Internal Medicine

I have made almost every financial mistake that new physicians should avoid, including going into forbearance and deferment, buying the doctor house and car, not living on a budget, and not prioritizing paying down student loan debt. To be clear, I had significant debt—similar to that of the average graduating medical school student in the read more…

Last year, we wrote about how we have the best customers, and it’s still true. They not only stay calm during a stressful time in their lives, but they continue to send us some of the funniest, heartfelt, and most gracious messages. We can’t keep these notes to ourselves, so here are our favorite customer read more…

Surviving years of medical training requires a certain personality type—one with a willingness to skip the party, stay home and study, work on both Saturday and Sunday, and switch from night shifts to day shifts and then back to nights without a break in between. Yet, this commitment and lifestyle might be incompatible with starting read more…

When you think of Rosh Review, what do you imagine? Emergency Medicine…Physician Assistant…OB/GYN…Family Medicine…Internal Medicine…Marine Biology… Wait, what? Marine biology? When you look through the qualifications of the Rosh Review team, you may be surprised to find a marine biologist here. We even have an ornithologist and a botanist, too! So what are these ecologists read more…

Talk of burnout among medical professionals is everywhere these days: in medical blogs, in peer-reviewed journal articles, in CME courses, in online courses, and in the news. We can’t avoid hearing about the high rates of burnout, depression, and suicide. I have experienced burnout twice in my career in medicine. The first time was in read more…

Introducing the Mock Internal Medicine Shelf/Clerkship Exam, best suited for medical students who want to excel in their internal medicine clerkship. The Mock Internal Medicine Shelf/Clerkship Exam is located in your Boost Box (on the home page of your desktop/laptop Rosh Review account). It contains 100 questions and comprehensive explanations to help you prepare for read more…

At my medical school, everyone recommended taking the Clinical Electrocardiography elective in the fourth year. A kind man who had been interpreting ECGs for over 25 years taught the elective. We all had to read Rapid Interpretation of EKGs by Dale Dubin, and each day we spent hours going through real ECGs and trying to read more…

Life transitions always take some adjustment…even when they’re exciting changes. Moving, expanding your family, getting a new job—you’ll go through many revisions throughout your lifetime. Sometimes they’re planned and expected, and sometimes they’re not, but each transition requires you to get out of your comfort zone. One of my big life changes was a decision read more…

There are so many tactics you can use when preparing to take a standardized exam such as an In-Training Exam (ITE) or Certification Exam. But there is one I found to be the most useful.

Like many of you, my background is in health care: I have my Certified Nursing Assistant and EMT certifications as well as a Doctor of Chiropractic degree. Those of us who work in medicine have a passion for science and people, which almost always means leaving home to go to work each day. When you read more…

You’ve done it—you’ve made the big decision to go into medicine. Maybe you’re applying to medical school, maybe PA school, or maybe you’ve graduated and now you’re applying to jobs, but it’s time to get started on your applications. As you’re filling out your information and deciding who to use as your references, you hit read more…

A career in medicine requires tremendous dedication. From the number of hours we spend training at the hospital to the neverending board exams, it’s a path that is by no means easy. We hold ourselves to such high standards in our careers that it’s often a challenge to equally apply those standards to our personal read more…

If you’ve emailed Rosh Review for anything, from requesting CME to asking for an extension or seeking clarification about which subscription to purchase, it’s likely that you and I have spoken. I’ve handled the majority of Rosh Review’s customer support for the past three years. We operate with the mindset of equanimity, which means staying read more…

I was inspired and energized at last night’s launch of TIME’S UP Healthcare at the New York Academy of Medicine. I was there as an emergency physician who witnessed gender discrimination and sexual harassment in the workplace, as a father who wants my daughter and son to grow up in a world that treats them read more…

The Internal Medicine Shelf Exam Qbank is now available for medical students preparing for their Internal Medicine Advanced Clinical (Shelf) Exam. Topics are compatible with the actual NBME® Internal Medicine Advanced Clinical Exam. System General principles 5–10% Immunologic disorders 1–5% Diseases of the blood 5–10% Mental disorders 1–5% Diseases of the nervous system 5–10% Cardiovascular disorders read more…

Epiglottitis Patient will be complaining of rapid onset of fever and dysphagia PE will show the patient leaning forward, drooling, inspiratory stridor Imaging will show “thumbprint” sign Most commonly caused by H. influenzae, Streptococcus Treatment is IV antibiotics and airway management Sample question: A 5-year-old boy presents to the emergency department because of difficulty breathing that began a few hours prior to consult. read more…

Just as pediatricians need to bring up uncomfortable conversations about sex to keep their patients safe and healthy, isn’t it equally the responsibility of physicians to bring up diet and nutrition?

Ottawa Foot and Ankle Rules X-rays required if Patient cannot bear weight for 4 steps Distal 6 cm tibia/fibula tenderness Medial/lateral malleolus tenderness 5th metatarsal tenderness Navicular tenderness Sample question: A 16-year-old boy presents complaining of right ankle pain after injuring himself while playing basketball. He states that he “twisted his ankle” when he landed on read more…

Sample question: A 17-year-old boy presents to the clinic with right-hand pain after punching a wall. Physical examination reveals swelling over the dorsum of the right hand with bony tenderness noted with palpation of the fifth metacarpal. What is the most likely diagnosis?

Sample question: You are called to the nursery to examine a newborn boy. He was born at 36 weeks via C section to a 32-year-old G3, P3 mother. APGAR scores were 7 and 9. After six hours, the neonate developed respiratory distress. On examination, respiratory rate is 70, with nasal flaring, expiratory grunting, intercostal retractions, decreased breath sounds, and diminished read more…