Tag: booklet

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Great web service for making booklets

My favorite way to lecture is to pass out a personally written chapter on the subject and then collectively read the hand-out. I call this lecturing “Seder-style” named after the ritualistic dinner of the Jewish holiday Passover.

The booklets have four pages on each sheet of paper but you need a computer program to reorder the sheets so the booklets come out right. I used to have a print service that did this for me but it stopped working when I upgraded to Snow Leopard. I found this web service BookletCreator which does a great job with this.

Here are the original PDFs I uploaded:

Here are the bookletized PDF the website created:

Perfect.

UPDATE: No longer free.

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Renal Adventures in Imaging


One of my favorite lectures. I’m supposed to give an hour lecture on contrast nephropathy but I find that the residents have excellent knowledge and instincts on this topic so I expand it in two other areas they are less well versed:

  1. Oral sodium phosphorous and nephrocalcinosis
  2. Nephrogenic fibrosing dermopathy

iPhone version
Booklet for printing

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Teaching Medical Students


Last Friday I started teaching third year medical students. This is the first time I have taught medical students (in isolation, there are always medical students at my lectures for the residents) since 2003, when I ran a teaching section for renal physiology for first year medical students at Pritzker School of Medicine, University of Chicago with John Asplin.

I am now teaching the medical students two lectures every rotation, the first on sodium and the second on potassium and calcium. I hope to expand this to ABGs and another electrolyte lecture so I can isolate potassium and spend an entire hour on it.

I modified my Don’t Panic handout for the students. During the lecture I realized that the SIADH section was weak and too complex for the students. I will probably change it to focus on the fact that ADH reduces water excretion and that this can be adaptive (early CHF, volume depletion, hyperosmolar) or maladaptive (SIADH). I will change the section on the dilution of urine to a background box as I think it is important but only interesting to nephrologists and similar wierdos.

I will add a focus on a few clinical scenarios with increased ADH.

I still need to expand the hypernatremia section.

Handout
iPhone version

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Sodium and Potassium for ER residents


Yesterday I lectured the St John ER residency program. The ER residency has an impressive commitment to education. They set aside a half day every wednesday for their resident to get dedicated didactic time. They have great attendance with a good number of attendings showing up.

I have been asked to give three lectures and yesterday was the first. I gave a double lecture (running time about 90 minutes) on sodium and potassium. The fact that I could run over the standard 50 minute alotment normally given for medicial education is due to the fact that they have blocked an entire afternoon rather than try to shoehorn a lecture into lunch or before rounds.

The sodium lecture was the first time I used the Sodium handout I created for the St John IM residents. I gave the lectuer Seder-Style with the residents reading different sections, answering questions and me adding commentary. The ER residents are smart and empowered to ask questions. I felt that there was great two-way interactivity.

Dont Panic Sodium

Sodium iPhone format
Sodium booklet format

The potassium lectuer is an abrdged potassium lecture which is stripped to the bare bones of differential and treatment. It is a traditional powerpoint lecture. Immediately when I started this lectuer I saw about half a dozen exhausted interns fall asleep. My next project is to create a potassium haggadah.

Potassium powerpoint

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Acute renal failure: Seder Style

I gave the internal medicine residents of St John Hospital an ARF lecture Monday morning. This was a basic ARF lecture. No Powerpoint. I gave this lecture Seder Style. Every resident in the room read a paragraph or two. The Haggadah was a booklet-sized handout of 28 pages (8.5 by 11 sheet turned sideways with two pages per side so the 28 pages were only 7 sheets). Besides text and illustrations the booklet includes questions for discussion, case studies, and problems.

I’m pretty proud of it.

Booklet.PDF

iPhone version.PDF

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The Acid-Base lecture for the residents of St John Hospital


Today I gave my second lecture of the year for the St John Residency.

I used my Acid-Base workshop handout and added a slide show to facilitate the large group.

I still called on individual residents to answer questions to keep them involved.

I started the lecture with some audience participation. My previous lecture on IV Fluids, diuretics and dysnatremias began with me stating how ubiquitous these subjects were.

I had everyone stand then I asked people to sit down if, in the last three weeks they had not:

  • Used any diuretics: no one sat down
  • Used any IV diuretics: about half a dozen people sat down
  • Used a thiazide diuretic to counter the effect of loop diuretic resistance: lost a lot of people there but still had about a dozen left
  • Used a lasix drip to counter loop diuretic resistance from heart failure: everybody sat down but about 3 residents and the amazing Dr. Dhungel, my first year fellow on the consult service.
  • Used torsemide instead of furosemide for better pharmacokinetics: only Dr Dhungel remained standing.

I then tried to repeat the excercise for IV fluids and dysnatremias but it didn’t work very well. Should have quit after the first one.

When I gave that IV Fluids, diuretics and dysnatremias lecture I didn’t have a hand out. In the last three weeks I have worked up a handout:

iPhone version
Booklet form