Wednesday 28 June 2017

How to pass DNB Radiotherapy theory and practical.

In medical field, DNB (Diplomate of National Board) is seen as synonymous to fear in India. It is something which always stop many medicos to take some choosy branch in DNB against  the undesirable branch in MD.It hinders mind and soul of PG aspirants to take DNB as a career because DNB is better known for poor passing rate.
I am also the sufferer of same fear.I choose DNB Radiotherapy (Radiation Oncology) but the fear of passing always ruined my personal n professional space.But at last with God's grace , family support,seniors n colleagues help ,elders blessings and with my hard work I cleared it in 1st attempt.But this journey was Herculean task for me.
I am here to now help those candidates who are preparing for DNB RADIOTHERAPY.I think this blog may help others also who are preparing for NBE PG finals.
HOW TO CLEAR THEORY PART?
1.Manage previous year question papers of DNB (available at natboard site)and if possible arrange MDRT papers also. Solve at least 10years of questions.
2. During solving the questions of DNB u ll face variety of questions from biostatistics and general oncology.In my opinion you should read gen Onco from Devita and for biostatistics go through internet,slideshare,or psm book.
3.Read gen radiation oncology part from Perez,by heart. It's must. For radiation techniques, Perez or any other textbook ll be good enough. Physics and biology should be thorough from Khan and Hall , respectively.
4.Don't get completely indulge in Clinical oncology part only. It carries  40 to 50% marks only. But it is also vast and should be done at least twice including pediatric oncology part. It should be general covered during solving previous year's questions.U can also read NCCN flowchart and discussion part whenever u want.But remember always remain stick to those part from where u read it.
5. Revise atleast 2-3times . And for important topic/part at least 5 times.
6. Choose books clearly and remain adhere to it till the end of examination.
7. Take at least 2 month time for theory preparation. But 3 month time is adequate and best to help u in revisions.
8.DURING EXAM-:
A. Read all questions carefully. Makeup ur mind to devote the time to write answer in limited time.
B. Don't be in hurry. Go sequentially. Never jumble up the answering sequence.
C. Write to the point answer in DNB. Any extraneous answer ll not fetch any marks.
D. It's better to start with bullet format,flowchart(like in NCCN),diagrams followed by some explanation.
E. Never ever give more time to answering the question you know better, in explaining it unnecessarily.  It ll kill ur time and fetch u no additional marks. U have only 15 minutes per question.
F. Don't discuss before exam .Its better to be in light mood before exam. Eat chocolates and drink water in ample amount to recharge ur CSF and glucose level.

HOW TO CLEAR PRACTICAL PART?
1.  Don't be in hurry after theory. Take sometime to relax ur mind. Never exhaust ur CSF in thinking what ll happen in result. Just relax and enjoy for sometime.
2. Practical preparation requires different approach. U should divide it in sections:- Long cases,short cases,table viva which includes instruments,biostats,graphs,radiology,patho specimens,chemo drugs etc.
3. 1month exhaustive preparation is sufficient but I ll recommend to go for 2 month well planned,sysyematic and dedicated study without any duty. Full time for preparation only.
4 . It's better to take case and present in front of teachers . If it's not possible present and discus it with ur colleagues,seniors. This ll give u confidence in presenting the case and make strong ur vocal commands.
5. Better to do Clinical examination in front of ur colleague or seniors. It ll simulate ur mind body coordination.
6. Again Revise ur Clinical oncology THEORY part.
7. Read RT techniques as u prepared during theory.
8. Discuss and revise ur mistakes. Make a copy for it and write it in explained manner.
9. For clinical examination read SRB,or S. Das. Watch Dr. Vaidyas Clinical video.
10. At examination centre,NEVER indulge in any discussion with anyone. Keep calm and believe in yourself. Don't panic on getting some atypical case.  Take deep breath and start writing ur case as u practiced at ur institute. Be brave and never get nervous during exam. Make firm belief in Almighty and take any circumstance as testing time.
After completing the exam,just relax and enjoy. Don't get involved in unnecessary discussion. Believe in ur hard work and Almighty. U ll definitely get good result as everyone.
GOOD LUCK.
For any queries, ur most welcome anytime.

Wednesday 30 July 2014

Non-hodgkin Lymphoma with metastasis in eye

today a old lady presnted with c/o NHL (post chemotherapy),with metastasis in lt. eye.Earlier her rt eye vision is lost due unkown reason.Now,the problem is that she has little vision in one eye,but tat also ,now,get affected wid mets.
Now,what to do? leave the lady wid vision,widout treating her?Or, shall we start palliative RT in that area,but tat ll cost her remaining vision.
we r in dillema.................................

Thursday 24 July 2014

Herald/Sentinel Bleed

First,time when I saw bleed from tracheostomy site of Head and Neck Cancer patient,I thought that it might b bleeding from tracheostomy tube insertion site.Which may b due to dryness of skin beneath the tube.
Sadly,that pt passed away one night due to heavy bleeding from same site.
But,today when I gone through literature, I found that the initial bleed was HERALD or SENTINEL Bleed,which is initial sign of CAROTID RUPTURE.
This Carotid Rupture gen seen in Head n neck cancer pt of advanced stage.
Now,I got lesson- never underestimate any minor bleed from any site ,esp in cancer pts.
Good Night,Tc

Wednesday 23 July 2014

Cranial sq cell carcinoma

Radiation oncology is full of unpredictable type f cancers.
Today,a case of cranial sq cell carcinoma admitted in ipd.He has h/o tooth extraction followed by facial edema later on leads to loss of vision.Disease later on invades cranial fossa and after cranium surgery followed by histopathology suggested that it was sq cell carcinoma  well differentiated type.
Now,he has brain mets also.He is now on palliative RT 30gy /10fr.And anti seizure medications.
Now,all result in hand of Almighty.
Ameen,god bless him.

Sunday 20 July 2014

RT Begins

radiation oncology---------------the branch of oppurtunities.I m also landed here without any previous knowledge about it.....but slowly "i m lovin it"..........................
ha ha ha...
i ll start some topic of interest in radiation oncology...with detailed points ....
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