7/8/2008 Dr. Dario Torre, MD, MPH, FACP: The new student-driven edition of Kochar's

Kochar’s Clinical Medicine for Students
Kochar’s Clinical Medicine for Students
978-0-7817-6699-9

The 5th edition of Kochar’s Clinical Medicine for Students has been substantially revised and reorganized to meet the current needs of students. Over thirty 3rd and 4th year medical students were involved in the development process from the very beginning—their feedback, comments and suggestions were incorporated into every aspect of the editing process to ensure appropriate depth and relevance of content and language to the clerkship experience.

This new edition features a conceptual framework based on the ADDIE instructional model—Assessment of the learners’ needs, Development, Demonstration, Implementation, and Evaluation—that further ensures the text centers on and meets the actual needs of students. As a result, the overall content and structure was transformed to meet their changing needs. The latest offering represents the output of a truly collaborative effort between clinical faculty and clerkship students at the Medical College of Wisconsin.

Here are some of the major changes/additions that were implemented based on student feedback:

  • Covers all the basics and essential topics for which clerkship students can be held accountable—with just the right amount and depth of material. Because the duration of courses or clerkships in medical schools is restricted, we decided to include only a selected number of key topics, which were chosen from two sources: Clerkship Directors in Internal Medicine (CDIM) core medicine clerkship curriculum guide (created by a national consensus of clerkship directors and academic general internists from the Society of General Internal Medicine http://www.im.org/CDIM) and from the USMLE Step 2 Clinical Knowledge (CK) content outline www.usmle.org
  • Organization and presentation of the material is divided into three sections: the diagnostic and clinical approach to common presenting complaints with particular attention to elements of the differential diagnosis, disease and disorders frequently encountered in medicine, formally described in a logical and structured manner, and principles of ambulatory medicine, for those clerkships with an ambulatory component.
  • Every chapter was written and reviewed by a general internist and a specialist for accuracy, readability, and the ideal depth of content for students.
  • Companion website offers more than thirty additional chapters and 300 multiple-choice questions with detailed explanations. These questions have been divided into three practice exams to help students prepare for end-of-clerkship (“Shelf”) exams. The three exams rigorously follow the NBME medicine subject test blueprint available at the official NBME web site. Each of the three tests contains the same percentage of organ system-based questions currently present on the NBME Medicine subject test.

We hope Kochar’s Clinical Medicine for Students 5th Edition will offer today’s students the essential knowledge and skills needed to perform in the high-paced environment of clinical rotations. If you have any comments or questions, don’t hesitate to post them here!

What is different about the new student-driven edition of Kochar’s?
Thanks so much for the question. I think this edition is very different than prior editions, as well as other medicine texts, in a number of ways:

First of all, the 5th edition was developed with constant input from medical students who have worked with us in ensuring relevance of the content. I don’t believe there are many texts that follow this approach.

Secondly, we sought the input of a generalist and a specialist in each field in order to create content that is accurate yet consistent within a text of medicine.

In addition, we purposefully structured the text in 3 different areas following the Clerkship Directors in Internal Medicine national guidelines:

  1. the approach to disease with emphasis of differential diagnosis
  2. the disease processes in a very structured format
  3. an ambulatory section although brief but with content (between print and on-line) that is of relevance to students

This should allow the student to acquire knowledge reading the book from somewhat different perspectives and in different areas at the same time.

Finally, we strived to be focused yet not too succinct in the development of the book. Concepts need to be understood and reasoned through to be retained; in other words a short book is not likely to help a great deal in learning because there is often no space to deliver the content in a way that can be meaningfully understood and retained. On the other hand, we also did not want to create a textbook that would be of great length as it may make reading, particularly during a time restricted clerkship period, challenging for students.

I truly appreciate the question and would be happy to answer any others. I also welcome any comments or suggestions about the book.


Dario M Torre MD, MPH, FACP

Dario M Torre MD, MPH, FACP

Dr. Dario Torre, MD, MPH, FACP is associate professor in the Department of Medicine at the Medical college of Wisconsin and clerkship director for the Junior Medicine Clerkship. He is co-chair of the CDIM research committee and in 2007 received the C. Griffith Educational Research Award. His research interests vary from development and assessment of technology assisted learning tools in undergraduate education, application of learning theories, and the relationship of cognitive learning and clinical reasoning. He received his MD degree from the university of Rome, Italy, completed a Internal Medicine Fellowship and a Master in Public Health at the Johns Hopkins University and he is currently pursuing a PhD in adult education at the University of Wisconsin in Milwaukee.
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