Ask Slashdot: Best Software For Med-School Note-Taking?
First time accepted submitter spencj writes "I'm just starting year two of medical school, and I've been rethinking the way I make and create notes/study guides. One of the problems I've considered is that we learn about the same topic in several arenas. For example, if I consider some disease like coronary artery disease, I will likely learn about this topic in cardiology, radiology, pharmacology, and then in outside study resources such as Kaplan guides, online resources, etc.. Further, it will come up in August, October, March, April, etc.. My dream app is some combination of Excel, Visio, Word, and a blog where I could tag selections of text. If I then 'filtered' by certain parameters, it would collapse all the information I'd collected from different resources. For example, say I create a flowchart in Visio, take some notes in Word, create a table in Excel, and save from text from a web resource. I tag each item with 'coronary artery disease,' then I want to quickly query for all of my items with this tag. Is there any kind of app or resource that can pull this off? Medical students everywhere would be grateful."
Nothing I've yet discovered is as flexible, reliable, and controllable. every digital attempt I've seen/tried has been inferior. You might try recording the lectures as you go in case you need to go back for context at some point, especially if you go back and type them later.
In SOVIET RUSSIA... erm...NSA AMERICA, the Internet logs onto YOU!
See subject.
The Internet King? I wonder if he could provide faster nudity.
Since you're needing to record info from Word, Excel and Visio, OneNote would be perfect to consolidate the information in place. You can also include images, video and webpages.
You could try a Wiki
Xmind.net
A wonderfully creative way to post a slashvertisement for Microsoft OneNote. Well done.
http://mnemosyne-proj.org/ This is an excellent program flash card program. You rate flash cards by how well you know them and it does automatic scheduling. Cards you know well show up less often than cards you don't know. You can include images and sounds. It has a good tagging system so you can mark a card for multiple areas. You choose which subjects you want the cards to cover. For example, you could look at all your cards on coronary arteries regardless of subject, or you could look specifically at coronary arteries for one particular class. The key to getting the most out of this program is to include questions that cannot be answered with memorization. Include flash cards that force you to explain the why and the what.
There are 11 types of people, those who know unary and those who don't.
Flamewars aside, Org mode is my latest love when taking notes and organizing my life. Collapsable text, easily inserted hyperlinks to web pages and documents, it's almost wiki-like. It worked well for me in law school, but some of my friends really liked OmniOutliner (and a few other programs from that same family of sofware).
you can write your own notes and tag them
you can clip websites and news articles as well and tag them
60MB per month for the free account and $45 per year after that. and it works on a computer, phone, tablet
no one can remember that much info on a long term basis
that's why all doctors are in some specialty and most of their problems are the same ones every day so they can remember some frequently used info
Me, I've used those standard black lab books for my note taking for my daily work for almost 2 decades, and it's tough to do better. At least, for me it is.
You can always write your own mind maps or some kind of wiki later ... but, for the first pass, nothing is more flexible than pen and paper notes since it supports multiple languages, terminologies, and creating diagrams. No upgrades of licenses to worry about. ;-)
And a lab book has the advantage of being hard-covered as well as being pretty obvious if pages have been removed (which is why they use them as lab books in the first place).
Technology has all sorts of failure points and limitations. And most alternatives to pen and paper either have in-built limitations, or in the long run are harder to actually keep your notes with.
I'm not saying you shouldn't look at some technology to see if it helps, but for me, good old fashioned bound paper notebooks are still my preferred way, and look to remain so. I've got a stack of about 40-50 to them that I periodically refer back to.
Lost at C:>. Found at C.
Especially with all the drawings/figures and equations, its best to use paper and pen. Buy a good quality scanner and scan all your notes into pdf at the end of the day. Tablets/laptops jdont work because they actually slow you down. Also, I feel that taking notes with pen/paper help me stay focused during lectures
My favorite way to study in a situation like yours is to first take my notes the old fashioned way: with paper and pen in class. I then take those notes, along with applicable textbooks, and manually compose them in whatever software makes sense, typically LibreOffice Writer. The act of first taking notes the old fashioned way, and then cross referencing with the textbook, while in turn creating a highly refined set of notes in an application, strongly re-enforces what I am studying in my brain. I know that's kind of like wrote rehearsal, which is considered a bad study habit, but I disagree with that philosophy (wrote rehearsal = good). Plus the act of composing more highly refined notes from your originals takes it one step beyond that.
Past that, I really don't think there is a single application that will filter all your notes automagically into so many different formats.
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I'm not studying a doctor, but I've never had any trouble cramming information in my head. Despite that I take detailed, copious notes in a very organized and thorough manner. That's part of HOW I cram the information in my head.
I guarantee you, as a patient, you have NO idea how your doctor studied in med school unless you also have a personal relationship with your doctor. Being "scared" about this is just mindless and insulting.
Create a MediaWiki for yourself, and crossreference as you go? I did this for my MBA 5 years ago, and it worked wonders.
This signature can save you $400 on your car insurance!
Doctors Google. Sorry to disappoint you, but really do you want to rely on someone's memory?
W..w..W - Willy Waterloo washes Warren Wiggins who is washing Waldo Woo.
The doctors that I've known have been able to cram away a lot of information in their heads
Exactly, that's why they never have sizable libraries in their offices.
Ezekiel 23:20
... I suggest you try to ensure you get handouts and then devote 100% of your concentration to listening and interpreting what you're being told.
If you write things down, you won't look at 90% of it. You will need it all in your memory at some point - either for the exams or when you're practising, so better commit it to memory in the first place. And, no, writing it down does not help with that.
My only warning is never to believe 100% anything anyone teaches you - no-one knows everything about everything, and the evidence and research is always changing.
As a researcher (patient) studying the social practices of doctors (visiting their offices), my tentative conclusions are that the industry-standard note-taking practices are currently: 1) a web browser; 2) open to WebMD.
10 PRINT CHR$(205.5+RND(1)); : GOTO 10
For this kind of application I can't think of anything better. OneNote is probably the best note taking app out there and the surface pro and a real digitizer and a digital pen so you can take good notes with it.
I picked up a galaxy note 8 for my engineering classes (since it also has a digitizer) and for what I do it works very well. I would have gotten a surface pro except that they are so much more expensive.
For any class where you have drawings it is hard to beat a tablet with a real digitizer. I used to type all my notes and that was harder to do as my engineering classes ended up with more and more diagrams. I also did not want to deal with pen and paper anymore since it is so hard to deal with it, find stuff in it, keep track of it, share information etc.
You can also look at other windows 8 tablets (NOT windows RT) and find ones with real digitizers (preferably wacom) and digital pens. There are some lenovo ones that are supposed to be nice.
Computer modeling for biotech drug manufacturing is HARD!
I was told this when I started at university but it took me until my final year to truly grok it.
Each one hour lecture should take 3 hours of your time. One hour in the lecture itself, one hour within the next day or two (at most, ideally same day so things are fresher in your mind) when you annotate the notes you had taken, redraw bad diagrams, look stuff up etc. Don't hope or expect to get 'perfect' notes from the lecture itself. Then finally one hour before the exam to go over that hour of lecture time.
As others have said, pen and paper is king for that first hour in the lecture itself. Anything you try to do with technology should concentrate on the second hour.
A smart-pen along with ever-note have been great for law school. It digitizes your paper notes and allows you click a section of notes to go directly to that part of the lecture.
Seems to have been my actual rule :-)
For capturing the information during class, go with a fountain pen and paper. Particularly for multi-hour classes, a good fountain pen (~$30) can ease hand strain and fatigue. Focus on concise notes and diagrams that summarize the information. Often hand-outs will contain the information you need to memorize. Then, get a good scanner and document management platform. I used Devon Think (http://www.devontechnologies.com/products/devonthink/devonthink-pro-office.html) for organization of case files in law school. After scanning and OCR conversion, I let it create logical links between files. In this way, I did not have to worry about creating meta-tags or manual linking. Yes, I did go back in and create links later, but most of the time the automated routines worked. Yes, it will take time to learn in the beginning. Budget about eight hours to start over the course of a few days. The rewards are there if you are willing to invest in the program.
Most graphs formulas and daigrams are in the book or available online. I take notes with emacs and search with grep.
I've thought about using a corporate wiki like confluence to take school notes, but didn't want to shell out $10 a month.
Or a camera, or better yet, that your class have a camera that takes everything and publish it later in youtube or a students portal for everyone there. You can take the notes later, don't mess your attention fiddling with a touchscreen keyboard, a bulky notebook or switching apps.
Also, getting an antivirus warning in a medical class will be pretty embarrasing.
I would add: Get a decent (~$100-200) fountain pen, good quality notebooks, and quality ink.
Waterman makes the Expert 2 and is a pretty safe recommendation, but there are a bunch of others out there to try. Note that fountain pens should be held extremely lightly against the writing surface, and are not really ideal for occasional use if you live in a dry climate. For daily or bi-daily use, they'll be fine.
Clairefontaine sells notebooks with superb paper that is very smooth, strong, and thick enough to not bleed through to the other size...and sells proper cloth-covered, stitched-binding notebooks.
Noodler's Ink has "bulletproof" varieties which will not run or bleed from almost any common solvent or bleaching agent, making them quite ideal for labs and such (or if you simply drop your notebook in a puddle.) Doubles as a very good ink for signing important documents.
Please help metamoderate.
Answer: OneNote is the ultimate note taking app and I find its layout to be far more my liking than Evernote. Evernote actually repulses me graphically. It is actually the main app preventing me from moving over to Linux Mint. Libre Office suffices in place of Word and Excel, but nothing out there comes close to the power of OneNote. Listen, extremists, I'm sorry I am endorsing a Microsoft product! OneNote 2003 can run under WINE except for a few things that are trivial to me (search up the WINE compatibility database -- very useful). OneNote 2013 will not run under WINE for a *long* time, I'm sure. Only Windows flavors of OneNote are worthy of the name -- the iOS & Android varients are not good. Try to keep all comments relative to note taking software, so this fellow gets his problem solved.
>> I'm just starting year two of medical school, and I've been rethinking the way I make and create notes/study guides
As a former medical student (and now practicing physician), I'm amazed you're going to class in the second year. It may sound like a joke, but at my medical school, the entire second year class could not fit into the auditorium at the same time....people just stopped going, and relied on the note taking service and read their books or the syllabus provided for the class. I guess if you're in a PBL program it may be different....but then your material is already organized that way (see below for PBL)
You're scaring me dude. The doctors that I've known have been able to cram away a lot of information in their heads, and note-taking wasn't one of their problems in year two of med school. As a potential patient, you have me worried already...
Meh....you learn a lot of junk in the first two years of school. Its like learning to rivet and weld so that you can fly a plane....yeah, it's nice to know, but most pilots don't need to know it. The problem is, to be a good doctor you need to know a lot of specialized information, that requires understanding of basic material. Since you don't (can't) know what you're going to specialize in in the future, they fill your head with what we think a doctor should know. As time and training go on, you forget a lot of the information that you don't use (and don't need to know). But a lot of it is still there....I amaze my residents by recalling tidbits I learned 10 years ago and never saw or used since...that's what makes a good physician a great one.
And as far as sitting in class and memorizing it....I will just tell you that you have no idea of the volume of material that is poured into medical students. Which in and of itself is a problem, but you also (as mentioned) need to mentally cross-reference the material to other lectures over several years. Part of this is why they have been doing problem based learning....instead of teaching anatomy, physiology, microbiology, genetics, pharmacology, pathology, neuroscience, and clinical medicine as separate classes, they now teach a cardiology core where you learn heart anatomy, heart physiology, heart microbiology, heart genetics, heart pharmacology, heart pathology, heart neuroscience(lol), and clinical heart medicine, followed by the pulmonary core....etc
The best doctors are the ones who are experts at looking things up. The ones that think they already know everything because they went to med school are the ones to be worried about.
"The Brain" software is a pretty interesting 3-D mind mapping software and supports tagging and linking. The have a free single user version - http://www.thebrain.com/
"I say we take off, nuke the site from orbit. It's the only way to be sure."
Check out "Notebook" from Circus Ponies. Available for Mac and iOS.
-jcr
The only title of honor that a tyrant can grant is "Enemy of the State."
This sounds like a natural fit for mind mapping software. While normally touted for brainstorming activities or connecting free form thought. It can be used to associate the related but varied sources of information the questioner is asking about. And there are various offerings available on Windows, Mac and Linux.
Is this what you are talking about?
http://www.radiologydaily.com/daily/neuroradiology/iowa-court-clears-radiologist-in-alcohol-case/
I also prefer to use a fountain pen, but here in Britain they're not sold only as expensive fashion accessories (though there's certainly a market for that).
So, save $80-$180, and buy a good quality fountain pen from eBay.co.uk or eBay.de. I have a couple of "Online" ones, and they're fine -- one was £3 (probably because it's an ugly yellow colour) and the other about £10.
(I still have the one my mum bought me when I started secondary school. Still works fine! I use it at work. It was "Made in West Germany" and everything...)
N-dimensional x-referencing will mess up your head, don't do it and don't try to do it, no matter what hightech gadgets you have access to.
To be honest, for this problem - especially because it's so n-dimensional - I'd deliberately choose *not* to use hightech but to stick with quality notebooks (Leuchtturm are my favourite) and a good pen/fountain pen (Lamy is my favorite) and rely on spacial memory ("Roughly where in notebook was I when we had that lecture?") which relates 1 to 1 to the sequence of your curriculum. You can use colored markers and sticky-tabs to sort things out when rehearsing/prepping. Once a notebook is full you even can get cute and write the contents table (Leuchtturms all have one + numbered pages).
This may seem low-tech, but nothing bets that when you have to memorize your stuff by heart and have to be able to recall it in an exam. You'll find stuff much faster than by using some computer UI. ... Let it be 10-30 notebooks when you're finally a medical doctor. So what? You can still photograph each page and digitally store it and metatag those images later on if you want to through them away someday. Or you can pay someone to do that. And do use top quality notebooks and pens. They are fun to use and take the boredom out of taking notes!
My 2 cents.
We suffer more in our imagination than in reality. - Seneca
A wonderfully creative way to post a slashvertisement for Microsoft OneNote. Well done.
calling the parent post a slashvertisement is a pretty clever way of getting around the problem that OneNote is very good at what it does.
well done.
Note taking (and dealing the the cram fest that was medical school class instruction) WAS (and I am sure, still is) a big problem for medical students. Too much information, too little time. The whole point of the first two years of med school is to cram the basics of anatomy and physiology down people's throats. It's pretty much out and out memorization.
What most schools don't teach instructors is how to teach a detail oriented, time limited subject in a coherent fashion. Most med school lecturers aren't really happy they are there and aren't terribly well plugged into the bigger picture. Lectures tend to be disjointed and incomplete. There are a few gems, but most of the lecture content is pretty meh. You still have to memorize it. And sort of understand it. And regurgitate it. And relearn when it turns out to be hopelessly wrong.
Med schools is rather different from the actual practice of medicine, people who did well in school don't necessarily make the best clinicians and vice versa. No profound answers, but I understand where the OP is coming from.
Faster! Faster! Faster would be better!
Actually, we UptoDate, but we don't rely on our increasingly fallible memories except for stuff we use all of the time.
Faster! Faster! Faster would be better!
Sorry to break your bubble, but those 'libraries' are pretty much for show. These days, one's library is hidden in the smart phone.
Faster! Faster! Faster would be better!
I'm building a web based notebook system called netelligence which works well for my students. It's still in beta, has been for a year, but allows you to create and share notebooks and add in hand drawn images, photos, written notes, tables etc, even contacts, dates, appointments, youtube videos, etc! It also has a bookmarklet to allow you to grab web links and store them on your pages. If anyone wants to try it out it is at http://www.netelligence.co.uk/Netelligence2013/ and is free.
I've found Scrivener to be invaluable in my law practice. See http://www.literatureandlatte.com/scrivener.php.
It's available for Mac, Windows, and Linux (currently in beta). You can take the notes in whatever format or program you like, bring in PDFs, images, media files (such as dictation or lecture recordings), etc., and organize them as part of a Scrivener project.
Scrivener is extremely robust and offers multiple ways to view and organize your notes (such as in an outline or as notecards on a corkboard). You can choose what information gets compiled into a document for printing (such as an outline of a particular topic) and apply different formatting without having to change the source formatting. It's also great for handling endnotes and footnotes.
Agreed. I have a $5 Chinese-brand fountain pen and a $45 Lamy-brand fountain pen. It depends on the paper type, but on most paper I actually prefer the Chinese one.
for i in `facebook friends "=bday" 2>/dev/null | cut -d " " -f 3-`; do facebook wallpost $i "Happy birthday!"; done
I took most of my degree notes with a battered Sheaffer Imperial Flighter which is about as old as me but still writes beautifully. Today I'm never without my Pilot Capless.
I am not a medical student. However, keeping records of multiple projects, on a wide variety of subjects is a challenge I face. As others have indicated, paper and pen is hard to beat. But digital searching/tagging of my notes is a really useful feature. I have a Livescribe Echo, I am able to take notes, and record meetings. My laptop automatically synchronises with Google Docs, and I have a tablet PC with a stylus. It means that whatever option I use.... tablet or paper.... it all ends up in the same repository. I am thinking about using Evernote instead, it seems to have a great deal of features that Google Docs/Drive does not have.
You will retain much much more information if you take handwritten notes in class and then re-write them a number of times into various formats such as outlines and notecards. It's a time-proven method. It beats all techno-gadgetry hands-down.
Get yourself an Apple MessagePad!
I've been using Evernote and it is pretty rich for setting a base hierarchy. Then, you can set all manner of tags and search on them. But, you have to be diligent to make the system really work for you.
You also have to learn not to be over-diligent. As a recent MD graduate and now third-year resident, I've found that it's all too easy to fall into the trap of thinking, "I'm going to build a database that contains ALL MEDICAL KNOWLEDGE." That database already exists: it is called PubMed, it's huge and unwieldy, and your Evernote will be too if you try to include everything in it. Worst of all, in a few short years, it'll be out of date. Blast.
The nice thing about M1/M2 year of medical school is that the knowledge base you are expected to acquire is (or should be) fairly well-defined. So Evernote (or any of the other database approaches discussed here) will probably work fine for that purpose. But as you move forward into your clinical training, you may want to clean out your Evernote and start over again, being rather more selective about how you curate it.
Nowadays, my personal rule is never to put anything clinical into my Evernote unless I've had to look it up 3-4 times. By that point, I know it's useful enough to have around (in a more easily accessible fashion than, say, UpToDate), but not so useful that I've already memorized it out of necessity.
I found that doing the pre-reading gives a rudimentary understanding of the topic so you know what to research. A summary explaining each point goes into your Study Notes with a longer explanation of points you didn't understand.
Your question related to Class Notes that are best notes on parts of topics you missed and a list of required research.
The type of information rich, linked document you want to create is more appropriate if you were lecturing on the subject matter.
Study Notes: The summary you review at the end of the year/term/semester
Class Notes: Explanation of parts of topics you don't understand and points to research on your own time.
At worst, always do the pre-reading so if you need to ask a question you can demonstrate *some* understanding of the underlying issues and briefly state either (1) the parts you *do* understand or (2) the leads you've researched that failed to resolve the question.
Regards Sinesurfer A Nerd is someone who lives for technology, A Geek is someone who lives for technology and loves it
The first question is whether your notes are nearly all pure text or whether your notes include mathematical symbols, diagrams or pictures of some sort. If it's the latter, then your fastest, easiest, most flexible, lowest overhead input method is still pen and paper. If you go this route, get a good fountain pen and good quality paper. A fountain pen, unlike a ballpoint, can write with near-zero pressure, which means you can you can write for much longer before your hand starts to cramp up. That's a major advantage if you're sitting in classes taking notes for hours at a time. Good quality, inexpensive fountain pens include things like the Lamy Safari, Faber Castell Basic or Pilot Metropolitan. If you want to go up market a bit from there, I'd suggest having a look at the super-cool looking Namiki Falcon. Top quality paper means Clairefontaine or Rhodia (which are both owned by the same company). Leuchtturm is not quite as good, but still quite good and less expensive. The downside to pen and paper comes at the back end, in that you can't sort, search, copy and paste etc.
If you'd rather take notes on a laptop, then, like other commenters, I'd suggest Emacs Org Mode. Despite its intimidating reputation, learning the basics of Emacs is actually pretty easy and you need to know only a tiny percentage of the capabilities of Emacs in order to use Org mode. You can pick up those basics in 30 minutes and lots of people do useful work with Emacs without ever learning more than that. The upside is that Org Mode can do everything you describe, it's as customizable as any software you'll ever encounter and it stores everything in plain text mode that will always be accessible, not some proprietary binary format that will be unreadable if the software vendor ever goes out of business. Besides the initial learning curve, Org Mode (like any software) requires a bit more overhead effort on the front end compared to pen and paper, but you get your reward at the back end because you'll be able to search, sort, copy, paste, and slice and dice your notes however you like.
Personally, I'd go with Org Mode unless the nature of your notes (e.g. lots of pictures, flow charts etc.) makes keyboard input impractical. Even then you could consider Org Mode for the text plus pen and paper for the occasional picture/diagram, then scan the picture/diagram to pdf to include with your Org Mode notes later.
If you're interested in Emacs / Org Mode, then "Learning GNU Emacs" (3rd ed) is a bit old but still the best book out there on Emacs. Get that book plus download the Org Mode manual and maybe the latest Emacs manual from the FSF and that's all you'll need.
Getting through med school will require you memorise a lot of stuff. You need a system of note taking that promotes that. I didn't go to med school, but I did do a related degree. We did a lot of anatomy, physiology, biochemistry, etc. What worked for me was to write notes during the lecture with pen and paper. This is way more flexible and faster than messing around with tablet or laptop. Then, after the lecture, transcribe and make the notes neater and put into a binder for storage. Cross-reference with a textbook when producing the final copy of your notes to fill them out. This process cements the knowledge in your head because you *think* about what you learned. It really helps to make it stick. I found memorising my own notes was easier than memorising a text book.
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Pen and paper is just not searchable enough. Use laptop and and a text editor, so you can search the text. I keep an online lab notebook, chock-full of how-tos, references, and other things I would otherwise have forgotten long ago. Going on 14 years now, it has been a lifesaver many times over. Would never give it up.
Besides, about half of what you learn in your M1 year is obsolete by the time you graduate. Take notes with pen and paper, cram for the cram-and-dump trivia regurgitation test (which is what all med school tests are) and then throw away the notes after the test as they are useless and worthless. Anything that you really want to remember later can be found easily on UpToDate or a similar site and will be up to date instead of likely outdated.
Just "gittin-r-done," day after day.
The point of the first two years of med school are to prepare you take Step 1 and to provide a reason for employment for some pretty useless PhDs. Let's not kid ourselves here.
Just "gittin-r-done," day after day.
When I was in Medical school back in the early 80's we had a 2 lecture services that printed out the days lectures verbatim for every course. Also, an audio tape was available from the library. But the real answer to your question is how do you learn best, in detail. If you are still struggling with that this is going to be a rough year. Personally, and I'll admit I was considered odd for this, I never went to class. It just drained me because of all the distractions and the energy it took to take notes and listen at the same time. Also, almost ever professor misspoke about some fact in every lecture, and contrary to what one responder said about the value of the lectures, the tests were based on the facts in the textbooks. So what I did was to read the lectures to just see what was emphasized, then read the text book 2-3 times depending on what grade I was aiming for. In the first read of the lecture notes and textbook chapter I would stop on any concept or function I didn't really understand and access other resources if I need to, usually that was another classmate. I am a visual learner so my notes were marked up in 3 different colors with boxes, underlining, highlighting etc. That was the way I pared the massive amount of information down to the essential facts that had to be memorized. As I used to say to my classmates who asked how I could possibly pass without going to class "There is no shortage of data, only time to digest it". p.s. getting the old tests is a huge help. Best of luck.
The professor should organize the class so that most of what you might write down is already available online (or in handouts). Then you can take short notes on paper that help you organize and remember what you're learning.