doc w/ Pen

journalist + medical student + artist

Tag: textbooks

This Book’s a Keeper

Reading immunology on the front porch on a beautiful day is rather pleasant.

A few days ago, I wrote about some books I *might* be using during my first year in medical school. I already know this one is a keeper: How the Immune System Works, by Lauren Sompayrac (Wiley-Blackwell).

Before I talk about this book, let me take a step back. It’s said (by people more knowledgeable than I am) that in addition to the required basic science classes in college, there are three upper-division courses that may help you in medical school: genetics, biochemistry, and immunology. I’ve taken genetics and biochemistry, and done well in both. But immunology is a world I know nothing about. To put it bluntly: I didn’t know my neutrophils from my natural killer cells (which is embarrassing, if you know anything about the subject).

Enter Lauren Sompayrac’s book, which is a “big picture” view of immuno designed to prepare you for more a complex course by showing how parts of the immune system act and interact at a very basic level. At only 132 pages of actual chapter material, it’s a short read. The writing is entertaining, with plenty of analogies and quips thrown in. From now on, when I think of the major histocompatibility complex (MHC) – a molecule that essentially serves as a billboard to tell what’s going on either inside or outside the cell it’s attached to – I will think of a hot dog bun. (Yes, there is a photo of a hot dog bun in the book. It works.) There are also plenty of astounding facts too which keep me engaged with the general topic. (Did you know that the area covered by the mucous membranes lining our digestive, respiratory, and reporductive tracts – part of our body’s perimeter that needs defended – measures about 400 square meters? That’s two tennis courts! Immune cells have to patrol all that!)

My goal isn’t to master the immune system before medical school. That’s what medical school is for. But since I have exactly zero background in this, I want to develop a basic understanding of the players before I’m expected to know the whole playbook.

Read All About It: Basic Science Books for Medical School

Note: This post is at the request of one of my readers, who asked me to share what books I plan to use in my first year of medical school. I will update as the year goes by to talk about what I actually used. But here’s the plan …

textbook stackDuring undergrad, each new semester meant heading to the school bookstore, dropping a few hundred dollars, and lugging a giant stack of heavy textbooks back to my dorm or apartment.

Things have changed. First, I’m in medical school now, not undergrad. In medical school, the prevailing wisdom is that you wait for your second year classmates to tell you what you really need before buying any books. Second, the trend across the publishing world is to use eBooks on your laptop or iPad rather than giant hardback tomes. And many medical schools – Cornell included – offer access to a selection of these eBooks through the school’s library. Cornell’s top-of-the-line resources mean that I have access to a LOT of eBooks this way, so I anticipate not having to buy many titles at all. Another bonus of these eBook offerings, which are usually accessed through an institutional subscription to part of a publisher’s catalog, is that in addition to the books there are related videos and self-assessments.

I do have a list of books I plan to use as necessary, most of which I can access as eBooks. This list was developed with the help of a dear friend, Dr. Hoffheimer, who is now a third year internal medicine resident in the Detroit area. I thumbed through the books she had used, and selected those that seemed to best fit my learning style. Most of these are not traditional textbooks, but review-style books, offering a bigger picture of the concepts rather than excessive minutiae. I have these bookmarked in my web browser, ready to go.


LIR biochemIn terms of the basic sciences, I found I preferred the Lippincott Williams & Wilkins series Lippincott’s Illustrated Reviews. From what I’ve seen so far (I’ve spent some time with the biochemistry title), the LIR series does a good job of giving you an overview, while also providing enough detail – but not so much that it’s overwhelming. These eBooks also offer online self-assessment, video/audio components, and a print feature (great for reading offline, if you print to PDF and throw it on the iPad). I have bookmarked the following through the LWW Health Library website. I’ve linked the titles to their pages if you’d like to read more about them or see customer reviews.

netter's atlasFrom Elsevier, I bookmarked:

From McGraw-Hill, I bookmarked three titles that I haven’t ever flipped through, but looked promising. What I like about these is that there are interactive self-assessments for each, with USMLE-style questions. So even if I don’t use the books, I’ll likely use the test prep component.

metabolism at a glanceI did buy four books in advance, titles I felt confident I’d need, were worth the price, and I wanted as tangible objects instead of eBooks.

  • First Aid for the USMLE Step 1: Highly recommended by people I trust. And I know I’ll need to start doing USMLE-style questions pretty much right off the bat.
  • Neuroanatomy in Clinical Context: An Atlas of Structures, Sections, Systems, and Syndromes: Neuroanatomy has a reputation for being a tough block, and this book looks amazing. I do have access to this as an eBook, but there are some writing components that made me want to buy it in print.
  • Metabolism at a Glance: This large-format book puts all the pieces of metabolism (Krebs cycle etc.) together in an integrated way, rather than looking at them separately.
  • How the Immune System Works: This title presents a high-level view of the immune system, which should be great to have before I dive into my medical school block. I felt I needed this background since I’ve never taken an immunology course.

How many of these titles I use remains to be seen. But I felt it was important to have them bookmarked ahead of time so that if I get to a topic where I need more information, I have a trustworthy source to go to – and by “trustworthy” I don’t mean Wikipedia.

Thanks to Dr. Hoffheimer for her help in developing this list. And thanks to Varia for prompting the post.