How to study?

Jamal Tashkandi

FANZCA

Study… why?

Or

What kind of doctor do you want to be?

Study what?

Or

What is the science of anaesthesia?

The neuromuscular block

patient age e.g. Infants

high cardiac output = onset of is more rapid

immature clearance = duration is longer

acid-base

Respiratory acidosis = enhances its action

The neuromuscular block

electrolyte status e.g. Potassium

Acute decrease = enhance action

An increase = oppose the action

Low body temperature

Slows renal and hepatic clearance

The neuromuscular block

Monitored by PNS

Alfentanyl vs. Fentanyl

Smaller Vd

lower lipid solubility + higher protein binding

Rapid peak analgesic effect

lower pKa, 90% non-ionized form, therefore

readily cross BBB at physiological Ph

Monitored by response to intubation

How many curves do you need to learn?

Physiology Pharmacology Monitoring

Study… what for?

Or

what make you pass?

Written

oral

assessments

 

must know components of exams

Written

e.g. End of Year Exam

What is the pass rate ?

for which year?

Oral

How many stations?

What topics?

Forms of exams?

Basically do the workshop before the exam!

Stresses!!

who are the people most helpful to you

your family

share things with them

Colleagues

Others

Study… with whom?

group study, can we?

Simulator, what is it?

Do it before the real time!

practice before the exam!

Flying levels

ZOOOOOOOOOOOM In

&

ZOOOOOOOOOOOOM Out

You understood it if you can explain the

subject to an orthopedic surgeon

Time organizations

(consistency) Week nights Weekends Holidays Times off for exams

Materials required for exams

Books

notes

websites

study cards

Courses/workshops/lectures

Studying during working hours, does it work?

How to make it useful?

Good Luck!