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How to Start Preparing for AIPGE During Internship?

Author: neoplastic_neuron, Posted on Saturday, January 24 @ 18:42:07 IST by RxPG  

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AIPGE

Internship can be used as a great stepping stone to preparation for AIPGE, arguably one of the toughest exams on the Planet! This article is for those AIPGE aspirants who've just started their internship, or are about to start with it, and more importantly, going to treat their first attempt at AIPGE as a "trial attempt" rather than a do-or-die one...

A vast majority of AIPGE aspirants think of their first attempt during internship only as a warm-up or test flight. Considering the very tough competition, there’s nothing really wrong about this approach. The prime-most reason for my saying this is that if one gives a full throttle try during their internship, and then doesn’t perform well, then, that can be very disheartening. Picking up one’s ropes once again can be very demanding on one’s morale.


But, this article does not deal with the merits or demerits of treating one’s first attempt as merely a “testing the waters” one. It’s for those who have decided to do so. I’ve a few tips for those who’re about to begin their internship or have just started it. I myself had not been able to study much during my internship.

What follows is like a check list of what all I feel should be at least done during one’s internship (though, I’m not claiming that I’d done all that :wink: as hindsight is better than foresight):


1. The so-called short subjects: These include physiology, anatomy, biochemistry, FMT, etc.

1.a. Among these, I’d most strongly recommend going through the first chapter of Ganong, the first thing as it is a very good repository of all the fundamental information required. It’d make one aware of basics like osmolarity, osmolality, a bit of cell biology, gene regulation, all of which are very useful topics in themselves, and also serve as foundation to understand other things.

1.b. Ganong’s first chapter is best followed up with the chapters related to pharmacodynamics and pharmacokinetics from Katzung. The various types of receptors, the second messenger systems, etc. A

1.c. The chapter on intermediary metabolism from Ganong. It serves as a very good summary of all the metabolic processes in the body. Studying metabolism should be just like zooming into a map. First one should get a good overview of what is the role of a particular cycle, meaning where does it fit in homeostasis, e.g., if it is largely catabolic or anabolic, or if it is required to produce metabolites necessary for other reactions in the body (e.g., the HMP shunt for producing NADPH).

1.d. The major metabolic pathways, according to me, are best reviewed from Lippincott’s review series. It is concise, and serves the exact purpose of a good introductory guide without burdening the uninitiated mind with too much detailed information. Also, the book is very good for studying the genomics part (DNA replication, expression, and regulation, etc.)

1.e. Now, the student is well set to understand any daunting sounding terminology like gene upregulation, or receptor downregulation, etc.

1.f. I’ve never been good at anatomy, so can’t really recommend much, but, would say that, if possible, one should compile a list of major muscles, and their innervations, blood supply, origin and insertion, etc. and keep close by. And, whenever one reads about a particular muscle in any context (say, if it is retracted in a particular operative step, or if it gets paralyzed in one or the other condition), or nerve, it should be looked up in the list. How this is different from the dedicated time given to learning about a muscle or nerve is that it doesn’t seems redundant, meaning, one doesn’t get the feeling of “why the heck do I have to learn about some obscure nerve or muscle!” And, plus the advantage of learning something in context. If one finds it difficult to compile such a list, one could download it from here, though I’d point out that it is not very detailed, but it indeed is very helpful for the purpose at hand. List of muscles of the body from Wikipedia (click here) or A PDF file with table of muscles from Physical Therapy "Central" (click here).

1.g. Internship is a period, when one actually comes in contact with so many drugs. So, one should make it a point to try to learn about one drug a day, preferably, a drug one would’ve seen on a particular day. During surgery-related postings, if one gets to get in touch with anesthetists, one should try to make best use of their knowledge. In my experience, I realized that they’re one of the best sources of knowledge in physiology, pharmacology, nerve supply, etc, and definitely, the anesthetic equipments. They also tend to have a good knowledge of the various OT practices like sterilization techniques. And, most importantly, during routine procedures, they’re a bored lot, so for them an intern interacting with them is a most welcome thing. But, I’d point out that this was my personal experience, and can’t vouch for its repetition elsewhere!

1.h. I highly recommend going through a book written by Tortora and Grabowski (a combined book for anatomy and physiology) for neuroanatomy. It’s the best source getting initiated into neruoanatomy as it has vivid beautiful pictures of various CNS structures, and provides exactly the amount of information required for PG-entrance exams. It’s greatest advantage is that, it provides information about both the structure and functions of the various parts of the brain without burdening with unnecessary details.

1.i. One should try to read about HLA from Harrison’s. It gives one of the best info about the HLA. And, believe me while preparing hardcore for AIPGME, there’d be a lot of HLA to bang one’s head against. So, knowing about the arrangement of HLA, and its nomenclature would make it sound less of Latin and Greek. The same holds true about chromosomal nomenclature. Like, what 16p4.23 means (I’ve just given a random example). Everyone knows that 16p means the short arm of 16th chromosome, but what about the 4.23 part; what does that signify. Well, it’s about its banding pattern when treated with particular dyes and fixed (I think) in metaphase. A very good source is this very short description: Chromosome nomenclature from “Human Molecular Genetics” (click here).

2. Microbiology, Pathology:

2.a. In microbiology, I’d recommend, reading the chapters related to bacterial structure, and sections dealing with cell wall metabolism (yes, indeed there’s such a section) from Jawetz. These serve as a good source for one’s foundation. And, the section about cell wall metabolism is very likely to be asked in pharmacology, as the many drugs like beta-lactams, vancomycin, polymyxins, they all act at different levels.

2.b. Pathology: sections about inflammation, apoptosis, neoplasms, composition of extracellular matrix and basement membrane, wound repair. Basically, all that that could be clubbed under “general pathology”.


3. ENT and Ophthalmology:

3.a. One should try to learn the basic anatomy of eye. Somehow, learning the embryology of the eye helps a lot in understanding the histology of the eye, and more importantly, why certain disorders that tend to affect various parts of the eye in contiguity.

3.b. Likewise, it’s a very good idea to learn the basic anatomy required in ENT. Also, if possible, along with it the various paths of cranial nerves.


4. Surgery/Medicine/Pediatrics/OBG:

4.a. I recommend, trying to complete one or two fundamental topics like bronchial asthma, MI, etc.

4.b. I’d like to point out that Harrison’s can almost serve as one-point reference for most of physiology, pathology and microbiology. Physiology of some topics like the respiratory system has been dealt with so well that it’s almost better than even the physiology books.


5. Trying to solve a few MCQs ever week, say around 100-150. What this will do is that, it will sensitize the student as to what kind of info to retain while reading text. Also, one would be able to start seeing a “pattern” in questions that have been asked in the past. As reading without solving MCQs is just like sailing away in a totally uncharted sea.


In the end, I’d just like to state that a lot of recommendations I’ve made are to achieve what one could call “formation of files” about important topics in the brain. They will not directly help solve many MCQs, but will form a foundation for assimilating important information gathered during the more serious second attempt. For example, if one reads about bronchial asthma in the internship, then anytime one comes across any info even distantly related to it (say, a certain drug, or the role of certain inflammatory mediator), this info will get added to a “file” on bronchial asthma already formed in the brain, and it won’t jostle for space with other info as “isolated and irrelevant” info to be forcefully memorized.


And, if one’s chosen to treat this first attempt as just a stepping stone attempt rather than the ultimate, last ditched attempt, then it’s also very important to not get too ballistic (worked up) in the weeks leading up to the exam, because if one does that, and then doesn’t get a good seat, then it’d be real hard to motivate oneself to prepare “yet again” for the exam, and subconsciously, the aspirant will look for short cuts (like just studying from MCQ-books) rather than continuing to study the systematic way one would like to. So, in the last week, one should just try to solve a few previous year papers, and give exam in a relaxed mood. Most important thing is to NOT feel at the end of the exam that one simply whiled away one's time during internship, which could've otherwise been put to some good use.


But, then, all this is my personal opinion, and as the results of AIPGME-2009, which was my second attempt, are not yet out, I can’t claim how successful this approach would be. And, moreover, I could come up with these recommendations, not because I did things the way I pointed out, but rather, because there was no one to guide me, and I felt I SHOULD have done these things during my internship.

All the best!


Note: Another excellent article by neuroplastic_neuron. WE welcome similar articles for our homepage. Please go to submit article link on top of this page and share your knowledge.



4 (Excellent) 3(Good) 2(Good) 1(Bad)   

Comments
Comment #1 by RxPG_Team at 30/01/2009 at 04:28;
internship can be used as a great stepping stone to preparation for aipge, arguably one of the toughest exams on the planet! this article is for those aipge aspirants who've just started their internship, or are about to start with it, and more importantl...read more
Comment #2 by neoplastic_neuron at 17/02/2009 at 19:25;
i could not crack into either the merit or waiting lists of aipge-2009, so i cannot endorse my own recommendations with complete confidence. so prospective aspirants, follow them at your own risk!...read more
Comment #3 by Drhimansu26 at 01/08/2013 at 02:05;
thanks...read more
Comment #4 by Astrakhan at 15/08/2013 at 10:56;
i was about to start my internship.i was really helpful for me.thought i can do it better.feeling enthusiastic.gud work....read more
Comment #5 by Yousif29 at 24/02/2014 at 13:04;
thanks .....read more
Comment #6 by Sayantan17 at 13/03/2014 at 22:25;
thanks!...read more
Comment #7 by truelies at 13/03/2014 at 23:33;
why dont u change the nam eof internship to prepare pgship....lol now our team shows how our govt hospital patients getting suffered by ignorance.......... how a 24/7 working ( hope u know what is crri) guy prepare for exams when someone really need...read more
Comment #8 by truelies at 13/03/2014 at 23:35;
now i am in ur thread.......u lead the way sir...read more
Comment #9 by truelies at 13/03/2014 at 23:49;
have you even seen a bunch of hepatic failiure patients in imcu and the docs do nothing but symptomatic treatment and you want me to attend some classes in between....??? source : personal experience do you have any idea about wat is interns disease...read more
Comment #10 by truelies at 13/03/2014 at 23:53;
feel the mud of missisipi in between your toes.... do you have any idea what it means????...read more
Comment #11 by truelies at 13/03/2014 at 23:54;
good job team ...lets come out of answers ....i am so eager to hear.........read more
Comment #12 by truelies at 13/03/2014 at 23:59;
still i have no bad feelings on you .... you know why??? we have a quote called " indians hate each other " i want to prove that wrong.......!!!!!!!...read more
Comment #13 by truelies at 14/03/2014 at 00:02;
dont follow ur ego..... follow ur heart........read more
Comment #14 by truelies at 14/03/2014 at 00:12;
is that all about money and power??? answer me team.......read more
Comment #15 by truelies at 14/03/2014 at 02:30;
good nyt team......this thread need to be alive for years...read more
Comment #16 by truelies at 14/03/2014 at 04:57;
good morning guys.....how u doing?????...read more
Comment #17 by truelies at 14/03/2014 at 04:58;
shall we start again???...read more
Comment #18 by truelies at 14/03/2014 at 05:04;
i could not crack into either the merit or waiting lists of aipge-2009, so i cannot endorse my own recommendations with complete confidence. so prospective aspirants, follow them at your own risk! wow....amazing.....again a fake one........read more
Comment #19 by truelies at 14/03/2014 at 05:08;
i need to print out this page for some glorious moments in my life.......read more
Comment #20 by truelies at 14/03/2014 at 05:11;
internship can be used as a great stepping stone to preparation for aipge, arguably one of the toughest exams on the planet! this article is for those aipge aspirants who've just started their internship, or are about to start with it, and more importantl...read more
Comment #21 by norules at 14/03/2014 at 06:26;
interesting.......read more
Comment #22 by truelies at 14/03/2014 at 12:38;
common team.....hmm...read more
Comment #23 by the_valkyrie at 14/03/2014 at 19:14;
if you don't have internship like mine (90-70 hours/week of duty), then you should start preparing for the aipgmee during internship itself. firstly join any test series, do not join a regular course. join a test series, and study accordingly, go subjectw...read more
Comment #24 by truelies at 14/03/2014 at 19:34;
question to rxpg team???????????????? resp team, rxpg is the most quick and powerful way to connect doctors and pg aspirants all over the world. even though you have enough doctors in your team and you very well know about the supreme court case ...read more
Comment #25 by truelies at 14/03/2014 at 19:37;
if you don't have internship like mine (90-70 hours/week of duty), then you should start preparing for the aipgmee during internship itself. firstly join any test series, do not join a regular course. join a test series, and study accordingly, go subjectw...read more
Comment #26 by truelies at 14/03/2014 at 19:38;
boss i am waiting.............read more
Comment #27 by truelies at 15/03/2014 at 02:34;
boss fb updates completed....and will suggest all my juniors to join rxpg next yr.....sure ji then google plus again tomorrow...... now ashdas comedy thread is all we want.............read more
Comment #28 by truelies at 15/03/2014 at 02:38;
if you don't have internship like mine (90-70 hours/week of duty), then you should start preparing for the aipgmee during internship itself. firstly join any test series, do not join a regular course. join a test series, and study accordingly, go subjectw...read more
Comment #29 by drrajkumar86 at 16/03/2014 at 03:14;
guys a good news...but not official.... tamilnadu taking steps for state counselling process... lets wait and see......read more
Comment #30 by aprakash at 16/03/2014 at 12:26;
subject wise for 1st & 2nd yr,psm,pshy,ortho,anaes,gyne...sure sucess after repeated revision.all d best...read more
Comment #31 by reuspect2007 at 16/03/2014 at 13:28;
during internship try to complete the short subjects while in respective postings.... it saves a lot of time later.......read more
Comment #32 by sathishkumarchmc at 12/04/2014 at 23:18;
thanks a lot.... helpful information but i would really like if u have mentioned what books to be followed for pg entrance exams apart from standard text books. bcuz am an internee and my knowledge about pg books and how to study what to study wen to stu...read more
Comment #33 by drtanwaranu at 14/04/2014 at 10:56;
for starting ur pg prep u should start wth buks lk mudit khanna for aipg and amit ashish(aaa) fr aiims..i knw ppl wl say trend hv changed so we should nt read these buks..but trust me these are gud buks..der text wl ultimately help u a lot in ur xm..try 2...read more
Comment #34 by sagarreddy2015 at 06/05/2014 at 00:54;
thanks...read more
Comment #35 by KD09 at 01/06/2014 at 00:26;
thanks...what abot coaching durimg intership..& what r chancesnof person studing regularly for 4-5 hr day in internship to crack pg in 1st atempt..!??...read more
Comment #36 by KD09 at 01/06/2014 at 00:39;
thanks...what abot coaching durimg intership..& what r chancesnof person studing regularly for 4-5 hr day in internship to crack pg in 1st atempt..!??...read more
Comment #37 by drvivekagrawal at 01/06/2014 at 01:01;
thanks...what abot coaching durimg intership..& what r chancesnof person studing regularly for 4-5 hr day in internship to crack pg in 1st atempt..!?? coaching is very helpful during internshp provided u r able to attend at least 3/4 th of the lectures...read more
Comment #38 by KD09 at 01/06/2014 at 23:54;
thank u dr vivek agrawal sir for replying.. i wiil increase my capaciy of studying., i hv lot of tym available here so will utelise it properly..mcq book r enough to crack aipg or need extra material???...read more
Comment #39 by drvivekagrawal at 03/06/2014 at 14:30;
thank u dr vivek agrawal sir for replying.. i wiil increase my capaciy of studying., i hv lot of tym available here so will utelise it properly..mcq book r enough to crack aipg or need extra material??? subjectwise books are enuff for both theory n mc...read more
Comment #40 by Jeevithakrishnan at 03/06/2014 at 15:11;
thanks...read more
Comment #41 by KD09 at 03/06/2014 at 22:11;
thank u dr vivek agrawal sir for replying.. i wiil increase my capaciy of studying., i hv lot of tym available here so will utelise it properly..mcq book r enough to crack aipg or need extra material??? subjectwise books are enuff for both theory n mc...read more
Comment #42 by Mohinisingh4 at 04/06/2014 at 01:22;
complete subject during its internship posting this willl help in fast learning and corelating with cases in clinical case...read more
Comment #43 by drpujakumari2010 at 04/06/2014 at 01:53;
plan for inter phase intrn doctor pg prpn......read more
Comment #44 by Bhukyadevi at 04/06/2014 at 10:07;
do the work and duties see the patient's and read you will get more practical knowledge but dnt ignore the patients...read more
Comment #45 by Bhukyadevi at 04/06/2014 at 10:09;
all the best...read more
Comment #46 by zaferibra at 08/06/2014 at 08:03;
aipg 2k14 is nearby somebody tel the bare minimum stuf 4 nxt few days.....read more
Comment #47 by zaferibra at 08/06/2014 at 08:06;
i could not crack into either the merit or waiting lists of aipge-2009, so i cannot endorse my own recommendations with complete confidence. so prospective aspirants, follow them at your own risk! thts ok man ..anyway thtnks...read more
Comment #48 by prasanth7070 at 15/07/2014 at 14:05;
yea... nice observtn.and informative too :) :?...read more
Comment #49 by 34bhawnasharma at 25/07/2014 at 01:35;
if one can afford coaching during internship then it wud b very helpful cos i think coaching is mandatory for pg preparation....they guide you dat wat to read nn wat not to read nd dats the main thing.......read more
Comment #50 by prosen89 at 06/08/2014 at 10:15;
thanks........read more
Comment #51 by posus1461 at 06/08/2014 at 10:49;
thanks...read more
Comment #52 by prosen89 at 07/08/2014 at 09:13;
thanks........read more
Comment #53 by drderamt at 08/08/2014 at 01:00;
thanks...read more
Comment #54 by Rahulriya at 07/09/2014 at 16:53;
i was preparing for aipgme.. frm final yr..n got very useful information in ur articles thank u so much.. d way u expressed algorhyttmic strategy dat is awesome.....read more
Comment #55 by atropabelladona at 16/09/2014 at 21:48;
mmm...thanku...read more
Comment #56 by drmallika333 at 18/09/2014 at 16:11;
getting depression...read more
Comment #57 by atropabelladona at 19/09/2014 at 16:46;
getting depression wat happened?...read more
Comment #58 by atropabelladona at 19/09/2014 at 16:46;
getting depression wat happened?...read more
Comment #59 by atropabelladona at 19/09/2014 at 16:46;
getting depression wat happened?...read more
Comment #60 by nightfox at 19/09/2014 at 18:23;
thanks for the info!...read more
Comment #61 by atropabelladona at 19/09/2014 at 19:08;
getting depression...read more
Comment #62 by summer91 at 19/09/2014 at 19:22;
thanks...read more
Comment #63 by s_mondal at 28/01/2015 at 10:52;
really helpful..... thnku so much for such wonderful suggestions.......read more
Comment #64 by crackaipgmee2016 at 28/01/2015 at 16:43;
download ebooks for medical pg entrance. read them in your smartphone during free hours. m e d p g n o t e s d o t c o m...read more
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1. rs. 2000 2. reading and revising ebooks go to m e d p g n o t e s d o t c o m buy my ebooks collection for rs.2000 . read and revise those 2100 as many times as you can answer questions asked from those 2100 pages without even a single mistake ...read more
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thanku...read more
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e who want coaching centre videos whatzzapp me to dis number 9985013278 will provide lot of study materials. which are high yield to crack pg seat of choice . very use full for fast revison icon_idea.gif icon_idea.gif icon_idea.gif icon_idea.gif......read more
Comment #69 by amikartik at 16/04/2015 at 14:45;
thanx...read more
Comment #70 by dhanya_s at 03/07/2015 at 18:30;
which all subjects should we giv more importance?...read more
Comment #71 by PG_student at 11/08/2015 at 13:29;
hi, thanks for sharing for such wonderful information with us. as i am also preparing for aipgme 2016. i have constantly been in touch with my seniors & professors for guidance. not only i have been reviewing my notes, but also preparing through online mo...read more
Comment #72 by PG_student at 11/08/2015 at 13:49;
hi, thanks for sharing for such wonderful information with us. as i am also preparing for aipgme 2016. i have constantly been in touch with my seniors & professors for guidance. not only i have been reviewing my notes, but also preparing through online mo...read more
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