaging Atlas of Human Anatomy ' an exercise in sillyness and i happen to prefer snell to moore... find your own favourate and stick to it! one thing that is a MUST though is instant anatomy! go on the website http://www.instantanatomy.net/ and buy the CD, its only £17.99 and has some brilliant podcasts! good luck

- - --^[ WáM$èl]^-- - - said...

What would you suggest for Renal Physiology. Dr. Farrugia told us we should buy Renal Pathophysiology but some second years said that they never opened it.. His notes are too simple in my opinion

The Foreigner said...

My suggestion would be not to bother with specialised books, because you will simply not have the time to read them.

Stick to your main Physiology textbook, which should have all the information you need (and most probably even more).

As regards Dr.Farrugia's notes, I found them almost as confusing as his lectures...