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For all those out there that think there is justice in the world, think again...
I recently got back my oral board results and to my surprise, I failed. Actually I was more like shocked. But I believe there is a reason behind this erroneous result, in addition to the "failure quota" and extra cash the ABA is milking from a certain percentage of us.
This aside, I am an ivy league trained anesthesiologist, fellowship trained, scored top 80-90% on all ABA exams since first year, took several oral exams with legitimate examiners (all saying I will ace the exam), and studied for 3months straight.
During the first session I had two Caucasian southern males in a hotel room...
So the scene was two deep-south white male anesthesiologists and an Asian American (me). The case was a peds patient with a VSD. I could tell from the onset they had some kind of agenda. The questioning began with VSD physiology uptake of TIVA and inhalation. The discussion got a little intense when I said TIVA is usually prolonged and inhalational agents are variable depending upon Cardiac output (it can remain unchanged or increase). He did not agree. Then it proceeded to why I did not use ketamine for induction, and I mention that it was a reasonable choice, but I did not want to worsen PHT. They adamantly denied that ketamine could do this (which it can by most references). Then it got heated again regarding postop ventilation and using pressure control vs. imv/ps. Again I said there are no true outcome studies, but as long as peak pressures are managed either is okay. This went on and on. These guys were combative and argumentative. They wanted me to give in and concede. It was quite uncomfortable. Nor do I concede if I am right.
During the next session two Caucasians from Texas went at me. Both gave me the coldest greeting and evil eyes at the door. I was not sure if this was the "game" they play or something real. During this session the heated topics were 'fast track anesthesia' after cardiac surgery. The guy wanted me to fast track the patient in the OR. My response was give me more data, bypass time, coags, hemodynamics, extubation criteria, etc. This guy became aggressive and said I was dogging the issue (I was being a consultant actually). Then came the question, which test is most specific for liver dz, pt/ptt/ or INR. I told him pt and ptt give different info reg liver fxn, intrinsic and extrinsic sytems etc. Clearly he did not want to hear it. All this time both guys were giving condescending glares, slouching in their chairs, looking away in disgust, and so on.
Now I was under the impression that if I got that far in the session and we were discussing "controversial" issues, that this was a good thing. Boy was I wrong...
I had the fortune to have two colleagues get the same stem questions that morning, and we all agreed on essentially all the answers. SO I left the test feeling pretty good and confident. I answered all their questions, kept my composure, and justified everything I said.
The icing to this story is. I had recently turned down an academic position at a major teaching institution. The Chair person was at the Oral EXAM. I saw the person but was happy that I did not have to claim a "conflict of interest." But after recalling all the prejudgments, rude comments, and aggressive behavior from my examiners, I believe there was a true conflict of interest. I am sure just as anesthesiologists gossip in the OR, this chair person must have dropped some bad karma about me. Subsequently, I had to deal with all this old boys network and personal vendettas during my god dam Oral exam....
This test is subjective, and human error is ever-present...If you gotta fail somebody, might as well fail the Asian who pissed our colleague off.
Unbelievable... Clearly, I wrote a letter to the ABA describing my situation, academic skills, colleagues giving similar responses, and obvious conflict of interest during the session. I imagine they will toss me to the wayside. In the end we are nothing to them. If you are "different" or have personal grudges against you, you are done. It meets their "failure quota" and makes them extra money. I have to pay another 1800k and I lose money on my fellowship boards. This is crazy...If this test was taped, any impartial and ethnically diverse panel would have clear seen that I was a consultant, I made calculated decisions.
Some of you may think I am hallucinating. Maybe I need some thorazine... I don't know... But there are too many coincidences in this story. And ultimately, I am well trained and answered all their questions with thought, versatility, and evidence.
I got hosed... And now my life is put on hold...Does any one care, probably not. Just watch your back, and complain if those "impartial" Oral examiners are combative and aggressive... This is still an old boys club, and if you are not like them, good luck....
I recently got back my oral board results and to my surprise, I failed. Actually I was more like shocked. But I believe there is a reason behind this erroneous result, in addition to the "failure quota" and extra cash the ABA is milking from a certain percentage of us.
This aside, I am an ivy league trained anesthesiologist, fellowship trained, scored top 80-90% on all ABA exams since first year, took several oral exams with legitimate examiners (all saying I will ace the exam), and studied for 3months straight.
During the first session I had two Caucasian southern males in a hotel room...
So the scene was two deep-south white male anesthesiologists and an Asian American (me). The case was a peds patient with a VSD. I could tell from the onset they had some kind of agenda. The questioning began with VSD physiology uptake of TIVA and inhalation. The discussion got a little intense when I said TIVA is usually prolonged and inhalational agents are variable depending upon Cardiac output (it can remain unchanged or increase). He did not agree. Then it proceeded to why I did not use ketamine for induction, and I mention that it was a reasonable choice, but I did not want to worsen PHT. They adamantly denied that ketamine could do this (which it can by most references). Then it got heated again regarding postop ventilation and using pressure control vs. imv/ps. Again I said there are no true outcome studies, but as long as peak pressures are managed either is okay. This went on and on. These guys were combative and argumentative. They wanted me to give in and concede. It was quite uncomfortable. Nor do I concede if I am right.
During the next session two Caucasians from Texas went at me. Both gave me the coldest greeting and evil eyes at the door. I was not sure if this was the "game" they play or something real. During this session the heated topics were 'fast track anesthesia' after cardiac surgery. The guy wanted me to fast track the patient in the OR. My response was give me more data, bypass time, coags, hemodynamics, extubation criteria, etc. This guy became aggressive and said I was dogging the issue (I was being a consultant actually). Then came the question, which test is most specific for liver dz, pt/ptt/ or INR. I told him pt and ptt give different info reg liver fxn, intrinsic and extrinsic sytems etc. Clearly he did not want to hear it. All this time both guys were giving condescending glares, slouching in their chairs, looking away in disgust, and so on.
Now I was under the impression that if I got that far in the session and we were discussing "controversial" issues, that this was a good thing. Boy was I wrong...
I had the fortune to have two colleagues get the same stem questions that morning, and we all agreed on essentially all the answers. SO I left the test feeling pretty good and confident. I answered all their questions, kept my composure, and justified everything I said.
The icing to this story is. I had recently turned down an academic position at a major teaching institution. The Chair person was at the Oral EXAM. I saw the person but was happy that I did not have to claim a "conflict of interest." But after recalling all the prejudgments, rude comments, and aggressive behavior from my examiners, I believe there was a true conflict of interest. I am sure just as anesthesiologists gossip in the OR, this chair person must have dropped some bad karma about me. Subsequently, I had to deal with all this old boys network and personal vendettas during my god dam Oral exam....
This test is subjective, and human error is ever-present...If you gotta fail somebody, might as well fail the Asian who pissed our colleague off.
Unbelievable... Clearly, I wrote a letter to the ABA describing my situation, academic skills, colleagues giving similar responses, and obvious conflict of interest during the session. I imagine they will toss me to the wayside. In the end we are nothing to them. If you are "different" or have personal grudges against you, you are done. It meets their "failure quota" and makes them extra money. I have to pay another 1800k and I lose money on my fellowship boards. This is crazy...If this test was taped, any impartial and ethnically diverse panel would have clear seen that I was a consultant, I made calculated decisions.
Some of you may think I am hallucinating. Maybe I need some thorazine... I don't know... But there are too many coincidences in this story. And ultimately, I am well trained and answered all their questions with thought, versatility, and evidence.
I got hosed... And now my life is put on hold...Does any one care, probably not. Just watch your back, and complain if those "impartial" Oral examiners are combative and aggressive... This is still an old boys club, and if you are not like them, good luck....
some of you need to relax.