The Boards

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The Boards

Gentry King MD

The Boards

• Proficiency Test vs Obstacle

• Very Difficult

• Recall and Analysis

• Study-able

If you study and pray…you will pass

Statistics

Board Passing Rate

80.00%

70.00%

60.00%

50.00%

40.00%

30.00%

20.00%

10.00%

0.00%

1 2 3 4

2007

2008

2009

2010

Feb Aug

53.42% 65.40%

54.10%

64.50%

46.20%

60.38%

71.28%

February

August

The Boards

• Test Structure:

– 12 subjects: Basics and Clinical

– 2 weekends: Saturday and Sunday)

– “Tick the Box” multiple choice (4)

• Criteria to pass:

– Average of 75% through all subjects

– Not one subject below 50%

Review Class or Self Study?

• Review Class: Pros

– Structured and Scheduled

(for people who lack the discipline)

– “Live” / Emphasized Pearls

– Mock Exams

(learn how to pace yourself)

– Handouts

– “Juicy” Lectures

Review Class or Self Study?

• Review Class: Cons

– Not everything is high yield

– Not very flexible

– Can be boring

(not for people who sleep in class)

– Expensive

Review Class or Self Study?

• Self Study: Pros

– Very Flexible

• Cons:

– Very easy to lose focus

– Can be expensive

– Retention can Be difficult

Review Class or Self Study?

• Conclusion: Combination of both

• Review classes:

– UST: comprehensive vs indulgence

– UP: brevity

– UE

• *** Prev Med and Legal Med lectures from

UST / UE

How to self-study

• Approach:

– What is my goal?

(Glory vs Nightmare?)

– How solid is my knowledge base?

(what are my weaknesses?)

– How did I study before?

(learner vs crammer)

Learner: expansive stock knowledge

• Crammer: covers a lot of ground

OPTIMAL: Combination of both

– How hard am I going to study?

• Stay healthy

• Maintain weight!!!

"kelangan mo talaga mag-aral hangang sumakit ang puwet mo sa kakaupo."

How to self-study

• Methodology :

– When to start studying?

• Isolate/Focus vs Keeping Sanity

• Expect distractions

• Make a schedule

– When to study?

(simulate)

– How long will I study per subject?

( at least 2 readings per subject )

– Where to study?

(starbucks vs home)

– By system or by book?

Coffee or Tea?

***5 Golden Rules for Board

Review

• Study your weaknesses / most difficult subjects first

• Know a little of everything not all about something

• “Appreciate the forest before the trees”

(CHD)

• Stick to what works

(familiarity)

• Take notes only of things you will surely forget

Some say…

• “The objective of studying for the boards, is to pass…not necessarily to learn…”

• “Studying will lower your threshold for recall..”

Tips…

• Read/think like an examiner

(Ganong vs Guyton)

– “The most common…”

– “The characteristic lesion of dx is…”

– “The earliest change seen in….”

– “The fundamental defect in…”

– “The prototype disease of…”

– “The absolute contraindication to….”

– Tables, Diagnostic Criteria, Sensitivity/Specificity

• Know your examiners

• Know the history of the boards

• …You are all in this together!!!

Materials for study

• Reading Materials:

– Mama vs baby

– Reviewers

– Med School Notes

• Samplex

– Previous Boards

– UPEC (Prev Med, Legal Med)

***1 Reviewer, 1 reference, 1 samplex

***Keep in schedule, prioritize and move on

Anatomy and Histology

• Danger: 5/5 Difficulty: 9/10

• Main Reviewer: Snellito + Clinical Ana vs

Mama Snell

• Total days for first reading: 2 weeks at least

• High Yield Topics: Clinical Anatomy

• Difficult topics: Perineum, Head and Neck

• Dangerous topics: Basic Anatomy , Joints and

Musculoskeletal, Genitourinary histology.

Biochemistry

• Danger: 5/5 Difficulty: 9/10

• Kaplan Biochemistry , UST handouts, 1st aid step 1

• 5 days to a week

• High Yield Topics: DNA/RNA , Carbohydrate

Metabolism, Lipid Metabolism, Metabolic

Integration, Urea Cycle

• Difficult topics: Purine and Pyrimidine

Synthesis and Metabolism, Protein

Metabolism, Hormones, Syndromes

• Dangerous topics: as above

Physiology

• Danger: 3/5 Difficulty: 8/10

• BRS, Ganong

• 4 to 5 days

• High Yield Topics: Respiratory ,

Gastrointestinal, Renal,

Musculoskeletal, ANS

• Difficult topics: Special Senses, ANS

• Dangerous topics: Special Senses,

ANS, Deep Sea, High Altitude, Space

Pathology

• Danger: 5/5 Difficulty: 7/10

• BRS, 1st aid step 1 , Kaplan, Robbins

• 4 to 5 days

• High Yield Topics: Cardiovascular, Respiratory,

Renal, Infectious, Neoplasia

• Difficult topics: Renal , Hematology, Immunology

• Dangerous topics: Immunology!

Renal,

Hematology, Inflammation, Neoplasia,

Environmental .

Microbiology

• Danger level: 3/5

• Level of Difficulty: 7/10

• Memory: 60% Analysis: 40%

• Main Reviewer: MRS , Kaplan, 1st aid, CPM

• 1 week

• High Yield Topics: STDs , TB, Dengue,

Typhoid, Rabies, Schistosomiasis

• Difficult topics: Viruses, anti-virals

• Dangerous topics: Fungi/anti-fungals,

Ricketssiae and diseases that don't exist in the Philippines, Sepsis criteria

Legal Med / Med Juris

• Danger level: 5/5

• Level of Difficulty: 7/10

• Memory: 60%Analysis: 40%

• Main Reviewer: Summaries of both books, UST/UE reviewers , Samplex

• 4 to 5 days

• High Yield Topics: All of Jurisprudence , Sex

Crimes , Virginity, Child Abuse, Medico-legal aspects of identification, Medico-legal aspects of death ,

Causes of death, Special Deaths, Disposal of the dead body, Physical Injuries, Gunshot wounds,

Drowning, IQ.

• Dangerous topics: Gunshot wounds, Poisoning,

Jurisprudence Cases

Pharmacology

• Danger level: 3.5/5

• Level of Difficulty: 8/10

• Memory: 60% Analysis: 40%

• Katzung and Trevor's, UST handouts , 1st aid Step 1

• 4 to 5 days

• High Yield Topics: ANS drugs , Anesthetics , Diuretics,

Anti-microbials, Anti-Seizure drugs, GI drugs

• Difficult/Dangerous Topics: Anti-Virals, Antineoplastics, ANS drugs, Anesthetics , Drugs of

Abuse, Anti-Arrythimics, Psychopharmacology,

Gonadal Hormones and Inhibitors.

Medicine

• Danger level: 3/5

• Level of Difficulty: 6/10

• Memory: 50% Analysis: 50%

• No high yield reviewer available, otherwise:

Harrisons , Medicine Blue Book , 1st aid step

2, high yield internal medicine

• 4 to 5 days

• High Yield Topics: Infectious, Pulmo

• Difficult / Dangerous Topics: Rheuma, Renal,

OB and Pedia

(yes, you read that right)

Surgery/ENT/Ophtha

• Danger level: 5/5

• Level of Difficulty: 10/10

• Memory: 65% Analysis: 35%

• No high yield reviewer available, otherwise: Surgery

Oc-Oc notes , Schwartz, Surgical Recall, Surgery

Clerkship , 1st aid step 2, Sabiston.

• 1 week

• High Yield Topics: first 9 chapters of Schwartz, Skin and Melanoma , Plastic Surgery , Breast, Thyroid,

Colon, Pediatric surgery , Glasgow Coma Scale,

Stomach, Pancreas, Head and Neck, Anatomy of the

Eye, Fluids

Pediatrics

• Danger: 4/5 Difficulty: 9/10

• Nelson , Pocket Pedia , Immunization chapters of Del Mundo, UST tests

• 5-7 days

• High Yield Topics: Pulmo , Infectious, Breast

Milk/Feeding, Vaccination, TB.

• Difficult / Potentially Dangerous Topics: Endo ,

Rheuma, Neuro, Psychologic Disorders,

Growth and Development, Social Issues.

OB-GYNE

• Danger: 3.5/5 Difficulty: 7/10

• Oc-Oc notes , BRS, Blueprints

• 4-5 days

• High Yield Topics: Bleeding in

Pregnancy, Abdominal Pain in

Pregnancy, PCOS, Amenorrhea

• Difficult / Potentially Dangerous Topics:

Gynecology, Puerperium, Gyne Onco

Prev Med

• Danger: 5/5 Difficulty: 8/10

• Current UE notes, UST notes , Wikipedia, Philhealth,

First Aid step 1, Dra. Maglonzo's book, UPEC.

• 4-5 days

• High Yield Topics: Statistics, Environmental and

Occupational Medicine , Study Design, Family

Dynamics , Current Health Statistics, Health Laws ,

Community Medicine.

• Difficult Dangerous Topics: Environmental and

Occupational Medicine, Rats, Water, Shit and eggs...yes, eggs.

Test Day

• Know where / how / how long it takes to get to the test center a few days before

• Bring food

(siopao) and coffee

• Get sleep the night before

• Possibility of poor testing conditions

(cold vs warm)

• Imodium, Paracetamol

• Biochem is the first test

Test Day

• Taking the test / Testmanship

– Expect wrong grammar and wrong spelling

– Expect questions to be repeated up to 4x

– Some questions give clues to answers for other questions

• Do not forget your test permit

• 1 week grace period before clinicals

Never forget the most important part…

God

MD

“No greater opportunity or obligation can fall the lot of a human being than to be a physician.

In the care of the suffering he needs technical skill, scientific knowledge, and human understanding.

He who uses these with courage, humility, and wisdom will provide a unique service for his fellow man and will build an enduring edifice of character within himself.”

Dr. Tinsley Harrison

Good luck and God bless!

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