Friday, 6 September 2019

The Microanatomy Lesson



A friend of Dr. Dev (Fictional Name), during his MBBS days, in AIIMS, New Delhi, asked him to help him revise the micro-anatomy slides before his exams. He had arranged a microscope and anatomy slides for the revision session.

For Non-medicos: Anatomy is the study of the structure of the human body. Microanatomy is the study of the anatomy at a microscopic level, i.e. how the different parts of the body look under a microscope.

Dr. Dev took a slide of the small intestine and after focussing the slide in the microscope, he started explaining that this is small intestine as we can see the simple columnar epithelial cell in the mucosal (inner) side, the smooth muscle cells in the middle and serosal cells in the outer most part.

On hearing this, his friend got irritated and asked angrily, ‘What are you talking about this cell and that cell? Please explain and teach properly!’

As his friend was midway in his first-year course, Dr. Dev got surprised that what details he could not understand. Dev asked his friend to clarify what he wanted him to e,xplain. His friend replied, ‘what is this columnar epithelial cells, that muscles cells and serosal cells you are talking about’?

Dr. Dev got surprised. The cells are like alphabets to sentences. Cells come together to forms tissue, like alphabets makes words. The tissues are organized to form organs like words form sentences. Finally, the sentence makes paragraph like the organs make the human body.

If someone does not know the alphabet how can he read a paragraph? Similarly, if someone does not know how the different types of cells look under the microscope he or she cannot identify what tissue he or she is seeing. If one cannot identify the tissue being seen under the microscope then one cannot identify the organ being seen. 

Dr. Dev did some background digging. As his friend was a foreign student, due to administrative delay he joined AIIMS, New Delhi, late when the classes had already started. The basics of microanatomy, the different types of cells, was taught in the first few classes that he had missed due to his late joining. This spoiled the entire understanding of microanatomy for the rest of the academic period. It was a wonder that he scored at least some marks in his first exam. 

Once Dr. Dev learned this fact, he started explaining to his friend right from the basics which were taught in the beginning classes and slowly build up his knowledge to the level of his other classmates.

Sometimes students miss the early classes of a subject for a variety of reasons. Some reason such as late joining due to late allotment of college may be beyond the student’s control. But sometimes students deliberately miss the first few classes as they think they are not important or they want to enjoy, relax and just chill for some times after studying so hard to crack the entrance exam to the college. They do not understand the importance of starting to study seriously from day one as the early classes form the foundation of later knowledge.


Without a good strong foundation one cannot build a strong building of knowledge.
 


So, whether microanatomy or any other subject, do not miss the early first classes and take them seriously.

If due to some reason you miss the classes, then start at the earliest to study and cover up the missed course, either by extra classes or with the help of your teachers and classmates.

 (Based on allegedly true incident)
— ND
© Author. All rights reserved. 

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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 
DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm.

Monday, 2 September 2019

Memorizing Complex Facts


'Examinations are formidable even to the best prepared, for the greatest fool may ask more than the wisest man can answer' Charles Caleb Colton

Dr. Dev (Fictional Name) recalled that in the first internal exam in AIIMS, New Delhi, more than half of the MBBS class had failed in Biochemistry subject. 

Biochemistry is the subject dealing with the chemical reactions and process in human beings and living organism.

This was far more worse than the failure rate in the other two subjects, i.e. Anatomy (the study of structure/formation of human body) and Physiology (the study of working/mechanics of human body)

This result is more shocking when you consider that the AIIMS, New Delhi, batch was composed of many schools, district, and state toppers. 

The problem with biochemistry was there were lots of facts, tables, chemical reactions, biochemical pathways, and biochemical cycles to remember. Much of the facts were abstract concept making it difficult to remember and write in the exam. In contrast, in anatomy, you can actually see the structure of the human body and get a visual understanding making it easy to remember.

    A similar problem may arise in memorizing mathematical and physics formulae, dates in history, rules and regulations in law and finance, etc.

Although there are no absolute shortcuts, yet some strategies might be useful to remember such facts.

One strategy is to make large charts, poster, tables, printouts and stick them on the walls of your room so that you are literary surrounded by the facts. Just glancing around your room will serve to revise the facts. Make it a habit to quickly read/check the posters, charts, etc. every time you go out and enter your room.

Another strategy based on the subconscious mind theory is to read the facts, reactions, tables, and cycles, just before going to bed and first thing in the morning on getting up. You can do this in your bed if necessary. The poster on your wall can also be a source of such revision. This is supposed to take help of subconscious mind while you are sleeping in remembering the facts. 

Another strategy is repeated spaced revisions. For example, instead of reading the facts 10 – 15 times in a single day, if you have sufficient time before your exam, then read the facts 3 times daily for the next 5-7 days. This is based on the fact that we forget 70 – 80% of whatever we read in the first 24 hours itself. By daily revising the facts this gets reversed and what we have read gets converted into long term memory. Even after a week keep on doing periodic spaced revisions to keep facts in your long term memory.

Another method is not just read the facts, reactions, pathways, etc, but to write them down. Initially, you can copy them from your textbooks for 2-3 times. Then close the book and try to write them down from memory. As expected you will make mistakes, check the mistakes, read it and again close the book and write it down. This can be repeated until you get it right. Combine this with the above-mentioned strategy of repeated revision by writing to get better results.

So friends hope that some of these methods will be useful to you and you will remember me when you get your gold medal in biochemistry or other subjects.

(Based on allegedly true incident)
— ND
© Author. All rights reserved. 

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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 
DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm. 

Sunday, 1 September 2019

The Microscope



Please Note: This article is intended for 1st and 2nd year medical students and their parents and guardians. Others may please skip this post.

Even though it was relatively expensive at that time, some students in AIIMS, New Delhi, had bought their own personal microscope to help in their studies.

For 1st and 2nd MBBS students, having micro-anatomy and pathology as subjects should seriously consider getting a microscope to aid in their studies. Both these subjects require the study of microscopic slides. If you have your own microscope, you can study the slides easily in your home and hostel if you had missed the classes or revise the slides before the exams. You can take the help of your colleagues or seniors. 

The next question is how to get a microscope? You can buy it or borrow it from your seniors or colleagues. You can get together with a few of your friends and buy the microscope collectively, each contributing some money. 

Once you have cleared your 2nd year and passed your pathology exams, then you can consider gifting it your juniors in 1st year or sell it, recovering some of your buying cost.

An example of collectively buying resource for study purpose and precaution to take is given in:

 (Based on allegedly true incidents)

— ND
© Author. All rights reserved. 

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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost. 
DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm.