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Minimal Effort And Maximal Gain: A Targeted Residency Approach

minimal effort maximal gain

Radiology residents, especially, are under the gun to complete their work efficiently. I mean, to learn what you need to know for the boards you have to read through umpteen books and a gazillion films, right?  So, who has the time to go through the motions of a bland long-winded study routine to get you through all the material? That would take way too long. Therefore, I want to give you some suggestions to guide you efficiently through all the subjects you need for radiology residency. So, here are some the basics you need to get through residency with minimal effort and maximal gain!

Targeted Reading

I can’t remember the number of times that I have talked about targeted reading in my posts. But, I will repeat it for the ten thousandth time. It’s that important. Every resident should read radiology books differently from other subjects. Remember. Pictures first, then captions, and then text. If you start from the text and go to the images, much less information will stick. So, please do yourselves a favor and do this the right way.

And, just as critically, make sure to emphasize case review series in your review process. Radiology without cases is like peanut butter without the jam (sorry for those of you that are allergic to peanut butter!). It just does not feel right!

Reinforced Reading

How do you get information to stick around in your brain? Well, you need to look at the same item from different angles. What do I mean by that? If you find a meningioma on a CT scan at work, first of all, make sure to look it up that night. Then, look at the same case on multiple imaging modalities. Perhaps, check it out on an MRI, a contrast-enhanced CT scan, or even a skull series if available. The more ways that you look at the same findings, the more likely you will recall the case when you need it!

Lots Of Questions

Don’t let the texts that you are reading become merely a bunch of random words. Just like any other time that you had to study for tests, make sure to phrase the text into the form of questions. And, I have some great ideas to help you along your way. My residents reported using several test question bank companies for study, especially around board time. But, it may not be a bad idea to use these question banks at any time during your studies to emphasize the materials.

The two companies that I hear assist the residents with fairly comprehensive question banks are as follows: Board Vitals and Quevlar. Both of these companies give you some great questions for the Core Examination. Now, you need to make sure to have learned the basics before. But, both Board Vitals and Quevlar will enable to get through the material that much quicker to get you where you need to be before the boards.

Group Learning

You certainly need to read a lot independently to learn the material that you need to know. However, you should also utilize your colleagues to maximize your knowledge. Going over questions or cases in groups with your fellow residents adds new perspectives on the same information. And, by golly, here you have another neural pathway to maximize what you retain!

Board Review Courses

I believe in learning from numerous different angles. And, therefore, I need to put a pitch in for Board Review Courses. Not all program directors believe in this approach. However, sometimes, it helps to step out of your familiar residency conference world and to get a fresh perspective. Different instructors and different points of view create distinct neural pathways for information recall. That is the reason I believe a board review course can work. I think it’s not a bad idea to attend one or two.

Minimal Effort And Maximal Gain

Don’t get me wrong. To be a great radiologist, you need to put in the hours. However, make sure that you utilize your time as effectively as possible. Why spend time that you don’t have? So, follow this approach to get through the material logically and efficiently. Who doesn’t like minimal effort for maximal gain?

 

 

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Ten Disastrous Consequences Of Poor Study Habits

poor study habits

 

Studying for radiology is intense and unlike anything that you have done before. If you think shirking your duties only hurts yourself, you are entirely and utterly wrong. For those of you that don’t yet get it but are willing to listen, here are 10 of some of the disastrous consequences of your poor study habits!

Harming The Patient

First and foremost, you took a Hippocratic oath at the end of medical school, right? Well, by not reading, that certainly goes out the window. Not studying well leaves you more prone to interpretation errors when reading films. Ultimately, this will affect patient care. Who needs unnecessary biopsies and increased morbidity/mortality? You don’t care about that!

Your Colleagues Don’t Take You Seriously

Notice that your colleagues never approach you for consultations on their cases and second opinions. You feel out of place. Why is that? If you read something, you would go over more interesting cases because your colleagues would have a good reason to talk to you. You may become a better film reader. Well, maybe you are not interested in films and consults?

You Go From Practice To Practice

You know this type of individual. Probably, you have seen an attending or two who do not last long at your program. Sometimes you are not quite sure why they left. But many times, they can’t interpret films well. Perhaps, if they had read and studied a bit more…

Can’t Pass The Core Examination

This statement cuts right to the heart of the first through 3rd-year radiology residents. What is a radiology resident’s worst nightmare? That they need to take the core examination twice. Why would you want to do that? Just study!!!

Difficulty Obtaining The Fellowship You Want

Your dream is to go into interventional radiology. Forget about it. You always wanted to do an MSK fellowship. No way. To get into the more competitive specialties, you need recommendations. Who will give you a good one when you have not read a lick and never attempted to change your study habits? Did you think about that?

Your Attending Dreads When You Are On Call

Have you noticed that sigh that seems to emanate from your attending’s mouth when you say you will be on call the night before his CT rotation? Well, you better get used to it! Who wants to be the attending of record after you make all those interpretation errors due to lack of reading?

No Job Connections

Finally, you graduate from your residency program. But, no one seems to let you know when that next great job is available. Why not? It is straightforward. Who would want to recommend you to a position when you don’t have the background to merit it?

Attendings Won’t Let You Perform Procedures

In interventional radiology, you realize that your colleagues are getting to do a whole lot more procedures independently than you get to complete. Why is that? Hmm… Maybe, no one trusts you to touch a patient because you haven’t read about the procedure at all!

Consults Walk By You

Have you ever noticed how any clinical physician that has a questi0n walks right by you to the other guy in the corner of the room? Well, you have established a reputation for yourself because you have not been studying the right way. You are no help to anybody. Maybe this is what you wanted- you now have less work. Congratulations!

Losing Out To The Competition

You are beginning to notice that your patient loads are dropping precipitously? Around the corner, another practice opened up that now reads studies that you don’t feel comfortable reading because you are unwilling to study and learn about the new image modalities in radiology. Your wallet begins to suffer!

Bottom Line For Poor Study Habits

Reading, studying, and continually learning are all part of becoming a great image interpreter. A radiologist cannot exist in today’s climate without these tools as a resident and beyond. Why would you want to destroy your reputation and have to deal with the ten disastrous consequences of poor studying habits!!!