I just returned from the oral boards and I wanted to share my rant/pain. I expected to have a difficult live patient interview and was not surprised with my patient who demonstrated symptoms from most DSM-IV domains. But the vignettes were a total shocker for how vague and ambiguous some of the cases were, and then many of the questions seemed to be from left field and not at all what I was expecting. I walked away from the vignettes thinking, gosh if I'd been able to figure out what question they were asking and given them the "right" answers, I don't think that would have actually demonstrated much in the way of practical competence to treat psychiatric patients. I felt like I was back in medical school with the "Guess What I'm Thinking" attending pimping. I looked back at the sample vignette online and found that what I experienced (and others in my group) were remarkably different. Did anyone else who took the boards this year or last year have similar issues with the vignettes?