USMLE, AIIMS, MRCP, AMC, All India PG entrance exams

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USMLE, AIIMS, MRCP, AMC, All India PG entrance exams

You are on night float and the nurse calls you..

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You are on night float and the nurse calls you about a patient with sudden increase in heart rate to 200/min. What would you do? These scenario questions are pretty common in residency interviews.  Though the individual questions may wary widely the theme is the same  ‘ you are alone with no support from seniors and it is an emergency’ .    You need to decide and act fast.

The interviewer basically wants to assess how you would respond to emergencies at night when the residents are generally alone. Just read the BLS and ACLS manual once. It would give you an idea about what is a recommended action in each situation.  

 

Sample thesis topics for MD (Chest), MD (General Medicine), DNB (Respiratory Medicine) and DM (Pulmonology)

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  1. Role of bronchoscopy in smear negative pulmonary tuberculosis
  2. Spirometry in athletes versus normal individuals of same height
  3. Compliance with asthma medications. The common cause of non-adherence and predictor of compliance with recommeded medications
  4. Post bronchodilator reversibility in COPD and its correlation with the stage of COPD as per GOLD guidelines and BODE score
  5. Role of NIV in severe type 2 respiratory failure. Predictors of success and failure with NIV use.
  6. The usefulness of bronchoscopic brush specimen versus biopsy in the diagnosis of carcinoma of lung
  7. Asthma and Obesity – Comparing the pulmonary function of obese and non- obese asthmatics
  8. Pulmonary hypertension in patients diagnosed with severe obstructive sleep apnea.
  9. Incidence of laryngeal involvement in sputum positive pulmonary TB
  10. Post op pulmonary complications in patient undergoing liver transplant surgery
  11. Success rate of nicotine patch is a hospital based smoking cessation program
  12. The incidence of HIV in patients admitted for elective surgery.
  13. Diabetes in chronic liver disease
  14. The incidence of cavities in 5000 chest x rays taken in a medical college hospital. (Mass miniature radiography was used to detect TB earlier)
  15. Commonest side effects complained by the patients initiated on HAART therapy
  16. Analysis of CT-chest of smokers with greater than 10 pack years of smoking
  17. Profile of 50 consequent interstitial lung disease patient attending tertiary care center.
  18. Indications and Outcomes of Non invasive Ventilation in a tertiary care hospital
  19. Prevalence of obstructive sleep apnea in patients admitted for bariatric surgery
  20. Reference values for Maximum Voluntary Ventilation for the Indian adults.
  21. The effect of socioeconomic upbringing on the lung function
  22. Case series of mediastinal masses.
  23. The usefulness of Heliox in acute severe asthma
  24. Retrospective study of road traffic accidents in patients diagnosed with severe obstructive sleep apnea
  25. Socioeconomic class and compliance with asthma medications
  26. Endobronchial ultrasound vs Positron Emission tomography in the evaluation of malignant mediastinal masses
  27. Narrow band Imaging guided bronchial biopsy vs white light bronchoscopy guided bronchial biopsy
  28. Suspicious nodules in asymptomatic smokers with greater than 30 pack years of smoking by low dose CT screening
  29. Presence of pulsus paradoxus in a population of severe COPD as assessed by pulse oximetry.
  30. Mediastinal pathologies – 50 consecutive cases in a tertiary care hospital
  31. Diaphragmatic palsies – profile of 25 consecutive patients
  32. Pre-op spirometry and post op pulmonary complications in patients undergoing elective upper abdominal surgeries.
  33. Foreign bodies in airways – Profile of 30 consecutive patients, interventions and outcomes
  34. Alveolar haemorrhage due to pulmonary renal syndrome. A case series of 30 patients
  35. Role of cardiopulmonary exercise testing (C-PET) in pre op evaluation
  36. Profile of hospital acquired pneumonia over a one year period in a tertiary care hospital. The predisposing factors, organisms isolated, antibiotics used and outcomes.
  37. Respiratory complications in 50 HIV seropositive patients followed over a period of one year
  38. Reversibility of FEV1 and FEV in COPD post bronchodilation and its correlation with COPD stages.
  39. Empyema thoracis – Outcomes in a medical college hospital
  40. Lung volumes in healthy non smoking adults belonging to ethnic Punjabi population by CT volumetry
  41. Lung abscess – presentation, predisposing factors, organisms isolated and management in 50 consecutive patients
  42. Factors associated with primary drug resistance in tuberculosis
  43. Percentage of HIV seropositivity in smear positive tuberculosis patients in a medical college hospital in western india
  44. Adverse symptoms reported by patients with HIV/TB co-infection and taking both ATT and HAART
  45. Endobronchial tuberculosis – presentation, diagnosis, management and complications in 30 consecutive patients
  46. Incidence of TB among rheumatoid arthritis patients on TNF-alpha antagonists
  47. Role of Omalizumab in the management of asthma. Outcomes in 20 patients who were administered omalizumab
  48. Use of inhaled steroids and Inhaler technique among asthmatics admitted with acute exacerbation.
  49. International guidelines for pneumococcal vaccination and the Indian scenario. Pneumococcal vaccination status of COPD patients presenting to a medical college hospital. Possible strategies to improve the vaccination coverage.
Last Updated on Thursday, 08 September 2011 17:46
 

What I Wish I Would Have Known about Clinical Rotations

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Author: Sheila Bigelow, OMS IV

As a fourth year medical student, rounding the last base towards Match day, I have been asked by underclassmen about what to do during their clinical years of medical school. My last year of medical school is quickly coming to a close and so far my third and fourth years have been very rewarding. I am glad for the bits of wisdom I received from my upperclassmen. However, there are some things I wish I would have known. When you start to think about and plan your clinical years, here are some helpful tidbits that I am glad others shared with me and others I wish I would have been told.

First, go into every rotation with an attitude that you have something to gain from it. There will be rotations that you may feel don’t apply to your future career. For example, I am sure that some budding pediatricians may not be so excited about a required geriatrics rotation. However, this is probably the worst mistake you can make on any rotation. First, every clinical rotation has at least a few points that can be pulled out for use in your future career, no matter what path you picture your career taking. Perhaps you’ll interact with a team member in such a way that you’ll learn invaluable interpersonal skills. Secondly, attendings, residents, and interns definitely know when you don’t want to be there. You’ll get even less out of the rotation if they feel like you don’t want to be there with every bone in your body. If you go into a rotation with an attitude that you may never get to have this particular experience again and that you should get everything you can out of it, I would be willing to bet that not only will you learn more and be better prepared for your future, but you will probably end up getting a better evaluation as well.

Start your third year with an open mind. Many people start medical school thinking they know exactly what specialty they want pursue. Sometimes, it ends up being the right career for them. For others, they experience a rotation that they thought they would hate and end up loving it. Or they have a rotation in their chosen field and decide they hate it. Next follows a life crisis because what you were so sure of one month ago has now suddenly changed. Don’t panic! This happens to many people and as you go through your third year (and yes, sometimes even your fourth year) you may change your mind multiple times. This is why it is important to keep your mind open and pay attention to what your gut tells you. Think about why you like or dislike a specialty. Was it because of a single resident or particular attending that you didn’t get along with? Probably not a great reason to write off an entire specialty based on a few bad apples. Did you wake up every morning excited to go to work, to see your patients, and to learn more about that type of medicine? Then that might be a field to seriously consider!

Finally, plan your fourth year very, very carefully. November, December, and January (sometimes even October) are key interview months. Keep in mind that this can vary based on specialty so discuss this with people within your field of choice to find out the busy interview times. Depending on your geographical range of residency programs that you are applying to, you may be missing significant rotation time for traveling and interviewing. If possible, consider using your vacation time during this period to give yourself more flexibility regarding traveling. It is much nicer being able to arrive in the city of your interview early the night before and have the chance to attend the interview dinner than arrive late at night and have to rush into bed. If you’re unable to use vacation time, or would prefer not to, then consider scheduling electives that may have more flexible hours. Also, plan electives at institutions where you think you may be interested in pursuing a residency. One interview day is sometimes not enough to give you a solid feel for a program and doing a rotation there will not only let you know how the program really is from day to day, but also let the program know what kind of worker you are.

Clinical rotations during medical school are exciting and challenging times. You will learn many more lessons and skills than I can list here in this article, but hopefully this article will serve as a good start for your experience. The most important piece of advice I can pass on to you about your third and fourth years of medical school are to breathe, be yourself, and enjoy every day! Before you know it, you’ll be looking back on your clinical rotations and looking forward to starting your internship.

Sheila M. Bigelow is a 4th year medical student at the Philadelphia College of Osteopathic Medicine.  She is currently applying for a Pediatrics residency.  If you have any questions or comments, she may be reached at This e-mail address is being protected from spambots. You need JavaScript enabled to view it . 

 

 

Last Updated on Sunday, 16 January 2011 05:14
 

Medical Education In China

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People’s Republic of China started its medical education programme for foreign students since 2002 and the first batch of students from India joined in 2004. Large number of students from India are currently studying in almost 52 different colleges. But since 2009 March ministry of education in china limited the admission and gave a list of 32 colleges which can recruit foreign students.

Admissions:
Admissions will be done by authorized agencies for each college and there is even online recruitment for the medical students in some colleges. Once when a student decides to take admission in china the important thing the student must do is to get the eligibility certificate from Medical Council of India. Without this the student will not be able to appear in the licensing exam and will not get a permanent registration. Application form can be downloaded in the MCI website and should be filled  and submitted along with 10 ,+1 and +2 documents. MCI issues an eligibility certificate after the verification of the documents you submit. Students can be rejected in case of incomplete documents or if you are applying for a non listed medical college (list by ministry of education of china).

Course:
Usually the duration of course will be 4 and a half year and one year internship. Some colleges have a course for 6 years which include 6 months Chinese language. All the students must clear Chinese exam level 4.(HSK-4) for completing the MBBS course. Course include subjects like  Anatomy, Physiology, Biochemistry, Pathology, Pharmacology, Public health, Microbiology, Personal  hygiene, Forensic science, ENT,Dermatology, Anesthesia, Dentistry, Orthopedics, Psychiatry, ophthalmology, Radiology, pediatrics, gyn/obs. Surgery, Medicine Internship can be done either in India or in China. If the student decided to do internship in India he/ she must first clear the FMGE (foreign Medical graduate exam ) conducted by NBE (National board of examination) in India. Students can apply for the exam with the provisional certificate attested from the Indian embassy in china. After clearing the FMGE exam student will get a temporary license and internship can be done in hospitals affiliated to MCI. If Internship is done in china students must clear the HSK -4 exams and will have to complete a total of 54 weeks hospital posting.  After completing the internship student must clear the FMGE exam. After clearing the exam all the documents including your passport must be submitted in MCI for the immigration check. A leave of 30 days during internship is accepted and if more than that student must come back to china and complete the total duration of 54 weeks internship. The student will get permanent registration after finishing the intership and clearing the FMGE exam.

FMGE exam:
All Indian students studying medicine abroad must appear and clear the FMGE exam. The application forms are downloadable from website or directly available from the MCI. Exam is for 300 marks and scoring atleast 50% is needed to clear the exam. Exam is divided in two sets for 150 marks each and result is published in the website within a week's time.

Check out the following websites for more information. 
Medical council of India  http://www.mciindia.org/
National board of examination  http://www.natboard.edu.in/
Application downloads  http://www.mciindia.org/InformationDesk/DownloadApplicationForms.aspx

 Author: Dr. Maneesh


 

Last Updated on Sunday, 30 January 2011 17:04
 

Review of Doctor’s Social Networking Websites

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The social networking bug didn’t leave the doctors either. There are full fledged doctor social networking sites.  But they are not facebook or MySpace. You may not have even heard some of their names. The largest of them boasts only a mere 70,000 members and compare with the millions that facebook has. But then the high earning doctors are a rarity in any community and country.  Let’s get on to the main three in the competition.  I have chosen them based on the quality of the site and the usability to the physicians.

Sermo (www.sermo.com)
This is probably the first networking site for the doctors and the most popular in the United States.  Sermo’s mantra is ‘Know More Know earlier’. This is a pretty useful site that can be of immense help to a practicing physician. Only doctors licensed in United States can join. Also there is literally no advertising in the site. The site makes money by selling the inputs from the physician community to firms in the Wall Street.  For example there is a new drug XXX that is being marketed for a specific ailment.  The drug manufacturer may put forth a projected sales of USD$ 1 billion. Now the Wall Street analysts want to know how likely the physicians will be interested in prescribing the drug. Does it have any serious adverse effect that might lead to the withdrawal of the drug? Suppose the drug is suspected to have a serious side effect, this information will be available to the trading firm earlier and they will dump the drug manufacturer’s shares before the side effect of the drug becomes common knowledge. Thus earlier the information they get, the smarter they become in their share trading. Even physicians can monetize their activity by taking surveys for which they are paid money. The best thing from the patient perspective is that sermo serves as a means for the adverse health reporting.  There is a drug AB in the market and if many physicians report that patient’s taking AB are complaining of loss of appetite.  Boom, you have a new adverse effect unknown earlier and which needs to be investigated further.

Medscape Physician Connect (http://www.medscape.com/connect)
Probably started after the sermo and medicspeak, but they are owned by WebMD, the largest and the most profitable company that provides health information online.  WebMD is a multi-billion dollar company that has vast resources to expand the physician network.  Sermo is a start-up company with funding from the venture capitalists. Venture capital firms have invested upto USD $40 million in Sermo. It is a privately held firm and the revenues and expected break even are not available. But nevertheless Sermo faces a serious threat from Physician Connect and competing with WebMD is going to be tougher. Physician Connect unlike MedicSpeak, verifies your credentials before you can join the site. Additionally they provide online CME, journal articles and news/meetings/conference coverage.

Medicspeak (www.medicspeak.com)
I have put medicspeak only because the other two prominent physician networking sites, do not allow physicians outside United States to join their sites. You can find doctors from varied countries in medicspeak.  A lot of medical students too seem to be members of medicspeak.   The site doesn’t verify your credentials. This has a positive and a negative side.  The negative aspect is literally anyone can join. But the positive side is you could register as some unreal person and not be worried about a company watching your online activities and comments. If you are Jeff Roberts in real life, you can put it as chin chen in medicspeak.  One thing that is really good about medicspeak is you can search members based on their medical school, experience, specialty, country etc which is not possible in sermo, where every member is anonymous to each other. The disadvantage is it is tiny in comparison the above mentioned.

Now as a doctor where do I join? Nice question. If you are a non-US doctor, the best option is MedicSpeak. If you are a US physician then the best thing is to join both Sermo and Physician Connect  and soon you will know which one you like.

 
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