Frequently Asked Questions:
Can I arrange a tutorial with another colleague studying for the exam?
Yes. In fact, I encourage psychiatrists to study with other colleagues preparing for the oral boards. Colleagues are welcome to join in sessions at no additional charge.
How many sessions does a typical psychiatrist need to prepare for the boards?
Of course this varies depending on the psychiatrist. However, in general, I suggest at least two to three live interviews and one videotape interview session. Candidates frequently neglect to prepare for the videotaped session. Therefore I suggest at least one mock videotaped exam.
How soon should I start studying?
This is a difficult question and again varies depending on the psychiatrist. In general, I would suggest a period of time of at least three to six months before the upcoming board exam. I realize that candidates are busy with their active psychiatric practices and family obligations. Therefore, I suggest an extended period of study to prepare adequately for the exam.
What textbooks should I read?
In general, psychiatrists should remember that the ABPN Part II Exam primarily focuses on clinical competence. Therefore I do not suggest extensive preparation such as was required for the Part I Exam. In general, a basic textbook, such as Kaplan & Sadock, is sufficient. I suggest that psychiatrists read newsletters, such as The Psychiatric Times and The Psychiatric News, to keep abreast of recent trends and clinical controversies in psychiatry.
What types of patients will I see in my mock exams?
I attempt to get patients with a variety of different diagnoses similar to those seen on the actual exam. Therefore, most psychiatrists will interview patients with psychotic disorders, mood disorders, anxiety disorders, and/or substance abuse issues. However many of the patients present with significant diagnostic complexities which will challenge your skills. This is excellent preparation for the actual exam.
How should I dress for the practice exam?
In general, I suggest a serious approach to the practice exams. You may wish to dress in a manner similar to the actual exam to better simulate board conditions.
What are some typical mistakes that psychiatrists demonstrate while interviewing the patient?
In general, controlling anxiety is the main issue. Unfortunately, psychiatrists can feel quite overwhelmed during the test taking process. Therefore management of anxiety is crucial.
How can I best manage test-related anxiety?
The best treatment, in my opinion, is a program of systematic desensitization which involves completing multiple practice interviews. Test-taking should diminish with repeated practice exams. In extreme cases, psychopharmacologic options may be indicated.
What other problems do psychiatrists typically demonstrate?
Psychiatrists often do not complete a focused, organized interview. It is essential to be organized and thorough during the interview.
Are there other mistakes psychiatrists should try to avoid?
Managing the 30-minute time constraint during the interview is extremely important. Again, the best way to do this is through frequent practice. If possible, psychiatrists should use the 30-minute exam format in their clinical practice.
Should I take notes?
I advise psychiatrists to take minimal notes, if necessary. In general, I suggest that if you take notes during your average clinical practice, then please take notes during the interview. However, I caution that there are risks involved. Taking too many notes can detract from establishing an empathic connection with the patient. Therefore, please try to keep note taking to a minimum.
Should I take notes during the videotape exam?
Yes. In fact I recommend taking copious notes during the videotaped interview. I find that this helps organize the data and stay focused. Again, be advised that you risk missing certain issues on the videotape, such as abnormal involuntary movements. Therefore, although taking many notes, please continue to watch the tape carefully.
I have been in practice for many years. Is it too late for me to take the exam?
No. In fact, I have tutored successfully several psychiatrists in their late 50's and early 60's. Psychiatrists with more clinical experience often pass the exam without difficulty.
I am right out of my residency. I am up to date on all the newest treatments. How much should I study?
As much as necessary. In fact, many young psychiatrists, overwhelmed by the demands of clinical practice, frequently do not study sufficiently. Therefore I suggest that all psychiatrists develop a comprehensive study plan for this challenging exam.