So comments on interpreting 2015 PRITE Scores? Resources for individual topics one finds themselves weak in? For ex. it seems I suck at Emergency & C/L, what resources are there for that?
The best way to tell is look at the questions assigned to those topics and look at the reference. Often the PRITE sub sections are too small and you miss one or two and you are below 50%. One year ER psych had about 5 questions and they were all about NMS and serotonin syndrome plus one cheese reaction.
There's a reasonable correlation between PRITE scores and attending ratings of residents. How much either of those mean remains a question.
At my last program when I was chief there was a definite, if loose, correlation between percentile/raw score, and the quality of work of the resident clinically. It was hardly perfect, and it may have been more of a threshold effect if anything. I'm not sure that residents who scored 90 percentile were consistently better than those that scored in the 60s, but the ones in the 60s were consistently better than those in the 30s.
Yeah, my PD was mostly concerned when someone had a bad score more than anything. We had a PG3 last year whose score was so atrocious I'm not sure he was even trying.
I honestly don't even know how to interpret my PRITE results. I just see us being ranked amongst interns, but I don't have anything objective as to what these numbers mean etc.
I just saw my score report and don't know what percentile i fall under, anyone have any tips?
The American College stopped reporting year by year averages, but they agreed to report these later this month. As it stands, the overall mean is 500 with a standard deviation of 100. Right now it is very hard to say if PGY-I should be at 400, 425, 450? It is also hard to say what is good for a PGY-IV, 550, 575, 600?
This has been changed to not have the percentile. Of course if you score anything over a bottom 25 percentile you should roughly have an idea since the mean and SD is givenhuh, we were always given national percentiles for overall and your particular year of training (plus your individual rank within your program both for your own class and overall.
The best resource is the book of questions from the test you took--which should be returned to you by your program.Hi,
I'd like to find out how to improve my performance on PRITE next year? I did pretty poorly on it this year (intern year) and am feeling pretty crummy about it. I scored in the 5th percentile and I have not had any issues in the past. I'm feeling very sad about it, but I know that I have to improve. No one has said anything to me about it, but it's so hard to muster up the courage to read anything. When I was sutdying for USMLE's I had Uworld which would mimic USMLE questions. I wish there was a similar resource for PRITE.
Please advise. Thanks
Hi,
I'd like to find out how to improve my performance on PRITE next year? I did pretty poorly on it this year (intern year) and am feeling pretty crummy about it. I scored in the 5th percentile and I have not had any issues in the past. I'm feeling very sad about it, but I know that I have to improve. No one has said anything to me about it, but it's so hard to muster up the courage to read anything. When I was sutdying for USMLE's I had Uworld which would mimic USMLE questions. I wish there was a similar resource for PRITE.
Please advise. Thanks
The best resource is the book of questions from the test you took--which should be returned to you by your program.
They did not return the questions to me. I just got my report.
I wish there was a question bank online or something that would explain answer choices.
I honestly felt so crappy after getting my score report back and looking at the correlation with the boards. I did really well on Step 1 and Step 2 so I'm shocked as to why I am having a difficult time with this.
Thanks for the re-assurance. My chief was saying a score of 500 correlates with passing the boards. It's so tough to study psychiatry because what you do on a day to basis is not what's tested in my opinion. They don't test the social work type stuff you doDon't even think twice about it. You'll pass your boards.
I'd be interested to hear what he/she is basing that off of.Thanks for the re-assurance. My chief was saying a score of 500 correlates with passing the boards. It's so tough to study psychiatry because what you do on a day to basis is not what's tested in my opinion. They don't test the social work type stuff you do
I know, it's just totally disheartening to know that I got less than 50% of the answers right on the test
They did not return the questions to me. I just got my report.
I wish there was a question bank online or something that would explain answer choices.
I honestly felt so crappy after getting my score report back and looking at the correlation with the boards. I did really well on Step 1 and Step 2 so I'm shocked as to why I am having a difficult time with this.
Why would they not return your books/answer sheet? You should request it
They returned the answer sheet, but did not return the test booklet.
I'm worried because I have also read in our contract that promotion to the next year is dependent on a variety of factors. PRITE scores are one of them. I'm honestly just clueless as to how I screwed up so royally when I have been doing so well on my USMLE's and Med School tests.
My understanding is that PRITE cannot be used for advancement according to RRC.
I would be very grateful if you could please show me some evidence of this. Before I found out about my PRITE score in December, my PD (who is also my attending) was very warm and friendly with me, commenting on how good of a job I'm doing. Now that the score is out, I am being constantly badgered and threatened by my Chief resident for bringing the program down and my PD has told me how disappointed he is in me. It's really shaken me to the core as well and has made me very nervous around my colleagues, staff and faculty since they all think I'm incompetent and don't know how to be a good Psychiatrist.
I am sorry to hear your PD is such a douche bag. This was exactly the reason that they wanted to stop reporting percentiles for the PRITE - because we knew that it was being abused in this kind of way. Now, a 5 %ile score is pretty bad BUT you are an intern and it is ridiculous to even take the PRITE as an intern except to give you a baseline for future years. Which is not possible anymore because the PRITE 2016 will be a radical departure in content to previous PRITEs and thus does not really give a good comparison. As an intern you have spent much of the year not doing psychiatry at all, and you have 3 years ahead of you where you will be improving your psychiatric knowledge. Assuming that your day to day knowledge is reasonable (I really just want my interns to be able to formulate a reasonable differential diagnosis, know the psychopharmaocology of drugs in acute settings, and formulate a suicide risk assessment) and there are no concerns about your "professionalism" (residents are far more likely to be dinged for having a sucky attitude than sucky knowledge) you should be fine.I would be very grateful if you could please show me some evidence of this. Before I found out about my PRITE score in December, my PD (who is also my attending) was very warm and friendly with me, commenting on how good of a job I'm doing. Now that the score is out, I am being constantly badgered and threatened by my Chief resident for bringing the program down and my PD has told me how disappointed he is in me. It's really shaken me to the core as well and has made me very nervous around my colleagues, staff and faculty since they all think I'm incompetent and don't know how to be a good Psychiatrist.
The ACGME's requirements are only that "The program must formally examine the cognitive knowledge of each resident at least annually in the second, third and fourth years, and conduct an examination across biological, psychological, and social spheres that are defined in the program’s written goals and objectives." The PRITE is not required. There is no formal tie-in of this cognitive exam to advancement.My understanding is that PRITE cannot be used for advancement according to RRC.
The ACGME's requirements are only that "The program must formally examine the cognitive knowledge of each resident at least annually in the second, third and fourth years, and conduct an examination across biological, psychological, and social spheres that are defined in the program’s written goals and objectives." The PRITE is not required. There is no formal tie-in of this cognitive exam to advancement.
https://www.acgme.org/acgmeweb/portals/0/pfassets/programrequirements/400_psychiatry_07012014.pdf
I am sorry to hear your PD is such a douche bag. This was exactly the reason that they wanted to stop reporting percentiles for the PRITE - because we knew that it was being abused in this kind of way. Now, a 5 %ile score is pretty bad BUT you are an intern and it is ridiculous to even take the PRITE as an intern except to give you a baseline for future years. Which is not possible anymore because the PRITE 2016 will be a radical departure in content to previous PRITEs and thus does not really give a good comparison. As an intern you have spent much of the year not doing psychiatry at all, and you have 3 years ahead of you where you will be improving your psychiatric knowledge. Assuming that your day to day knowledge is reasonable (I really just want my interns to be able to formulate a reasonable differential diagnosis, know the psychopharmaocology of drugs in acute settings, and formulate a suicide risk assessment) and there are no concerns about your "professionalism" (residents are far more likely to be dinged for having a sucky attitude than sucky knowledge) you should be fine.
Also the breakdown of topics is useless because there are few questions in each area and I certainly wouldn't focus your efforts in that way. Crack open Kaplan and Sadock's Synopsis of psychiatry, read around the cases you are seeing, work your way through my 100 Papers, and read Stahl's Essential Psychopharmacology and you will be doing fine.
If they tried to get rid of you for a PRITE score alone, you could successfully sue them and I would be happy to be an expert witness in the deposition
in with neuroscience and out with psychodynamics, in with systems based practice out with sex therapy, in with professionalism and practice-based learning and out with hypnosis etc. essentially it is supposed to map onto the milestones. IIRC 23% is going to be neuroscience (not neurology, neuroscience - neurology is a further 9%). personally i think this has gone too far and i think there will probably be a huge backlash against this but such as it is. they've also reified DSM-5 so =psychiatric syndromes not in the DSM will no longer be tested.
Choose only the best answer.Great... replacing entertaining BS questions with "slams head against table" BS questions
Choose only the best answer.
Physicians should engage in life-long learning:
a) Enthusiastically and energetically
b) Continuously
c) By participating in CME and keeping up with MOC
d) After finishing their daily work
I seriously can't believe there is a program that gives a crap about PRITE scores.