I am a PGY-4 Rad resident. Here are some resources that I think you guys might find helpful.

General

• University of Virginia, online radiology tutorials. These cover many different aspects of radiology, from CT to US, as well as some basic trauma evaluation for every modality. Many modules review normal anatomy as well. A very good resource for a quick general overview. HERE
  
• Radiology Assistant One of the BEST resources for radiology residents and all other residents as well in my opinion. Covers many high-yield aspects of imaging. It goes into a little more depth for each topic than the UVA tutorials. I have looked at their bone tumor differential article many times. This website is an excellent resource for anyone interested in learning more, even for med students. [http://www.radiologyassistant.nl/] (http://www.radiologyassistant.nl/)
  
• LearningRadiology Wonderful general resource, geared towards medical students. The guy who wrote the book is the chair or PD for a program in North Philly I think. I read his book in medical school.
  
• Radiopaedia.org You already know who it is...(Silento). Many of my co-residents and attendings make fun of this website. I call it the WebMD of radiology. It's not bad in a pinch, but StatDx is a much better alternative
  
• StatDx The UpToDate of radiology. Requires big $$$ to access. Totally worth it IMO. Has every conceivable disease on there, as well as imaging/pathology/workup/recommendations/andeverythingelse. Written for radiology residents and attendings, so having some general knowledge makes it more palatable.
  
  Chest X-ray
  
  If you're serious about it, start with Felson's Principles of Chest Roentgenology, A Programmed Text. Don't let the 288 pages scare you, half of the pages are images and the other half only contain like 100 words of text. It's set up with big pictures on one side, and easy explanations and multiple choice questions on the opposing page. It kind of reminded me of that Dale Dubin EKG book (the orange one).
  
  If you're kind of "meh" about it. Just check out the UVA tutorials above, or this..
  
  All that being said, Chest X-rays can be some of the most challenging and humbling cases to read. You could read 5 books and still suck. I'm probably going to recommend a CT anyways.
  
  Interventional Radiology Gunners
  
  This guy makes some decent youtube videos. Maybe you'll impress someone someday and only have to sell 1 limb to get into IR.
  
  Advanced
  
  
• Radiographics ABR Series. Radiographics articles geared towards the ABR. Please don't read these unless you want to be absolutely insufferable.
  
• ASNR Neuroradiology Lectures For nerds only.
  
• STR Cardiothoracic Lectures For boring nerds only. Although the PA/Lateral Xray video overview is only 30 minutes long and pretty good.
  
  Finding good articles
  
  Just google "(What your looking for) + Radiographics. The Radiographics educational journal has some of the best educational articles and modules overall. You might become too smart and lose all your friends.
  
  Hope that helps. If I think of anything else, I'll periodically update this comment

Trust the process. You'll learn what you need to learn.

BRS is nice and dense, but somewhat outdated.

Your best resource, by far is going to be Pediatrics in Review (and for NICU, NeoReview). They provide excellent review articles for any topic you might wish to learn about. Read these articles often.

Nelsons is the reference "bible" if you will, but I don't know if I'd drop the dough on paying for a full Nelson's. Nelson's Essentials on the other hand, is quite digestible.

You mentioned Pocket Medicine, and there is a Pocket Pediatrics, but I've never used it. Harriet Lane is definitively the standard reference but a bit thick to stick in a white coat pocket (every halfway decent program has like 4-5 of these strewn about the resident work-room).

The good news is, you can sort of pick and choose what reference texts you want. For board prep you'll get the usual "laughing your way", PREP, and medstudy, etc. I also think it's not a bad idea to pick up a text correlating to your field of interest.

For instance, I like critical care. So I picked up Roger's Handbook of Pediatric Intensive Care (the much more portable version of the larger text).

Hope that helps!!

Best preparation sources for step 3:

UWorld

This is the absolutely most important resource for you to use. If you are going to do nothing else to prepare for Step 3, then this is what I would recommend.

UWorld

NBMEs

it will highlight your areas of weakness and point you towards the areas you should be spending the most time.

NBME

Review Books

Review books should be used as a way to supplement your knowledge, refresh yourself on topics that you may not have seen for several years, and to address material that you are struggling to learn through the question bank.

The recommended books are:

1. First Aid for Step 3
   
2. Master the Boards for Step 3
   
   

   CCS
   

   
   1- UWorld’s CCS Cases help you prepare and boost your confidence for the test day. 
   
   uworld ccs
   
   2- Mapping CCS: 2019, excellent preparation tool wide range of cases. The high yield non uworld cases can be find
   here
   
   2019 Mapping ccs
   
   3- Crush CCS cases: provides easy and short review.
   
   crush ccs
   
   

   Biostats and Abstract/ Pharm ads:
   

   
   UWord biostats: Good review, good price
   
   UWorld Biostats
   
   Biostats words for the boards: good book, and the best is to take a live tutor course. it will save your time:
   
   Biostats words for the boards
   
   USMLE STEP 3 Preparation Plan:
   
   1. Start early
   
   Different preparation times have been suggested, Depending on what you are doing, if you are in residency or not, at
   least 3-4 weeks of dedicated studying for the exam is needed.
   
   2- Q Banks:
   
   NBMEs can be used as a way of predicting your final score. Take an NBME at the very beginning of your Step 3 study
   period. Doing this can give you a baseline score, and will often make students much less nervous about the exam.
   
   2. Consider using tutor
   
   Live tutor can save a lot of your time reviewing your weak points whether they are ccs, biostats or pharmacology. that
   will allow a more focused approach to your studying.  
   
   3. Master Clinical Case Simulation (CCS) Questions
   
   CCS accounts for 25% of your final score, before going to the exam, make sure that you practice the cases and you
   understand the principles about the software
   
   4. Don’t underestimate Biostats, preventive medicine, Abstract/ pharm ads and pharmacology questions
   
   The exam had a significant number of biostats questions, more than prior steps. These topics are as important as
   internal medicine and pediatrics in the exam.

This is a fantastic idea! You are such a thoughtful friend. Here's a list of cheap items that I would include:
• Nice pens. I am extremely partial to Uni-Ball Jetstreams
• A set of colored markers for studying and making diagrams
• Small Moleskine notebooks that easily fit into pockets for taking notes on rounds
• Ibuprofen for headaches that happen during residency. Again something small she can carry in her purse. I would suggest 200mg and maybe in a 20 count container. She can refill it as needed with her home ibuprofen. DayQuil or NyQuil are also good.
• Hot Chocolate and Hot Tea - something she can just mix with hot water and drink
• Quick snacks for when you're too busy to eat. I like Clif Bars since they're quick and filling. Special K bars and Luna Bars are also good.
• A candle to light while studying during residency can help set the mood to get work done. Or maybe that's just for me.

Hope this gives you some ideas!!

I actually felt like UWorld's biostats program was excellent. A lot of people advise Step 3 takers to study it a few days before the test, but I studied it early on in my studying (when my brain was still fresh), and I feel like I got almost all the stats questions right on that test (everything else, well that's a different story).

All that said, I also feel like my ability to understand articles improved by leaps and bounds after doing UWorld biostats. If you would like a book, I used High Yield Biostats, Epidemiology, and Public Health as a supplement to my studying and thought it was pretty well written.

I know you wanted a website, but I would still like to recommend the book 150 ECG cases by Hampton. The book is amazing, and taught me a lot when I was starting out my electrical puzzlesolving journey. It has a short clinical history and an ECG on one page. When you turn the page it systematically goes through the specific pathologies in the ECG, what this means, and what you should do now. Just a great way to learn ECGs in a clinical context, and really explains why rather than just what.

https://www.amazon.co.uk/150-ECG-Problems-3e-Ecg/dp/0443068232

Edit: There is a free sample available from inkling.com so you can see what the format is like.

I felt this way as well. Totally not necessary but I read Guide to Most Common IM diseases. Cheap and very easy read thats quick and practical. I felt like it was helpful. I also used uptodate to look up common ER visit type complaints that I knew I'd see a lot and forget common workup like Seizure, TIA, syncope- you'll see these a lot or it'll be part of your differential that are relatively easy but usually don't focus as much like Chest Pain/COPD exacerbation/etc compared to medical school. You could also do nothing and thats appropriate too.


https://www.amazon.com/Common-Internal-Medicine-Workups-Diseases-ebook/dp/B072WQ8P4T/ref=sr_1_1?ie=UTF8&qid=1542326321&sr=8-1&keywords=guide+to+the+most+common+internal+medicine+workups+and+diseases

Hey dude, don’t feel bad! I think the physical exam is a lot more challenging than everyone lets on, especially when you are crunched for time, and knowing when it is actually helpful can be crazy challenging (e.g. is looking for an S4 gallop really going to change my management of this guy?).

I think the book you were trying to reference is McGee’s Evidence Based Physical Diagnosis. That book really helped me with knowing when a physical exam maneuver will help make a specific diagnosis or just waste my time. Pictures aren’t as great as Bates, but unlike Bates, McGee gives the evidence, sensitivities, and specificities whereas Bates more expects you to take their word for it.

As an intern, I for sure suck at the physical exam, but I just try and carve out time to practice things that might help or are important to document, and I’ve noticed I’m starting to get better, especially with those fricken’ dad-gummed pedal pulses (and of course the people you need to feel them on are BMI > 35). You’ll get better at it man, a lot of helpful advice on this thread, hope the link is helpful!

www.Headneckbrainspine.com would be a great place to start. The only high yield anatomy you should review is neuro in my opinion (PGY4 here). Talking intelligently about the regions affected by an infarct or mass is very helpful and puts you on a whole new level.

Somewhat on a similar topic is a book I recommend to every new rads resident, The Radiology Report: A Guide to Thoughtful Communication for Radiologists and Other Medical Professionals https://www.amazon.com/dp/1515174085/ref=cm_sw_r_cp_api_i_RiHLDbGYEPKGR

It goes over the non-interpretive skill of sewing together a masterful tapestry of findings into a succinct and powerful report. My residency didn’t really teach this topic very well and the do’s and don’ts have come in very handy. It also goes over some the history and trends of radiology reporting which you may also find I interesting (or you may skip entirely).

Ah, sleep, thy delicious embrace eludes me.

There are a LOT of ways to approach this.

First, sleep environment. It needs to be dark (like blackout dark) and quiet. I set up a cot in the cellar, covered the windows, and wear ear plugs (those soft foam ones that go inside the ear like these, but a different brand. I don't know what your sleeping setup is or what the options are, but it should be dark and quiet when it is time to sleep.

CAFFEINE: None within 6 hours of sleep time. I push it sometimes and have caffeine up until 4h prior, but go gently. Caffeine will keep you awake when it is time to sleep. I understand sometimes you need to drink caffeine no matter what right up to the end of the shift, but when that happens I just plan on not being able to sleep for a while when I get home.

FOOD: make sure the food before sleeping has more fat and less carbs. High carb meals before sleeping make the blood sugar spike and then crash, leading to terrible sleep quality. I'm a big fan of a chunk of cheese and dark chocolate with a glass of whole milk before sleeping.

MELATONIN: I personally only use this when resetting my sleep schedule to regular hours; i.e., going to sleep at night. No sense tickling the pituitary during the day. This also takes a few days to really have any effect, and the effect is mild. If your fiance uses a beta blocker, then melatonin can have a significant effect (beta blockers blockade pituitary melatonin production even at low doses).

BENADRYL: dangerous! If you can't get to sleep within about 20 minutes of taking this, you'll be in a sort of loopy dream state at best. Antihistamine-induced sleep has terrible quality anyway, besides it makes you groggy and fucks up the judgement for half the next. That said, for myself, I'll take 50mg of benadryl and a half-shot of whiskey when I am going down and have a full day off afterwards to just sleep. One of the problems with benadryl is that it loses its efficacy the more you use it. I don't use it more than once every 3 days at the most and even then it begins to lose its efficacy.

ALCOHOL: Speaking of alcohol, don't. Keep alcohol intake to a minimum. It has the obnoxious habit of waking you up with the CNS depressant effect starts to wear off (about 4 hours after a drink). If alcohol is used, keep it to very small amounts (half an ounce or less, half a beer, etc).

NIACIN: This actually works well for sleep. Low-dose or no-flush is best if you don't like the itchy flushing skin reaction. I take a fairly large dose right before I hit the pillow and it helps a lot with sleep quality. YMMV.

VALERIAN: 5 capsules before bed. It is mild, but it works. Can make you groggy the next day. Doesn't seem to damage sleep quality too much.

ROUTINES: Sleep is a habit. Habits have triggers. Develop a consistent set of triggers. Brush teeth, take a shower, stretch, meditate for 2 minutes, then go to bed. A series of actions that are routinely performed before sleep program the brain to go to sleep.

And for you, I would say, the best approach is to be clear that you'll support her decision in whatever way you can, regardless of what path she decides to take. Most likely, she will charge through this and suffer each wound as it comes, never quite healing before the next injury. You should understand that this is what is going on. This process sort of burns the soul out of you (more or less depending on the program and the patient population). Yet at the same time, if medicine is your calling, you simply cannot quit.

If she is really struggling, some programs will let you take some time out. Some. Malignant programs do not (and plenty of non-malignant programs as well).

Good luck, I wish both of you the best of luck and good health.

Medical Student Loans by Ben White is a really good read regarding student loans. It's recent, written by a young attending, and cheap. The first chapter is like a little summary of WCI book and then goes in detail into each repayment plan and how to approach unique situations like being married and stuff. I honestly think ever 4th year with loans should read this.

Otherwise I wouldn't pay for much. r/studentloans is also super helpful with specific questions regarding loans with lots of good advice.

Below is a fun, light read. Good British wit combines with major medical developments to provide a greater understanding of medical history and a sensible chuckle. The author was a British surgeon and anesthetist per the internet.

The Alarming History of Medicine: Amusing Anecdotes from Hippocrates to Heart Transplants https://www.amazon.com/dp/0312167636/ref=cm_sw_r_cp_apa_i_6RYvDbGADSBQ1

two of the best books I've ever read on this subject are Talking to Patients: The Theory of Doctor Patient Communication Vol. 1 and Talking to Patients: Clinical Technique Vol. 2 by Dr. Eric Cassell. Can't recommend them enough. Another extremely valuable book on clinical empathy is Dr. Jodi Halpern's book, "From Detached Concern to Clinical Empathy." Fantastic read but I think the Cassell may be more of what you are looking for since it is more focused on technique whereas Halpern is more focused on theory.

https://www.amazon.com/Talking-Patients-Vol-Doctor-Patient-Communication/dp/0262530554/ref=sr_1_2?ie=UTF8&qid=1479875523&sr=8-2&keywords=talking+with+patients+cassell

https://www.amazon.com/Talking-Patients-Vol-Clinical-Technique/dp/0262530562/ref=pd_sim_14_1?_encoding=UTF8&psc=1&refRID=N0FGJ4R4KN84DCM2NFYA

You made it through your first year you will be fine. I would recommend reading and focusing on how the anxiety starts. It can be controlled and managed. If you don't it will get worse. I once heard "No matter what you need help with in life there is a bood for that". Good luck you can do it.

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https://www.amazon.com/dp/B001PKUBK8/ref=dp-kindle-redirect?_encoding=UTF8&btkr=1

please do not buy the connect a vest. just use a WOW/COW.

room lights on and iphone light should be all you need to see the vast majority of wounds.

i have used these $12 shears from amazon to cut through jeans and they did just fine and i wasn't worried about losing them: https://www.amazon.com/Madison-Supply-Premium-Fluoride-Scissors/dp/B00YFG1U86/ref=sr_1_3?keywords=black+trauma+shears&qid=1562108772&s=gateway&sr=8-3

DO NOT MARK YOUR SURGICAL PATIENTS WITH PERMANENT MARKER... especially ones you use on different patients.

I found the Pocket Medicine MGH handbook to be very helpful for the situation you're describing. I would carry it down with me to the ED, quickly review the pertinent topics before seeing the patient, then have it in front of me while formulating my plan to cover my bases. Supplement with UpToDate if you have time to digest.

https://www.amazon.com/Pocket-Medicine-Massachusetts-Hospital-Handbook-dp-1496349482/dp/1496349482/ref=mt_looseleaf?_encoding=UTF8&me=&qid=1568137845