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Which books should I follow in an MBBS course to crack the AIIMS PG and for a seat at AIIMS New Delhi for PG courses? Which competitive books should I follow?
Read a book which you are comfortable with.That’s what matters more. Reading standard textbooks though make you stronger in concepts since they are better written and you can rely on them while quoting and they are usually without any errors.Robbins for Pathology, Harper for Biochemistry, Ganong for Physiology, Bailey for Surgery, Ghai for Paediatrics, Park for PSM are the standard textbooks which must be read by all.I’m not in favour of Harrison though since it’s not up to date and especially for AIIMS it’s better to focus on Emergencies and Critical Care. Better to read Washington Manual of Critical Care/ICU Book by Paul Marino than Harrison.ECG, Acid Base And electrolytes. 1 question from each is guaranteed in AIIMS so make these topics strong.As far as guide books are concerned- refer to these. They are DecentApurv Mehra for OrthoGRG for PharmacologyDevesh Mishra for PathologyMedicine textbook by Dr BhatiaSumit Seth for ForensicSOCH for OpthalmologySaurabh Jindal for DermatologySakshi Arora for OBS GynaeArvind Arora for Physio/Biochem/Anatomy/Psychiatry/Anaesthesia. These books are actually good despite being PG oriented .Review books for Microbiology/Surgery are too vast and better to read notes from T/D classes or make your own notes while reading them during MBBS.Last advice - during internship or before - Buy marrow Qbank- amazing it is! Practise as much as possible from it!
Lawyers, what are some ways you set verbal traps that will cause a defendant to slip up and reveal something?
At one time or another, I explain to all my non-corporate clients something that is *never* shown on TV.That something is: There are no surprises in a courtroom. The courtroom drama you’re about to see is carefully scripted and choreographed. Everybody’s lines are already known.Before a defendant testifies in a civil case, the defendant has already been required to provide the plaintiff with all documents relating to the case. The defendant will have already provided a list of all witnesses to be called at trial and often a summary of each witness’s testimony. The defendant will already have provided written answers to written questions under oath, detailing all legal and factual trial defenses that will be asserted at trial, including listing relevant documents and witnesses. The defendant will have been asked to admit certain undisputed facts about the case in writing before trial. The defendant will also be required to identify all experts to be called and provide expert witness reports. The defendant has also been required to sit through a deposition where the defendant can be cross examined by the plaintiff’s lawyers about all aspects of the case until his recollection of events has been throughly reviewed and there is nothing left.All of this is also endured by the plaintiff as well.There are strict penalties for non-compliance or bad faith compliance with these procedures including monetary penalties, prohibition of certain testimony, documents or defenses, to striking the entire defense and awarding judgment to plaintiff. This process is not something to mess around with.As Andrew Weill said in Andrew Weill's answer to Lawyers, what are some ways you set verbal traps that will cause a defendant to slip up and reveal something?, the key is preparation, preparation, preparation. After collecting all of this evidence, the defendant cannot say anything in court that wasn’t already provided in the above process and was not already said before in the deposition. That means that I already know what the defendant will say when called as a witness by his own attorney. He will describe the best version of events from his side and I will already know what it is. If there is testimony that was not previously provided or documents not previously provided, I would object to that “surprise” testimony and the objection will be routinely sustained. For cross examination, I carefully prepare my cross examination of the defendant by writing the questions out beforehand. I know what the answer is because he has already been asked these questions. I sometimes show my own client the questions that I will ask of the other side. My questions are generally phrased so that a complete answer is either “Yes”, “No” or “I don’t know.”In my question and answer outline, I do not write the defendant’s answer. Instead, I write the volume, page and line number of the deposition where the defendant was asked that question before. If the answer is in a written document, the exhibit number and page of the document where the answer appears is noted. My witness notebook has every deposition extract and exhibit page highlighted with the answer indexed to my questions so I can simply turn to the index number in the witness trial notebook that is listed with the question. If the witness goes “off script” I just turn to the witnesss notebook, go to the tab and get the marked up copy of the deposition or exhibit that contradicts his courtroom answer. Meanwhile, my paralegal has already located the official copy of the deposition transcript or exhibit to show to the witness and court, because the paralegal is following along with the script.As you can see, there are no verbal traps. If the witness tells the truth, then I won’t ever reach for my witness trial notebook and the witness will have testified as I anticipated. I will have made all of the points favorable to my client’s case that I could have made and will highlight those in my closing argument.A short example of how this works:My client sued the defendants for fraud in a sale of a small strip mall. My client purchased the strip mall from the defendant. My clients found out after the sale that all of the strip mall tenants were drug dealers, chop shops, or prostitutes. Oh, and they didn’t pay their rent on time, either. The defendant also didn't tell my client that prostitutes paid their rent in trade. That wasn’t going to work for my client. I took the defendant’s deposition and asked this question:“Why didn’t you let my client meet personally with the tenants before the sale?”His answer: “I didn’t want to upset the apple cart.” In short, he is admitting that he concealed facts from my client that would cause my client to not purchase the property. This, I knew before trial, was an important point to make at trial.At trial, I asked the defendant the exact same question, “Why didn’t you let my client meet personally with the tenants before the sale?”. I could risk the “why” because I already knew the answer.Here was his answer at trial: “I introduced him to all the tenants during his visit.”I then reached for the deposition transcript and read his previous answer out loud in court. He responded that the deposition was a long time ago. I showed him the deposition and asked him the date of the deposition. It had been taken one week earlier. That series of questions proved the fraud and the lie in court and the defendant lost the case on that testimony.Note there were no verbal tricks used and no animals were harmed in the making of this courtroom drama.Edit to address comments. What I’ve described above is an ideal civil lawsuit discovery process, which is mostly unknown to non-lawyers. That discovery process prevents surprises in the courtroom. If the case is properly prepared, there is no need to attempt to get a witness to slip up and reveal something. The truth will do that just fine in the very vast majority of cases. There is some general belief that lawyers have some kind of magic, hypnotic powers or Vulcan Mind Meld to “trick” witnesses. We don’t have those powers. What we do is prepare the case and we don’t allow witnesses to minimize, divert, equivocate, misdirect, make excuses, or otherwise not answer the direct question. To be successful, we have to carefully craft our questions and then actively listen to the answers. Our pretrial preparation allows us to prepare the best questions to focus the witness’s testimony onto facts.The full discovery process I described above is obviously extremely expensive. Not all Civil litigants can afford that kind of litigation. I may advise potential civil litigants that litigation is not worth it or cost effective if our firm handles the matter. I might also refer the person to another lower cost firm. In some cases, our preparation will be less encompassing. It’s not preferred but realities must be considered.Criminal law is an entirely different situation. The prosecution generally delivers the entire case to the defendant pretrial. There are no depositions or other written discovery. The defense has a limited duty to disclose certain information, such as the intent to assert an insanity defense or alibi defense. Witnesses can be interviewed by both the prosecution and the defense, but cooperation in the form of a subpoena can’t be enforced before the trial. It doesn't matter; both attorneys still have a very good idea about the facts and witnesses cannot be tricked into anything they don’t want to say.I should note that the US civil procedure I described above does not apply in other countries. As a commenter noted, the UK civil process is much different. Barristers are generally not allowed to contact witnesses. That work is performed by solicitors and investigators in an entirely different process.Administrative proceedings are also limited in their pre-hearing process. There is still some requirement that witnesses and documents must be disclosed before the hearing. Although these hearings are a little more informal, there is often very much at stake, such as professional licenses or project permits, so solid preparation is still a requirement.I’m sure most practitioners’ worst fear in the courtroom is not the opposing party’s testimony. It’s their own client’s testimony. It’s not unheard of for the client to “go rogue” and offer totally unnecessary excuses and justifications that wreck their own case. I am always relieved when my client is excused from the stand.It’s not magic. It’s preparation.
Why do they “torture” post graduate students in medical colleges in India?
Let me tell you my experience. A Typical day of a resident in India involves doing Scut workIn morning do blood sampling of 20 patients.Fill the blood samples and send to laboratory.There is a good chance that the reports wont come on time hence go to laboratory and trace and track. Basically it involves arguing with lab technician.Literally beg the pathologist to look at peripheral blood smear to confirm diagnosis of Leukemia. Beg to give date for urgent Bone marrow biopsy.Beg the Radiologist to provide date for urgent ultrasonography, MRI. After report of the said investigation comes again visit the department with plates for REVIEW because report could not be clinically correlated.Beg the Cardiologist to do a urgent Echocardiography at 1AM.Beg the Gastroenterologist to provide date for urgent colonoscopy and Endoscopy.Beg the Nephrologist to do a Urgent Kidney Biopsy, perform urgent dialysis.Push the trolley because the patient need a urgent temporary pacemaker. The ward boy wont be present and any delay to transfer the patient to cardiology department means death hence as a responsible Doctor Push the trolley.Beg and get insulted by technicians and Medical officers because you asked for a bed at Intensive Care unit for a serious patient.Steal gloves, ABG kit, Syringe, IV Cannula, Cotton because they will not be available 24 hours and you may need them Urgently.Need to answer the consultant and seniors regarding whereabouts of every investigations. All investigations must be done immediately.I forgot to mention that a Resident must be physically present while all the investigations like Echocardiography, Ultrasonography are being done so to ensure the reports are done correctly. We have had situations like where echocardiography was performed four times before the consultant was satisfied with report.Search for Dr X ( who is excellent Doctor) then wait for him to be free, followed by explaining him the patient condition followed by begging him to come to ward. If Dr X is busy he might ask you to bring the patient to his OPD hence again push trolley and take patient to Dr X.The patient may claim in front of consultant that he did not get any medicine during bedtime hence get scolding for the same. Majority of time patient wont eat medicine, wont take insulin,A typical day involves visiting various departments and pleading them.Its been just 5 months and I know the hospital and various departments better than the Medicos who completed MBBS from the institution which took them 5.5 yearsI had found a huge problem is the inadequacy of Government setup where a junior Doctor is expected to perform every duty.A large proportion of work requires no medical knowledge. The only thing required is a capability to convince other departments regarding urgency of the situation and getting the job done ASAP.Sadly this a reason why Interns don’t learn much and later completing MBBS find themselves underconfident to manage patient as they were busy doing many of the Scut work mentioned above. Many Interns hence also loose interest regarding internship.The same goes for first year residency which is just extension of Internship but with scolding from Consultant and seniors.The torture comes because Seniors expect everything to be perfect in a Government setup which are understaffed and lack resources.Note: Despite all hardships I love Medicine and wont trade it for anything else. Despite all hardships my seniors and department have been extremely helpful and understanding. I hope for a future where more focus is done for teaching clinical skills specially to Interns. Just Sending first year Medico to wards wont help.Thank You
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