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Alternatives to Toronto Notes


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Edmonton Manual appears to be aimed towards an approach to OSCE examinations, rather than serving as a reference book.

 

If you're looking for a quick reference, check out what your library offers in the way of downloads for PDA, if you have one.

 

The CCS series of little books make succinct references. They are also available in pdf formats (which are easily found).

http://www.medical-library.org/ccs/

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T.N. is awesome. Full stop. If you disagree I will stab you in the jaw.

 

Pocket medicine is also quite good. Not so much as a comprehensive reference, but something to have in your pocket when on rounds or in the ER. There is enough info in there (with references about % improvements etc.) that you can bang out a pretty good investigation and treatment plan no sweat. If you need to learn the nitty gritty of a disease, then you should be reading something more comprehensive (like Harrison's or something).

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The Sabatine sucks. You'd get a better overview of gastroenterology if you read the TP you wiped your butt with.

 

Go the Hui book. It's in SI units, and its well written and organized. Plus, the print isn't microscopically small!

 

Different people/hospital/programs prefer different books. Trust me, if everyone in your team was using Pocket Medicine, and you had to be different and make different recommendations from everyone else, it won't help your evals.

 

So obvious answer: get both, use whichever one the others are using. When you're a resident or attending, it won't matter. Hopefully by then, you won't be using either anyways. :P

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It doesn't really matter what you use. The important thing is to actually use whatever you have.

 

As for having recommendations that aren't aligned with the rest of the people on the team, if you can back up what you are recommending then you will not be faulted for it. What gets people in trouble is when the blindly recommend tests and treatments without understand the test/treatment and why is it being used.

 

Classic example: PSA. WORST used test ever. Way to many people just order it like candy without realizing it's not to be used for patients over 70 or with a <10 yr life expectancy. On top of that they order it on patients with prostatitis and then freak out when the PSA is coming back at 150. Or they order a single value, it comes back "elevated" yet they never repeat the test or do a DRE before referring to a specialist. There are dozens of other tests that are similar.

 

So summary: Know what and why you are ordering something. You look stupid if you recommend something but have no idea why you did.

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Toronto notes is worth nothing unless you're studying for the LMCC, and even then... It's not useful in first year meds, or second year, or third of fourth year, it's way too superficial, has tons of errors... Open up real books to study the fundamentals of the different organ systems, it will serve you forever

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Toronto notes is worth nothing unless you're studying for the LMCC, and even then... It's not useful in first year meds, or second year, or third of fourth year, it's way too superficial, has tons of errors... Open up real books to study the fundamentals of the different organ systems, it will serve you forever

 

I beg to differ - although TN aren't extremely detailed (yes "superficial") it is a great resource if you are looking for a quick refresher that is summed up quickly with the key points.

 

That can be a huge benefit instead of shifting through great details (if all you want is a quick recap). However, in terms of learning material in great detail I agree with you fundamental books are better.

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Back the truck up!

 

You're in first year Mac med? Forget the review books - you can't review anything yet because you don't know anything yet!

 

Read Guyton and Hall, Robbins, Lippincott Pharm and microbio, and Gray's.

 

Welcome to medicine.

 

Agreed to some extent, BUT, the best way to use a review book like TN or First Aid is to start using it from day one. Read through all of the above (Lippincott pharm is pretty superficial too, btw, I would go with Katzung), and then make notes from those books + lecture notes into your Toronto Notes and get familiar with the entire book. By the time review comes in your 4th year or whenever, you will be really familiar with the book and it will be 10x better as a review book than if you were to buy it a month before your LMCCs.

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TN is fantastic. Cecils is good too. UptoDate is also good. And this has nothing to do with the fact I go to UofT.

 

However, I will agree that TN isn't that useful in 1st or 2nd year. Once you have a base though, it's fantastic.

 

Forget the other books. Most of them are too long-winded and low-impact. Worse, you'll finish reading them and then you'll realize that they were so long-winded and meandering, that you got absolutely nothing from it.

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I disliked Cecil's. Even the essentials version. I found it to be long winded and way to heavy on things like patho-physiology while at the same time completely glancing over tests and treatments.

 

It's a good book if you want to learn the in depth of HOW the disease works, but it's terrible if you want to learn how to diagnose and treat the disease.

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I beg to differ as well. Toronto Notes is definitely not the be-all or end-all, but it has it's uses. For rotations/courses where I really wanted to put every ounce of energy into (eg. internal medicine, anatomy), I got specific textbooks (eg. Gray's/Grants/Rohen, Cecil's, etc.), but it's a good overview for other areas, especially the more specialized and smaller rotations where you clearly can't put that much energy into unless you're planning to specialize in those areas. Also, it's a good little review to look over in the day before starting a rotation, so that you don't look like a complete tool when you start.

 

Oh, I realized that I was kinda being specific to clerkship. I don't think Toronto Notes is the best resource for preclerkship. Study from textbooks and from class notes and online resources (eg. uptodate).

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Agreed to some extent, BUT, the best way to use a review book like TN or First Aid is to start using it from day one. Read through all of the above (Lippincott pharm is pretty superficial too, btw, I would go with Katzung), and then make notes from those books + lecture notes into your Toronto Notes and get familiar with the entire book. By the time review comes in your 4th year or whenever, you will be really familiar with the book and it will be 10x better as a review book than if you were to buy it a month before your LMCCs.

 

I'm a pharmacist and Katzung is one of our favourite resources as well - certainly one I'd reccomend.

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