Category: كتب

Rational Clinical Examination

You are in the emergency room and a 53 years old gentleman presents with a 3-day history of fever and headache. You think that you should role out meningitis. You perform your physical examination including looking for meningeal signs. Youe examination is negative. Can you role out meningitis for sure and not think about performing a lumbar puncture?


Saudi medical schools do a very good job in teaching clinical examination. Our clinical exams were very serious (and sometimes felt like life-or-death events!). I believe we were taught good skills in King AbdulAziz University.

What I’m writing about here is something that we were never taught though. I heard about this term for the first time after I started my residency program in University of British Columbia.

The term refers to a series of articles that are being published in the Journal of the American Medical Association (JAMA) since May 20,1992 until now. The editorial when the first article in the series appeared described as follows:

The articles look into a variety of clinical problems ranging from assessment of patient with suspected migraine to ventilator-associated pneumonia. In addition to being very valuable in day to day practice, the language of these articles has been the standard language when speaking about physical examination in the Canadian medical institutes.

In order to view the articles you will need a subscription. Most of the university libraries offer subscriptions as well. You just need to ask. KAAU might offer that as well.

If you prefer to read from a book then just wait for this book to be released.


كتيب عن اللوكيميا، الأورام الليمفاوية و الأورام النخاعية

Leukemia Foundationالترجمة ليست على المستوى المطلوب للأسف. إذا كنت بحاجة لفهم المصطلحات المستخدمة في الكتيب فبإمكانك بعث تعليق بسؤالك و سيسعدني الرد عليه

للإطلاع على الكتيب اضغط هنا

تحديث أكتوبر ٢٠١٤: الرابط لم يعد يعمل و لا يظهر المصدر في الموقع

Teaching Perspectives

Not all good doctors make good teachers. I have a good example in the team I’m working in now. But this post is not about that.

We had a lecture last week about teaching medicine. It was very interesting. Apparently the suggested way of teaching depends alot on asking the learners first in order to know what they already know and start from there. As a learner, I personally find that uncomfortable. Of course I love it when I know the answer. Otherwise, I just want the information to be given to me directly.

The lecturer talked about an interesting concept in teaching adults (in general, not only in medicine): Teaching Perspectives. Simply there are five teaching perspectives:

  • Transmission: the teacher has a great commitment to the topic and presents it in an accurate manner to the learners.( I’m that type of teachers according to the test– Maybe only when talking about hematology) .
  • Apprenticeship: the teacher is highly skilled in what he teaches. He presents the education by allowing the learner to observe how does it in the correct way, and allowing the learner to improve through graduated levels of supervision.
  • Developmental: the teacher plans the teaching experience upon what the learner already knows. 2 main actions take place: 1) Effective questioning to challenge the learner to advance his thinking to more complex levels, and 2) bridging of the new information to what the learner already knows.
  • Nurturing: the teacher believes that knowledge is acquired by hard persistent work, guiding the learners to help themselves and acquire self confidence in during the learning experience.
  • Social reform: the teacher awakens the learner to values and ideologies embedded in text and practice. Aim is to change society in substantive ways.

The website explains the idea in the publication section, you can try the free test and/or buy the book that explains the concept, online.

نهاية وبداية

“لا تخش أن تخطو خطوات كبيرة إذا تطلب الأمر منك ذلك؛ فإنك لن تستطيع اجتياز هوة في خطوتين صغيرتين”
ديفيد لويد جورج
“لن تصل إلى هدفك المنشود إذا اكتفيت بمجرد الوقوف، حتى لو كان وقوفك على بداية الدرب الصحيح”
ويل روجرز
“يجب أن نشغل بالنا بالمستقبل؛ لأننا سنقضي بقية حياتنا فيه”
تشارلس إف كيترنج
من كتاب التغيير
لسيندي هاينز
الناشر مكتبة جرير
دعواتكم مطلوبة. سأكتب لكم قريبا من فانكوفر بإذن الله. أستودعكم الله

Top Books for Junior Hematologists

This is a list of the books that I believe are very important during hematology training, (not in order) :

PDQ Hematology :This small book is really great for beginners. Whether you are a medical student, a junior hematology resident, or just in any medical field but would like to know more about hematology, then this book is for you. It is not deep, and this is what makes it beautiful.
Pros: the whole book (as PDF) is on the included free CD, in addition to bonus mcqs. Reasonable price.
: very simple, single edition published on 2002, not available in Jeddah.

A Beginner’s Guide to Blood Cells : This is also a small book that covers a very important side in hematology, which is morphology, and specifically peripheral blood films. The author, Barbara Bain, is a world expert in the field. She wrote the book in a great way and made it a real “guide for beginners”. This book must be read from cover to cover.
Pros: Includes a section for self-evaluation. Cons: none

The big brother of that book is : Blood Cells: A Practical Guide

In order to review bone marrow morphology you might want to refer to:
Bone Marrow Pathology
These last 2 books are not for beginners, and that’s why I will not discuss them in details here.

Oxford Handbook of Clinical Haematology :That book is one of a successful series covering many specialties in Medicine. It was very practical during on-calls as it gave very useful advice about management, and was specifically useful in emergencies.

Bloody Easy 2 :A great book in transfusion medicine. In a simple way it teaches all what the junior needs for safe transfusion of blood and its components. It also explains complications of transfusion and transfusion reactions and how to manage them.

The authors of this book developed web site which provides a free course on the same topic. It is called Bloody Easy Online Learning. Don’t miss it.