> ## Content Index > Fetch the complete content index at: https://www.theplasticsfella.com/llms.txt > Use this file to discover other available public pages before exploring further. # The 'perfect' male bum, UMSLE cheats & 4 Flashcard Principles. - URL: https://www.theplasticsfella.com/february-11th/ - Published: 2024-02-10T16:54:48.000Z - Updated: 2024-02-11T15:01:07.000Z - Description: Also: two-sentence summaries for trending publications, dropdown menus, Sunday Quiz on VRAM flaps. - Author: PlasticsFella - Tags: thePlasticsPaper #### In this week's edition 1. ****✍️** [****Letter from P'Fella**](https://www.theplasticsfella.com/february-11th/#a-letter-from-pfella) 4 Principles to the perfect flashcard. 2. ****🤓** [****The Sunday Quiz**](https://www.theplasticsfella.com/february-11th/#the-sunday-quiz) VRAM Flap - is it versatile? 3. ****🫵** [****Picks of the Week** ](https://www.theplasticsfella.com/february-11th/#picks-of-the-week) USMLE Cheats, Incisions & AI Interview Prep. 4. ****🚀** [****New Features** ](https://www.theplasticsfella.com/february-11th/#new-features) Dropdown menus! Simple, but good. 5. ****🔥** [****3 Hot Cosmetic Articles**](https://www.theplasticsfella.com/february-11th/#articles-of-the-week) The Perfect Male Bum, Botox, Ozempic. Now with 1 sentence summaries! (****NEW**) ****PS -** Articles on thePlasticsFella.com have been read +****1,000,000** times since April 2021\. Huge thanks for your support! ❤️ ## A Letter from P'Fella Designing the perfect flashcard. 👋 ****Hey team!** Imagine trying to distill the essence of a complex surgical technique or a nuanced anatomical concept into a flashcard. **The goal?** **To make it whisper the concept into your ear as though it's the simplest truth you've always known.* ****👇** After piecing together almost [11,000 flashcards](https://www.theplasticsfella.com/untitled-5/) over a 3 year period, I took a step back and really thought about what makes a flashcard not just good, but awesome. That thinking time led me to **four principles**: 1. **Single Purpose**: identify the core concept or the 'big idea' of what needs to be communicated. Trim the fat. "What is the one thing a learner must understand from this flashcard?". Not every detail needs a flashcard. Get picky. 2. **Layered Learning**: complex ideas are broken down into a series of simpler, interconnected flashcards. Each card addresses a foundational element that builds towards understanding the more complex whole. 3. **One idea, one flashcard:** Keep it simple. It's tempting to cram as much information as possible onto a single card, but true effectiveness comes from focusing on a single question followed by one clear answer. 4. **Word Precision:** obsessed with word choice. Every term, every phrase is weighed for clarity and immediacy. The right word can turn a lightbulb on; the wrong one can muddy the waters. Check out these **4 principles** in action with the Thumb Reconstruction flashcards. The original card might've made you juggle two concepts at once — that's a no-go now. ![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2024/02/thePlasticsPaper.png) This methodology might mean a greater number of flashcards, but the trade-off is a deeper, more genuine understanding and retention of knowledge. This all came about because of amazing feedback from [one of the community](https://www.instagram.com/dr%5Fstephen%5Fwilson/?ref=theplasticsfella.com). 😎 ****Fun Fact:** Over next few months, the entire [flashcard](https://www.theplasticsfella.com/untitled-5/) and [Anki](https://www.theplasticsfella.com/anki-builder/) database will receive a makeover with these principles: Lots of love, P'Fella ❤️ ****tl;dr** The 4 Principles to a 'perfect' flashcard: ****1\. Single Purpose**: Distill each concept to its essence. ****2\. Layered Learning**: Build progressively with each card. ****3\. One idea, one card**: One concept per card for optimal retention. ****4\. Precision**: Select words for clarity and immediate comprehension. ## The Sunday Quiz The VRAM Flap The VRAM flap is a composite myocutaneous flap consisting of three layers: skin, subcutaneous fat, and muscle. Its versatility allows it to be dissected and raised as the following: - **Muscle**\-only - **Segmen­tal muscle** flap with preservation of part of the muscle - **Myocutaneous** flap with a transverse, oblique, or vertical skin island flap - **Osseomyocutaneous** (when including inferior ribs - not common) The most commonly used myocutaneous composition consists of skin, anterior rectus sheath, rectus muscle, and the perforating vessels which connect them. ![VRAM Flap, VRAM anatomy, RAM Flap, vertical rectus abdominis muscle flap, rectus abdominis muscle, anatomy](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2022/01/VRAM-Flap-Blood-Supply.png) Reveal this week's question What are the primary advantages of using a VRAM flap in reconstructive surgery? - It requires changing the patient's position during surgery. - It exclusively improves the cosmetic appearance without addressing functional needs. - It offers reliability, versatility, and can improve both cosmesis and functional deficits. - It increases the risk of hernia without providing significant cosmetic or functional benefits. Name: Email: ## Picks of the Week A weekly round up of some highlights in the plastic surgery community. Every Sunday, thePlasticsFella will curate all the highlights in the world of plastic surgery. If you have a highlight, just reply to this email! ## [Tweet](https://twitter.com/PlasticsFella?ref=theplasticsfella.com) of the Week A Deep-Dive on USMLE Cheating > I’ve gotten DMs asking “How could the USMLE prove they cheated? High scores alone don’t prove that!” > > \-and- > > “How do I know my high score won’t be flagged as evidence of cheating just because of where I took the test?” > > Lemme explain how I think these cheaters were caught. > > (🧵) [https://t.co/W1iGCzF1bY](https://t.co/W1iGCzF1bY?ref=theplasticsfella.com) > > — Bryan Carmody (@jbcarmody) [February 1, 2024](https://twitter.com/jbcarmody/status/1752891543143215298?ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) ## Image of the Week The Evolution of Carpal Tunnel Releases. ![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2024/02/GFpvdcwWYAAZHaa.jpeg) [Original Post](https://twitter.com/HatanMortada?ref=theplasticsfella.com) by Hatan Mortada ## Question of the Week Generated by the [AI Answer Composer](https://www.theplasticsfella.com/ai-interview-composer/) for Interview Prep. ❔ ****Whats the best way to answer this question:** ****"How do you define an audit?"** An audit, in the context of clinical practice, is a systematic review and evaluation of current practice against defined, evidence-based standards. It's a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. It involves a cycle where practice is examined, compared to a standard, changes are implemented if necessary, and then re-audited to ensure improvement. The stages of an audit cycle include selecting a topic, setting standards, collecting data, comparing results with standards, implementing changes and then re-auditing. It's a crucial part of maintaining high standards in healthcare and driving continuous improvement. ## Event of the Week P'Fella showcases one upcoming event you might like ![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2024/02/Screenshot-2024-02-10-at-18.47.39.png) [More Event Info](https://www.instagram.com/p/C3Az0z2NynI/?utm%5Fsource=ig%5Fweb%5Fcopy%5Flink) ## New Features Dropdown menus in the navigation bar! Heard your feedback loud and clear: **"Make finding stuff easier!"** Challenge accepted. First fix? Dropdown menus! Small change, big impact. More improvements on the way. Stay tuned. 0:00 /0:16 1× ## Articles of the Week 3 Trending Cosmetic Articles! (with the new 1 sentence summary!) #### 3 Trending Articles 1. [****Ozempic is trending up 📈**](https://academic.oup.com/asj/article/44/1/60/7218900?searchresult=1&ref=theplasticsfella.com) **(ASJ, July '23)** The study reveals a substantial increase in Google search interest for Ozempic for cosmetic weight loss, with a relative search volume (RSV) growth rate of 0.957 over five years, highlighting the need for plastic surgeons to stay informed as public demand escalates. 2. [****Botox for the Forehead (PRS, Feb '24)**](https://journals.lww.com/plasreconsurg/abstract/2024/02000/anatomical%5Fproposal%5Ffor%5Fbotulinum%5Fneurotoxin.17.aspx?WT.mc%5Fid=HPxADx20100319xMP&ref=theplasticsfella.com) By examining the frontalis muscle's characteristics, the research suggests new injection sites to mitigate common issues like ptosis and 'samurai eyebrows,' aiming for optimal results with minimal BoNT usage. 3. [****The Best Male Bum (PRS, Feb '24)**](https://journals.lww.com/plasreconsurg/fulltext/2023/12000/defining%5Fthe%5Fideal%5Fmale%5Fbuttocks.17.aspx?WT.mc%5Fid=HPxADx20100319xMP&ref=theplasticsfella.com) The study identified the ideal male buttocks as having a lateral thigh-to-buttock ratio of 1.18, an oblique projection angle of 60 degrees, and a posterior waist-to-hips ratio of 0.66, based on over 2,000 survey responses ## Thanks for reading this... ### I hope you enjoyed it 😄 ---