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myths or fairy tales or fabricated lies???

Whatever you call them, we have all heard them growing up and resented them after realizing what they were.

It all started with the classical

bs matric kr lo agy college asan ha”

Then it became

“bas MCAT kr lo agy to phr bs aram se mbbs kr k  doctor ban jao gy”

And now, here in K.E another exciting, promising yet … Extremely delusional statement was the word on the street and senior’s favorite advice

“bs third year kr lo agy fourth year toh bht chill ha”

Well then as they say:'

                           “fool me once, shame on you!
                             Fool me twice shame on me!”

And you kiddo just got fooled thrice!! 
. Fourth year is the most grueling and physically demanding year you have to go through so far (ofcourse only after final year, since it is notoriously the heavy weight champion of bone breaking , conviction shaking and resolution cracking phases of MBBS)
So now we have this misconception clear;you have been lied to. Lets get down to business! Lets see what you have to deal with and how you can manage it in best possible ways


Lengthy as our elders put it “shaitan ki aaant” but still most interesting subject of fourth year.
So which books to study (pathoma or big robbins or medium robbins ?) and how to hack it and make it easy?

Pathoma is key.  Listen to its lectures and make notes on your page margins. This will give you as good a concept as you could grasp from reading any book any number of times!
Now that you’ve understood the topic from here, move on to “Robbins
Medium or big , choice is yours. Big gives you an edge of knowing a few extra points but puts too much burden on our teeny tiny brains and is hell of a task to retain. Medium is hard to understand on first read but is practical in sense of retaining and cramming when profs come bearing swords.
Doing medium robins after grasping concepts from pathoma is the best way to go. And if you still want to embellish your knowledge and aim for that gold medal then you can complement your medium robins with big robbins. How?
Make sticky notes!
Use big as a reference book, make sticky notes of important points and summarise the topics into flow charts, now paste them in your main book (be it big,medium or pathoma.)
Be sure to do from big robbins the following:
  • Male reproductive system 
  • female reproductive system 
  • breast
  • bone
  • CNS tumors

This strategy will surely take you a long way in profs. But while doing patho make your aims broader than just profs. Youre going to be a doctor and in order to be a brilliant one you must know this subject very well as it correlates with the practical clinical field.
While doing a topic, read the clinical features first so you get an understanding about how a patient of that disease would come to you and how you can recognize it. Then move on to pathogenesis and morphology of disease.


It’s a seemingly hard subject at first but it gets easy after revision. Luckily there is only one book “dhingra” so you don’t have to play eenie meeenie miny mo with a heap of books unlike other subjects.
You have to know antomy very well so if you cant grasp it from dhingra then go back down the memory lane and take out your anatomy books for reference. After you do the anatomy move on to do the diseases from dhingra. Do them again and again. Because on first read it seems like you just read French , on second read language seems English-y, and on third read you finally start grasping the subject
Just be sure you learn and practice the methods in your ward and do study for ward test.  What ever topics you study for ward test will come in handy at time of need #profseason


Is weirdest and most confusing subject of the lot. Because you don’t know which book to study to… whole year passes by and only after seeing the prof paper you realize which book you should have studied. For instance
Our immediate seniors studied navid alam, but paper came from Dr.Saira’s book.
We studied(or tried our best to study) dr.Saira’s book and our paper had some questions and many mcqs from navid alam.
Then there is Park, which is like the greys anatomy of community medicine. Should you study it or should you not?? Cant decide. A perpetual dilemma.
Log book… half of fourth year goes into making these. But what is their actual significance nobody knows.
Research. More than half of fourth year goes here. Significance? Oh yes. It’s a big deal, even in profs. So if you can make the fatigue and khwari worthwhile then please do. It will matter in the end if you have a published research.
High  yield biostatistics is a MUST READ book. It’s the only book capable of imparting concepts in community medicine. Atleast for research and biostats which are the most important topics for profs in community.
So I still have not figured out how to best tackle this beast, besta luck to you all figuring this one out but doing high yield, getting research published are most valuable assets here.

4) EYE

It is the only subject in fourth year which enables you to have a sigh of relief… *phewww* except in wards, which can be hectic but EXTREMELY useful later on because then you can relax in profs with regard to eye.
Jatoi and saleem akhtar are both pretty good books. Jatoi is points so you can only do this if you already have concepts (from wards and from lectures). Otherwise go for saleem akhtar if you have to study from scratch and have no preformed concepts from ward or lecture.
You MUST learn and practice methods for eye in your ward.
Be sure to do dark room tests from your demonstrater in ward.


MAJOR wards are a must attend. Sure it makes you sometimes regret choosing this career at end of day when youre shattered with fatigue but after the exhaustion wears off, they are your most worthwhile assets.
What you learn in wards gets embedded in the deep abysses of your mind and subconsicious.  They really make a huge difference in your approach clinically. If you took your wards seriously and utilized that time to your best, then you will always be happy and thankful to yourself for making this wise decision and putting up with this ordeal. You just did yourself a huge favor.

So half your year goes in wards, half year goes in profs. So don’t burn yourself out from the start. Take it easy initially and build up your tempo and stamina for the end. Take wards well. Prepare for tests. Then go into theta mode in the end.

And those of you who want to do STEPS, 4th year is best time to start your preparation. DO NOT waste this time or you will regret it later. But if you do pathoma and high yield it also covers you step preparation as well as profs preparation for respective subjects.

This is gonna be a bumpy ride so hang on tight and don’t forget to enjoy and party from time to time , mechanism of action is not yet known ;) but it protects your from burning out or going in depression. So yeah fourth is not going to be as chill as you imagine but you can make it chill yourself by

     Keeping calm and carrying on.
  May the odds ever be in your favour! ;)


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