Sunday, March 26, 2006

Psychiatry Oral Exam (ABPN Part II) Update

Starting May 2006, the one-hour audiovisual component of the examination will assume a new format. This component will now be divided into four vignettes -- consisting of written clinical cases and brief video clips.

This AV hour-long exam used to contain a 25-minute video of a clinical interview shown to exam candidates, followed by about 30 minutes of case discussion with the examiners. This old format requires intense concentration and excellent note-taking skills from the examinees. It's kind of "all or none", that is, either you get the clinical information or you don't. If you blink during this portion of the exam, you may miss some important clinical information.

In a way, this new format offers some advantages to candidates. If you don't do as well in the video clip, you still have more chances to make up with the more "visible" and easier to digest written vignettes.

What are these clinical vignettes?

Well, these are brief clinical cases that will serve as the focus of discussion between the examinee and the examiners. During this time, your knowledge, clinical competence, ability to generate differential diagnosis and treatment options will be tested. Examiners may ask about anything such as what additional clinical information should be obtained from the patient, most probable diagnosis, treatment of choice, hypothetical scenario, prognosis, etc.

Obviously, this new format will pose some new challenges. But if you know what to expect and you're well prepared, your chance to pass will still be good.

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