Oral boards 2019

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I went through ubp 3 times starting around 5-6 months before my exam and supplemented any weakness with Yao and Artusio ( probably read only 1/3 of that book). I have a baby so I could only study during work or after he went to sleep for the night, which is why I started so early.

The first time through ubp, I had a study partner and we went through every single question out loud together. It was such a painful way to study but it ultimately helped, even if the pace didn't accurately reflect the actual exam. I only did two mock orals with an actual board examiner. For the osce I used ubp as well, which was slightly overkill but was a one stop shop for everything I needed to know, so it was great in that regard. I would recommend.

Coming out of the test I felt great. I felt like I passed. Then slowly I started to think about all my mistakes, and convinced myself that I could have failed both the orals and the osce. The wait for my results was the worst part.

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I took the test for the 2nd time this past week. I had not really taken the test seriously the first time and only studied maybe a week or so. I figured I would pass and paid the price.

This time, I went about things totally differently. I took Jensen’s course in February and did about 10 Skype exams with him. I read Big Red cover to cover (it’s about 500 pages). I practiced with my former program director and my former mentor, who is an expert in OB. I paid $800 for Michael Ho’s Online Course but quickly got tired of it. I practiced 5-6 times with my former fellow residents.

By the time that four months of studying was over, I thought I was prepared. I was positively sick of the material. I started dreaming about anesthesia oral board topics and got hopelessly depressed. I built up the exam to be un-passable.

Two weeks before I take the test, I herniate a disc in my back and develop foot drop. I have to have emergency back surgery. My foot recovered but I thought it would ruin my preparation. I only had two weeks to go and there was a two-week recovery time for my operation.

So I go in to take the test for the second time, and by some miracle, I am very well prepared for both stems. The first stem was actually one I had had practiced very recently, and I knew exactly how to respond. My second stem was a little bit tougher, but on the whole I thought I did fine. I got through all the grab bags and felt like I answered each coherently and cleanly. At least at the time.

In the time since the exam, I realized I said a few things that were imprecise or even incorrect (they were things incorrectly taught to me). Every minute I think of the test, the more doubt creeps into my mind. I think of something else I was inarticulate or even incorrect in describing. The examiners rarely pressed me on assertions I made, right or wrong.

So who knows. I came out of the exam thinking I definitely passed. I thought I couldn’t have done better. Now I’m not so sure. My doubts grow by the minute.

I hate this test.
 
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Hey fellow board examinees,

I have a clean, unmarked set of all six Ultimate Board Prep practice books for sale. Please PM me if interested. Thanks
 
I took the test for the 2nd time this past week. I had not really taken the test seriously the first time and only studied maybe a week or so. I figured I would pass and paid the price.

This time, I went about things totally differently. I took Jensen’s course in February and did about 10 Skype exams with him. I read Big Red cover to cover (it’s about 500 pages). I practiced with my former program director and my former mentor, who is an expert in OB. I paid $800 for Michael Ho’s Online Course but quickly got tired of it. I practiced 5-6 times with my former fellow residents.

By the time that four months of studying was over, I thought I was prepared. I was positively sick of the material. I started dreaming about anesthesia oral board topics and got hopelessly depressed. I built up the exam to be un-passable.

Two weeks before I take the test, I herniate a disc in my back and develop foot drop. I have to have emergency back surgery. My foot recovered but I thought it would ruin my preparation. I only had two weeks to go and there was a two-week recovery time for my operation.

So I go in to take the test for the second time, and by some miracle, I am very well prepared for both stems. The first stem was actually one I had had practiced very recently, and I knew exactly how to respond. My second stem was a little bit tougher, but on the whole I thought I did fine. I got through all the grab bags and felt like I answered each coherently and cleanly. At least at the time.

In the time since the exam, I realized I said a few things that were imprecise or even incorrect (they were things incorrectly taught to me). Every minute I think of the test, the more doubt creeps into my mind. I think of something else I was inarticulate or even incorrect in describing. The examiners rarely pressed me on assertions I made, right or wrong.

So who knows. I came out of the exam thinking I definitely passed. I thought I couldn’t have done better. Now I’m not so sure. My doubts grow by the minute.

I hate this test.

I had the exact same experience with test 1 and this attempt.

If I pass when I get my certificate I’m going to put in a drawer or the trash . I’m not putting it up on my wall. The ABA can suck my dick. I’m not a better anesthesiologist Now that my head is crammed full of trivia. When I finally attain this “board certification” I won’t be very proud of it .

I too barely got pressed at all about my answers, even the handful that weren’t great. At least I got though all the grab bags. We had 8 total grab bags this time, were the 4th topic in each session test cases or what
 
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I had the exact same experience with test 1 and this attempt.

If I pass when I get my certificate I’m going to put in a drawer or the trash . I’m not putting it up on my wall. The ABA can suck my dick. I’m not a better anesthesiologist Now that my head is crammed full of trivia. When I finally attain this “board certification” I won’t be very proud of it .

I too barely got pressed at all about my answers, even the handful that weren’t great. At least I got though all the grab bags. We had 8 total grab bags this time, were the 4th topic in each session test cases or what

We only had three grab bags in each session. It would be odd for you to have four. I know it was only three because they show you the cases on a screen. And there was a tab for each one.
 
Yeah I don’t know we had 4 tabs. And the 4th tab was definitely a new separate additional topic
 
??

When did you take the exam? The screen was to my right on the wall not 3-4 feet away, on the wall in between myself and the examiners. (This was for the Applied exam taken this season)


I either didn’t see this screen or completely ignored it. Where was it in the room?
 
??

When did you take the exam? The screen was to my right on the wall not 3-4 feet away, on the wall in between myself and the examiners. (This was for the Applied exam taken this season)

Both of my rooms had 3 grab bags. 4 tabs, though. The last tab in both rooms was a second part to the 3rd grab bag. Maybe that's where the confusion is coming from? Or maybe some people get 4 and others get 3. I don't remember being specifically told there would be 3, just that there would be 10 minutes of additional topics.
 
Now I’m paranoid I missed an elusive “4th grab bag” in both rooms. Seems very unlikely in retrospect. I saw three tabs. And they were labeled “Additional Topic # 1” or “Additional topic # 3”.

I don’t know any more. 3 grab bags and 4 tabs?! 5 tabs?!

I see four lights! I... SEE... FOUR... LIGHTS!
 
There were 4 tabs but the 4th tab , I’m almost positive, was a totally different short stem. I can’t remember now . Why would the 3rd additional topic have TWO PARTS?!? WHAT IS GOING ON
 
There were 4 tabs but the 4th tab , I’m almost positive, was a totally different short stem. I can’t remember now . Why would the 3rd additional topic have TWO PARTS?!? WHAT IS GOING ON

It was a two part grab bag. "50 y.o F comes for blah blah blah with blah blah pmh. Intraop, they develop blah blah blah. What do you think?" Second tab... "you go out to pacu to see this patient, and the monitor looks like this - vitals vitals vitals. What do you think is going on?" That was pretty much how both of my third grab bags were. Something intraop, then something in PACU,involving the same patient. But only one question about each part.
 
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There were four tabs for me. The first tab was a post-op portion from the main case (showing an abg or whatever). Then there were three grab bags. Definitely not four grab bags.
 
Ok so is 6/8 tabs bad? I ran out of time on the last of 4 tabs both rooms
 
Ok so is 6/8 tabs bad? I ran out of time on the last of 4 tabs both rooms

I was in the same boat. I was on the 4th tab in both rooms amidst answering the question when the timer went off. I don't think it's all that important. Matters more what was said up to that point, not whether you were able to finish the last grab bag.
 
Ok so is 6/8 tabs bad? I ran out of time on the last of 4 tabs both rooms

You’re always going to run out of time on the last tab. You keep getting asked questions on the last grab bag until time is up. Otherwise, it would just be an awkward staring contest.
 
My best guess is that those of us waiting for results tomorrow are going to be waiting until Tuesday? Have a few extra drinks this weekend!
 
Why did they do away with oral boards for radiology but keep them for anesthesia? Doesn't anesthesia have a professional association to fight this nonsense?
 
I feel like I failed. I stuttered and stumbled in places I shouldn’t have. Not a good day for me.
I’ve felt terrible for the last few weeks. Anytime I thought about it, I was sure I failed. Apparently this feeling is universal. I passed. I’m glad it’s over with. I am glad I never have to sit on that side of that particular table again.
 
If anyone is interested in buying a slightly used (though no writing on the stem pages) version of UBP2017 edition, send me a PM
 
Found out today that I passed both SOE and OSCE! I credit passing oral boards to Dr. Ho's course. I had a lot of knowledge from residency but really didn't know how to consolidate it in a useful and coherent way till taking this course. The mock exams with both Dr. Ho and the other consultants were invaluable as well. Every single potential board case had been covered at least once in my mocks or in the videos. On test day, although still nervous, I felt prepared for whatever they were going to throw at me. The cost of the course scared me at first, but the thought of having to retake the exam and the stress of failing and restudying made it worth every penny. I read the UBP books but honestly their answers were way too wordy and didn't help me learn how to actually verbalize my answers...maybe a good secondary source for gaining knowledge, but not good substitute for actual mocks with an anesthesiologist.
 
Passed. I only went through the UBP books. First pass through, I took my time (did 1-2 cases a day, not studying every day). 2nd time through, I went much quicker as I had procrastinated a lot and didn't finish the first pass as early as I intended. Didn't do any courses or a single mock exam with anyone. Felt I had gotten so much practice in residency, I was mostly comfortable with how to answer the questions (knowing the UBP examples are way over the top). Only OSCE studying I did was some short files a former co-resident had sent me, spent maybe 1-2 hours going over it the night before, covering the ultrasound anatomy and QI stuff. Felt relatively confident walking out of the exam, but definitely had some doubt creep in during the 2+ week wait. Glad it's over. See ya never, ABA.

Edit: I don't recommend preparing the way I did. While it worked out in the end, I would've really regretted not doing more mock exams had I failed. The two main reasons I didn't do any mocks were what I considered to be adequate exposure to mocks throughout my residency and my disdain for working with others who tend to get easily distracted or off topic. Felt personally that I'd get more out of solo studying, but I recognize that may not apply to many others out there.
 
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Took my oral last week. Started with OSCE, did fair. Oral first long case did ok, short form made some mistakes but in overall not terrible. But, unfortunately had 3 bad answers in my Grab bags. Said something very stupid -not like killing a patient, but still terrible-. Anybody had the similar experience of not doing good in Grab bags but ok with their main case?
 
So I tried looking this up in a few older oral board threads but couldn't find it somehow.

When the ABA says "two weeks" for your scores, they actually mean two Mondays, right? So if I took mine two weeks ago on a Tuesday, my wait is actually more like 3 weeks and I shouldn't expect scores today.

Just wondering if I should randomly hit refresh on the ABA website all day...


🙄
 
So I tried looking this up in a few older oral board threads but couldn't find it somehow.

When the ABA says "two weeks" for your scores, they actually mean two Mondays, right? So if I took mine two weeks ago on a Tuesday, my wait is actually more like 3 weeks and I shouldn't expect scores today.

Just wondering if I should randomly hit refresh on the ABA website all day...


🙄

You’ll know that the scores are going up if the ABA website is down...usually goes down by 7-8am if that is the case. If it is not currently down, then no scores today and you don’t have to refresh.
 
So I tried looking this up in a few older oral board threads but couldn't find it somehow.

When the ABA says "two weeks" for your scores, they actually mean two Mondays, right? So if I took mine two weeks ago on a Tuesday, my wait is actually more like 3 weeks and I shouldn't expect scores today.

Just wondering if I should randomly hit refresh on the ABA website all day...


🙄

Yes, it's the 3rd Monday after your exam, whether you took it on a Tuesday, Wednesday, Thursday, etc.
 
Oral board study material. UBP + just oral board student manual + ABA sample Qs

Message me if needed.
 

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Howdy folks--

For those scouring the oral board threads looking for advice (as I was a few weeks ago), I found out I passed yesterday so wanted to share some of my thoughts.

As far as studying, I used UBP pretty much exclusively. As others have said, the stems and explanations are too complex compared to the real thing but they get the juices flowing in the right direction and will cover all of the bread-and-butter stuff. I think my approach on the boards was somewhere between UBP and real life - I didn't do awake PA lines in everyone but tried to err on the more conservative side of my normal day-to-day decision making (of note, I'm practicing OR anesthesia full time, so that makes it easier for me to do 'what I would normally do' versus someone doing pain etc).

I did not do any live mock oral practice - YMMV. I did practice all the UBP cases "out loud" (i.e. answering the questions in short answer form to myself / my cat) and made it through the whole book x 1. I also discussed a few of the UBP cases with my residents, which I think was a nice way to study as well if you happen to be in an academic setting.

For exam day, it's exactly as you would expect. I thought the stems were very fair and weren't esoteric - just day-to-day stuff you'll see in the OR. The examiners were dispassionate but not malignant. I felt like I was able to answer the question and give a brief explanation as to why I would approach problem x with solution y without belaboring the point. I didn't feel rushed but I also didn't offer overly verbose answers -- nowhere near the UBP answers, for example -- and any time my examiners wanted more information on my rationale it seemed like they asked for it.

I obviously prepared less than some on this board but overall felt like the SOE exam was fair and as someone practicing full time OR anesthesia it didn't throw too many curveballs. I think going through UBP is pretty good preparation and don't know that doing umpteen mock orals out loud is necessary; that said, it depends a lot on your personal strengths. A huge part of the orals is being articulate under pressure and not letting the stress get to you -- if those are things historically you struggle with, more preparation will benefit you. I don't think the knowledge component is a big deal breaker for most well-trained anesthesiologists - especially if you did well on your ITEs/Advanced exam - but being able to express that knowledge is big. Staying calm is probably the most important part (not to be trite, but the whole "the first procedure at a cardiac arrest is to take your own pulse").


Finally, the OSCE - to me this was a huge waste of time and by far the worst part of the day. I would have rather done two more oral board stems. The materials on the ABA website are all you need to review - they show all of the technical- and knowledge-based components of the OSCE. The rest of it serves the same purpose that Step2CS did - discriminating against people who aren't native English speakers / with lower cultural understanding. I hope the ABA gives up on this farce.


One final note - I got my exam results two Mondays after I took my exam (just shy of 3 weeks), not 3 Mondays as mentioned above.

Good luck!
 
Howdy folks--

For those scouring the oral board threads looking for advice (as I was a few weeks ago), I found out I passed yesterday so wanted to share some of my thoughts.

As far as studying, I used UBP pretty much exclusively. As others have said, the stems and explanations are too complex compared to the real thing but they get the juices flowing in the right direction and will cover all of the bread-and-butter stuff. I think my approach on the boards was somewhere between UBP and real life - I didn't do awake PA lines in everyone but tried to err on the more conservative side of my normal day-to-day decision making (of note, I'm practicing OR anesthesia full time, so that makes it easier for me to do 'what I would normally do' versus someone doing pain etc).

I did not do any live mock oral practice - YMMV. I did practice all the UBP cases "out loud" (i.e. answering the questions in short answer form to myself / my cat) and made it through the whole book x 1. I also discussed a few of the UBP cases with my residents, which I think was a nice way to study as well if you happen to be in an academic setting.

For exam day, it's exactly as you would expect. I thought the stems were very fair and weren't esoteric - just day-to-day stuff you'll see in the OR. The examiners were dispassionate but not malignant. I felt like I was able to answer the question and give a brief explanation as to why I would approach problem x with solution y without belaboring the point. I didn't feel rushed but I also didn't offer overly verbose answers -- nowhere near the UBP answers, for example -- and any time my examiners wanted more information on my rationale it seemed like they asked for it.

I obviously prepared less than some on this board but overall felt like the SOE exam was fair and as someone practicing full time OR anesthesia it didn't throw too many curveballs. I think going through UBP is pretty good preparation and don't know that doing umpteen mock orals out loud is necessary; that said, it depends a lot on your personal strengths. A huge part of the orals is being articulate under pressure and not letting the stress get to you -- if those are things historically you struggle with, more preparation will benefit you. I don't think the knowledge component is a big deal breaker for most well-trained anesthesiologists - especially if you did well on your ITEs/Advanced exam - but being able to express that knowledge is big. Staying calm is probably the most important part (not to be trite, but the whole "the first procedure at a cardiac arrest is to take your own pulse").


Finally, the OSCE - to me this was a huge waste of time and by far the worst part of the day. I would have rather done two more oral board stems. The materials on the ABA website are all you need to review - they show all of the technical- and knowledge-based components of the OSCE. The rest of it serves the same purpose that Step2CS did - discriminating against people who aren't native English speakers / with lower cultural understanding. I hope the ABA gives up on this farce.


One final note - I got my exam results two Mondays after I took my exam (just shy of 3 weeks), not 3 Mondays as mentioned above.

Good luck!
I totally agree with the things you mentioned.
 
Passed. Had terrible 17 days waiting for the results even with nightmares. I practiced UBP twice with my friend. did not memorize word by word - probably better if I did-, did only 1 session with one attending. I was pain fellow and worked hard - 70+/wk- in fellowship, had some other issues that made reading for board hard. I suggest start around 3-4 months prior, pick something like UBP or other prep books available and be comfortable with. practice with someone; that helps you be more fluent answering questions, especially when you do not know the answer.
In real exam, only shocker was grab bags; they show you the stem -like 2-3 lines- on the screen and read it quickly. It confused me and couldn't grasp the stem well. OSCE was smooth I thought. I think a huge part of the exam is to stay focused, keep the eye contact, be humble and professional.
good luck everyone.
 
Here is my take on the exam. It doesn't exactly matter what resource you use to study for it. It's not a clinical knowledge exam per se. By this I mean the examiners won't fail you for not knowing everything, but rather if the examiners feel you inappropriately applied your clinical knowledge to the scenarios or consistently demonstrated poor clinical judgement then you're in trouble. "I don't know" scattered throughout the exam won't kill you, but using a volatile anesthetic for a MH patient will. For the record I used UBP because it was extremely comprehensive, but any resource that you like that you can focus on solely is probably best for you. I read through UBP once and then ran through the clinical facts that I had marked to make myself feel more confident leading up to the exam. I also used a small, red paperback book (no not Big Red) that I carried around at work but I have repressed the title and the entire experience TBH. As many others have said, if you haven't done hearts or peds or something else in a while then make sure to brush up on those things the most.

The other aspect of this exam is that you need to be able to speak to the examiner and demonstrate flexibility to the inevitable curveballs that are thrown at you. Knowing how to answer the question by giving enough information that they don't need to waste their/your time by asking multiple followups, but not giving so much that you go down the rabbit hole or they spot a weakness. You have to learn to be efficient when you talk (not like the UBP answers, again I used that for clinical knowledge). The absolute best way to perfect this is to do many mock orals. I was in my fellowship and my department required quarterly mock orals (I don't think I gained much from these because they were much friendlier in nature as these were my colleagues, we never took them too seriously, and never really made me nervous or got my HR spiking). They did however organize structured mock orals for the fellows/CA3s which were mean and worse then the real thing. One of the examiners said he is never that mean in Raleigh but that just wanted us to get experience so it didn't seem as bad. I also asked to do some additional mock orals the weeks leading up with actual examiners that were at my program. That being said, I was fortunate to be in an environment that was so well-fitted to preparing me. If you're in PP, make sure your mock orals are aggressive and simulate the real thing as close as possible. You don't want the grandfatherly figure who hasn't studied in decades who will just read the prompts to you. As in sports, you perform the way you practice. If you can't kick a field goal/hit a free throw/generic sports analogy, when your HR is sky rocketing and you're nervous in practice, then how do you expect to do when the game is actually on the line? Doing a lot of repetitions, but in the same environment as test day, is best. Make sure you're examiners cut you off, adjust intraoperatively to do things you normally might not, with a full poker face, and are down right mean so it feels like a walk in the park when you do the real thing. Practice practice practice.
 
I recently passed on my second try. On my first attempt, I spent about 2 weeks reading through rapid review anesthesiology oral boards x 1 and doing the Just Oral Boards crash course (14 mock orals). I spent all day/night before my actual oral exam cramming. I think I only got 2 hours of sleep the night before. Although this 2 week timeframe worked well for ITEs and the Basic/Advanced exams, this was not a recipe for success on the oral boards, needless to say.

On my second attempt, I spent about 3.5 months studying. I signed up for the comprehensive JOB course for the mock orals and the live course. I didn’t bother reading the JOB manual since it didn’t seem comprehensive enough. I also watched all the UBP videos and read through maybe 25% of their books (mainly the areas I was weak in - almost everything was already covered in their videos). Additionally, I went through all the Michael Ho oral board videos over the last week. I practiced maybe 15 times with a study buddy, going through old ABA exams. Lastly, I practiced once with an actual oral examiner.

These are my opinions of each resource:
JOB - excellent for mock orals. Granted, I didn't try any mock orals from UBP, Ho, or Jensen, so I can't really comment on those. Some of the instructors are better than others, so I asked to do mock orals only with my favorite instructors. The scheduling was super flexible, and I scheduled mock orals anywhere from 8am to 9pm. The live course was great in organizing my thought process and reponses. Although their templates were a good starting point, some of it was a bit too formulaic. They recommended saying "I would do a slow controlled induction," which I learned is pointless to say on the actual mock orals. While JOB was great for practice, I'm not sure it would have been enough for me to pass.

UBP - I can agree with everyone else on SDN that this is the best resource for content review. The answers in the books are overkill, and you won't have time to recite these answers verbatim on the real exam. Dr. George acknowledges this in his videos (which are recordings of his live courses). He tells you how to condense your answer, but he recommends to giving the full answer when you're practicing alone or with a friend. I went through all the videos at least once at home, and did another half a pass in the car. It was helpful listening to various ways of answering questions (both good and awful) from the attendees and the corrections Dr. George made to their responses. After going through UBP, you won't run into many surprises.

Ho - His videos were probably the best for lecture-style review. His slides are excellent for reviewing (although I didn't have any time to review). Dr. Ho comes across as the smartest individual out of all the people I worked with. Ultimately, going through his videos were probably overkill during my last week. He frequently goes into a level of detail that isn't tested on the real exam. However, it gave my knowledge base a little boost at the very end, so I can't say it didn't help.

The old ABA exams were CRUCIAL to go through. There are so many recurrent topics that are tested: oliguria, hypoxia, emergence delirium, hypotension, ABG interpretation, vent weaning, valvular lesions, ICP management, threshold for transfusion, neonatal resuscitation, ACLS, etc. You MUST be able to answer these comfortably. You'll get a good feel for what these topics are after you go through these old exams.

My one practice session with an oral examiner was invaluable in learning the way they think. They truly want to see you pass, and they will do everything they can to assess your knowledge. If you make a serious error, they will likely give you a chance to correct that error by questioning your answer. If you have the opportunity, do as many as these sessions as you can!

Anyway, good luck to everyone taking this exam in September. Take this exam seriously and practice a bunch. Feel free to message me with any questions.
 
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Approximately how long does it take to get your ABA board certificate after finding out you have passed?
 
Passed, found out a couple of weeks ago.

Congratulations to all of the new board-certified anesthesiologists. My kids are stoked that I am done studying, that's for sure. Glad I prepared (read UBP books and pdf's on my own, did 5-6 mock oral sessions with actual oral board examiners at my residency program and also with one of my partners in PP who is a board examiner) because I walked out feeling like I had passed. Many people related to me that they were so sure that their "mistakes" would result in failing the test and most people reported that they had to answer, "I don't know" multiple times (and still passed). So I was personally surprised that I didn't have to answer any questions with "I don't know", although I did make a few silly mistakes. Mislabeled one structure on TEE, said the word "mortality" and went back a minute later to explain that I had meant to say "morbidity". But everything else they threw at me, I had a plan/answer ready to go and in hindsight, I wouldn't change my answers. Not everyone walks out of there feeling destroyed, at least I didn't. I felt like I had crushed the test, although I kept my thoughts to myself until after the official result came out.

Big part of this test was a mind game, my second room I had two examiners who tried to be "tough", also a few of the actors in the OSCE did a nice job of being upset at whatever had happened, but honestly, none of that detracted from the feeling that everything had gone fine and I walked out of the testing center feeling on top of the world. I trusted my knowledge and went in with confidence and everything they threw at me just bounced right off. Did they question my plan? Sure, but I felt comfortable explained the pros and cons of different approaches and why I chose what I did.

I know that this post sounds like a brag or me being that cocky guy on the internet. As I have said in some of my other posts on here, I consider myself to be a very average anesthesiologist, I was not AOA, I did not score 260 on USMLE, I was always in the middle of the pack for ITE scores at my residency program. And for me, this test felt totally reasonable, from start to finish.

Personally, I spent more time studying for oral boards than I did for advanced written boards and made sure that I understood the test and what was expected. Didn't spend any money on books (someone gave me old copy of UBP) or study programs and it all went great. Didn't have any study partners, never read UBP out loud, never practiced in front of the mirror (only repeating what others have done to study for oral boards). Hearing so many horror stories on SDN and elsewhere can give a false sense of how bad it might be. Just wanted to put a post on here to balance out the angst and anxiety.



TL;DR- I passed oral boards without expensive review books, online/in person courses, or study partners and so can you.
 
Passed, found out a couple of weeks ago.

Congratulations to all of the new board-certified anesthesiologists. My kids are stoked that I am done studying, that's for sure. Glad I prepared (read UBP books and pdf's on my own, did 5-6 mock oral sessions with actual oral board examiners at my residency program and also with one of my partners in PP who is a board examiner) because I walked out feeling like I had passed. Many people related to me that they were so sure that their "mistakes" would result in failing the test and most people reported that they had to answer, "I don't know" multiple times (and still passed). So I was personally surprised that I didn't have to answer any questions with "I don't know", although I did make a few silly mistakes. Mislabeled one structure on TEE, said the word "mortality" and went back a minute later to explain that I had meant to say "morbidity". But everything else they threw at me, I had a plan/answer ready to go and in hindsight, I wouldn't change my answers. Not everyone walks out of there feeling destroyed, at least I didn't. I felt like I had crushed the test, although I kept my thoughts to myself until after the official result came out.

Big part of this test was a mind game, my second room I had two examiners who tried to be "tough", also a few of the actors in the OSCE did a nice job of being upset at whatever had happened, but honestly, none of that detracted from the feeling that everything had gone fine and I walked out of the testing center feeling on top of the world. I trusted my knowledge and went in with confidence and everything they threw at me just bounced right off. Did they question my plan? Sure, but I felt comfortable explained the pros and cons of different approaches and why I chose what I did.

I know that this post sounds like a brag or me being that cocky guy on the internet. As I have said in some of my other posts on here, I consider myself to be a very average anesthesiologist, I was not AOA, I did not score 260 on USMLE, I was always in the middle of the pack for ITE scores at my residency program. And for me, this test felt totally reasonable, from start to finish.

Personally, I spent more time studying for oral boards than I did for advanced written boards and made sure that I understood the test and what was expected. Didn't spend any money on books (someone gave me old copy of UBP) or study programs and it all went great. Didn't have any study partners, never read UBP out loud, never practiced in front of the mirror (only repeating what others have done to study for oral boards). Hearing so many horror stories on SDN and elsewhere can give a false sense of how bad it might be. Just wanted to put a post on here to balance out the angst and anxiety.



TL;DR- I passed oral boards without expensive review books, online/in person courses, or study partners and so can you.

Sincere congrats, but imo it’s not really fair to say you passed ‘without expensive review books’ if the mainstay of your study materials was a pirated or hand-me-down copy of the UBP books.
 
I recently passed on my second try. On my first attempt, I spent about 2 weeks reading through rapid review anesthesiology oral boards x 1 and doing the Just Oral Boards crash course (14 mock orals). I spent all day/night before my actual oral exam cramming. I think I only got 2 hours of sleep the night before. Although this 2 week timeframe worked well for ITEs and the Basic/Advanced exams, this was not a recipe for success on the oral boards, needless to say.

On my second attempt, I spent about 3.5 months studying. I signed up for the comprehensive JOB course for the mock orals and the live course. I didn’t bother reading the JOB manual since it didn’t seem comprehensive enough. I also watched all the UBP videos and read through maybe 25% of their books (mainly the areas I was weak in - almost everything was already covered in their videos). Additionally, I went through all the Michael Ho oral board videos over the last week. I practiced maybe 15 times with a study buddy, going through old ABA exams. Lastly, I practiced once with an actual oral examiner.

These are my opinions of each resource:
JOB - excellent for mock orals. Granted, I didn't try any mock orals from UBP, Ho, or Jensen, so I can't really comment on those. Some of the instructors are better than others, so I asked to do mock orals only with my favorite instructors. The scheduling was super flexible, and I scheduled mock orals anywhere from 8am to 9pm. The live course was great in organizing my thought process and reponses. Although their templates were a good starting point, some of it was a bit too formulaic. They recommended saying "I would do a slow controlled induction," which I learned is pointless to say on the actual mock orals. While JOB was great for practice, I'm not sure it would have been enough for me to pass.

UBP - I can agree with everyone else on SDN that this is the best resource for content review. The answers in the books are overkill, and you won't have time to recite these answers verbatim on the real exam. Dr. George acknowledges this in his videos (which are recordings of his live courses). He tells you how to condense your answer, but he recommends to giving the full answer when you're practicing alone or with a friend. I went through all the videos at least once at home, and did another half a pass in the car. It was helpful listening to various ways of answering questions (both good and awful) from the attendees and the corrections Dr. George made to their responses. After going through UBP, you won't run into many surprises.

Ho - His videos were probably the best for lecture-style review. His slides are excellent for reviewing (although I didn't have any time to review). Dr. Ho comes across as the smartest individual out of all the people I worked with. Ultimately, going through his videos were probably overkill during my last week. He frequently goes into a level of detail that isn't tested on the real exam. However, it gave my knowledge base a little boost at the very end, so I can't say it didn't help.

The old ABA exams were CRUCIAL to go through. There are so many recurrent topics that are tested: oliguria, hypoxia, emergence delirium, hypotension, ABG interpretation, vent weaning, valvular lesions, ICP management, threshold for transfusion, neonatal resuscitation, ACLS, etc. You MUST be able to answer these comfortably. You'll get a good feel for what these topics are after you go through these old exams.

My one practice session with an oral examiner was invaluable in learning the way they think. They truly want to see you pass, and they will do everything they can to assess your knowledge. If you make a serious error, they will likely give you a chance to correct that error by questioning your answer. If you have the opportunity, do as many as these sessions as you can!

Anyway, good luck to everyone taking this exam in September. Take this exam seriously and practice a bunch. Feel free to message me with any questions.
what videos you watched for Dr. HO's course? there are seems several different video library, I am not sure to buy which. thanks
 
Sincere congrats, but imo it’s not really fair to say you passed ‘without expensive review books’ if the mainstay of your study materials was a pirated or hand-me-down copy of the UBP books.

Fair point. But even if I had purchased this set of used books instead of having them given to me, it would have cost me a couple hundred bucks, based on what others are selling their used sets for online. This would still be nothing relative to in person or online tutors/courses. My point was more that you can pass with the minimal option, not the nuclear one.
 
Fair point.

I stopped reading right there.

And if a few hundred dollars still seems like a lot, you clearly haven't paid for the test itself yet...

I took it and passed a bit over 2 years ago using UBP books I paid for. I also took my critical care boards and the advanced PTE in the same year, so I'm pretty sure I've spent more on review materials and exams than you could ever dream of. Luckily, I had the means where this wasn't a huge financial burden for me, but I'm betting you sound pretty callous about your whole experience to those fellows who are still living like residents (for whom a few hundred dollars is still a significant sum), or those who didn't have access to 6 board examiners in residency or a board examiner who's a current colleague.

Again, congratulations for passing, but you had what seems like an already good fund of knowledge plus a relatively "optimized" experience, so I would hate for the average examinee to get the wrong idea about the ease or cost of preparing for orals.
 
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If anyone has the UBP practice sets and/or the OSCE review please PM me. I would love the opportunity to take them off your hands in exchange for some money.
 
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