Tag Archive for: board prep

Observership Options for Residents

student using telehealth observership

Practice makes perfect. And as a resident, observership, or hands-on experience, is paramount in your education to become a practitioner. Finding a good fit can be challenging, but My Psych Board has options for you!

Medical students and international medical graduates seeking US clinical experience may apply to our Clinical Observership program. This may be in person at the clinic in Westlake, OH, or it can be accomplished via Telehealth!

During the Clinical Observership, participants will interact with Dr. Abdel and learn about the US healthcare system. 

Observerships range in duration from three weeks to a maximum of three months. During this time, participants will have the opportunity to observe a wide range of experiences from patient care to mastering high yield points on the USMLE exams, and will earn a letter of recommendation for future residency applications.

My Psych Board also covers summaries of clinical treatment and psychopharmacology. We offer valuable electives for medical students who are preparing for the USMLE and residency.

We understand the difficulties surrounding the search for high quality, valuable, hands on experience. And we want to make sure you succeed in your training! When you join our observership/preceptorship program you will also receive a 15% discount to any question bank of your choice from My Psych Board.

If this is something you still need to check off your list, contact us for more information! And to take advantage of the 15% discount, you can also check out a sample of our question banks using our Free Trial to decide what option fits your needs best. We’re just a click away to help you take the next step!

Get Ready to Crush the PRITE

PRITE exam

The date range for taking the PRITE is quickly approaching. Each year from September 24th to October 15th, residents around the U.S. sit down for the 8.5 hour exam. This year, the PRITE has 300 questions (access to pdf breakdown of topics with annotations here).

Residents need to know a foundation of Neuroscience and Neurology, Clinical Psychiatry, and Diagnostic Procedures to be ready for this exam. It may be tempting to try studying off old PRITE exams, but we have a whole blog entry on exactly why not to do this (check it out if you’re curious!) Instead, take a peep into some question banks that are made for the sole purpose of helping you reach at least that 70% passing mark (and let’s be real…you’re going to far surpass it!).

Taking the PRITE may not lead to as much anxiety or stress as this is an exam a resident will take 3 or 4 times throughout their medical education career. But even if it’s something you’ve done 1 or 2 or even 3 times before, it’s still important to properly prepare for it. The ease that you pass this exam is a good indicator for how well prepared you are to launch into your medical career after graduation!

Even though the countdown is on, there’s still time to add in a little extra studying. Want some help? My Psych Board is here for you! Check out our PRITE question bank, even just to give the FREE TRIAL a try. If you want more focused help, reach out to talk to someone about our tutoring services. We know you’re going to crush your exam!

Unveiling the Strengths of the My Psych Board ABPN Bank

stage curtain set to unveil

Preparing for the American Board of Psychiatry and Neurology (ABPN) Certification Examination requires a comprehensive and strategic approach. As the landscape of medical education evolves, so does the need for efficient and
targeted study resources. Among the plethora of options available, we emerge as a beacon of excellence, offering a question bank that stands out for its exceptional strengths. Let’s delve into what strengths makes “My Psych Board” the best ABPN question bank and an indispensable tool for success.

Tailored Precision

T

One of the standout strengths of “My Psych Board” is its precise tailoring of question banks to match the nuances of various board exams. Whether it’s the ABPN Certification Examination, PRITE Examination, USMLE – Psychiatry and Neurology categories, or Nurse Practitioner Examination, “My Psych Board” offers question banks uniquely designed to mirror the difficulty and types of questions expected for each exam. This tailored precision ensures that users receive targeted
preparation, focusing on the exact content and format they will face on exam day.

Current and Relevant Content

Staying current with the latest medical knowledge is paramount. “My Psych Board” addresses this need with continuous updates to its question banks. The platform’s commitment to adding new questions ensures that users have access to the most up-to-date information, aligning their preparation with the rapidly evolving field of psychiatry and neurology. This commitment to relevancy sets “My Psych Board” apart, ensuring that users are equipped with the latest insights and
knowledge to excel in their exams.

Expert Crafted Explanations

Every question answered is a learning opportunity. “My Psych Board” elevates the learning experience with its in-depth explanations accompanying both correct and incorrect answer options. This feature serves as a dynamic educational tool, offering not just answers, but a deeper understanding of the underlying concepts. The strength of these expert-crafted explanations lies in their ability to transform mistakes into stepping stones for improvement, making the study journey
more effective and engaging.

Personalized Learning Journey

Recognizing that every learner is unique, “My Psych Board” embraces a personalized approach. The platform offers users the chance to engage with Dr. Abdel, the founder and CEO of “My Psych Board,” through a one-time phone call to discuss their optimal study strategies. This one-on-one interaction provides a level of personal guidance that sets the platform apart, tailoring study methods to individual strengths and preferences. Also, gain access to discussing the exam, questions, and other related topics with Dr. Abdel as well as other users on our WhatsApp group platform!

Diverse Learning Resources

A comprehensive study experience encompasses various learning resources. “My Psych Board” enriches its offerings by providing access to video clinical vignettes covering over 20 topics. This multimodal approach engages visual and auditory learning senses, enhancing understanding and retention of key concepts. This diversity of resources contributes to a holistic learning experience that caters to a range of learning styles.

User-Centric Approach

The strength of any educational platform is reflected in its responsiveness to user needs. “My Psych Board” thrives on its user-centric approach, valuing user feedback and consistently striving to enhance the user experience. This dedication to improvement ensures that the platform evolves in ways that directly benefit its users, creating a dynamic and adaptable study environment.

In a landscape where effective study resources are crucial, “My Psych Board” shines as the best ABPN question bank, fortified by its tailored precision, current and relevant content, expert-crafted explanations, personalized learning journey, diverse learning resources, and user-centric approach. As medical education advances, “My Psych Board” stands strong as a dependable companion on the journey toward ABPN board exam success, providing not only answers but the keys to comprehensive understanding.

Ready to check out our Question Banks? If not, Contact us for more information!

How to Read Vignettes- Efficiently!

yield sign to stop and read vignettes efficiently

One of the sections of exams students have the most difficult time with is the vignettes section. We’ve discussed this topic before here, where we show how to break down the process of answering vignettes. But in this blog, we’ll get into the nuts and bolts of reading the passages a little more effectively.

Formatting is everything

First, how you approach vignettes will depend on what format they are in. A video vignette requires you to sit through a segment of recorded interactions and glean information off of those interactions (usually between and doctor and patient). A written vignette gives you a block of information you can refer back to to answer questions.

The key difference between these two is time management. For a video vignette, you won’t want to waste your exam time going back and re-watching the video (which isn’t allowed in some cases, anyway). You can’t control the speed that the video plays, so you’re at the mercy of the media to go through its time. Because of this, you’ll want to pay close attention as you watch through the video the first time. Thankfully, bits of video can stick out as they’re composed of dialogue instead of raw facts, and this can help recall later.

Video Vignettes

As you watch the videos, keep in mind what should stick out- deviances from typical life, distress from a symptom, dysfunction due to ongoing issues, or potential danger to the self or others. This is a simple concept, but it’s usually the part that you need to pay attention to. An important factor in video vignettes to pay attention to is HOW to patient says these things. You’ll likely be quizzed on not only the information presented, but also how that information is delivered. Is the patient frenzied, calm, mood incongruent, or lethargic? Is that relevant to what they’re saying? It’s a lot to keep track of, but when you have to spend your time wisely, it’s best to dial into those videos.

Written Vignettes

Conversely, written vignettes will take up your time in a different way. Typically you’re presented with a fleshed out story and asked to determine answers that are either insinuated or determinable based on that information. For these, you can go back and re-read sections as you go. This means you don’t have to be laser-focused the first time reading it, and you can refer back to it. But this also means the questions involved may be a bit trickier and require more introspection. Keep in mind the basic information presented (i.e., demographics, time range of symptoms, key issues going back to the 4 D’s). Then as you delve deeper into the questions, refer back for more specifics.

Take away-

Vignettes are challenging. And they should be, as they are the more accurate representation of what it’s like working with real-life patients. And just like patients, they have their individual quirks that make them unique each time. A great way to get comfortable with these questions is the PRACTICE! Take time to go through and get used to what kind of information you need to pay attention to, in a setting that doesn’t penalize you for time.

We tailor each bank to the type of test you’re taking, whether that is Nurse Practitioner Mental Health Certification, ABPN, USMLE, or PRITE. You can take these practice exams over and over again until you get the hang of it. You can use the timed mode that mimics the actual exam so you really get in the groove of managing your time. Give our clinical vignettes a try- totally FREE – using our Free Trial!

If you like what you see on the trial, check out our Question Banks and find the best option for you! Or, contact us with any questions you have so we can get you on the right path today!

What’s the Tea on the USMLE?

The United States Medical Licensing Exam is a year-round board examination for anyone wanting to practice medicine in the U.S. This includes psychiatrists and psychiatric candidates who can sit for the USMLE Step 2, Clinical Knowledge. So what do you need to know about it?

Registration Timeframe

The USMLE can be taken at (almost) any time throughout the year. The candidate submits a 3 month period in which they can be available to sit for the exam, excluding the first week of January or specific major holidays. After the examination is complete, results can be expected anywhere from 2 to 4 weeks later.

Cost

Step 2, CK now costs $1,000 to register and take the exam. This price increased from $965 as of January 2023. Step 1 and Step 2 are both this cost.

Exam Breakdown

The USMLE Step 2 consists of about 318 multiple choice questions administered over eight 60 minute blocks. This means you have about 90 seconds per question. You also get 45 minutes total of break time. If you finish a block early, the remaining time is added to your break time.

Exam Material

Exams for Step 2 include System Specifications, Physician Competencies, and Discipline Competency. Breakdowns for each of these are found below (these can also be found at the USMLE website here)

USMLE systems
USMLE physician competency
USMLE discipline competency
2023 Information Bulletin

The full scope of information for the USMLE 2023 can be found in this bulletin taken directly from the USMLE website.

Getting ready to take the USMLE, or just starting to plan it out? We can help you! Check out our USMLE Question Bank tailored specifically toward getting you ready for the Step 2, CK Psychiatry and Neurology sections!

How Many Ways Are There to Prep for Tests?

test prep like a tortoise

Everyone has their own unique style when it comes to getting information into their noggin’. Test prep can take many shapes and forms, and what works for one person might not work for another.

Prepping for a board exam can be incredibly stressful. The weight of your career decisions rests on the outcome! (No pressure, right?) To cope with this stress, test prepping can manifest as several different approaches: the WINGER, the PROCRASTINATOR (aka, CRAMMER), and the TORTOISE.

The Winger

The Winger is the person that lets go of the immediate stress the exam is putting on them, and puts it out of their mind. They know it’s coming up, but they have confidence in the amount of information they have stored in their brains. The have an uncanny ability to refresh the knowledge and consolidate retrieval just by existing….or so they think. These test takers waltz into their exams and take a gamble that they will have all the answers (or at least enough to pass!). Depending on the type of test you’re going to take, being a Winger can work OK. Think 100 level undergrad classes. ABPN, PRITE, NP, or USMLE? This might not be the best approach.

The Procrastinator

The Procrastinator (aka, Crammer) is similar to the Winger. They also put off prepping for as long as possible. But while the Winger tends to follow through on their approach, the Procrastinator usually gets MORE stressed by avoiding it, and ends up cramming as much studying in as possible in the last day or so leading up to the exam. Cramming can be beneficial when compared to not prepping at all, and for some individuals, cramming is their sole means of test prep. Can it work? Probably. Is it great for your mental health? Not really.

The Tortoise

Lastly, we have the Tortoise. This name harkens back to Aesop’s Fables, as it should, because this test prepper takes the slow and steady approach. Plunking along, little by little every day, this prepper integrates new bits of information into their mental arsenal. They challenge the knowledge they already have to increase retrieval. The process starts closer to a few months ahead of time, as opposed to overwhelming themselves with whole textbooks 48 hours before their next exam. Instead, they have time to relax and take in some self-care in the days leading up to the exam so that they are refreshed and ready to go.

Is any one of these approaches superior? Research would suggest there is favorable option- we’ll let you decide which one you think it is 😉 In the meantime, if you’ve been relying on being a Winger or a Crammer up to this point, let this blog be your sign to give the Turtle Club (yes, that’s an early 2000’s movie reference) a chance. Give our question banks a try- FREE- using our Free Trial! Or if you’re ready to take the plunge, check out our Question Banks and find the perfect fit for you! Or, contact us with any questions you have so we can help you prep in the best way for you.

How to get started

get started

There are days when the last thing you want to do is be studying. Maybe you’re burned out from a hectic week, or maybe you’ve been away for a few days and having a difficult time getting back into the groove of things. Whatever the case may be, here are a few tips to help you get started back onto your studying track!

Make a List

If you are a visual processor, it may be helpful to sit down and write (or type) out a list of exactly what you need to be working on. It could be a topic list, it could be a to-do list. Whatever helps you categorize what you need to focus on!

Make a Plan

Next, make a plan. This can be a schedule such as “Monday, Wednesday, and Fridays from 9am to 10am I will go through the Neuroscience qbank” or “Each day for 15 minutes I’m going to read up on Developmental disorders”. It can also be a plan for a goal like “I will be able to complete the Bipolar qbank in Test Mode perfectly by July 1st”. This is to give you an orientation for your list to help take steps to accomplish the goals.

Make Baby Steps

It’s important to not expect yourself to jump in at 100%. If you’ve been in a rut, you need to ease yourself back into your habits and expectations. Start small, if necessary, by doing timed increments each day. Eventually you can increase those increments to make bigger strides in what you’re working towards.

Make it FUN!

Finally, give yourself rewards as you go. It’s OK! If you have something to look forward to, you’re more likely to complete the tasks at hand. Maybe that reward is going to get your favorite treat once you’ve successfully gone through a chapter of a book. Or taking a hot bath at the end of the day with a glass of wine. Find small things you can do for yourself that encourages you to keep going. It doesn’t have to be all work 🙂

The important thing is to just get started. Once you get momentum, things will become easier!

Need some help?

Give our question banks a try- FREE- using our Free Trial! Or if you’re ready to take the plunge, check out our Question Banks and find the perfect fit for you! Or, contact us with any questions you have or ask about our STUDY GUIDES so we can get you on the right path today!

Syndrome Series: Obsessive Compulsive Disorder

obsessive compulsive disorder shoes

What is Obsessive Compulsive Disorder

Obsessive Compulsive Disorder (OCD) is a condition characterized by the presence of obsessions and/or compulsions. Obsessions are recurrent thoughts, urges, or images that are intrusive and unwanted, while compulsions are repetitive behaviors or mental acts that are applied to the obsessions (or other rules) that are rigidly followed.

Types of Obsessions and Compulsions

The types of obsessions and compulsions vary broadly, although there are common themes. Stereotypical OCD symptoms showcased in media are fear of contamination accompanied by compulsive cleaning (seen famously on the TV show Monk). Other common themes include symmetry (organizing, ordering, or counting compulsions), morality (sexual, aggressive, or religious based compulsions), or harm (checking compulsions for fear of harming others). These themes are seen globally across cultures with minor variances.

The performance of the compulsion is done in an attempt to mitigate anxiety or distress associated with the obsession. Individuals with OCD typically have an impending sense of doom if they don’t perform the compulsions, or they may believe something horrific will occur if they do not perform the tasks. The individual with this condition finds distress in their compulsions and obsessions and avoiding the compulsion or obsession can take up a significant amount of time. Because of this, they may avoid of people or certain places in order to avoid a trigger for a compulsion.

Realistically, the action and obsessions are not connected in any significant way. However, the extent that the individual believes this depends on their insight.

Insight

Insight refers to how well the individual recognizes the credibility of their beliefs. They may have good or fair insight in which they realize their disordered beliefs are definitely or most likely untrue; poor insight in which they think their obsessive compulsive beliefs are probably true; or absent insight in which they are completely convinced their disordered beliefs are true.

Prevalence and Transmission

The average age of onset is 19.5 years old, with a quarter of cases starting by the age of 14. Females tend to be affected slightly more than males in adulthood, while males are more affected in childhood. The prevalence in the U.S. is 1.2%, with similar prevalence rates seen globally. There is a 2x rate of familial transmission among first degree relatives with the condition compared to those without first degree relatives with the condition.

First Line Treatments

Treatment options for OCD generally includes psychotherapy and pharmaceuticals. These can be used exclusively or in combination with each other.

Psychotherapy

Cognitive Behavioral Therapy (CBT) is one of the first line treatment options for OCD. CBT is effective in treating OCD by helping the individual become aware of the cognitive distortions present that are leading to their compulsive behavior. Once identified, the clinician can work with the patient to untangle how the obsession and compulsion are not directly related and ultimately remove the desire to complete the compulsion when faced with a trigger.

In addition to standard CBT, there is another type of CBT called Exposure and Response Prevention (ERP) that can be highly effective in the treatment of OCD. With this type of therapy, the client is systematically exposed to gradually increasing levels of the trigger for their compulsions and assisted in learning how to reject the compulsion.

Pharmaceuticals

Mayo clinic reports the following antidepressants approved by the U.S. Food and Drug Administration (FDA) to treat OCD:

  • Clomipramine (Anafranil) for adults and children 10 years and older
  • Fluoxetine (Prozac) for adults and children 7 years and older
  • Fluvoxamine for adults and children 8 years and older
  • Paroxetine (Paxil, Pexeva) for adults only
  • Sertraline (Zoloft) for adults and children 6 years and older

Additional Treatment Options

Other treatment options may be considered if first line treatments fail. These include Deep Brain Stimulation and Transcranial Magnetic Stimulation. These options are typically reserved for cases in which neither first line treatments have been found to be effective, and are generally used in patients over the age of 18. In both these treatment options, different neurological regions of the brain are stimulated using electrodes in order to suppress compulsive thoughts and behaviors.

Ready to learn more?

Give our question banks a try- FREE- using our Free Trial! Or if you’re ready to take the plunge, check out our Question Banks and find the perfect fit for you! Or, contact us with any questions you have so we can get you on the right path today!

REFERENCES:

American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787

Mayo Clinic:https://www.mayoclinic.org/diseases-conditions/obsessive-compulsive-disorder/diagnosis-treatment/drc-20354438#:~:text=Antidepressants%20approved%20by%20the%20U.S.,children%208%20years%20and%20older

How to Break Bad Habits…For Good!

neon sign reads bad habits

Every day we go about our day doing dozens of things on autopilot. We do them every day, so we don’t think about it. Most of the time, these are mundane tasks; sometimes, they’re good habits like taking a multivitamin or doing morning yoga; other times, they’re bad habits that over time become detrimental to our well being.

Maybe it’s picking up your smart phone first thing in the morning and scrolling through social media so that you end up running late. Maybe it’s staying up too late under the pretense of “me time” so that you’re not getting enough sleep and end up dragging through the next day. Whatever the habit may be, it’s important to identify these behaviors and put an end to them.

Recognizing Good vs. Bad habits

Habits can be physical, mental, reactive…they can take on almost any form. And as mentioned before, we have dozens if not hundred of habits. They aren’t all bad– a lot of these are necessary because we don’t need to be thinking intentionally about every little thing we do every moment of every day. So if takes deep personal reflection to mull over what habits you may have that are negatively impacting you. A good way to start this is to ask yourself, “Where is there a sense of discontentment in my life, and what are my actions or reactions surrounding that?”

How long does it take to break a bad habit?

Habits don’t form overnight. It takes time to wire your brain into doing the same thing over and over, and just the same it takes time to UN-wire your brain. Depending on the person, it can take anywhere from 18 days to almost a year to break a habit. This of course depends on several factors such as why the habit has persisted, what the habit is representing or reinforcing, and whether or not there’s something that can temporarily replace the habit.

Most habits are intrinsically reinforcing. That is, they make us feel good (hello, dopamine). They make our brain think it’s being rewarded even if the action itself isn’t positive. Maybe this sounds familiar, and it should. This is the foundational framework that addictions are based on! Breaking habits and addictions are difficult, but with a little help and persistence you can stop the cycle yourself.

How to break a bad habit step by step…

Firstly,

You must identify what the habit is. Let’s say every time you sit down to study for your boards, your mind starts drifting to some household tasks you’ve been meaning to do. Then you find yourself ruminating on the fact that you haven’t done any of those tasks in a while and your living space is falling apart. After a few minutes, you’ve convinced yourself that now is the ONLY time to do them and studying can wait.

The next day, you sit down to study and…your mind starts drifting to what you’re making for dinner. Do you have the risotto, or should you run to the grocery store? If you don’t go now, it’ll get too late and– suddenly you’re off on an errand. And so on. This is a mental habit. The association of studying and drifting becomes so strong that after long enough, it will become harder and harder to intentionally sit and complete the initial task (studying).

Next,

You need to set a goal. Use the acronym SMART (see our previous blog here on how to set SMART goals!) so make sure it’s realistic. Tell yourself you will sit and study for 10 minutes without distraction the first day. The next day make it 12 minutes. The next day make it 15 minutes. As you build up time, you’re training your brain to ignore the impulse to drift away while maintaining a reasonable goal for yourself so that you get that dopamine “boost” that the habit previously was providing.

Lastly,

Understand why you want to break the habit. In this example, studying for your boards is a vital step toward furthering your career. That’s a pretty motivating factor!

We want to help you break your bad studying habits! Contact us with any questions you have so we can help you set up a plan to get your habits on track! Want to make a habit to study more? Check out our Question Banks and find the best option for you! You’ve got this, and can definitely achieve whatever you put your mind to!

Time to go back to the ABC’s

Yes, we know you know your ABC’s 🙂 But, sometimes it helps to reinvent the old classics to help us in the here and now. We’ve compiled a quick list of test taking tips that might help you as you prepare for your exams ( using A-E, because those are the letters you’ll see on the exams and maybe that will help keep these in mind!).

ABC blocks

The ABC’s of Test Taking

A Apply basic knowledge

This is the old adage, if you hear hoof beats, don’t assume it’s zebras. When you get your first look at a test question, whether it’s a standard multiple choice or a multiset vignette, the first thing to do is to look for the obvious. Most questions will be testing your basic knowledge and will give you clear signs that point to an answer. Some will be trickier of course, but a good rule of thumb is to dust off Occam’s razor and keep it in mind as you go through the questions. Keep your basic knowledge front and center!

B Block out distractors

Test makers are devious. There, I said it. They intentionally create distractor answers that will try to trick you (so rude). Falling back on the letter A, keep your basic knowledge in mind and then block out the answers you see off the bat as incorrect. For example, you might be reading a question about someone who is lethargic, has a lack of appetite, low mood, and disrupted sleep. Answer options could be Bipolar I, General Anxiety, Depression, PMDD, or Substance Withdrawal. Now, some of these conditions do in fact share the listed symptoms. But there’s missing information that would be required to make those answers the BEST answer.

Bipolar I would require symptoms of mania; GAD has other hallmark symptoms such as feelings of dread/worry that they cannot control; PMDD is cyclical around menstrual cycles in females; substance withdrawal requires mention of something that would cause the withdrawal. The distractors are there to make you second guess, so if one pops out as the best one, chances are it probably is!

C Check the question stem again

Well, maybe the distractors did a good job and now you can’t get passed it. Go back and find the question stem again. What is the question asking? Does it give the information you would NEED to make the other answer fit, or are you banging a square peg into a round hole? While the test makers are tricky, they aren’t totally evil. They will give you all the information you need with minimal need to fill in the blanks.

D Don’t over think it!

Ok, we got through the distractors and now we have our answer, Depression! Makes sense, fits the symptoms…wait, doesn’t it need a time frame to make a diagnosis? What if it’s none of these answers and actually something like Dysthymia? Or– stop. Stop over thinking it. Again, this is the job of the distractors to make you start thinking in circles. If the answer fits the information given in the best way, move on to the next question.

E Every little bit helps

You get about one minute per question on the exams, so you want to crank out as many answers as possible. And, most exams don’t “penalize” wrong answers, they just add up your correct ones. Leaving answers blanks and guessing and getting it wrong will do the same thing to your score. But, guessing might also get you one right! So if you need to stab a guess at one, DO IT because there’s a chance you could get it right!

Want to give this method a shot? Try our Free Trial and see how well it pans out. We’d love to hear from you, and you can Contact us with any questions you have or to let us know if these tips helped you or not!