“How to Study During Residency” Post found here.

Created: 03/18/2023, 18:03

Author: Olivia M. Rice, MD

Ref(s): Krueger et al. ‘What to Read and How to Read It: A Guide for Orthopaedic Surgeons’. J Bone Joint Surg Am. 2016; 98: 243–249.

General Advice-

Pick source materials based on what you need to learn. Please refer to figures 1 and 2 from Krueger et al. ‘What to Read and How to Read It: A Guide for Orthopaedic Surgeons’. J Bone Joint Surg Am. 2016; 98: p. 245. https://journals.lww.com/jbjsjournal/Citation/2016/02030/What_to_Read_and_How_to_Read_It__A_Guide_for.10.aspx

Goal of Reading is:

Learn [General] Knowledge

Reading Goal(s):

for junior/ senior residents

• Quick hits- get a bird’s eye view of the topic in 5 minutes or less
• Learning general orthopaedic information at an introductory level (e.g. medical student or intern)

Recommended Resources

Quick Hits

• Orthobullets (web/app, free and paid versions)
• Netter’s Concise Orthopaedic Anatomy (textbook)
• Pocket Pimped: Orthopedic Surgery
• BoneTalks– (website- pretty basic but honestly explains some complex topics pretty well + has cute drawings)

For More in Depth Learning

• *AAOS | Resident Orthopaedic Core Knowledge – content is free for residents

Surgical case preparation

for junior/ senior residents; hold on to your preop plans from early residency and take notes from the case on them afterwards, then can continue to update and re-use throughout rest of residency to avoid re-inventing the wheel each time

Reading Goal(s):

• Review surgical indication, approach anatomy, technique, and postop care
• Review common “pimp” questions

Recommended Resources

For Preop Plans

• AO Surgery Reference (web/ app, click link to see description below)
• Campbell’s Operative Orthopedics (textbook, click link to see description below)
• Musculoskeletal Key (~my personal favorite~, website, click link to see description below)
• Surgical Exposures in Orthopaedics: The Anatomic Approach (aka Hoppenfeld’s (textbook, click link to see description below)
• TouchSurgery (~my personal favorite early on (PGY1–3)~, app, click link to see description below)

For “pimp” questions

• Orthobullets (web/app, free and paid versions)
• Pocket Pimped: Orthopedic Surgery (textbook, click link to see description below)
• Primus Manus- for Hand only (textbook, click link to see description below)

Exam preparation (e.g. OITE, ABOS, SAE, etc)

senior > junior residents

Reading Goal(s):

• Review high-yield and commonly tested topics

Recommended Resources

Reading

• High-Yield Orthopaedics: OITE & ABOS Review for Orthopedic Providers best bang for your buck for OITE
• *AAOS Comprehensive Orthopaedic Review 3
• *OKU® 13 + OKU 13 SAE Online Package(new OKU 14 + exam coming July 2023)
• *OKU 13 Scored and Recorded Self-Assessment Examination Online(new exam coming July 2023)
• Miller Review of Orthopaedics
• Ortho Guidelines  know these cold, especially those w/ strong evidence rating

Question Banks

• ResStudy/ResStudy for Individuals – includes previous OITE exams (very high yield))
• OrthoBullets (free and $)
• JBJS Clinical Classroom ($ only, more of a ‘learn as you go’ question bank that uses adaptive learning algorithms to maximize knowledge retention in shortest possible time)

Immediate knowledge

all training levels

Reading Goal(s):

• Specific question about patient with the intent of an immediate answer
• real-time clinical decision making (e.g. on call)

Recommended Resources

• OrthoEvidence (~my personal favorite now (PGY4-5)~), website, All specialties, great for looking up and quickly reviewing synthesized research data on important topics)
• OrthoFlow (~my personal favorite early on (PGY1–2)~), app, Trauma only, useful for interns and junior residents)
• Ortho Guidelines clinical practice guidelines for all specialties
• iOrtho+ or RelevantPE for instruction and interpretation of physical exam findings (can be helpful for quick review in clinic early on)

Application to practice

senior resident and attendings

Reading Goal(s):

• Specific question about patient with the intent of deep understanding/ comprehension
• Broad understanding of Clinical Decision Making

Recommended Resources

• PICO search using PubMed → Read Scientific Article
• *Orthopaedic Knowledge Update- Textbook Series w/ annotated references

All Resources

Apps (iOS)

TopOrtho Apps– website, list of all apps relevant to us

Links attached to App names will bring you to Apple App store

• AO Surgery Reference- Trauma & Spine, Surgical Approach/ Technique (also has web version, free)
• ASSH Hand.e- Hand (also has web version, Free)
• Bullets (aka OrthoBullets)- All Specialties/ General (also has web version, free & paid versions)
• Complete Anatomy ($99/yr)
• Fracture Classification (FC)- Trauma (free)
• Hand Surgery Source- Hand (also has web version, free)
• ImplantID- Joints/ Can take photo of implant from x-ray and narrow down implant type, good when On Call (free)
• MSK Anatomy (UMichigan, nice walk through quizzes/ tutorials, free)
• MSK Oncology Educational Atlas- Tumor (UMichigan, nice tutorials, free)
• Multiplier– Peds/ Limb Lengthening & Deformity (can find mechanical and anatomic axis lines and measurements under ‘Additional Resources> Lower Limb and Foot Measurements, free)
• CNS+ (previously NSG Survival Guide)- Spine (free)
• OrthoFlow- Trauma/ On Call ($4.99 1x purchase)
• OrthoGuidelines- Clinical Practice Guidelines established by AAOS (also has web version, free)
• Real World Orthopaedics- MSK Radiology (free)
• RelevantPE- All Specialties, MSK Physical Exam (free)
• Sublux- MSK Radiologic Anatomy, nice for reference when trying to identify hand fxs especially while on call (free)
• TouchSurgery- All Specialties, Surgical Approach/ Technique (free)

Textbooks

Links attached to Book names will bring you to Amazon website to purchase book…

• *AAOS Comprehensive Orthopaedic Review
• Campbell’s Operative Orthopaedics
• Green’s Operative Hand Surgery
• Handbook of Fractures
• High-Yield Orthopaedics: OITE & ABOS Review for Orthopedic Providers
• Miller Review of Orthopaedics
• Netter’s Concise Orthopaedic Anatomy
• Orthopaedic Surgical Approaches
• Pocketbook Manual of Hand and Upper Extremity Anatomy Primus Manus
• Pocket Pimped: Orthopedic Surgery
• Surgical Exposures in Orthopaedics: The Anatomic Approach (aka Hoppenfeld’s)

Websites

Links attached to website names will bring you directly to website

• **AAOS | Resident Orthopaedic Core Knowledge (ROCK) – General Knowledge, free access to content through residency
• AO START– Trauma (free)
• AO Surgery Reference – Trauma & Spine, Surgical Approach/ Technique (also has app version, free)
• BoneTalks– pretty basic but honestly explains some complex topics pretty well + has cute drawings (e.g. difference between Claw toes and Hammer toes)
• Fundamentals of Arthroscopy Surgery Training (FAST) Program– Sports. (free)
• Hand Surgery Resource – New | Hand Surgery Resource Hand (also has app version, free)
• Hand.e – Hand (also has app version, Free)
• Hip and Knee Book– Joints (free)
• iOrtho+® iOrtho+ – All Specialties, MSK Physical Exam ($9.99/ yr)
• Musculoskeletal Key– contains a TON of relevant ortho books and it has a nice search algorithm, I often type in the surgery I’m doing and browse through approaches when writing preop plans ($50/ year)
• Ortho Evidence– EBM, All Specialties (free & paid versions)
• Orthobullets – All Specialties/ General (also has app version, free & paid versions)
• Ortho Guidelines– All Specialties (also has app version, free)
• RadiologyExpert- MSK Radiology ($)
• The Radiology Assistant : Musculoskeletal– MSK Radiology including MRI (free)
• wikiRadiography– MSK Radiology including MRI (free)

Subspecialty websites often have webinars and guides you can access, some are free, some require membership to organization

• AOFAS– Foot & Ankle
• OTA– Trauma
• POSNA/ IPOS- Peds

Videos

• *Orthopaedic Video Theater (OVT)– All Specialties (Free to residents with AAOS login)
• OTA Video Library- Trauma (?need OTA membership, some videos may be free i’m not sure)
• VuMedi– All Specialties (free, seems fairly overwhelmed by industry these days but can still find good content)
• YouTube- self explanatory

Podcasts

• *JAAOS Unplugged® – All Specialties (Free)
• *JAAOS Journal Club – All Specialties (Free)
• *The Training Room – All Specialties (Free for AAOS Resident Members)

Question Banks

• **AAOS | ROCK– (free access to content through residency,  pre/post tests included in each reading topic)
• JBJS Clinical Classroom ($ only, )
• OrthoBullets (free and $)
• *ResStudy / ResStudy for Individuals ($ only)
• *AAOS Comprehensive Orthopaedic Review (question bank at end of textbook) ($ only)
• AAOS previous OITE exams (need to ask older residents to make ppts w/ Q/As in them)

EBM- Articles/ References

• *Orthopaedic Knowledge Update– All Specialties, Textbook series w/ annotated references (use whichever specialty question pertains to, $$$)

• OTA EBM List– Trauma (free, may need to get paper through institution)

*Resources recommended by AAOS

**Resource recommended by AAOS and tested by the author