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Orthogate

  Saturday, 07 May 2005
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Ok so I've read all the posts ever written about books for 4th year ortho electives. Now that I've collected a pile of books, I have a few questions about them -- most importantly, which ones should I read cover to cover beforehand, which ones should I memorize, and which ones are more for reference during the rotation?

It seems that Wiesel's can be read cover to cover beforehand and learned without clinical correlate ... Netter's can be reviewed to be as familiar as possible with the anatomy ahead of time ... but everything else really has to be used while doing the rotation. Maybe Hoppenfeld's Exam book can be covered and practiced on a friend or something.

Beyond that ... the fracture handbook seems to be a laundry list of fractures that you can't possibly remember in isolation ... Hoppenfeld's Exposures is more useful on a per case basis ... any major ortho text is too much to read ahead of time ... and the reference-type books like House Officer are more useful as references during the elective.

Is my impression correct? If this is the case, then is that the best way to shine during the rotation? Read Wiesel, review Netter's, familiarize with exam techniques beforehand ... then prepare day to day with Hoppenfeld Exposures, texts, and fracture handbook?

I'm planning a rotation at some of the top programs, and am willing to work my butt off ... but just want to know how to work effectively.

Thanks!
b
21 years ago
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#49979
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deep breaths, in through the nose and out through the mouth.

first, read the netter's concise orthopaedic anatomy book. that has 90-99% of the information you will be expected to know. don't go overboard trying to impress people that you know the random esoteric crap if you don't have a firm grasp on the basics (anatomy). that book has the basic information on fracture classification, basic info on surgical exposures, physical exams, and is filled with answers to pimp questions.

as far as the other books go, hoppenfeld's is good to go through before you go into cases. if you are rotating with someone who will be doing about 100 tha's while you're there, you should be familiar with that surgery. if you won't be setting foot in a spine OR, i wouldn't waste my time on those exposures at this early stage.

the physical exam books are also useful; nothing is quite as embarassing as being pimped in front of a patient about a basic physical exam finding and not having the slightest clue as to what the answer might be.

koval and zuckerman's book is also great, and should be read. the hardest part about reading that book is knowing which of the classifications are most frequently used (eg garden femoral neck fractures). don't be afraid to ask. eagerness to learn is a good quality (although too much asking makes you look like a dumbass).

so relax, and take deep breaths. most places just want to see that you are a hard worker, a team player and have a good knowledge base, usually in that order. you will be taught the nuts and bolts (pun intended) of ortho over your 5 years as a resident. you can't be taught how to be a hard worker/team player; either you are, or you aren't. no amount of preparing will help you in those crucial categories.

so, in conclusion, SAN DIMAS HIGH SCHOOL FOOTBALL RULES!!!!
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