Sunday, June 21, 2020

Pediatric Residency Series: Conferences

The Table below has the name of some Pediatric conferences and the respective subspecialty                          


Pediatric Conferences 

Subspecialty 

Conference 

Dates 

Link 

Everything / all subspecialties 

Pediatric Academic Societies (PAS) 

April/May 

https://2020.pas-meeting.org/ 

 

Southern Society of Pediatric Research (SSPR) 
(Mainly for Southern states) 

February 

https://www.southernspr.org/l/default.asp 

Pediatric Cardiology 

American Heart Association conference(AHA) 

November 

https://professional.heart.org/professional/EducationMeetings/MeetingsLiveCME/ScientificSessions/UCM_316900_Scientific-Sessions.jsp 

 

American College of Cardiology conference(ACC) 

March 

https://accscientificsession.acc.org/ 

 

CHOP: Annual Update on Pediatric and Congenital Cardiovascular Disease 

February 

https://chop.cloud-cme.com/default.aspx?P=5&EID=928 

Pediatric Allergy/Immunology 

American Academy of Allergy, Asthma, and Immunology (AAAAI) 

March 

http://aaaai2020.org/ 

 

American College of Allergy, Asthma, and Immunology (ACAAI)  

November 

https://annualmeeting.acaai.org/ 

 

Texas Allergy, Asthma, and Immunology Society (TAAIS) -no poster presentations  

April 

https://taais.org/intro-view/2020-taais-annual-meeting/ 

Pediatric Neurology 

Child Neurology Society (Getting a poster in may be difficult) 

October 

 

American Academy of Neurology  

April/May 

Child Abuse 

Ray E. Helfer Society. 

April 

Pediatric Genetics 

American Society of Human Genetics (ASHG) annual meeting 

October 

https://www.ashg.org/2019meeting/ 

 

Annual Clinical Genetics Meeting (ACGM) 

March 

https://www.acmgmeeting.net/acmg2020/Public/mainhall.aspx 

 

Society For Inherited Metabolic disorders (SIMD) 

March/April 

https://www.simd.org/meetings/ 

Pediatric Hematology/Oncology 

American Society of Pediatric Hemato-Oncology (ASPHO) 

May 

http://aspho.org/meetings/conference/overview 

 

American Society of Clinical Oncology (ASCO) 

Variable 

https://www.asco.org/meetings 

 

American Society of Hematology  

February 

https://icaho.binayfoundation.org/ash-review-2020/?gclid=Cj0KCQiAxfzvBRCZARIsAGA7YMygEl2NN94_002yg6RkPits6AjbbfMLdhbPSAHzHvMaE1xyc7rOtc4aAs5fEALw_wcB 

Pediatric Hospitalist Medicine 

Pediatric Hospitalist Medicine Conference 

July 

 


Will be updated as soon as more info become available :)

Do not forget to leave comments about names of conferences you know for different subspecilaties so they can be added to the table. 


-Murad

 

 

 

Thursday, June 18, 2020

Pediatric Residency Series: Preparing for Fellowships

Welcome to this post of Pediatric Residency Series. In this post, we will talk about fellowships including some factors that can help you in getting the fellowship you want:

Mentors / Research / Conferences:
Please click here for a detailed description of these points.

Know your timeline:
For most Pediatric specialties, ERAS opens early June, you can upload the needed documents till mid July. Interviews in August, September and possibly early October. Finalizing Rank Order List in November. Match results around mid December. You apply at the end of your 2nd year/start of your 3rd year and gets the results at the middle of your 3rd year.
Check ERAS for fellowships timeline and any other updates.
 
Letters of recommendation (LORs):
LoRs are very essential and have a tremendous impact on your fellowship application. Choose your letter writers carefully. Letters from big names and titles are amazing but are not as good as a personalized letter from another doctor who knows you personally and who has worked with you for a long period of time. LoRs are like a testimony of your worth to the new program. Remember to ask your colleagues about good LoR writers, also remember to approach the potential letter writers politely. Give your writer an ample amount of time to write your letter. It would be great to approach your potential letter writer two months before the application deadline. Whenever ERAS opens, send your personalized ERAS LoR request to the writer so he/she can upload your waived LoR to your account. You will need 3-4 letters for your fellowship applications; one of them will be from your Program Director (PD). Letter writers are not limited to people who supervised you clinically but they can include your research mentors too.

Personal Statement (PS):
Your Personal Statement is your way to express yourself informally after letting your CV show your formal side. Be sure to have a catchy start. Take your time in preparing your PS. Proofread it and make sure it has no grammatical errors. PS can make a PD curious to meet you!

Rotations: 
Rotations whether electives or less preferably observerships are your opportunity to prove yourself. They become even more important if you are doing your residency in a small program with a modest patient load. When you are doing an away rotation, you are being compared to the residents in the other program so do your best to impress. You can get amazing LoRs in your away rotations that can be so helpful in your fellowship application. You may also match in a program that you rotated at.

Study/Read:
Make it a habit to read one small thing about your desired specialty as frequent as you can. You can not imagine how much info you can have just by reading small things over a long period of time. However, be careful, do not let that interfere with your normal residency studying schedule. Ask your seniors/attendings about the available study material (books, articles, videos..etc).

Choosing programs:
It is advisable to have a checklist for the things you want in your desired fellowship program. Do you want a heavy research program? Does the program have the advanced fellowships that you want? Would you like to live in a city? 
Develop your own approach, do your own extensive research and of course ask seniors and mentors about their input. The interview day itself can either make you want that program more or can ring a bell and let your drop that program to a lower position in your ranking list.
FRIEDA ranks programs per reputation/research output/visa sponsorship..etc. However, make sure to check the website for each program to get the most updated data always since Frieda may not be uptodate all the time.

Comment below if you feel like anything can be added to this post :)

- Murad

Wednesday, June 17, 2020

Topics to read before PG entrance exams!

Hello Awesomites!

The aim is to help the students who want to give upcoming NEET PG Exam and are clueless about how to plan and prepare ?
I know my friend struggling day in and out for life in Covid wards. Exams doesn't matter now.
When they will have time in hand I want to help them out with plan beforehand. They are already brilliant enough to have been through all the challenges. :)

I know you can't predict what is important for this or next exams. Atleast with time in hand you can glance through some topics that contribute 70% of any exam. I am sharing the list 1st year subject I made during my preparation.

1.ANATOMY
  • Embryology 
  1. Pharyngeal arches
  2. Neural crest derivatives
  3. Oogenesis and spermatogenesis
  4. Notochord and remnants 
  5. Extraembryonic mesoderm
  6. Diaphragm 
  7. Cardiovascular system ( Abnormal subclavian artery)
  8. Urogenital system 
  • Histology 
  1. Cerebellum
  2. Osteoblasts
  3. Urinary bladder epithelium
  4. Cell junctions
  5. Collagen types
  6. cartilage
  7. Tonsil,Lymph nodes, spleen,thymus
  8. Stomach glands
  9. Skin with sebaceous glands
  10. Connective tissue types
  11. Retina 
  12. Salivary gland
  • NEUROLOGY
  1. Fornix 
  2. Corpus callosum
  3. Cranial nerves and its lesion
  4. Brainstem syndromes (lateral medullary )
  5. Foramen of skull
  6. Facial nerve and trigeminal nerve
  7. blood brain barrier
  8. Functional area and functional columns
  9. Parasympathetic ganglion 
  10. Phrenic nerve and vagus
  • GROSS
  1.  Compartments of lower limb with nerve and blood supply
  2. Blood supply of thyroid,oesophagus,ureter,Anal canal 
  3. Waldeyer ring
  4. External carotid artery
  5. Circle of willis
  6. Muscle of eye
  7. Brachial plexus (Sensory and motor supply of upper limb)
  8. Perineum
  9. Cruciate ligaments
  10. Vocal cords
  11. Mediastinum
  12. IVC tributaries
  13. Cavernous sinus and superior orbital fissure 
  14. Splanchanic plexus
2. BIOCHEMISTRY
  • Inborn error of metabolism (Types,Enzyme deficient,hallmark feature,Investigation of choice and treatment)
  • Rate limiting step 
  • Carbohydrate metabolism (Glycolysis,Glycogen storage disease,Glucogenesis,glycogenolysis,PFK-1)
  • Lipid metabolism ( Hyperlipoproteinemia and hypolipoproteinemia)
  • Vitamin (Coenzyme)
  • Electron transport chain inhibitor
  • Heme metabolism and Porphyria
  • Ketone body formation 
  • Urea cycle disorder
  • Competitive, non competitive and allosteric inhibitors
  • Mitochondrial disorders 
  • Amino acid disorder
  • Lead poisoning
  • Translation process 
3.PHYSIOLOGY
  • Receptors
  • Neurotransmitter and functions
  • Second messenger
  • Reflexes
  • Baroreceptors and chemorecptors
  • JVP 
  • ECG And EEG
  • Spirometry
  • RAAS 
  • Counter current exchanger and multiplier
  • Factors affecting compliance of lung 
  • Action potential
  • Smooth muscle and cardiac muscle
  • Channels and types 
  • GIT hormones 
  • Tracts and lesions(brown sequerd syndrome)
  • LH,FSH,GH and insulin glucagon
 Following are the list of 2nd year topics.

1.FORENSIC MEDICINE
  • Ballistics (Bullet ranges)
  • Identification (female male, blood sample)
  • Recent amendments in acts (POCSO act, MTP Act)
  • Application of IPC,CrPC sections
  • Postmortem changes
  • Dentition And Xray of wrist elbow and pelvis to determine age
  • Injuries -fracture of skull, RTA, Bruise
  • Toxicology- Plant based image, Preservation of viscera, Snakes,Arsenic, OP poisoning,Mercury,cadmium,Cardiac poison
  • Consent
  • Grievous hurt and murder vs culpable homicide
  • Seminal stains
  • Dowry death and Rape
  • Battered baby syndrome
  • Plant Toxicology (castor,abrus,strychnine,Dhatura,Aconite,Oleander,Calotropis,Opium,Cannabis)
2. PATHOLOGY-
  • Breast cancer, Lung cancer and Ovarian and testicular cancer
  • CD markers
  • Hemolytic anemia
  • Vasculitis
  • Endocarditis And MI
  • Types of hypersensitivity reaction
  • Platelet and coagulation disorder(ITP,TTP,hemophilias,vWD)
  • Stains And vacutainers
  • Transfusion reaction 
  • Graft rejction
  • Crohns vs Ulcerative colitis
  • Necrosis, apoptosis and its variant
  • Mode of inheritance
  • Leukemia and lymphoma prognostic markers
  • Renal histology and gross
  • Liver histology and gross
  • CNS tumors 
3.PHARMACOLOGY
  • Antimicrobial Drug of choice and mechanism of action 
  • Classification - aminoglycoside , MRSA And drugs for cystic fibrosis
  • Hypolipidemic Agents 
  • Asthma ( New drugs and guidelines)
  • Arthritis (RA and gout)
  • General pharmacology ( Pharmacokinetics,clinical trial,Pharmacodynamics)
  • Concentration dependent kinetics and time dependent kinetics and post antibiotic effect
  • Anti TB drugs
  • Anti viral and anti HIV (anti hep B and C)
  • Anti fungal
  • CVS- MI ,HF, angina managment
  • Endocrine- DM,Osteoporosis,SERM,SERD,Gnrh agonist
  • GIT-Constipation (opioid induced,IBS related) ,Diarrhea,peptic ulcer
  • CNS-Anti epileptic, Sedative,lithium toxicity,neurodegenerative disorder, side effect 
  • ANS- Emergency medicines,anaphylaxis, receptors ,poisoning 
  • Chemotherapy-Anticancer,monoclonal antibody,small molecules,kinase inhibitors
  • Prostaglandins 
  • Insulin 
4.MICROBIOLOGY-
  • Sterilisation and disinfection (Indicator)
  • Immunology (Antibody,complement deficiency,Primary immunodeficiency)
  • Latest outbreaks (Zika,Congohemorrhagic fever,Ebola,Corona)
  • Sexually transmitted infections
  • Vectors
  • Parasitology -Eggs
  • Congenital infections-Toxoplasmosis,congenital syphillis,rubella,herpes,varicella
  • HPV infection,HHV-8
  • Bioterrorism
  • Larva migrans,larva currens (cutaneous and visceral)
  • CD4 counts and Opportunistic infection
  •  HIV and TB
  • Food poisoning
  • Atypical bacteria treatment and infection 
  • Dimorphic fungi
  • Actinomycosis,Botryomycosis and eumycetoma
  • Meningitis
  • Exanthematous disease
  • Neisseria,diphtheria,Listeria,bacillus anthrax,legionella,campylobacter jejuni
  • Bacterial virulence factors,growth factors
  • Rickettsial disease, spirochetes(weils ds) 
  • Drug resistance mechanism

Following is the list of 3rd year topics.

1.COMMUNITY MEDICINE-
  • Surveillance programs
  • Sensitivity, specificity,PPV and NPV (Screening of disease)
  • Types of studies 
  • Odds ratio and relative risk ratio
  • Bias
  • Sampling 
  • Biostatistics- central tendency  (Box and whisker plot )
  •  Level of prevention 
  • Vaccine and types (Toxoid and live attenuated)
  • Demography and family planning
  • Biomedical waste
  • Health programmes ( RNTCP, HIV)
  • Communication
  • Nutrition and related programmes
  • Disaster
  • Null hypothesis,P value and alpha value
  • Confidence limit 
2.OPHTHALMOLOGY-
  •  Refractive errors (Astigmatism)
  • Surgery and post op complication(Glaucoma,cataract,squint)
  • Conjuctivitis
  • Corneal ulcer (Bacterial,fungal and herpetic) (Stains)
  • ROP and systemic retinopathy (Hypertensive and diabetic retinopathy)
  • Retinitis pigmentosa and syndromes
  • Retinal detachment and cause
  • Retinoblastoma
  •  Strabismus
  • Optic neuritis
  • Visual field defect 
  • Blow out fracture and trauma to eye
  • Glaucoma and drugs(Contraindication and indication)
  • Managment of ptosis
  • Light reflex and accomodation reflex and pupil
  • 3,4,6 Cranial nerve
  •  OCT ,Fluorescein angiograhy,tonometers,charts,
  • Sudden loss of vision and gradual loss of vision differentials
3. ENT-
  • Appearance of tympanic membrane in various disease
  • Surgery (Tonsillectomy,Adenoidectomy,Mastoidectomy)
  • Paranasal sinus
  • CSF rhinorrhea
  • Laryngeal disease (Papilloma,vocal cord paralysis, laryngeal muscles action, laryngeal cancers)
  • Tracheostomy
  • Abscess 
  • Nasopharyngeal carcinoma
  • Juvenile angiofibroma
  • Test of hearing and vertigo
  • Otosclerosis
  • Cochlear implants
  • Oral cavity cancers 
  • cervical Lymph node  and neck dissections
 Following is the list of Final year topics.

 1.OBSTETRIC AND GYNECOLOGY-

  • Pre-eclampsia (Definitions)
  • HELLP
  • PPH (prophylaxis and treatment)
  • Perineal tear (Types and managment)
  • Diabetes and anomalies scan 
  • Shoulder dystocia maneuvers
  • Molar pregnancy (High risk and low risk for GTN)
  • Ectopic (Diagnosis, Investigation and managment)
  • Abortions 
  • Recurrent pregnancy loss (Investigations and causes)
  • Cervical incompetence
  • MTP
  • Diagnosis and physiological changes of pregnancy 
  •  Abruptio vs placenta previa vs Vasa previa
  • Heart disease
  • MgSO4 and drug
  • Fetal monitoring -NST,BPP,doppler
  • Twins and complications
  • Labor-stages,partogram
  • Placenta types and associated pathology
  • Rh incompatibility
  • Amenorrhea (primary and secondary)
  • Mullerian anomalies (Class)
  • Asherman, AIS,Gonadectomy indication
  • Puberty and precocious puberty
  • Menopause (Hormone replacement therapy guidelines) 
  • Postmenopausal bleeding and premature ovarian failure (Levels of FSH)
  • Semen analysis (Evaluation and IUI and TESE)
  • PCOS -Diagnosis,drugs
  • Endometriosis
  • Cervical,vulval,ovarian,endometrial cancer,Fibroid
  • Krukenberg
  • PID
  • Prolapse 
  • Emergency contaceptives
  • IUD
  • Absolute contraindications in whole subject
  • Female sterilisation  
2.PEDIATRICS-
  • Developmental milestones
  • Neonatal reflexes
  • Neonatal resuscitation
  • Jaudice,sepsis,Hyaline membrane disease
  • Congenital infections-TORCH
  • Vaccines(IAP and NIS)
  • Diarrhea,pneumonia,dehydration managment
  • Pediatric epilepsy
  • Febrile seizure (Risk factors,recurrent risk,prohylaxis)
  • Severe acute malnutrition
  • Rickets
  • meningitis
  • Neuro-Cerebral palsy and neurocutaneous syndrome
  • Pediatric vasculitis-HSP and Kawasaki Disease
  •  Nephrotic syndrome
  • Congenital heart disease( VSD,TOF,TGA and ductus dependent CHD)
  • Trisomies
  • Hypoxic Ischemic encephalopathy VS Periventricular leukomalacia
  • Fluid managment including shock managment in children
  • Childhood pneumonia, Epiglottitis, Acute laryngotracheobronchitis
  • Microcephaly and macrocephaly 
  • Hydrocephalus and Neural tube defect  
  • Fetal alcohol syndrome,warfarin syndrome
3. ANESTHESIA-
  • IV anesthetic agents (Propofol)
  • Day care surgery (Drug of choice)
  • Venous air embolism
  • Local anesthetic (Remember concentration also)
  • Vaporisers color 
  • Inhalational agents 
  • Monitoring (Capnography)
  • Color coding of cylinder
  • Circuits
  • Mallampati and ASA grading
  • Premedication duration of stoppage and continuation
  • Muscle relaxant
  • Airway devices
  • Endotracheal tube (formula)
  • Epidural vs spinal anesthesia (Level of blocks)
  • Modes of ventilation
 4.DERMATOLOGY-
  •  Pigmentation Diseases 
  1. Hyperpigmentation
  2. Nevus (Nevus of ota/mongolian spot/CMN/AMN)
  3. Melasma
  4. Acanthosis nigricans
  5. Becker nevus
  6. Hypopigmentation -PKDL/Pityriasis versicolor/alba/Hansens
  7. Depigmentation-Vitiligo/Contact leukoderma
  • Signs (Auspitz,nikolsky,bulla spread sign)
  • Histopathology of psoriasis and lichen planus
  • Mast cell disorder-Urticaria pigmentosa image
  • Papulosquamous disease - Psoriasis ,lichen planus
  • Treatment of Psoriasis
  • STD (Syphillis,chancroid,donovanosis,Herpes genitalis,syndromic approach)
  • Microbiology of STD organism( Dark ground,school of fish,Tzanck smear,Donovan body,Gonococcus)
  • Drug Reaction -Fixed drug eruption, erythema multiforme,SJS/TEN
  •  Blistering disease 
  1. Pemphigus(clinical treatment)
  2. Bullos pemphigoid
  3. dermatitis herpetiformis
  4. Histopathology of blister level and Direct immunofluorescence image
  • Infections
  1. Fungal (Tinea /pityriasis versicolor)
  2. Hansens 
  3. TB
  4. Viral (HPV/HHV/Molluscum contagiosum)
  • Hair disease-Alopecia images,DLE,trichotillomania
  • Acne,Rosacea
  • cutaneous markers of internal malignancy
5.RADIOLOGY-
  • Emergency radiology-RTA,splenic injury,FAST,Perforation
  • Radiological anatomy especially applied aspect
  • CNS tumor
  • Bone tumor
  • BIRADS
  • TIRADS
  • Radiation physics and acute radiation syndrome
  • Radiotherapy basics
  • Contrast in various studies
  • USG and doppler
  • Doppler waveforms
6.ORTHOPEDICS-
  • Knee joint (Everything)
  • Shoulder dislocation
  • Bone (Oncology+radiological picture)
  • Pediatric Hip(Rdaiology +managment)
  • Infections(TB,Osteomyelitis)
  • CTEV
  • AVN
  • Tennis elbow and dequeverian
  • Eponyms and test
  • Blood supply of femur
  • Pseudoarthrosis
  • Genu varum/valgus,cubitus varus/valgus
  • malunion 
  • Instruments
7.SURGERY-
  • Glasgow coma scale (Changes)
  • Burn
  • Cannula color coding 
  • Triage
  • Trauma
  • Incisions,suture,foleys,NG tube,Knots,Scores
  • Latest updates in breast cancer,thyroid and hepatobiliary cancers,Pancreatic cancer,stomach,colorectal cancer
  • Bed sores staging 
  •  Renal stones managment
  • Gall stone managment and surgical complication
  • Bariatric surgery
  • Acute pancreatitis managment 
  • Upper GI and lower GI bleed management and causes
  • Aortic aneurysm
  • Meckel diverticulum
  • Wound classification
  • Cancer-(Breast,rectum,stomach,oesophagus,HCC,prostate,thyroid)
  • Cancer follow up duration 
  • Carcinoid and GIST and gastrinoma
 8.MEDICINE-
  •  ECG visuals
  • Cardiac emergencies-Arrest,Unstable angina,MI,Arrhythmia,Dissection
  • Respiratory emergency-Pulmonary embolism,pneumothorax,Asthma 
  • Stroke
  • Meningitis (Bacterial,viral,aseptic)
  • Approach to patient in Coma
  • Seizure
  • Electrolyte imbalance
  • ABG
  • Hypertension and its emergency and management
  • Murmurs and valvular lesions
  • Pericardial d/o
  • hepatitis(Viral,autoimmune)
  • Non alcoholic and alcoholic liver disease
  • Glomerular disease
  • UTI
  • CKD
  • DM (management of different complications)
  • Neurodegenerative d/o ,neuropathy,myopathy
  • Septic shock guidelines
  • GBS
  • Poisoning 
  • New asthma guidelines
  • RTA and Inherited channelopathies
  • MEN syndrome
  • SIADH, DI,Pheochromocytoma
  • AIDS defining illness
  • Connective tissue disorder
  • Infective endocarditis and rheumatic heart disease
  • Prakinson and alzheimers
  • IBS,UC ,Crohns
  • Cardiomyopathy
  • Jones and dukes criteria
  • dyslipidemia management 
10.PSYCHIATRY-
  • General psychiatry (terms and its meaning )
  • MMSE
  • Psychotic disorders
  1. Schizophrenia
  2. Delusional d/o- Named syndromes (Capgras,Fregoli,Othello,Ekbom)
  • Mood disorder (Treatment is very important)
  1. Mania
  2. Depression
  3. Bipolar
  • Neurotic disorder 
  1. Anxiety disorder
  2. OCD related disorder
  3. Dissociative disorder
  4. Trauma and stress related disorder
  5. Somatoform disorder
  • Substance abuse and deaddiction
  • Organic mental disorder(dementia)
  • Sleep disorder
  • Eating disorder
  • Sexual disorder
  • Personality types and disorder
  • Drugs (SSRI and its sideeffect)
  • Psychotherapy types and choice
  • Defence mechanism  
You can edit this according to you. 
Hope it will help.
-Upasana Y.