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- Dec 14, 2010
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Getting to that time of year again....
Whats everyone using to study?
Whats everyone using to study?
What's the best way to study for internal medicine?
This exam was a disgrace plain and simple. How the writers of this exam can seriously determine who is "minimally competent" is beyond me. I studied pretty thoroughly for this exam. Just like I would for any exam. After completing the exam I was quite certain I passed. I could see how the exam could be very difficult if you didn't prepare as much as you should have. My biggest issue with this exam is that the quality of the questions are poor. Some were so easy that I didn't even spend 5 seconds on them, where others were so poorly written that I spent 10 minutes trying to understand what they were asking. Poor grammar in some of the questions stems as well. It's pretty clear someone closes their eyes and randomly picks questions from a hat and creates the test. I'm ashamed of the quality of our board exams and would be embarrassed to let one of my MD/DO friends/colleagues sit and take one of our board exams for fun. The profession of podiatry would take a major hit in my opinion.
I also feel bad for my fellow podiatry comrades, who matriculated into schools where you take a lot of courses with the DO students. You are exposed to such high quality teaching and information and probably understand general medicine better than me or someone who will graduate from a non-osteopathic affiliated podiatry institution. You get all this great teaching and then you get to our board exam and you get questions on "x-ray generation". Are we studying to be x-ray technicians or doctors? I had more questions on x-ray generation than antibiotics...you know the drugs podiatrists use most frequently while managing diabetic foot infections. I'm pretty sure the smartest orthopedic or general surgeon in the world doesn't have a clue about the intricacies of x-ray generation. Does that mean they are not "minimally competent" by podiatry standards?
After taking the exam I will give my opinion on the value of some of the APMLE part II board review manuals and other textbooks floating around:
Hershey: Didn't read it. Too dense. Dated.
Presby: Didn't read it. Too dense. Dated.
PI Manual: Read all of it during clerkships. Stopped reading it as I was getting close to boards. Too wordy and not easy enough to get through in a short period of time.
PEARLS: Excellent review for epidemiology, research, health law, etc. You must read it. I reviewed it the night before the exam and felt I rocked all those questions.
Pocket Podiatrics: Great review book for part II. A lot of buzzwords are in pocket pods that help you recognize the correct and incorrect answers on the exam. Has some mistakes in it but the positives far out-weigh the cons. I would ONLY use this to prepare for boards. Do not use on clerkships or people will laugh at you. It has a bad reputation with attendings/residents.
PRISM: Excellent review for part II as well. Easy read, full of information in a condensed manner. Only really beneficial if you have a solid baseline of knowledge since it's more like a "cliffs notes" of podiatric medicine.
Lower extremity infections (Warren Joseph): Read a lot of it while out on clerkships. Do NOT use for boards. Great book but I had only 1 question on antibiotics so it's not worth it for board review.
***Skin Disease of the lower extremities (Vlahovic): All you will ever need for DERM board review. I've used it on clerkships and used it for boards and it was awesome. Buzz words, condensed summary of pathology and there are pictures to accompany the dermatological condition. Small enough to fit in your white coat pocket. Get it.
McGlamry Anesthesia chapter (3rd edition, NOT 4th [newest one]): All you need for anesthetics for board review.
Step-Up-to-Medicine: More than enough for the general medicine topics. I'd hit cardiology and endocrine really really really hard.
Christman Radiology Foot & Ankle textbook: Hopefully you read this while studying for radiology. If not then study your class notes thoroughly as the above review manuals don't do foot and ankle radiology justice.
Biomechanics: Read Valmassy while studying for biomechanics. Understand closed kinetics chain gait and orthotics pretty well. If you actually have a biomechanics course then review your class notes thoroughly.
***Also for radiology and biomechanics: The APMA website has free educational videos available to APMA student members that cover a large array of topics. Especially biomechanics and radiology. I'd review those specific lectures as I recall some questions asking about material that was covered in these videos specifically. They are extremely well done and are of the quality of the Foot Innovate videos that are done by Dr. Anderson and Myerson. They are even better than the present podiatry lectures IMO. Most importantly they are FREE to APMA student members. They can be found here (you need your APMA student ID and password): http://www.apma.org/Education/content.cfm?ItemNumber=9805
Lastly, I will give a shout out to Scholl for preparing us pretty well for this exam (at least I felt they did). The administration took away our December clerkship month this year to schedule mandatory board review sessions in radiology, epidemiology/research/law, physical therapy, surgery, pediatrics, sports medicine, biomechanics and we had a day where we went over case studies in podiatric medicine. All in all I felt it was pretty helpful. Thanks Scholl.
You still have time to re-register and pass the exam. Results from the retake will be in before the match. You are under no obligation to tell programs you applied to that you failed. Trust me there is no way they can find out, the school you attend can't disclose that information and they wouldn't even bother calling. The only way they would find out is if you told them if they happened to call you.
Pass it the next time, match, and move on with your life. If you fail it again then you will be disqualified from the match. So if you landed a residency position and ended up failing the retake you and the program are completely screwed. They will have to go into the scramble to fill that position.
Some programs may call you and blatantly ask if you passed or not. You can say whatever you want. That may rub other residents and residency directors the wrong way but programs will always find other candidates to fill the empty spot. This is all a game. Play it.
thanks for your response anklebreaker. anyone have an idea of what the pass rates are second time around? is the exam a bit more straightforward?