Test Preparation Tips: ABPN certification

OVERVIEW

The American Board of Psychiatry and Neurology (ABPN) Inc. started psychiatry certification in 1935 and awarded 1192 certificates in psychiatry in 2008. Remember that to become a board-certified psychiatrist, there are two examinations: Part I (computer based, multiple choice) examination and Part II (oral, with live patients and clinical vignettes) examination. However, things are changing in the certification process and you may be part of the graduating class that does NOT need to take Part II.

According to the ABPN website (http://www.abpn.com/Initial_Psych.htm), if you were a PGY-I on July 1, 2007 or a PGY-II on July 1, 2008, then you do NOT take the Part II (oral) examination. Your certification will only consist of one computerized examination. However, if you were a PGY-1 before July 1, 2007 or a PGY-II before July 1, 2008, then you will need to pass BOTH the Part I examination and the Part II (oral) examination. Once you pass Part I, you will receive instructions on how to sign up and take Part II (usually held about one year later at a designated testing site in the U.S.).

For frequently asked questions on the Part I examination, visit http://www.abpn.com/downloads/misc_publications/pearson_VUE_FAQ.pdf.

The Part I examination is comprised of PSYCHIATRY and NEUROLOGY topics. In order to pass the examination, you must PASS BOTH the Psychiatry and Neurology sections. Of course, the questions are intermixed throughout the examination, but for scoring they are then sorted out and graded separately. The ratio is approximately 170: 250 (In 2010, there were 167 Neurology and 253 Psychiatry).

SIGNING UP FOR PART I EXAMINATION:

Print the following document to complete and mail in: http://www.abpn.com/downloads/apps/App_Psych_PartI_2011_fill_enbld.pdf. Note that you need to send a check for $1650 along with the application. (You may be at an institution where part of the fee can be reimbursed or at least save the documentation for your tax returns as this may be considered a “business expense” and you should check with your accountant.)

For 2011 exam, the deadline was September 1, 2010 with late deadline (fee required) on November 1, 2010 for test date choices May 9-13, May 16-20, 2011. Please visit http://www.abpn.com/Initial_Psych.htm for accurate details.

Be aware that the time between sending this application and having your check deposited and receiving the notice to sign up for the venue and date will be SEVERAL MONTHS. In previous years, notice was only received around March for the June test dates! So don’t worry right away if you don’t receive anything in the mail for some time.

As soon as you receive the notice to sign up (examination is taken at Pearson VUE centers), act quickly as the better spots fill up faster than you think.

THE QUESTION STYLES

The Part I examination is a computer-based exam (similar to USMLE steps 1, 2, and 3), is completed in ONE day and consists of two parts, with a break in-between for lunch (once you start the first or second parts, you cannot stop in the middle to take a break, but have to push through until the end).

Each part has 210 multiple choice questions (answer choice A through E), some are based on the same vignette while others are stand-alone questions.

It’s useful to have a concept of the ABPN question styles. The ABPN website gives the format of the two types of questions and it is worthwhile taking a look: http://www.abpn.com/downloads/ifas/Sample_Questions_PartI.pdf.

While going through question banks, including ours, keep this in mind as the way questions are likely to be framed.

COMPUTER-BASED SAMPLE TESTS

Preparing for the computer based interface is quite helpful and can boost your confidence going in.

Take a sample test at the Pearson VUE website to be familiar with the test taking format and become familiar with the interface. Go to http://www.pearsonvue.com/abpn.

And of course, the best source is PsychTutorial! It simulates the real exam and you can choose your topics and then review the detailed explanations to learn even more. It is a very helpful tool to employ in your studies so you can get comfortable answering questions on the computer and learning how to best pace yourself to get through an entire section. You don’t want to start learning this in the examination room!

RECOMMENDED SOURCES FOR STUDYING + TIPS

There are seminars/full courses on Neurology and Psychiatry topics. Speak to people in your program to see if these are worth your while and money (they are expensive). If you are particularly weak in Neurology, it may be worthwhile to take Kaufman’s course. You can search online. Kaufman also has a very good book (see below) for those of you who study best on your own or by reading.


A very effective way to condense down the necessary materials is to form a study group, assign topics and have each prepare a handout which is high-yield including sample questions on the topics (taken from PRITEs or elsewhere) with explanations. That way you have review sheets and don’t need to go through every chapter or topic on your own! Ask your groupmates to be thorough, but not ridiculously overlydetailed. It should be a guide, a review for reference – you can then fill in anything you find important as you are working on questions.

For a list of the topics tested on the 2011 boards exam, visit (and print out to help you guide your studies):

http://www.abpn.com/downloads/content_outlines/Initial%20Cert/content_Cert_PartI_PsychAB_2011.pdf

It may be instructive to see how this has changed since 2010. See the 2010 content outlines at

http://www.abpn.com/downloads/content_outlines/Initial%20Cert/Content_psych_partI_2010.pdf

MOST RECOMMENDED REFERENCES

  • Clinical Neurology for Psychiatrists (Kaufman et al). Kaufman also has a full review course – search online.
    Previous years in-service questions (PRITE exams) are widely thought to be valuable. These do not have explanations, however, so get together with friends and try to understand the answers!
  • Test Preparation and Review Manual: by John C. Spiegel, John M. Kenny. A must have. It is all question based with thorough explanations. You can do the tests on paper or use the CD to practice online. Many of the questions there are known to find themselves on the real boards (or maybe they were originally on the boards?)
  • Review the defense mechanisms – there is a nice review in Glen Gabbard’s Psychodynamic Psychiatry in Clinical Practice, 4th edition. The different defenses show up several times on the boards.
  • For psychopharmacology, not only is it important to know every drug by GENERIC name (that is how they show up on the test), but main indications, side effects (including the severe or idiosyncratic ones), and potential drug-drug interactions. For drug-drug interactions, studying the cytochrome P450 system is helpful. Stephen M. Stahl’s book titled Stahl’s Essential Psychopharmacology: Neuroscientific Basis and Clinical Applications is chock-full of drug-drug interactions and explanations at the molecular level regarding why they interact. It is worthwhile to dedicate some time to this topic and make yourself a study guide for review.

ADDITIONAL REFERENCES

  • Statistics:  Anthony N. Glaser. High-Yield Biostatistics (High-Yield Series)
  • General Psychiatry, History, Genetics, Epidemiology, Substance abuse: Kaplan and Sadock’s Synopsis of Psychiatry
  • Anatomy: Stephen Goldberg’s “Clinical neuroanatomy made ridiculously simple” is said to be adequate and simple enough!
  • Psychotherapy: Glen O. Gabbard. Long-Term Psychodynamic Psychotherapy: A Basic Text (Core Competencies in Psychotherapy)

More suggestions?  Use the form below..

THINGS TO REMEMBER ON THE DAY OF THE TEST

Arrive at the test center 30 minutes ahead of time. If you are late by 15 minutes or more you will not be permitted to take the test (although at the discretion of the test site administrator). If you are from quite far away, consider staying nearby overnight.

What to bring with you:
TWO FORMS OF IDENTIFICATION:
Acceptable Forms of Primary Identification
Must be government issued and include a recent photograph and signature.
• Valid (not expired) driver's license
• Valid (not expired) state identification card
• Valid (not expired) passport

Acceptable Forms of Secondary Identification
Must include your signature.
• Social security card
• Valid credit card
• Bank automated teller machine card

Food and Drink:
Remember to bring lunch. You will likely not want to go searching outside for a deli. You can bring food, drinks, snack and eat in the common room (not allowed in the testing room where test is being administered). You can keep your belongings in the lockers provided.
What the test center will provide to you:
• A locker with a lock for your belongings
• Bathrooms on site.
• Earplugs - just ask for them if you are someone who is bothered easily by others around you.
• Just as they did during USMLE tests, they will provide you with a dry erase board and marker to take notes if you need it (helpful for the statistics part in which you may need to do some basic calculations!).

Note: You are not allowed to take anything in with you other than your photo ID (not even your own earplugs). So comply with their rules and it will be smooth sailing. You may find that you aren’t even allowed to review your notes while in the waiting area – so make sure not to leave anything for last minute cramming at the testing site!

MOST IMPORTANT ADVICE:

Get rest the night before, show up fired up to go, well nourished, and calm. By the time you are sitting in front of that computer, you will be well-prepared. Use your ability to recognize answers, for deductive reasoning, and reflect on your years of training. Once you are done, put it behind you. It takes 6-8 weeks to score this test and for you to receive your (hopefully) Pass. So just enjoy life, graduation, and the next phase of your career! Finishing residency is a huge accomplishment and something you have worked hard towards your whole life. Don’t forget the big picture.

Good luck with the tests, and hope you become a board certified psychiatrist in a few months!

DISCLAIMER: Please note that the above information could have inaccuracies and could be superseded by ABPN updates. Please check the ABPN website for the most up to date information. If there are errors, or other useful information that needs to be here, please write in to admin@psychtutorial.com

 

PRITE® facts

Multiple choice questions testing for in-services in various specialties was proposed in 1964, after concerns about the observed high fail rates in neurosurgery certification exams (1).  It was felt that an inservice training exam would help improve the board pass rates. The PRITE® (Psychiatry Residents-in-Training Examination) was first conducted in 1979, and annually  since 1982 (2). The PRITE® is taken by residents in the US and Canada(3). In 1991, more than 5800 residents took the test (1). It is administered by the American College of Psychiatrists, a non-profit honorary association of psychiatrists.

10 reasons why the PRITE® is important?

  1. Proven correlation between PRITE® scores and the ABPN board Part 1 scores (2).
  2. An educational resource for psychiatry residents and for training programs.
  3. Detailed analysis of results and comparison with others in training (4)
  4. Most Psychiatry training directors use PRITE® scores for individual resident evaluation (1).
  5. Residency directors use PRITE® as a measure of assessing their training program (1 ) explaining the emphasis placed on the test in different programs.
  6. The stated goals of the PRITE® declare it an aid for residents to assess themselves, and for the training programs to measure how their residents are faring as well as how they compare to other programs (3).
  7. A residents knowledge and understanding, problem solving skills and judgment are best assessed by the PRITE® (6).
  8. PRITE scores are shown to correlate to faculty evaluations (7).
  9. The neurology in-service (RITE) exam scores “can be used to assess a resident’s readiness to take the ABPN Part I examination”(8).
  10. The best way to get better doing questions is by doing questions!

PRITE Neurology sub-section scores correlate more with board scores (R=0.73), so careful preparation of Neurology is essential. Indeed, a study at the University of Michigan found that the Neurology scores improved over the years of psychiatry training (5)

Content material

The content areas tested for the PRITE® include Neurology and Neurosciences, Growth and Development, Adult Psychopathology, Emergency Psychiatry, Behavioral Science and Social Psychiatry, Psychosocial Therapies, Somatic Treatment Methods, Consultation-Liaison Psychiatry, Child Psychiatry, Alcoholism and Substance Abuse, Geriatric Psychiatry, and Forensic Psychiatry (3).

Details of the PRITE® examination can be found at the ACP website http://www.acpsych.org/prite/prite.html.

Why PsychTutorial?

  • The first online database of Psychiatry Multiple Choice Questions for test preparation featuring answers with explanations.
  • High-yield test-preparation material prepared by a pool of premium test-performers and test-setters
  • Generate tests with the number of questions you want and the topics you are interested in reviewing. Follow your performance and progress during your test preparation. Saves questions answered incorrectly for later review. Makes learning fun!
  • All this, in the comfort of your home with a 24/7 convenience. The most time-effective way for instant review.

Use PsychTutorial to be comfortable with answering questions and pacing yourself. You don’t want to start learning this in the examination room!

Good test preparation strategies translate into good scores.

List of review books recommended


Here is a list of favored review methods.

  • General Psychiatry, History, Genetics, Epidemiology, Substance abuse: Kaplan and Sadock’s Synopsis of Psychiatry
  • Anatomy: Stephen Goldberg’s “Clinical neuroanatomy made ridiculously simple” is said to be adequate and simple enough!
  • Neurology: Clinical Neurology for Psychiatrists (Kauffman)
  • Psychotherapy: Glen O. Gabbard. Long-Term Psychodynamic Psychotherapy: A Basic Text (Core Competencies in Psychotherapy)
  • Psychopharmacology: Stephen M. Stahl: Essential psychopharmacology
  • Statistics:  Anthony N. Glaser. High-Yield Biostatistics (High-Yield Series)
  • Previous years in-service questions are widely thought to be valuable.
  • Board prep books: Psychiatry Test Preparation and Review Manual: by John C. Spiegel, John M. Kenny
More suggestions?  Use the form below..

Good luck with your tests!

 

References:


1. Webb, L.C., et al., Training directors' opinions about the psychiatry resident In-Training Examination (PRITE). 1992, Am Psychiatric Assoc. p. 521-524.
2. Webb, L.C., et al., How well does the psychiatry residency in-training examination predict performance on the American Board of Psychiatry and Neurology. Part I. Examination? 1996, Am Psychiatric Assoc. p. 831-832.
3. 4. American College of Psychiatrists. The Psychiatry Resident-In-Training Examination (PRITE).  2009  [cited 2009 2009]; Available from: http://www.acpsych.org/prite/prite.html.
5. Albucher, R.C., et al., Neurology Training in Psychiatry Residency Self-Assessment and Standardized Scores. 1999, AADPRT. p. 77-81.
6. Templeton, B. and H.S. Selarnick, Evaluating consultation psychiatry residents. General hospital psychiatry, 1994. 16(5): p. 326-334.
8. Woodman, C. and Schultz, S. Faculty assessment of residents and teh resident In-training examination: is there a correlation? Acad. Psychiatry. 23:137-141.
8. Goodman, J.C., et al., RITE performance predicts outcome on the ABPN Part I examination. 2002, AAN Enterprises. p. 1144-1146..