Tuesday, February 25, 2014

Medical Mnemonics: Felty Syndrome Components

Medical Mnemonic for Felty Syndrome is SANTA
Medical Mnemonics: Felty Syndrome

Felty syndrome is a rare condition that involves rheumatoid arthritis, decreased white blood cell count, and a swollen spleen. It can develop into a serious and life-threatening infection.

Unfortunately, there is not much known about the condition. The underlying cause is unknown and treatment generally focuses on controlling the underlying RA.

Components of Felty Syndrome can be remembered by the mnemonic: SANTA
  • S – Splenomegaly
  • A – Anemia
  • N – Neutropenia
  • T – Thrombocytopenia
  • A – Arthritis (Rheumatoid)
Check out the list of the previous Medical Mnemonics here.

Thursday, February 13, 2014

Book Review: The John Hopkins Internal Medicine Board Review

The John Hopkins Internal Medicine Board Review


Publication Date: April 25, 2012

Editors: Bimal H. Ashar, Redonda G. Miller, Stephen D. Sisson

Overview:

The John Hopkins Internal Medicine Board Review, 4th edition book, published by Elsevier, is a review guide for those preparing for the ABIM Internal Medicine Board Exam. The book contains over 600 pages and covers all the major aspects of the Internal Medicine Board Exam.

The book also contains a companion website for additional information.

Breakdown of Book (Chapters):
  • Pre-Read: Maximizing Test Performance: Effective Study and Test-Taking Strategies (3 pages)
  • Section I: Cardiology (64 pages)
  • Section II: Infectious Disease (58 pages)
  • Section III: Pulmonary and Critical Care Medicine (56 pages)
  • Section IV: Gastroenterology (45 pages)
  • Section V: Nephrology (33 pages)
  • Section VI: Endocrinology (40 pages)
  • Section VII: Rheumatology (33 pages)
  • Section VIII: Hematology (38 pages)
  • Section IX: Oncology (39 pages)
  • Section X: Neurology (24 pages)
  • Section XI: Selected Topics in General and Internal Medicine (106 pages)
Price:
  • List price: $94.12
  • Current Amazon price: $94.12
  • eBook (Kindle): $56.97

Amazon average reviews (as of 12/16/2013): 4.2 out of 5

Amazon Best Sellers Rank (as of 12/16/2013): #59,506

Our opinion as a book for Internal Medicine Board Exam Review:

The Cleveland Clinic Intensive Review of Internal Medicine is a fantastic review book for those preparing for the Internal Medicine Boards. The book contains all the major categories you would expect to find on the ABIM Internal Medicine Board Exam. Each section is broken into chapters (75 in total) detailing many of the subcategories found in the ABIM Internal Medicine Exam Blueprint. The book, despite being over 600 pages, is easy to carry around and relatively light weight.

The use of tables and images, many in color, in this book is second-to-none! It’s an often overlooked factor but with the amount of information that needs to be digested for the ABIM exam, a user-friendly book can be an extremely valuable learning tool.

An additional item that we believe can be of value for a lot of people is the online access that is provided with the book. This allows users to search topics within the book and even practice questions online.

This is one of the best review books you can find for the internal medicine boards – a  concise, high-yield review of the topics important for the boards in a user-friendly book.

To see other internal medicine board review books, head over to the Knowmedge Internal Medicine Question Bank Blog.

Book Review: Mayo Clinic Internal Medicine Board Review

Mayo Clinic Internal Medicine Board Review

The Mayo Clinic Internal Medicine Board Review, 10th edition book, published by Oxford University Press, was developed as a comprehensive review guide specifically for those preparing for the ABIM Internal Medicine Board Exam. Edited by Dr. Amit Ghosh, this approximately 800 page book is used by residents and internists, both as a reference tool and a book for internal medicine board review.

Publication Date: June 27, 2013

Editor: Robert Ficalora MD

Breakdown of Book (Chapters):
  • ABIM Exam Overview (8 pages)
  • Part I: Cardiology (121 pages)
  • Part II: Gastroenterology and Hepatology (63 pages)
  • Part III: Pulmonary Diseases (55 pages)
  • Part IV: Infectious Disease (107 pages)
  • Part V: Rheumatology (50 pages)
  • Part VI: Endocrinology (61 pages)
  • Part VII: Oncology (19 pages)
  • Part VIII: Hematology (41 pages)
  • Part IX: Nephrology (39 pages)
  • Part X: Allergy (30 pages)
  • Part XI: Psychiatry (10 pages)
  • Part XII: Neurology (39 pages)
  • Part XIII: Dermatology (20 pages)
  • Part XIV: Cross-Content Areas (101 pages)
Price:
  • List price: $99.99
  • Current Amazon price: $89.37
  • eBook: Book is currently not available in eBook format

Amazon average reviews (as of 12/16/2013): N/A

Amazon Best Sellers Rank (as of 12/16/2013): #70,188

Our opinion as a book for Internal Medicine Board Exam Review:

The Mayo Clinic Internal Medicine Board Review is a great resource for Medical Students, Residents, and Internists. The information is up-to-date and the editor has done a great job bringing all the pieces together. The book is well-written, thorough and comprehensive for board review. The authors have done an excellent job of ensuring the information is properly cited throughout the book. The use of images and tables in this book is also fantastic! The book is extremely high-yield and we could certainly see someone highlighting much of the book.

After complaints of the size of the previous edition book (~1,000 pages), this book has been redesigned, updated and condensed slightly 801 pages. The biggest reason for the reduction is size is that this book no longer contains questions & answers. The 168-page Mayo Clinic Board Review Questions and Answers book can be purchased separately (currently $40.22 on Amazon). The book is now much more user friendly than the previous version and the long chapters have been broken into smaller sections.

Unfortunately, there are some downsides – including the size and weight (almost 6 lbs!) of the book. While we like how the book is broken up into different sections, it can still be a significant struggle for someone who has difficulty reading a lot of text and retaining information. In addition, while the tables and images are great, they are largely in black and white. Use of vivid imagery would have helped the pictures be more memorable. We believe the book also would have been strengthened with strong summaries or key concept boxes throughout the book. At the end of some chapters is a brief summary, though this could have been expanded to every section. We would also add that there are certain sections of the book that simply don’t seem like they cover enough content (e.g., Oncology is only 20 pages while the ABIM exam blueprint indicates it is ~7% of the exam)

If you are a text reader and can get through this book – we applaud you! If you can retain the information – by all means, this is a wonderful book! However due to its size and small font, we would almost categorize this more as a reference book that can be bought early in residency or post residency as a reference resource. While not as comprehensive asHarrison’s Principles of Internal Medicine, this is still a significant amount of text to digest and effectively retain for the ABIM Internal Medicine Board Exam.

To see other internal medicine board review books, head over to the Knowmedge Internal Medicine Question Bank Blog.

Book Review: The Cleveland Clinic Intensive Review of Internal Medicine

The Cleveland Clinic Intensive Review of Internal Medicine


Publication Date: April 9, 2009

Editor: James K Stoller, Franklin Michota Jr, Brian Mandell

Overview:

The Cleveland Clinic Intensive Review of Internal Medicine, 5th edition book, published by Lippincott Williams & Wilkins, is a review guide for those preparing for the ABIM Internal Medicine Board Exam. The book contains over 900 pages and covers all the major aspects of the Internal Medicine Board Exam. The book also contains 200 Board Style questions and has a companion website. Breakdown of Book (Chapters):
  • Section I: Multidisciplinary Skills for the Internist (170 pages)
  • Section II: Infectious Disease (64 pages)
  • Section III: Hematology and Medical Oncology (102 pages)
  • Section IV: Rheumatology (52 pages)
  • Section V: Pulmonary and Critical Care Medicine (81 pages)
  • Section VI: Endocrinology (72 pages)
  • Section VII: Nephrology and Hypertension (64 pages)
  • Section VIII: Gastroenterology (100 pages)
  • Section IX: Cardiology (178 pages)
  • Section X: Mock Board Simulation (63 pages)
Price:
  • List price: $104.99
  • Current Amazon price: $99.74
  • eBook (Kindle): $54.99

Amazon average reviews (as of 12/16/2013): 3.8 out of 5

Amazon Best Sellers Rank (as of 12/16/2013): #313,209

Our opinion as a book for ABIM Exam Board Review:

The Cleveland Clinic Intensive Review of Internal Medicine is an excellent resource for Medical Students, Residents, and Internists. The information is well organized and displayed in a user-friendly format. Each chapter contains a list of high-yield “Points to Remember.” At the end of each chapter there are several review questions to test your knowledge of the subject. In addition, following the questions in each chapter, there is a “suggested reading” list for additional information.

The editors have done a fantastic job of using pictures, many in color, and tables in order to condense information in a user friendly format. In addition, the book, while being over 900 pages isn’t uncomfortably big to handle (unlike The Mayo Clinic Internal Medicine Review). The pages are lighter though there is risk of highlighter bleed.

There is very little to complain about this book as it has everything you’d want for your board review – high-yield, accurate information presented in a user-friendly manner. The sample practice questions and “Points to Remember” are extremely valuable for review. If we had to pick a downside, it’s that the book hasn’t been updated since 2009. For many textbooks, this is generally not an issue but Internal Medicine board material is always evolving and certainly some of the studies cited in the book have been updated and new information has come out.

Overall, this is a wonderful resource for the ABIM Internal Medicine Boards.

To see other internal medicine board review books, head over to the Knowmedge Internal Medicine Question Bank Blog.

Wednesday, February 12, 2014

Internal Medicine Board Review Pearls now Available on iTunes, Google Play, Kindle, and Nook

Knowmedge is excited to announce its second eBook, High-Yield Internal Medicine Board Review Pearls, is now available for download on iOS, android and kindle devices. This eBook contains 17 chapters of Internal Medicine board review pearls. The chapters within the book are based on the Internal Medicine ABIM exam blueprint and cover a wide range of topics including Cardiology, Endocrinology, Neurology, Hematology, Infectious Disease, Oncology, and Gastroenterology. The book also contains two bonus chapters focused on strategies and resources used to study for both the Internal Medicine Shelf Exam and ABIM Board Exam.

The Internal Medicine High-Yield Internal Medicine Board Review Pearls eBook contains many images and slides in the format seen within the Knowmedge internal medicine question bank. The colorful images are designed to be quick reviews of complex material likely to be tested on any Internal Medicine board exam. In addition to those taking the ABIM and In-Training Exams, the book can be a helpful tool for those studying for the Internal Medicine Shelf Exam, In-Training exam, or USMLE Step 3 exam.

The Knowmedge High-Yield Internal Medicine Board Review Pearls can be downloaded immediately from iTunes, Google Play, Amazon.com, and BarnesandNoble.com. For more information regarding the Knowmedge internal medicine question bank and board review eBooks, please visit http://www.knowmedge.com


Google-Play-Internal-Medicine-Board-Review
Kindle-Internal-Medicine-Board-ReviewiTunes Internal Medicine Review


Nook Internal Medicine Board Review

Knowmedge and Docphin announce collaborative agreement for Internal Medicine Board Review Questions

Docphin, an evidence-based medicine content management platform for hospitals and healthcare providers, to feature content from the Knowmedge Internal Medicine Question Bank on its web and mobile platforms


Feb. 11, 2014 - COLUMBUS, Ohio  Knowmedge, an internal medicine board review question bank provider, and Docphin, an evidence-based content management platform for hospitals and healthcare providers, are excited to announce a collaborative agreement for ABIM exam content. Under this agreement, Docphin will feature Knowmedge’s ABIM Board Exam practice questions on its web and mobile platform for medical residents and physicians to test their internal medicine knowledge. The agreement also lays the groundwork for further collaboration and opportunities to enhance medical education. Dr. Ravi Bhatia, co-Founder of Knowmedge, states “Docphin is a valuable data aggregation platform for residents and physicians. Their web and mobile platforms are an excellent resource for physicians to stay on top of all the relevant news in medicine. We are excited about the opportunity to work with the Docphin team to provide Internal Medicine questions and content to enhance medical education.”

Dr. Mitesh Patel, CEO of Docphin, states “Incorporating Knowmedge’s high yield ABIM Internal Medicine Board Exam style questions on to the Docphin platform will provide us an additional resource to further improve medical education. Docphin and Knowmedge share a similar vision to improve medical education and this collaboration sets the groundwork for our companies to continue working together to help residents and physicians build their medical knowledge.”

Docphin’s (www.docphin.com) provider platform streamlines access to medical research from over 5000 journals and recommends content that’s relevant to your interests and trending among your peers. Docphin’s hospital platform enables departments and residency programs to upload clinical guidelines, hospital protocols, and decision-making references for mobile access and provides detailed engagement metrics to help accelerate the implementation process within the healthcare system. Docphin is used at over 350 institutions in more than 15 countries by all types of providers and students including physicians, nurses, pharmacists, engineers, and scientists. Docphin is available for iPhone, iPad, Android, and Web.

Knowmedge (www.knowmedge.com) is a medical exam prep provider focused on Internal Medicine board review questions. The Knowmedge Internal Medicine question bank contains over 900 board review questions. The question bank has been used by physicians and residents at over 100 institutions. The question bank is used by physicians preparing for the numerous exams, including ABIM Board exam, In-training Exam, Internal Medicine Shelf exam, and the USMLE Step 3 exam.

Monday, February 3, 2014

ABIM Maintenance of Certification (MOC) Requirements Changes

The American Board of Internal Medicine (ABIM) has implemented changes to the Maintenance of Certification (MOC) requirements. Like the 24 other specialty boards, ABIM will have a 4 Part Process:
  • Part I: Professional standing (licensure)
  • Part II: Lifelong learning and self-assessment
  • Part III: Cognitive expertise (examination)
  • Part IV: Practice performance assessment (performance improvement project)

Parts I and III are essentially unchanged. However Parts II and IV are new additions. Part II is the lifelong learning and self-assessment component. It includes continuing medical education (CME) and online modules for most boards.

Starting in 2014, the ABIM now maintains a report indicating if ABIM Board Certified physicians are “meeting MOC requirements”.

The ABIM has detailed the changes in the MOC requirements. It’s a bit of a maze to try and follow all the details so we’ll give you the high level bullets here.

What has changed?
Previous: You were required to maintain your Internal Medicine Board Certification by “simply” passing the ABIM Board Exam every 10 years.

ABIM MOC Changes: In order to be “meeting MOC requirements”, you will still need to pass the ABIM Board Exam every ten years. In addition, you will need to:
  • Complete at least one ABIM-approved MOC activity every two years
  • Earn at least 100 ABIM MOC points every five years with:
    • At least 20 points in medical knowledge
    • At least 20 points in practice assessment
  • Fill out a patient safety and a patient experience survey requirement every five years

Why the changes?
We are certainly no experts in this area. The ABIM argues that “There is growing recognition and agreement from the public, consumer groups and medical organizations that assessing knowledge and performance every 10 years is not sufficient.” Others could certainly argue this is all about money and power (after all, ABIM isn’t implementing these changes without a financial benefit).

There are certainly those that think the MOC changes are helpful and for the better. Then there are those that take a more cynical, yet  popular – and perhaps accurate – view of the changes. Regardless, these are the rules, at least for now, that you have to play by if you want to maintain your Internal Medicine Board Certification.

What’s the cost of this?
Fees (currently) for the Internal Medicine MOC are $194 annually or $1,940 on a 10-year basis. You can choose to pay annually or pre-pay for 10 years. If you maintain certification for other specialties, the fees are different.

What if I just got certified? What if I need to certify in 2014? What about 2015? What if I’ve been “Grandfathered” in?
Almost universally, regardless of when you need to certify, you will be impacted by the changes. Even for those grandfathered in and not having to meet any requirements previously, you will now be listed as “not meeting MOC requirements” (If you are grandfathered in, you will still maintain your certification but you will be listed as “not meeting requirements”)

In order to understand your specific situation, you should review the MOC requirements website where it details the actions you will need to take depending on when you need to recertify.

Does the ABIM know my contact information?
Make sure you update it if you have not provided them with the most current information. You can update your contact information online.

What medical knowledge modules / products can I complete to earn points?
You can earn medical knowledge points through the ABIM directly or from other professional organizations. A list of ABIM’s medical knowledge modules can be found on their website.

You can see a list of medical knowledge modules products developed by professional organizations at the ABIM website.

How can I earn practice assessment points?
You can earn practice assessment points by completing ABIM PIMs Practice Improvement modules or through the Approved Quality Improvement (AQI) pathway.

What if I need help?
With all the rules and requirements that are needed to make this transition, it can get confusing. If you do need help, you can contact the ABIM at 1-800-441-ABIM or email them at MOC2014@abim.org

The bottom line
The ABIM Maintenance of Certification requirements have changed. To maintain Board Certification, you have to play by their rules. It can be confusing and it will cause problems, especially in the first few years of this transition, but the change is here to stay.

To learn more about the ABIM Maintenance of Certification (MOC) requirements, visit the ABIM MOC website.

Internal Medicine Board Review Courses

Internal Medicine Board Review Courses


Are you studying for the ABIM Internal Medicine Board Exam? We’ve touched upon our suggestions for studying for the ABIM exam including a brief overview of the independent internal medicine board review courses.

There are a lot of internal medicine board review course options. We’ll cover the ones we’re aware of here. If you know of one we’ve missed, please post a comment or send us a note at support@knowmedge.com.

Independent Internal Medicine Board Review Courses


iMedicine Review

Internal Medicine Board Review Course - iMedicine Review - Shahid Babar
iMedicine Review – Shahid Babar

Website: www.imedicinereview.com

Taught by: Shahid Babar, MD FACP FHM

Overview: Dr. Babar has been conducting Internal medicine board review courses at various academic centers since 2007. He founded iMedicine Review in 2010 and in addition to continuing his live courses, he created educational apps for residents and physicians preparing for ABIM Internal medicine board exam. His courses are 3 ½ days long and take place in various cities around the country.


Locations / Dates: Dr. Shahid Babar’s will be teaching his iMedicine Review course at five different locations in 2014.
    University of Pennsylvania, Perelman Quadrangle
    Philadelphia, PA
    May 15, 16, 17 & 18, 2014 (Thursday – Sunday)

    PinnacleHealth Hospital Program Harrisburg, PA
    May 29, 30, 31 & June 1, 2014 (Thursday – Sunday)

    University of Connecticut
    Farmington, CT
    June 12, 13, 14 & 15, 2014 (Thursday – Sunday)

    AMA Executive Conference Center
    New York, NY
    July 9, 10, 11 & 12, 2014 (Thursday – Sunday)

    The George Washington University
    Washington, DC
    July 24, 25, 26 & 27, 2014 (Thursday – Sunday)
Cost
The cost of the iMedicine Review course varies depending on a few factors:
  • Physicians – $695.00
  • Residents – $595.00
  • Groups of 2 or more – $545.00
  • Chief Residents – $245.00
Contact
You can contact iMedicine Review through the website or directly by emailing info@imedicinereview.com.

Note: Dr. Shahid Babar is an advisor to Knowmedge .

Awesome Review

Internal Medicine Board Review Course - Awesome Review - Habeeb Rahman
Awesome Review – Habeeb Rahman

Website: www.tutormd.com

Taught by: Habeeb Rahman, MD

Overview: This Internal Medicine Board Review course taught by Dr. Habeeb Rahman is a popular option for residents. While more expensive than some of the other review courses, the high-yield animations and notes presented by Dr. Rahman make this a worthwhile experience for many who take his Awesome Review course.

Locations / Dates: Dr. Habeeb Rahman will be teaching his Awesome Review course at ten different locations in 2014.
    Maimonides Medical Center
    Brooklyn, NY
    January 22 – March 13 (Weekday nights)

    Roosevelt Hospital
    New York, NY
    January 21 – February 27 (Weekday nights)

    North Shore University Hospital
    Manhasset, NY
    February 8 – February 23 (Saturday and Sunday)

    Newark Beth Israel Medical Center
    Newark, NJ
    March 1 – March 16 (Weekends)

    Advocate Christ Medical Center
    Oaklawn, Illinois
    March 21 – March 30 (Friday, Saturday, Sunday)

    New York Hospital of Queens
    Flushing, NY
    April 5 – April 20 (Saturday, Sunday)

    Crowne Plaza Phoenix Airport Hotel
    Phoenix, AZ
    April 25 – May 4 (Friday, Saturday, Sunday)

    Hilton Hotel
    East Rutherford, NJ
    June 1 – June 6 (Sunday – Friday)

    Holiday Inn Hotel
    Long Beach, CA
    June 13 – June 22 (Friday, Saturday, Sunday)

    Empire Meadowlands Hotel
    Secaucus, NJ
    July 14 – July 19 (Monday – Saturday)
Cost
The cost of the Aweome Review course varies depending on the size of the group:
  • Group of less than 10 people: $1,045.00
  • 10 or more people: $995.00
Contact
You can contact Awesome Review through the website or directly by emailing info@awesomereview.com or by calling 201-905-0102 or 201-888-1002.

Unique Review Course

Internal Medicine Board Review Course - Unique Course - Satish Dhalla
Unique Course – Satish Dhalla

Website: www.uniquecourse.com

Taught by: Satish Dhalla, MD FACP

Overview: Of the three Internal Medicine Board Review independent courses, this is the oldest. Dr. Dhalla has been director of the Unique Course Board Review since 1995.

Locations / Dates: Dr. Satish Dhalla will be teaching his Unique Course twice in 2014.
    Double Tree Hilton
    Fort Lee, NJ
    June 23 – June 28 (Monday – Saturday)

    Double Tree Hilton Fort Lee, NJ
    July 14 – July 19 (Monday – Saturday)
Cost
The cost of the Unique Course is $1,095.00.

Other Internal Medicine Board Review Courses
There are a lot of other Internal Medicine Board Review courses. We’ll go through the ones we’re aware of here:

Mayo Clinic Internal Medicine Board Review
Cleveland Clinic Internal Medicine Board Review
American College of Physicians (ACP)
Columbia University Internal Medicine Board Review
GoFrontRunners
MedStudy Internal Medicine Board Review
American Physician Institute for Advanced Professional Studies (The Pass Machine)
  • Website: Internal Medicine Review Course
  • Dates: March 21 – March 23 / June 13 – June 15 / August 15 – August 17
  • Locations: Chicago, IL
  • Cost: $1,297
If you know any internal medicine board review courses we have missed, please let us know.

If you have used an internal medicine live course to study, please share your feedback with us in the comments section. We all benefit from learning about the various internal medicine board review courses that are offered.