The Senn retractor is a small, relatively delicate retractor that is used extensively in hand surgery, vascular surgery, plastic surgery and other procedures involving the skin and soft tissue. I hold this instrument most days I am in the OR and yesterday found myself wondering about this beautiful tool.
Nicholas Senn was an early adopter of Listerism and performed his operations under a fog of carbolic acid spray. He felt that smooth surfaces on surgical instruments were important to help prevent infection.1 That, plus the need for retraction in superficial wounds undoubtedly led to developing the Senn retractor.
Nicolas Senn was born in 1844 and emigrated to the Fond du Lac, Wisconsin from St. Gaul, Switzerland in 1852. He graduated from Chicago Medical School in 1868, completed his residency at Cook County, started his academic career at the Medical College of Wisconsin, studied in Europe at the University of Munich and then returned as Professor at the University of Illinois. He served as president of the American Surgical Association in 1892, and was named president of the AMA in 19872, Dr.Senn was a military surgeon who served in the Spanish-American war and the Russo-Japanese war. Importantly, he founded the Association of Military Surgeons.2,3 He died in 1908 at the age of 64, five years before the American College of Surgeons was founded. There is little doubt that he would have been a founding member of the American College of Surgeons as he was the first Editor-In-Chief of SGO, which later became the Journal of the American College of Surgeons.4
In addition to his truly extraordinary resume, there are other facts and stories about Dr. Senn worth knowing. So, the next time you find yourself handing a student, resident, or assistant a Senn retractor you might want to share some of this history.
- Dr. Seen taught elementary school for a year and then studied with a local GP in Fond du Lac before entering medical school. 1
- There is a high school in Chicago named for him. He was known as an outstanding educator, so this is a particularly appropriate tribute.
- He was a collector of historical medical documents which resulted in a collection of over 10,000 volumes and 14,000 pamphlets and articles now stored in the John Crerar Library.2
- One of his most famous quotes is “The fate of the wounded rests with the one who applies the first dressing”2
- In 1904 he wrote a beautiful tribute to Father Damien who lived in the leper colony of Molokai which can be read here.
- He strongly supported early operation for appendicitis, which was not the practice of the time. “The principal object in writing this paper is to call the attention of the profession to the necessity of treating the primary disease of the appendix by radical measures before the advent of incurable complications, that is, before disease due to perforation has occurred.”5
- He was probably best known for his studies on intestinal perforation. To set the stage, Dr. Senn was a military surgeon in an era of transition. This was literally the time that it was finally “proved” that suturing a bowel perforation resulted in a better outcome. Senn used an animal model to instill hydrogen via the anus to see what kinds of pressure would result in bowel perforation.6 (The full text of Dr. Picher’s article, published in 1888, can be found here and is a fascinating read). He went beyond animal studies to show that this could be applied to humans by doing the same experiment on himself (short of the perforation we assume!). “Senn used a rubber balloon connected to a rubber tube inserted in his anus to pump 4 US gallons (15 L) of hydrogen gas into his intestinal tract. An assistant sealed the tube by squeezing the anus against it. The hydrogen was inserted by squeezing the balloon while monitoring the pressure on a manometer.” 2 This technique was subsequently used in soldiers who had been shot to determine if bullets had punctured the bowel.7
- Many of his experiments were carried out in the Nicholas Senn Building. He had this building serve as a place where students and medical professionals would gather to learn from one another. In the basement of the building he experimented with medical procedures that he would later carry out on patients.”8
- El-Sedfy A, Chamberlain RS. Surgeons and their tools: a history of surgical instruments and their innovators. Part III: the medical student’s best friend-retractors. Am Surg 2015;81:16-8.
- Nicholas Senn. Wikipedia. (Accessed May 5, 2018, at https://en.wikipedia.org/wiki/Nicholas_Senn.)
- Smith DC. Nicholas Senn and the origins of the Association of Military Surgeons of the United States. Mil Med 1999;164:243-6.
- . (Accessed May 5, 2018, at https://www.facs.org/about acs/archives/pasthighlights/sennclubdinner.)
- Senn N. A plea in favor of early laparotomy for catarrhal and ulcerative appendicitis, with the report of two cases. JAMA 1889;13:630-6.
- Pilcher JE. Senn on the Diagnosis of Gastro-Intestinal Perforation by the Rectal Insufflation of Hydrogen Gas. Ann Surg 1888;8:190-204.
- Senn N. The Modern Treatment of Gunshot Wounds in Miliatary Practice. JAMA 1898;31.
- Nicholas Senn Building. 2009. at http://genealogytrails.com/wis/milwaukee/nicholassennbuilding.html.)
The following is an “unrolled” Twitter feed from Mark Reid, MD on depression. It’s solid, important advice that I thought should be shared. Dr. Reid is an internist from Denver, who is very active on Twitter as @medicalaxioms. He is also the author of Medical Axioms, a delightful book of medical wisdom
If you are starting the think you might be depressed, or that your brain is out to kill you, here’s what you do:
1. Find or call your primary care IM of family MD. When you call for an appointment and they ask what for, say “depression.” Notice how the scheduler doesn’t flinch. They get this call 4 times a day!
2. When you get to the doctor, and they ask what’s wrong, just say, “I want you to do those screening tools on me to see if I’m depressed.” Let them do their thing. If they say you’ve got it, let them tell you how meds and counseling work. Let them tell you what they know about pills and which one might help you. Decide together if pills are worth a shot. Tablets really work for some people.
3. You also need a counselor. Ask the MD for a referral. That might work. If not,
4. Go to your insurance and find out their preferred providers for counseling. I suggest you pick someone your same gender. Counterintuitive for some but works better for many.
5. If that doesn’t work, go in the internet and type in counselor or therapist and the name of your town or city. Read ratings and reviews. Cross reference them with yelp. Look for someone nearby who writes a bio that sounds okay. Figure you’ll see them once a week and it will cost $100. Give them 4 tries. If you don’t feel like you are getting anywhere, ditch them and try again. I’ve seen 3 people in the last 10 years and in retrospect I can rank them.
6. With tablets and shrinks, the trick is resolve. If they aren’t working or give side effects, don’t just quit. Try again. Different shrink. Go back and try a different tablet with your MD.
You can feel better and you are worth it. You deserve it.
There’s lots of other stuff that helps some people: support groups, sobriety, exercise, sleep hygiene, self help books, spiritual practice, ALANON. If your shrink is any good they will recommend this stuff and know something about it.
To add a few more comments to Dr. Reid’s advice….
- Depression is a disease, not a failing. You wouldn’t judge yourself for a sprained ankle. This is the same…. except for one thing. The disease of depression includes not being able to objectively see what’s going on. That’s why it’s so important to get started on treatment.
- If you are a medical student or resident, counseling is available for you and it’s free. The same rules hold, though. If the first person you see isn’t helping after 3 or 4 visits, it’s ok to make an appointment with someone else. This is not personal and you don’t have to worry about “hurting their feelings” any other consequences.
- The National Suicide hotline is 1-800-273-8255. You are loved. You matter. This is a disease not a failure. Please seek help.
It is a personal ritual that I read this poem every year on the first day of spring, so I thought I would share it today.
Happy First Day of Spring – and International Happiness Day!
If you don’t work in an operating room, you may not be aware of the controversy going on about OR caps. To get right to the point – the surgeons think they should be allowed to wear the cloth hats they have worn forever. The Association of Operating Room Nurses (AORN) developed guidelines which included covering the ears and all hair (which means a bouffant paper hat). These guidelines were then implemented by JACHO which means they became “law” in every hospital in the United States.
I’m a real believer in evidence based medicine (and policies) so I decided, like others, to look into what is really known about the issue. Because it is a conflict of interest, I need to disclose that I can’t stand the bouffant hats and I really, really miss my (clean and washed) cloth hats. (which BTW cover all my hair!)
What do the data say about the use of bouffant hats and infection rates?
- In a review of NSQUIP data of 6,517 patients, there was no difference in infection rates after the rules were put in place that required the use of bouffant hats.
- In a very satirical, but evidence based review, which looked at the used of bouffant hats (no evidence they reduce infections), the authors also pointed out that naked surgeons would shed less bacteria than surgeons wearing scrubs.
- In a review of 15,000 cases, half done before the rule was implemented and half after, there was no change in surgical site infections (SSIs)
- The American College of Surgeons task force on operating room attire recommended the following: “During invasive procedures, the mouth, nose, and hair (skull and face) should be covered to avoid potential wound contamination. Large sideburns and ponytails should be covered or contained. There is no evidence to suggest that leaving ears, a limited amount of hair at the nape of the neck, or modest sideburns uncovered contributes to wound infections.”
- A study of 6210 patients undergoing hernia repair showed no difference in rate of infections based on the type of cap their surgeon wore during surgery.
- In a study of bearded surgeons vs clean shaven surgeons there was no difference in bacterial shedding, suggesting that the new requirement for “beard hats” is not necessary.
Why don’t surgeons like bouffant hats?
It’s harder to keep them in place when wearing loupes or headlamps. If the goal is to keep the hair covered, this is a real problem. When moving headlamps, operating microscopes or loupes, the bouffant hat often moves substantially – or even comes off entirely.
They are hot. Many surgeons feel (me included) that the bouffant hats are uncomfortable and are hot. One can argue that anything that increases surgeon discomfort could affect concentration, which might be reflected in less focus on the operation.
Bouffant hats are expensive and bad for the environment. On Amazon, 100 bouffant hats cost $7.45. There were 48 million inpatient operations performed in 2009. When you add the 48 million outpatient procedures performed, that means there are roughly 100 million operations performed per year. (Mind you, these data are almost 10 years old, so it’s likely to be more now). If we assume an average of 4 cases/day by an average surgical team (nurses, CRNA, anesthesiologist, assistants/resident) and they all wear their hat for the day, the number of hats needed per year would be 100 million cases x 6 members of the team = 600 million hats/yr. 600 million hats divided by 100/box = 6 million boxes x $7.45 = $44,700, 000. Over 44 million dollars a year for the bouffant hats… all of which (600 million/year) end up in a land fill or are incinerated. p.s. Given that hats are often changed during the day, this number is probably on the low side.
It affects morale. In a survey of young (<45 years of age) surgeons, 71.2% stated that the new rules had affected surgeon morale.
They are inferior in blocking bacteria when compared to other caps. In a study of bouffant hats, disposable skull caps and cloth hats, the bouffant hat was the worst in preventing airborne bacterial contamination in the operating room. “I expect our findings may be used to inform surgical headgear policy in the United States,” he said. “Based on these experiments, surgeons should be allowed to wear either a bouffant hat or a skullcap, although cloth skull caps are the thickest and have the lowest permeability of the three types we tested.” Troy A. Markel, MD, FACS
I’m confident that in the very near future we will be back to wearing our clean, cloth hats. When you look at the data, and weigh the pros and cons, it seems pretty obvious what needs to be done….
I teach embryology to wonderful first year medical, nurse anesthetist and PA students. Last week, one of my students asked me, humbly and thoughtfully, if (and when) a fetus feels pain. Because of recent publicity concerning late term abortions, I knew this was a question about more than fetal physiology.
Let’s talk embryology.
I am very, very confident that the blastocyst doesn’t feel pain. I am equally confident that babies at the time of birth do feel pain. So, there must be a moment during development when nerves to sense the pain, nerves to transmit the pain, and a brain to perceive the pain come together to make it possible to perceive noxious stimuli. I’m not a developmental neurologist, so I can’t claim to be an expert, but based on published research, those three things are present somewhere around 22-24 weeks gestation. For those that are concerned about abortions that happen after 22-24 weeks, It’s important to realize that only 1.3% of abortions occur after 21 weeks gestation and 80% of these for serious birth defects.
Let’s talk suffering.
As healers, we seek to relieve suffering. Let’s be clear – that’s not the same thing as the “pain” I mentioned above. Let me give you a couple of (real life) examples.
A developmentally delayed 15 year old is raped by her cousin who threatens her if she tells anyone. Over the next two months, the girl becomes progressively withdrawn, depressed and even suicidal. Her mother takes her to her pediatrician who is able to convince the girl to tell her what happened. She sends the appropriate labs, including a pregnancy test, which is positive. Her pediatrician recommends termination of the pregnancy, and refers her to a gynecologist and a pediatric psychiatrist. Because of her depression and suicidality, both of these physicians also recommend termination of the now 14 week pregnancy.
A young couple comes to their gynecologist for a routine screening ultrasound. Something isn’t quite right, so they are sent to the maternal-fetal medicine clinic for a more detailed ultrasound. They are at 18 weeks gestation, which means 22 more weeks until term. They receive horrible news. The fetus they are carrying has a fatal disorder and will not survive after birth. After a few weeks, they return to their doctor in tears. The emotional burden of carrying the pregnancy to term is causing them immense suffering.
Let’s talk ethics.
We teach our medical students to take complex situations like deciding to terminate a pregnancy and use an “ethics workup” to help guide decision making. The ethics workup starts with defining everyone who might be affected by the decision. For example, in the first case I mentioned above, that would be the 15 year old patient, the fetus, the patient’s mother, and the doctors. Then, based on the possible outcomes (to terminate or not to terminate the pregnancy), we consider the outcomes with appeals to consequences, professional obligations, ethical rights and virtues. What this process does is allow us to understand the complexity of the situation and the choices being made, rather than just going with our “gut reaction”.
Let’s talk about listening.
When I was Dean of Student Affairs, the “Pro-Life” group on campus invited a speaker that the “Pro-Choice” group felt strongly should not be allowed to speak. I asked the leaders of both groups to meet with me. They were pre-clinical students who had not yet experienced dealing with patients and families facing complex and heartbreaking decisions. I recognized that their conflict was a great learning opportunity, a chance to learn to work through a situation where colleagues disagreed. I asked them to develop a plan together on how speakers should be invited, a plan that I insisted reflect the culture of tolerance at our medical school. They did not disappoint. Their plan was amazing and included attending each other’s meetings and reviewing speakers for each other before invitations were issued. They also wrote a beautiful statement to be read at the beginning of each meeting explaining that they were there to learn from each other and to listen. They went even further and added that disrespectful comments or intolerance would result in being asked to leave the meeting. What a great example for us all – to listen to learn, and to do so with kindness and tolerance.
As physicians we are absolutely allowed – even encouraged – to include our personal views when making a thoughtful, ethical decision about caring for a specific patient. Although it’s not a common event, physicians are allowed to choose not to care for a specific patient as long as they refer them to a different doctor. What physicians are not allowed to do is to impose our views on our patients, or our colleagues.
This may be one of the easiest kitchen tricks I’ve learned in the last few years. I haven’t bought any stock since I figured this out. It saves money, but more importantly, this stock tastes MUCH better than anything you can buy.
Step 1: As you peel, chop, and otherwise use any vegetables for recipes or salads, save all the pieces you would normally throw away.
The vegetables that help the most with umami (and make your stock great) are the classic mirepox (carrots, celery and onion), garlic bits, and mushrooms. There are a few vegetables you should avoid using for stock. Some vegetables will make the stock bitter or impart a strong, very specific taste that may not work in some recipes (e.g eggplant, turnips, cilantro, ginger). If you happen to be someone who buys Parmesan cheese with a rind, those rinds are wonderful in stocks. If you use fresh herbs when you cook, make sure you throw the stems in the stock.
Step 2: Keep a big ziplock bag in the freezer and toss the washed bits you saved into the bag. When you drain beans, tomatoes or other vegetables from cans, put the juice in the bag, too.
Step 3: When the bag is full, put the frozen vegetable bits in a big pot with water to cover them, bring to a boil and then simmer for about an hour.
If you have an Instant Pot, you can make stock in less time. I don’t add salt while making the stock because it lets me season the dishes I make to taste.
Step 4: Freeze the stock you don’t use in a day or two.
I usually freeze my stock in 1-2 cup plastic containers. Alternatively, use freezer bags if you want to take up less space in your freezer (Push the air out of the bags and lay them flat on a cookie sheet to freeze). Another trick is to freeze the stock in ice cube trays or muffin tins and then put the frozen stock in freezer bags.
In addition to recipes, use this stock instead of water when you make rice or grains. Thaw your stock in the refrigerator (if you remember) or in the microwave (if you don’t).
We eat a mainly plant based diet, so I only make vegetable stock. If you eat meat, you can save the bits from the meat or fish you cook – or ask your butcher for stock worthy bones and add them to the vegetables to make great chicken, beef or seafood stock. If you want perfect chicken or beef stock, you may have a bit more work to do… 🙂
It is hard to eat well when you are a medstudent, resident or busy doc (also true for busy people not in medicine The key to eating well if you are busy is planning.. but it takes time. As I’ve written before, here are the basic steps that you need to follow to eat well if you are “too busy to cook”.
- Use a calendar to organize which days you need to have dinner ready
- Find the recipes you want to cook
- Fill in the calendar with what you will take to work for lunch and your planned dinners.
- Make a shopping list.
- Shop once, then follow your plan
To follow these steps, I’ve used the internet to find recipes, Evernote to map out the week, and Grocery IQ for the shopping list. I’ve gotten pretty efficient, but it’s still takes a non-trivial amount of time… and who has that kind of time, right?
And then I read Jane Friedman’s post “My Must-Have Digital Media Tools: 2018 Edition” and I saw this…
Here’s the bottom line… this app is “expensive” ($25). But I promise, even if you are medical student without much money, it will be the best $25 you’ll spend this year.
Here’s why – this app takes the five steps listed above and puts them all into one place. It not only makes it easy to choose recipes, plan your week and shop, it almost makes it fun. Here’s how:
Use a calendar to organize which days you need to have dinner ready.
Start on the “meals” tab and put notes in for your week. If you share cooking with a significant other or roommates, you can share the account with them so everyone is (literally) on the same page.
Click on the browser tab to find new recipes. As you gather recipes in the app, it becomes your own personal “cookbook” which is searchable by category, name, or ingredients.
This was the first moment I knew I was really hooked. All you do is drag and drop the recipes you want into the appropriate day. Wow.
This is when I was completely sold. When you pull up the recipes you’ve chosen, there is a little “hat” icon at the top:
Because this app is on your computer and your phone, just take your phone with you to the grocery store. As you pick up the item, click the box next to it and move on to the next item. If you are sharing the app with your significant other or roommates, anyone can add to the grocery list or unclick things they have bought.
Here’s the official website for Paprika: https://www.paprikaapp.com/. Enjoy your healthy eating!!!! Try this plan (instead of the bagels, pizza, peanut butter and other “free” foods in the hospital) for a week or two. I promise you’ll feel better, learn better and have more energy to take good care of your patients.
“With rare exception, the majority of surgery residents and practicing surgeons who prematurely leave surgery do so because they find the work to be physically, emotionally or spiritually incompatible with the vision they have for their life.” Am J Surg 214:707, 2017
I’ve read a great deal about physician wellness, suffering and burnout and I’ve given (and heard) many talks on the subject. The classic talk on burnout, including some of my early talks, can be summarized as “Exercise more, eat well, pay attention to your family and friends.” I am in no way belittling these things as important, but…. as a good friend said to me the other day “If I have to hear one more lecture on burnout that tells me to add an hour of exercise, an hour to plan and cook my meals and an hour to meditate to my already crazy day, I’m going to shoot myself!”
Not too long ago, a friend recommend I read A Bigger Table: Building Messy, Authentic, Hopeful Spiritual Community by John Pavlovitz. He was in Houston yesterday, and I was able to go hear him speak. John is a Christian pastor, but his words and ideas can be used by everyone, regardless of whether you are religious or not and, if you are, regardless of the faith you hold
John’s idea, which is neither doctrine nor theology, involves creating a “bigger table” in our lives, a table that has the four “legs” of radical hospitality, total authenticity, true diversity, and not having an agenda.
It’s human nature to surround ourselves with people that are just like us. But, when we only include people like us in our lives, our potential for growth and happiness is limited as a result. I truly believe that this “small table” mentality contributes to physician suffering and burnout, which means that the idea of building a bigger table may be just what we need.
So, what might a “bigger table” look like for physicians who are struggling with the “why” of their practice?
Radical hospitality. Dr. Francis Peabody famously said that “the care of the patient is in caring for the patient”. The same holds true for our colleagues, patient families and everyone around us. If we cultivate an appreciation, even love, for these people – regardless of how difficult they are or how much we disagree with them – we are practicing radical hospitality. As in so many of the gifts we give to others, this is a gift to ourselves, too.
Total authenticity. We all need a place to be absolutely, completely ourselves… unfiltered, loved, totally accepted. I’ve always told my trainees that the single most important factor in choosing where you practice is the people you will be joining. There is no location, salary or title that will ever make up for working with people that don’t let you be truly, authentically you.
True diversity. This is not just diversity in the sense we are used to hearing about. In addition to religion, race, gender, age and sexual orientation, true diversity means accepting and listening to people that have totally different views than you. Ouch.
During his talk, John told the story of “Sign Guy”. He was having lunch with a gay teenager when they noticed a man outside the window. He was carrying a sign that said gay people were an abomination and that they were going to hell. The young woman asked John “What about ‘sign guy’… how do I invite him to my table?”
We all have “sign guys” in our lives that, like it or not, we should invite to the table in order to have true diversity, but (and this is really important), we have to agree on “table manners” first. Which brings us to the fourth leg of the table…
Agenda free table. The concept of the bigger table is that we are choosing to sit at the table together because we know the power of listening, the power of really understanding each other. Although we can and should invite everyone to the table, no one should stay who is intentionally trying to change or hurt someone. Being agenda free is one of the non-negotiable “table manners” for all who want to sit at a bigger table.
So how do I think this translates this into our day to day work? For a start…
Spending more time learning the stories of our patients… not just “taking their history”.
Working to see administrators and leaders as people who care like we do… not just defending our specific point of view.
Calling out the agendas and implicit biases that keep us from hearing the soft voices of colleagues who are young or discounted for other reasons.
Checking back the next day to be sure that a colleague who said he’s “fine” really is.
Doing all this even though it’s hard, especially when it comes to the “sign guys” in our lives.
I’m sure there are others… what would you add?
“Grab some wood and some tools, friend. We have work to do.” John Pavlovitz
Today I have the incredible joy of talking to the medical students on our rotation. No agenda, just a conversation that they requested for some “advice”. They just started their surgery rotation last week and it’s their first rotation. First rotation, beginner’s mind, unbridled enthusiasm… it is so wonderful!. I decided I would come up with what I wish someone had told me at the beginning of my rotations…
Be mindful, deliberate and excited about learning.
This is probably the most important piece of advice I can give. Clinical rotations are often a whirlwind of work and you can be swept away without realizing it. Residents can ignore you, people can be cranky, patients can be difficult… and in the midst of all this, you are expected to learn to be a doctor. You have to stay in charge of that mission, no matter what is happening around you.
Take a little time to reflect on why you are doing this and what kind of person/doctor you want to become. When times get tough (and they will) hold on to it. If it helps you, come up with a slogan to repeat, keep on a piece of paper in your wallet or on your wrist
Learn about the practice of mindfulness. Mindfulness has been shown to be effective in decreasing stress and may help to prevent burnout. It’s not hard to learn, but it’s hard to master … which is the point of a “practice”. (e.g. the practice of medicine)
Learn to keep a “beginner’s mind”. When I was a student on core medicine I had a senior resident that showed me what beginner’s mind looks like. It was 2am and I was tired. We were seeing a gentleman at the VA hospital for his diabetes, hypertension and some electrolyte abnormalities. I presented the patient to the resident and then we went to see him together. He had a rash, which I thought was so insignificant that I didn’t even include it in my presentation. But, instead of scolding me, this resident got excited. Yes, you read that correctly, 2am and excited about a rash – because he didn’t know what it was. (This next part will date me, but it’s a great example to make us grateful for the access we have to information now). He called security and had them open the library. We spent a wonderful hour looking through books – like a treasure hunt when we were little kids – until we found the rash in one of the books. We were laughing, excited and couldn’t wait to get back to start the appropriate therapy.
Understand what you are going to learn (the big picture)
On every rotation, you will be given a list of learning objectives. By all means, know them, study the things listed and make sure you know them (they will be on the test). BUT… please realize that diseases don’t stay conveniently siloed in a single specialty so this is not learning “surgery”, it’s learning about how surgeons approach a specific disease you will see elsewhere, too. You also need to know that what is listed as learning objectives today may well be obsolete tomorrow (if they aren’t already).
You have chosen a career that ethically demands life-long learning. That means that one of the most important skills to learn is how to develop a system of learning that you can use in medical school, residency and later in practice.
Develop a system for lifelong learning now
Learning is iterative. You will learn broad concepts on each rotation along with a “fly over” of the entire terrain of the specialty You will need the information you learn on your surgery rotation on your medicine rotation when you are consulted on a patient with an ischemic leg who needs surgical treatment, or on your pediatrics rotation when your patient with a pneumonia develops an empyema. If you choose surgery at your career, you will read and learn the same topics throughout your residency (and after) but with increasing depth.
The practical points on how to develop a system to learn during your rotation are here: How to Ace the NBME Shelf Exams: How to Ace the NBME Shelf Exams, In-Training Exams and Your Boards, but the key points are summarized below:
- Remember it’s school.
- Make a list of all the topics in the textbook.
- Breathe deeply. You are not going to read every page in the textbook in addition to your assigned reading.
- Create a schedule to SKIM every chapter
- TAKE NOTES. All the time.
- Figure out how to store your notes so you can find them in the future
- Go through your daily notes in the evening and then store them in your system
- Review, review, review
Take care of yourself.
Pay attention to ergonomics, diet, exercise and sleep. Most importantly, take care of yourself emotionally and spiritually. You can’t learn or serve others if your tank is empty. Come up with what is important for you and make a list. Seriously. Make a list of what you find helps you stay on track and then check it off every day. Look at it before you go to bed. Celebrate the things you did and don’t be hard on yourself for the ones you didn’t get to.
Don’t forget to take a “Sabbath” every week. True time off is critical for recovery from this stressful work.
If it gets too hard, seek help. It’s a sign of strength, not weakness, and most (if not all) of the people around you have been there.
We have the most amazing job on earth. When the administrative issues or political conflicts get to you (and they will), just remember – you get to take care of another human life with the goal of relieving their suffering. What could be more important than that?