inservice exam

[michpsych]

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anyone get prite score back yet

 

[OldPsychDoc]

They usually come back to the programs in late December. Up to them when they release scores to you.

 

[Bearrie]

Ours releases it when it comes back if we email the program coordinator. I emailed her to see it were available. Will let you know!

 

[michpsych]

same here we haven't got our yet they mention the PC will email us when available

 

[MLT2MT2DO]

Got ours back yesterday afternoon

 

[OldPsychDoc]

Do you really want them? Planning to study up for next year over the holidays?

 

[brainmedicine]

We got them today

 

[PistolPete]

Did you guys get percentile scores this year? Thought the whole point of the PRITE was to compare us nationally, not just within the program. I didn't, but got percentile my precious few years.

 

[OldPsychDoc]

Did you guys get percentile scores this year? Thought the whole point of the PRITE was to compare us nationally, not just within the program. I didn't, but got percentile my precious few years.

There was a HUGE dialogue about this on the PD's listserv*--to make a long story short, the plan has been to move away from percentile ranks to standard scores--overall mean=500, SD=~100. This is on your "Resident Report #1", which gives you your standard score on each of the sub-scores--and thus your relationship to the national mean--though there are so few questions on many of these that the stats aren't particularly meaningful. You can convert to percentile rankings if you know a little statistics: basically the breakpoints are approximately +1.25 SD for the 90th percentile, +0.66 SD for 75th, -0.66 SD for 25th, and -1.25 for 10th. (And for those of you who still nurture your inner gunner from MS1, they do still report your ranking within your cohort and program. 🙄)

*which interestingly seemed to wind down into a question of "What is the purpose of this thing again? And why are we paying the ACP for it?"

 

[PistolPete]

Gotcha, thanks!

 

[splik]

There was a HUGE dialogue about this on the PD's listserv*--to make a long story short, the plan has been to move away from percentile ranks to standard scores--overall mean=500, SD=~100. This is on your "Resident Report #1", which gives you your standard score on each of the sub-scores--and thus your relationship to the national mean--though there are so few questions on many of these that the stats aren't particularly meaningful. You can convert to percentile rankings if you know a little statistics: basically the breakpoints are approximately +1.25 SD for the 90th percentile, +0.66 SD for 75th, -0.66 SD for 25th, and -1.25 for 10th. (And for those of you who still nurture your inner gunner from MS1, they do still report your ranking within your cohort and program. 🙄)

*which interestingly seemed to wind down into a question of "What is the purpose of this thing again? And why are we paying the ACP for it?"

well the problem was that percentile scores were being abused for things they had no business to do - like stopping residents moonlighting, or being used to attack junior residents. The point of the PRITE is more for programs to be able to evaluate themselves on how they are doing teaching their residents on various topics and helping them to improve in areas where residents seem to be deficient.

However next year the new PRITE comes out and then there will be a huge backlash as it's so far out there in content (and far-removed from the actual boards) I think there will be a backlash against how useless it has become.

 

[JustAGuy]

These inservice exams confuse me. What do you make of PGY1s and 2s who score in the 99th percentile overall? That means some of the brand new PGY1s with a couple months of experience already can easily pass the boards? Already know significantly more than the new junior attendings who did much worse on the prite the year prior?

 

[brainmedicine]

Are scores in the 600s considered good scores?

 

[OldPsychDoc]

Are scores in the 600s considered good scores?

Yes.

(What? You scored less than 700?? Better step up your game! ) 😉

 

[Blitz2006]

The real skill in psychiatry is in clinical practice and there is no correlation between PRITE scores and clinical competence (this has been studied, sometimes higher PRITE scores are associated with poorer interpersonal skills etc for example).

Good to know. Any chance you have links to these studies of PRITE vs. clinical competence? I'm interested to review them.

 

[nancysinatra]

These inservice exams confuse me. What do you make of PGY1s and 2s who score in the 99th percentile overall? That means some of the brand new PGY1s with a couple months of experience already can easily pass the boards? Already know significantly more than the new junior attendings who did much worse on the prite the year prior?

I don't think a PGY1 needs a couple months' experience to pass the psych boards.

 

[nancysinatra]

ultimately the book knowledge needed to pass the psychiatry boards is pretty basic - it is the easiest of the medical board exams after all. The real skill in psychiatry is in clinical practice and there is no correlation between PRITE scores and clinical competence (this has been studied, sometimes higher PRITE scores are associated with poorer interpersonal skills etc for example).

When you say it is the easiest of the medical board exams, do you mean it is easier than Step 1, 2, and 3, or do you mean it is easier than other specialty board exams?

And as far as clinical competence being correlated with PRITE scores, how are they measuring clinical competence in these studies? Please do not tell me it's determined with patient satisfaction surveys.

thelastpsychiatrist

quipped that we get tested on MAOIs, pimozide and DBT which most psychiatrists never even use, but not on Xanax and disability which every non-pp psychiatrist deals with on a daily basis.

I actually think MAOIs, pimozide, etc. are undertaught and under appreciated. Last week I had a patient come in who has been taking Parnate for 30 years. She has been taken off it in the past with disastrous effect. I had no idea how to use this medication and was forced to look it up in textbooks. There are many treatments like that, which I don't feel I learned in residency.

 

[notdeadyet]

I actually think MAOIs, pimozide, etc. are undertaught and under appreciated. Last week I had a patient come in who has been taking Parnate for 30 years. She has been taken off it in the past with disastrous effect. I had no idea how to use this medication and was forced to look it up in textbooks. There are many treatments like that, which I don't feel I learned in residency.

Which is a drag, since residency is the perfect time to use them. There is a great opportunity in residency to learn from the experience of a bunch of old docs that used medications that were effective but aren't as often prescribed. It's great to have the chance to use some of them under their tutelage, rather than never get exposure and have that much smaller of a toolbox.

 

[nancysinatra]

Which is a drag, since residency is the perfect time to use them. There is a great opportunity in residency to learn from the experience of a bunch of old docs that used medications that were effective but aren't as often prescribed. It's great to have the chance to use some of them under their tutelage, rather than never get exposure and have that much smaller of a toolbox.

I know, and I really wanted to. A good residency program will encourage that. That is why a good residency program will also have a faculty that is diverse in terms of age, because the older attendings have invaluable experience. Even in this day and age we need to know how to use TCAs, MAOIs, barbiturates, etc. They are harder to use, and therefore should warrant more, not less, teaching.