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What to do and what not to do- A guide to tackle the menace called PG Medical CET!!



“Amit Ashish says that the most common cause of the most common cause complication of renal failure in an elderly population with type II Diabetes Mellitus is Infection”

OR

“Mudit says that the most common tumour of the bone is …. While the most common benign tumour is …. , the most common malignant tumour is …. And the most common lesion is ….
Hence we have to answer the question according how the question is framed.”

OR 

“Mr XYZ from ABC coaching classes (which claims success is a habit for them) has said that if the same question is asked in the State Entrance the answer to be written is xyz and if its asked in AIIMS the answer is zyx and if its asked in the All India the answer changes to  yzx

                These are few of the “Most Common” discussions which happened last year at the Katta (alongside Edward) or in the canteen during lunch. Our preferences had changed. Amit Ashish, Arvind Arora and Mudit Khanna were the most discussed people on Campus. The passion with which one argues about each one of them is amazing. These were our best friends, Philosophers and Guides. Retrospectively all these questions, their discussions, their “controversial answers” seem so inane.In fact the entire process of Indian PG medical entrance is quite bizarre. The very concept of mugging repeats questions and the lack of application based question creates a huge bias towards the "repeater" batch.Also if we have a look at some recent papers the questions seemed to be too tough for a PG entrance standard.All said and done as they say, you have to be in the system to beat in the system. Luckily enough we have managed to get through this byzantine process. I would like to share a few of the things which worked for me.

There are three kinds of people preparing for CET (The fourth (wiser!) type has already opted for USMLE):

The typical Ghasu who is tensed about all the exam stuff,
The “Chilled” guy who prefers the Katta over the Reading Room and 
The third type who is confused regarding which type he belongs to. This article is primarily for the former, cause the latter two will find it really boring.

Where to Start:
The first and the foremost thing is to set your preferences as early as possible- CET or USMLE. This is because the approach to bot the exams is totally different. If you planning to take the USMLE then you need to concentrate on research projects and other stuff to glorify your CV. while if you are planning to prefer the CET then you have to start scrutinizing every tiny bit of information from the point of view of a  MCQ .

When to start:
It is easy to retrospectively to tell people what they should do because you yourself have repented not doing the same when you were at their place. So here’s what I feel:

First year: 
It’s too early to start studying from the MCQ point of view. First year doesn’t require much of tweaking. We have just finished one long year of slogging for the CET. We are unadulterated and tend to continue to study in the same way as we did earlier. I think the one point you can do is develop a liking towards biochemistry. That is one subject that gets boring sometimes and needs revision a number of times.

Second Year:
Second year is the year of Change in all our lives. The AIIMS trip , college functions et al are responsible for the adulteration of the Ghasu minds in second year!!  Our First Honeymoon Period! Unfortunately it comes at a very wrong time. We realised the importance of the Second year subjects later. These subject bridge the gap between the first year subjects of Anat-Physio-Biochem and the final year subjects of Surg-Med and OBGY. During second year the main goal should be reading Pharmac and Patho thoroughly. Reading Robbins is a must; especially the General Pathology part of it. You can render the services of our beloved Harsh Mohan for the systemic pathology because a large portion of it gets covered in Medicine. Pharmac ,just like biochem needs  a lot of revision.

Third Year:
The honeymoon continues. This is the period when you should start preparing meticulously because there is lot of free time. Read Park religiously or I should say try to read Park as much as possible. They tend to ask a lot of questions on the first few chapters and Biostatistics. ENT and Opthal carry relatively low weightage.

Final Year:
As you are reading the regular subjects try to finish them from the MCQ point of view too. Try to cover up at least Peds, OBGY Surgery and whatever from medicine you can. Try to read as much as Harrison as you can.

Internship:
It’s the year everything else HAS TO take a back seat. You have to look at it this way: It is this year which is going to decide where you are going to be, what you are going to do; not only for the next year, but for your entire life! When there is so much at stake, I don’t think you have a reason for not giving your best shot. Each one of you from GS has the capability to end up in the top 500 of India. It all depends on how you are going to channelize your efforts for this one year. Remember that a single MCQ that you get wrong, you are 5 marks behind your next competitor and at least 50 ranks behind in the completion. This could mean compromising on the subject of your choice or the city of your choice. Remember that you are not only competing with the present batch but a batch of repeaters who have all the time in the world to study.

So if you have never studied from the MCQ point of view, don’t worry. Neither had we. So here are a few Do’s and Don’ts

The Do's
1. Revise 

2. Revise again

3. And again and again.
The format of the CET (at least till last year) is such that it relies more on hard work and slogging and little of it actually tests our intelligence. So try to revise stuff as much as possible. It’s better to read 10 subjects thoroughly than to read all 20 of them half-heartedly.

4. Plan your studies well in advance.
When you are faced with the challenge of finishing 20 subjects in a span of 1 year while doing internship you need to do plan systematically well in advance how are you going to go about it. Set your goals according to your limitations. Retrospective studying is the best at this point of time. While reading a subject if you feel that you are weak at one subtopic, it’s better to read it up from a standard textbook rather than just mugging up. If possible try to read Lippincott’s Biochemistry textbook and first few chapters from Robbins and tables from Harrison, it helps a lot. Be selective in the subjects and the amount of time you allot to each. Prioritize your subjects as follows:
2nd year subjects are the MOST important ones. After that start with the Skin Anaesthesia Radiology and Psychiatry. These are the subjects with the maximum cost-benefit ratio. Then first year subjects followed by PSM then read the previous year’s papers. Final year subjects are relatively fresh. So once you start solving the previous papers you will realise what subjects you are weak at and later you can opt to read those specific subjects only. The rest of the subjects are to be read depending on how much time you get. Before you start any new subject, just ask yourself whether you are going to get time to revise it before the exam. Start reading the subject only if the answer to the above question is in the affirmative. Otherwise it’s just waste of time.

5. Try to maximise the time available to you.
“Internship mein padne ke liye time kisike paas nahi hota hai,time NIKALNA padta hai” . And when I say nikalna I mean it the legal way as there are MANY other ways too! Try carrying small portable books/diaries so that you can just revise those nagging things like which chromosome has the gene for which abnormality or the obnoxiously long list of syndromes we are supposed to know or the even more obnoxious list of Most Common things. Sometimes studying or even pretending to study can get you a bit of a concession from a houseman too! If you travel a long way to college, what you can do is try listening to podcasts every day. Google and you will find loads of them for the MLE. Or you can just record some stuff and revise it.

6. Keep your references handy
Try to keep all the standard books ready for reference. You can keep the digital copy in your cell phones (Indians need no advice on how to get their hands on pirated material so I have skipped the technical details).it helps a lot as you won’t be able to buy/carry all the reference books.

The Donts
1. Controversies!!
As you will start preparing you will encounter many of the so called controversial questions. You will end up wasting lots of time trying to hunt down the answer on the net, in reference books, discussing with friends/seniors (who are equally ignorant) ,each one having his unique theories. If you don’t find an answer acceptable, look it up in a standard reference book. If you are still not conviced, forget it. The all India topper scores around 75% so even if you want to be the topper you have 40 questions which you can you go wrong. So the next time you are confused regarding any such controversy, put that question in the 40 questions quota.

2. Mnemonics!!
These are double edged swords. Towards the start of your preparation you will tend to make mnemonics for each and every thing. The problem is that you will remember that the mnemonic for the causes of anion gap acidosis is MUDPILES but you won’t be able to recollect what the u or the e in the mnemonic stands for. So instead try to develop your own correlations. For example they keep on asking what test is used to detect DNA proteins and RNA. The South Indians devour Dosa therefore Southern Blot – DNA, Western - Pizza –Protein, Northern Rice-RNA—sounds a bit stupid but it’s great as long as it works.One of the best resources for mnemonics can be found here RxPG Mnemonics Database.

3. The” Kar Lenge attitude”:
There are certain simple things which can fetch easy marks in the exams. For example chromosomal abnormalities or pathological markers or paediatric milestones. Our attitude is that we find it too easy to read and keep it postponing only repenting later in the exam when you end up getting confused –retinoblastoma-13q14 or 14q13!!!So it’s better to sit down and finish these simple things once and for all and keep revising.

4. “Agle saal rank nikalenge” attitude.
If you think from the start itself that you won’t be able to get a rank you have lost the battle before it has begun. Irrespective of your capacity always try to maintain a positive attitude, even if you don’t get a rank you will end up studying a lot if you have this attitude. It’s just a defence mechanism to avoid stuff. If you continue to have this attitude then you may not get a rank in the second attempt too.

5. Finally once again-Don’t underestimate the importance of Revision.

 Remember –“Ek aag ka dariya hai aur tair ke jaana hai!!!!!”
Best of Luck!!


P.S. I know not an interesting first post, but this was what I was planning to write since a long time. Nothing extravagant just a few tips which you might find helpful. If you have already passed through this treacherous path of CET (lucky you!!) / chosen the alternate one of USMLE (luckier you!!) then you can ignore this. Those who plan to tread this way (obviously you being the most unlucky ones!!) benefit.Drop in comments, questions and doubts if any.





Dr. Amar Udare Dr. Amar Udare Author

Finally !!!



              There are certain things we plan to do which get postponed recurrently and then "someday" when we eventually  manage to avoid all those "unavoidable circumstances " (the real reason being nothing but sheer laziness) and get it done , comes the sigh "Finally! I have done it ".Here is one of them for me. Couldn't think of a better title though. The radiologist we are referring here may not be "wandering " that much, though his thoughts definitely are.This blog mirrors the same.Don't expect anything from this blog .Neither do I !

P.S.: The first title I could think of was P.S. I love you. I know it sound too mushy but before you have any thoughts let me clarify I am not referring to the  Cecelia Ahern novel and neither the movie by the same name .It relates to my love for the concept of P.S. - A vent for the after thoughts that keep haunting you. Unfortunately (or actually fortunately ) for me the search giant has kept this one reserved , so had to be satisfied with this one.




Dr. Amar Udare Dr. Amar Udare Author

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