Friday, 28 March 2025

The Memory Curve That Changed My Life

                            The Memory Curve That Changed My Life



There are moments that change everything — not with noise, but with quiet realization.
For me, that shift didn’t come during my MBBS at KEM or my PG at BJ Medical College.
It came at age 30, already years into my medical career… when I finally understood why I kept forgetting what I studied.

That’s when I discovered the Ebbinghaus Forgetting Curve — a simple graph that exposed a truth I had been missing for years:
We don’t forget because we’re not intelligent.
We forget because we don’t revise at the right time.


From Top Ranks to Self-Doubt

I had always been an intelligent student.
🎯 AIR 98 in PMT as a fresher
πŸ₯ Secured admission at KEM Hospital, Mumbai — one of India’s finest
πŸŽ“ Cleared PG in first attempt at BJ Medical College, Ahmedabad

Life was on track.

Then came marriage in 2010.
Then pregnancy in 2014.
And then — in 2015, my world changed forever with the birth of my son, Aarjav.

Motherhood was beautiful — but it also shook the rhythm I once had.
Suddenly, it wasn’t just about my books.
It was diapers, feeding schedules, a home, a joint family, hospital duties, and a new life that depended entirely on me.


The Struggle Was Real

Studying again — under these conditions — wasn’t just difficult.
It felt impossible.

🩺 I was managing a full-time job,
πŸ‘©‍⚕️ Running an evening clinic,
πŸ‘Ά Caring for a newborn,
πŸ’ Fulfilling roles as a wife, daughter-in-law, and mother,
…all within the emotional labyrinth of adult life.

This wasn’t just about exams.
It was about reclaiming my identity.


Failure… Before the Rise

In 2014, before pregnancy, I had attempted EDIC Part 1 twice.
And I failed — both times.

The heartbreak wasn’t just academic.
It was emotional.
I started questioning whether I still had it in me.

But in the back of my mind… something still whispered,
“Try one more time.”


                                2017: The Year That Opened My Eyes

Until 2017, I had been studying the same way I always had — reading, underlining, highlighting, hoping things would stay in my head.

But after two painful EDIC failures in 2014, I had started to believe maybe I couldn’t retain anymore. Maybe my brain had slowed down. Maybe motherhood, work stress, or age had changed me.

But in 2017, something changed. I came across a simple but revolutionary concept — the Ebbinghaus Forgetting Curve. It felt like someone finally handed me the user manual to my brain.

What I learned stunned me:
🧠 Within 1 hour, we forget up to 50% of what we’ve read.
🧠 Within 24 hours, 70% is gone.
🧠 By 1 week, we remember less than 10% — unless we revise.

It was a profound moment. I realized I had been blaming my brain… when the real issue was my method.


I Didn’t Need a Better Brain — I Needed a Better System

So, I changed everything.

I stopped chasing volume.
I started chasing retention.

Here’s how I transformed my study method:

✅ I planned revision cycles:

  • First review within 24 hours

  • Second on Day 3

  • Third on Day 7

  • Then Day 15, and monthly follow-ups

✅ I broke big chapters into small “memory bites”
✅ I used active recall instead of passive re-reading
✅ I started keeping a revision tracker — not just what I read, but when I reviewed
✅ I made use of Pomodoro sessions — 25–30 minutes of deep focus, followed by short breaks
✅ I used early mornings (thanks to The 5 AM Club and SAVERS) as my sacred time — the mind was fresh, the house quiet, and my power hour came alive


What I Learned About My Brain

For the first time, I stopped treating my brain like a hard drive that should just “store” everything.
I began treating it like a living garden — it needed water, light, repetition, and space to grow.

🧠 I learned that forgetting is natural, not a flaw
🧠 I realized the brain loves patterns, emotion, and simplicity
🧠 I understood that spaced repetition turns short-term memory into long-term mastery
🧠 I saw how stress and multitasking weaken learning, while calm, focused study amplifies it

And most importantly, I learned this:

“It’s not about how much time you study — it’s about how intentionally you use it.”


That year, with a two-year-old at home, a full-time job, and no fancy hours to spare —
I studied smarter, not longer.
And that made all the difference.


The Books That Rewired Me

πŸ“˜ How to Memorize AnythingAditi Singhal
πŸ“• The 5 AM ClubRobin Sharma
πŸ“— SAVERS RoutineHal Elrod
πŸ“™ Emotional IntelligenceDaniel Goleman
🧠 Ebbinghaus Forgetting Curve – Helped me master retention
Pomodoro Technique – Just 1 hour/day, but deep focus
πŸ’¬ Landmark Forum – Helped me believe again and communicate fully with myself

I began using revision cycles (Day 1, 3, 7, 15), journaling my learnings, and practicing stillness.
With just one sacred hour every morning, I began rebuilding my brain, my belief, and my identity.









The Comeback That Still Gives Me Chills

In 2017, I attempted EDIC Part 1 again —
Cleared it.

Six months later, I cleared Part 2.
Not just cleared — owned it.

In 2019, I moved to the UK and attempted FFICM
considered one of the toughest intensive care exams.
Part 1: Cleared in first attempt
Final: Cleared in first attempt

But the biggest win?
I was no longer just passing exams.
I had become a focused, emotionally intelligent, and internally anchored woman.


More Than a Doctor — A Lifelong Learner

After FFICM, I didn’t stop.
I now read at least one book every month, and my personal library is my favorite place in the world.

Topics I read?

πŸ“š Economics
πŸ“š Medicine
πŸ“š Psychology
πŸ“š Artificial Intelligence
πŸ“š Stock Markets
πŸ“š History, Revolutions, Philosophy… and what not

Reading keeps me grounded, awake, and expanding.
It keeps my brain alive. My heart calm. My spirit young.


What I Know Now — Deeply, Fully, Unshakably

I can clear any exam, in any field, at any age — if I choose to.
I don’t need perfect conditions. I need a powerful WHY and a clear plan.
I am not my failures. I am my comebacks.
I am not just a doctor or mother — I am Srishti. Whole. Growing. Glowing.


To Anyone Reading This

If you're a parent…
If you're working full-time…
If you're married, managing a home, running on empty…
And yet still dreaming of more

Please don’t give up.

You’re not behind.
You’re just buried under roles.
But your essence is still intact — waiting to rise again.

All you need is:
πŸ“… 1 hour/day
πŸ“˜ The right guidance
🧠 A little memory science
πŸ’— A whole lot of self-belief


My Life-Changing Toolkit (That You Can Use Too)

How to Memorize Anything – Aditi Singhal
The 5 AM Club – Robin Sharma
SAVERS Routine – Hal Elrod
Emotional Intelligence – Daniel Goleman
Landmark Forum – For inner breakthroughs
Pomodoro Technique – 1 focused hour/day
Ebbinghaus Forgetting Curve – Your revision blueprint


Today… I Am

πŸ‘©‍⚕️ A Critical Care & Chest Physician
πŸ“š A Lifelong Learner
πŸŒ… A Morning Warrior
πŸ‘©‍πŸ‘¦‍πŸ‘¦ A Proud Mother
🧠 A Resilient, Evolving, 41-year-old woman — just getting started.

And I’m here to remind you —
You don’t need to be perfect. You just need to begin again.

With fierce love,
Dr. Prof. Srishti Jain

FFICM UK 
F.N.B Critical Care
European Diploma Intensive Care
European Diploma Respiratory Medicine
M.D Pulmonary Medicine 
D.N.B Respiratory Diseases  
Additional Director & Professor
Department of Critical Care
Director ECMO Services
Mahatma Gandhi Medical College & Hospital 
Jaipur(Rajasthan, India)

Morning Warrior | Proud Mother | Lifelong Learner


Wednesday, 26 March 2025

Be ICU-Ready: Books, Tools & Wisdom to Master Critical Care Medicine

1. Must-Read Core Books πŸ“š✨

Your non-negotiables — master these and you're ICU-ready:

  • The Washington Manual of Critical Care

  • Irwin & Rippe’s Textbook of Intensive Care Medicine

  • ICU Protocol Book – ISCCM (Indian ICU’s standard playbook)

  • Bickerstaff’s Neurological Examination in Clinical Practice

  • P. J. Mehta’s Practical Medicine (Clinical Examination)

  • The ECG Made Easy – John Hampton

  • 100 ECGs to Interpret – John Hampton

  • Chest X RAY Made Easy 











2. Ventilator Must-Haves 🫁

Understand mechanics, modes & mindsets:

  • Clinical Application of Mechanical Ventilation – David W. Chang


  • Mechanical Ventilation: Clinical Application – Dr. Vijay Deshpande





3. FFICM Exam Prep – All Four Books πŸ“˜✍️

Perfect for both UK FFICM and Indian OSCE/Viva formats:

  1. The Final FFICM Structured Oral Examination Study GuideEryl Davies

  2. OSCEs for the Final FFICMRaj Nichani

  3. Viva and Structured Oral Examinations in Intensive Care MedicineCarole Foot, Liz Steel, Kim Vidhani, Jeremy Cohen

  4. Single Best Answer Questions for the Final FFICMThomas Maguire, M. Moghal, A. Kovatsis










4. ISCCM MCQ - Exam-Specific Additions 

  • MCQs in Critical Care MedicineGunjan Chanchalani & Sandeep Aggarwal

  • Steve Bennington’s Textbook of Intensive CarePart 1 & Part 2 (Old & New Editions – both are gold)


5. Websites & Online Learning Tools 🌐

Your virtual ICU companions:


6. Core Clinical Themes to Master 🧠

These topics define you as a safe, ethical intensivist:

  • Ethics & End-of-Life Care – DNR, communication, dignity in death

  • Quality & Safety – Root cause analysis, critical incident reporting, system redesign

  • Scoring Systems – SOFA, APACHE II, SAPS II, GCS, qSOFA

  • Research & Critical AppraisalMust-read: How to Read a Paper – Trisha Greenhalgh

        https://www.bmj.com/about-bmj/resources-readers/publications/how-read-paper
  • Bedside Clinical Examination – Master all systems: neuro, CVS, RS, abdomen

  • Communication Skills – Breaking bad news, family meetings, counseling skills


7. Journals & Guidelines – Stay Updated πŸ—ž️

  • IJCCM – Indian Journal of Critical Care Medicine (ISCCM)

  • NEJM – New England Journal of Medicine

  • JAMA – Journal of the American Medical Association

  • SCCM – Society of Critical Care Medicine

  • ESICM – European Society of Intensive Care Medicine


8. The Edge: Memory, Logic, Philosophy & Performance ⚡️

For sharpening the inner game of medicine:

  • How to Memorize Anything & Everything – Aditi Singhal

  • 13 Steps to Bloody Good Marks 

  • The Checklist Manifesto – Dr. Atul Gawande (How systems save lives)

  • The Pomodoro Technique (Boost focus & reduce burnout)

  • The 80/20 Principle: The Secret to Achieving More with Less  by Richard Koch 

  • Body Language – Allan & Barbara Pease (Master non-verbal communication)

  • Emotional Intelligence – Daniel Goleman (Optional but life-changing)

  • Deep Work – Cal Newport (Optional but powerful focus training)








Monday, 24 March 2025

🌟 DM CRITICAL CARE EXAM ROADMAP 🌟

🌟 DM CRITICAL CARE EXAM ROADMAP 🌟

Your guide to exam structure, how to study, what to study — and how to grow into the ICU consultant you are becoming.


🧾 1. Exam Pattern Overview

πŸ”Ή Day 1:

  • One Long Case

  • Three Short Cases
    All are bedside examinations — so your communication, hygiene, and patient respect matter just as much as your knowledge.

πŸ”Ή Day 2:

  • Four Viva Tables
    • Ventilator + ABG + OSCE
    • Drugs, Instruments, ECG & Radiology
    • Hemodynamics (CVP, PA catheter, graphs)
    • Communication Skills

πŸ”Ή Grand Viva:

  • Critical appraisal of a research article

  • Thesis presentation and discussion

  • Logbook review

  • ICU quality, safety, and leadership questions


πŸ“˜ 2. Core Syllabus Topics to Master

✅ Bedside exams — neuro, respiratory, cardiovascular
✅ Ventilation modes, waveforms, and troubleshooting
✅ ABG interpretation & acid-base disorders
✅ Hemodynamic monitoring — art lines, CVP, PA catheter
✅ Common ICU instruments and procedures
✅ Communication skills and family counseling
✅ Research methodology, biostatistics, and biases
✅ ICU quality: infection control, RCA, CAPA, incident reporting


πŸ“š 3. Recommended Study Material (keep all as PDFs)

πŸ“Œ FFICM Books (Part 1 & 2 — all 4 volumes)
πŸ“Œ Bickerstaff’s Neurological Examination
πŸ“Œ FFICM Book by Eryl Davies
πŸ“Œ ICU Protocol Book (institutional + standard)
πŸ“Œ OHS Manual of Critical Care
πŸ“Œ Washington Manual of Critical Care


🧠 4. How to Study Smart

🎯 Study consistently, not just during study leave
🎯 Learn from real cases — your ICU is your best classroom
🎯 Join or form a study group
🎯 Practice presenting cases aloud
🎯 Use graphs, flowcharts, tables to revise faster
🎯 Focus on understanding, not just memory


πŸ’¬ 5. Final Words from Your Teachers

This exam is more than a test.
It’s a turning point — a leap from student to consultant.

So show up every day.
Lead with empathy.
Learn from everything.

You are becoming the intensivist your patients will trust with their lives.

πŸ“ With pride and belief in your journey,
Dr. Srishti Jain
Professor, Critical Care Medicine



From Day One to Exam Day: Your Ultimate Guide to Studying for IDCCM

 

πŸ“˜From Day One to Exam Day: Your Ultimate Guide to Studying for IDCCM

(Compiled by Dr. Prof. Srishti Jain – For internal circulation)

This guide contains everything you need to prepare, complete, and excel in your IDCCM exit examination.


πŸ“Œ 1. What You Must Complete Before the Exam

πŸ”’ Mandatory Requirements (Must be done before submitting exam form):

  • Training Completion Certificate (from your center) after 1 year.

  • Online 4C Course Certificate
    (Only the online version is accepted; must be completed within 2 years before exam form submission)

  • ACLS Certificate
    (Recognized by AHA or IRCF – valid up to 2 years before the exam)

  • Airway Workshop Certificate
    (Mandatory unless you hold a diploma/MD in Anaesthesia)

  • Minimum 60% attendance in STEP Program
    (Compulsory as of Dec 2020)

πŸ“ Submit all above certificates along with your exam form.


πŸ“š 2. Core Academic Expectations During Training

πŸ“– In-Training Academic Progress

  • Maintain a logbook documenting:

    • ICU cases

    • Procedures performed

    • Journal clubs

    • Seminars

    • Emergency calls

  • Update LOG book under guide supervision.

  • Participate in academic discussions, rounds, CMEs, and conferences.


πŸ” 3. Exam Format & Preparation

✍️ Written Exam

  • Conducted twice a year (March & August)

  • Format: Multiple Choice Questions (MCQs)


🩺 Practical Exam (2 Heads – Must Pass Both)

🧠 Head 1: Clinical Case Scenarios – 80 Marks

  • Two typical ICU cases (40 marks each)

  • Be ready for:

    • Case analysis

    • Clinical reasoning

    • Diagnosis & treatment plans

    • Communication with relatives

Minimum Passing: 40/80


πŸ”§ Head 2: Six Workstations – 120 Marks

Station Skills Assessed
ACLS Resuscitation algorithms, megacode handling
Airway Management Intubation, ambu-bag, supraglottic airway, tracheostomy
ECG & Imaging Interpretation of ECGs, CXR, CT scan, labs
Mechanical Ventilation Setup, alarms, weaning strategies
Hemodynamic Monitoring Central lines, arterial lines, cardiac output monitoring
Drug Table ICU pharmacology – antibiotics, sedation, vasopressors

⚠️ Note:

  • You MUST pass ACLS and Airway stations individually.

  • Even if your total marks are ≥60%, failing in either ACLS or Airway = FAIL in the entire practical exam.

Minimum Passing: 60/120


πŸ“˜ 4. Topics You Must Master

Here’s a breakdown of topics and conditions you must confidently understand and manage:

🫁 Respiratory

  • ARDS, COPD, severe asthma

  • Ventilation modes, settings, alarms

  • Chest trauma, smoke inhalation

❤️ Cardiovascular

  • Shock types & management

  • MI, arrhythmias, post-op cardiac care

🧠 Neurology

  • Coma, CVA, GBS, brain death, head trauma

πŸ§ͺ Renal, Metabolic, Nutrition

  • AKI, electrolyte disorders, RRT

  • Acid-base balance, fluid therapy, TPN

🧫 Infections

  • Sepsis, tropical diseases, HAIs

  • Antibiotic stewardship

🩸 Hematology & GI

  • DIC, transfusions, liver failure, GI bleeds

🍼 Obstetrics & Environment

  • Eclampsia, HELLP, amniotic embolism

  • Burns, poisoning, snake bites


πŸ›  5. Procedures & Interventions to Practice

  • Endotracheal intubation

  • Central & arterial line insertion

  • Percutaneous tracheostomy

  • ICD insertion

  • Mechanical ventilator setup

  • RRT basics

  • ABG analysis

  • Fiberoptic bronchoscopy (if available)

  • Communication: breaking bad news, family counselling


πŸŽ“ 6. Final Tips to Succeed

  • πŸ—‚ Keep your logbook & certificates updated bi weekly.

  • 🎀 Practice case presentations & vivas with peers and faculty.

  • 🎯 Revise ACLS protocols & airway techniques thoroughly.

  • πŸ“š Focus on real-world ICU logic, not just theory.

  • 🧘‍♀️ Stay calm, rest well before the exam, and believe in your training.





πŸ“ Groundwork > Grand Theories

(For all Trainees)

Having all the protocols and checklists is only half the work.
What truly counts is your daily discipline and involvement on the floor.


πŸ“Œ Here’s what you must do starting today – every single day:

  1. Study One Concept Daily
    – Just one. But know it well enough to teach it.
    – Start from basics: ABG, shock types, ventilator modes, sedatives.

  2. Do One ICU Procedure or Assist
    – Don't just observe – ask to assist in lines, intubation, codes.
    – If none are happening, discuss the technique with your senior.

  3. Interpret One Chest X-Ray, ECG, ABG
    – Build this into your routine; no exam is cleared without this.

  4. Logbook = Daily Habit
    – Waiting till the end = disaster. Update cases, procedures, learnings every day.

  5. Ask Questions. Always.
    – You’re not expected to know everything.
    – You’re expected to be curious, involved, and proactive.

  6. Speak to One Patient Family (with guidance)
    – Practice communication. It’s a vital skill tested in the exam – and in life.


πŸ“˜ MCQ BOOKS FOR CRITICAL CARE EXAMS (IDCCM, EDIC, FFICM)

1. MCQs in Critical Care Medicine

  • Authors: Dr. Sandeep Aggarwal & Dr. Gunjan Chanchalani

  • Highlight: 1000+ MCQs tailored for Indian critical care exams

  • Link: Amazon




2. 1000 MCQs in Intensive Care

  • Author: Dr. Pradeep Rangappa

  • Highlight: Case-based, image-based, and EDIC-style MCQs

  • Link: KSG Publications




3. Critical Care MCQs: A Companion for Intensive Care Exams

  • Authors: Steven Lobaz et al.

  • Highlight: 450 MCQs with evidence-based explanations

  • Good for: EDIC, MRCP, IDCCM

  • Link: Amazon




4. Critical Care Medicine MCQs: Practice Book

  • Editor: Dr. Kapil Zirpe

  • Highlight: 668 MCQs across 28 chapters, updated with imaging & research

  • Link: Amazon




5. Intensive Care Medicine MCQs: Multiple Choice Questions with Explanatory Answers

  • Authors: Steve Benington, Ruth Herod, et al.

  • Highlight: Divided into 3 mock papers, includes SBAs & true/false

  • Great for: FFICM Part 1, EDIC

  • Link: Amazon




6. Multiple Choice Questions in Intensive Care Medicine

  • Author: Steve Benington

  • Highlight: 300 MCQs with referenced answers

  • Bonus: Mini-reviews alongside each answer

  • Link: Google Books


7. Single Best Answer Questions for the Final FFICM

  • Authors: Keith Davies et al.

  • Highlight: 240 SBAs in 8 mock papers, covers FFICM curriculum

  • Link: Amazon




8. Passing the Final FFICM: High-Yield Facts for the MCQ & OSCE Exams

  • Author: Muzzammil Ali

  • Highlight: Integrated textbook + MCQ prep, covers core exam facts

  • Link: Amazon




✅ Summary Table (Quick View)

S.No Title Author(s) Target Exam
1 MCQs in Critical Care Medicine Aggarwal & Chanchalani IDCCM, IFCCM
2 1000 MCQs in Intensive Care Pradeep Rangappa EDIC, IDCCM
3 Critical Care MCQs Steven Lobaz et al. EDIC, MRCP, IDCCM
4 Critical Care Medicine MCQs: Practice Book Kapil Zirpe IDCCM, FNB
5 Intensive Care Medicine MCQs Steve Benington et al. FFICM, EDIC
6 Multiple Choice Questions in Intensive Care Medicine Steve Benington FFICM, EDIC
7 Single Best Answer Questions for the Final FFICM Keith Davies et al. FFICM Part 1
8 Passing the Final FFICM Muzzammil Ali FFICM Part 1 & 2

Absolutely! Here's a consolidated list of OSCE and Viva preparation books for Critical Care Medicine, complete with direct Amazon India purchase links:


πŸ“˜ OSCE & Viva Preparation Books

  1. OSCE in Critical Care Medicine – I

    • Authors: Atul Prabhakar Kulkarni & Shilpushp Jagannath Bhosale

    • Overview: Covers various systems including respiratory, neurology, nephrology, microbiology, hemodynamics, drugs, biochemistry, and case scenarios with nearly 330 questions and model answers.

    • Purchase Link: Amazon India


  1. Essentials of Critical Care Practical Examinations

    • Authors: Saurabh Kumar Das & Nang Sujali Choupoo

    • Overview: Compiles 112 OSCEs related to data interpretation and diagnosis, tailored for students preparing for exams like IDCCM.

    • Purchase Link: Amazon India   


  2. Case-Based Review in Critical Care Medicine

    • Author: Atul Prabhakar Kulkarni

    • Overview: Presented in a case-based, question-and-answer format, this book covers various disorders and includes numerous OSCE practice questions.

    • Purchase Link: Amazon India

  3. OSCEs for Intensive Care Medicine

    • Authors: Peter Hersey, Laura O'Connor, Thomas E. Sams, Jon Sturman

    • Overview: Features over 100 practice questions organized into eight mock OSCE exams, mapped to both the FFICM and CoBaTrICE curricula.

    • Purchase Link: Amazon India(Amazon India)

  4. Viva and Structured Oral Examinations in Intensive Care Medicine

    • Author: Jeyasankar Jeyanathan

    • Overview: Provides a brief topical overview of critical care in a question-and-answer format, designed to prepare readers for various European certification examinations in critical care medicine.

    • Purchase Link: Amazon India

  5. The Final FFICM Structured Oral Examination Study Guide

    • Author: Eryl Davies

    • Overview: A definitive guide tailored for the Final FFICM Structured Oral Examination, offering broad coverage of the clinical curriculum with sample questions and concise answers.

    • Purchase Link: Amazon India

  6. OSCEs for the Final FFICM

    • Authors: Raj Nichani & Brendan McGrath

    • Overview: Includes in-depth coverage of past FFICM exam material, providing invaluable resources for trainees preparing for the OSCE examination.

    • Purchase Link: Amazon India(Amazon India)

  7. Questions for the Final FFICM Structured Oral Examination

    • Authors: Kate Flavin, Clare Morkane, Sarah Marsh

    • Overview: Provides model answers with summaries of relevant evidence, covering 91 topics drawn from previous exam sittings.

    • Purchase Link: Amazon India

Some More TEXT BOOKS - Considered to be Bibles for 1st time CCM Trainees 

1. Washigton Manual Of Critical Care 





2. Deshpande's Mechanical Ventilation Clinical Application, 3rd Edition - 2025 - Must Read for Ventilator Graphics 

https://amzn.in/d/6vRF5Yl


Also there are many more books, these are just the minimum reads that are MUST!

🧠 You’re Not Just Studying for an Exam — You’re Becoming an Intensivist.

Books will help.
Workshops will polish.
But your daily presence in the ICU is your real teacher.
Every alarm, every ABG, every line – is a lesson.
Make it count.



Srishti Jain