April 2022 Tip of the Month

]For ABOG & AOBOG 2022 WRITTEN Exam Candidates

The AOBOG exam is this month, starting on April 30th and the ABOG exam is on the 25th of July. For those of you finishing your residency, the end of year stuff - projects and deadlines will really kick in next month. For the ABOG exam, it is your responsibility to schedule a seat with the Pearson VUE testing center no later than April 26th. Seats are limited and assigned on a “first-come, first-served” basis. We strongly advise taking a board review course. A weekend workshop or evening webinar simply cannot provide enough content. No matter how many questions you go through, you simply can’t answer them well if you lack the foundation. It’s like trying to build a brick wall with only the bricks but not the mortar. We recognize that there is precious little time for you to wade through the volumes of material. That’s why our Written April 20-24 Board Review Course provides an exam focused review in accordance with the latest ACOG clinical guidelines. This year we are offering in-person and virtual options. You will be taught not only content but also how to take a written test. At the course, you will practice those skills daily in a simulated exam environment.  When your real test day arrives, it will feel like just another practice day! You will walk into the exam with confidence You must be candid as to what you can/cannot accomplish on your study plan. Have you finished the must know topics? Our Test Topics Manual is a great resource, as it lists high yield topics and suggested test questions. We recommend you shift to those topics that we don’t have time to cover at the course. These include: ethics, genetics, safety and practice, and liability management. Don’t forget you must practice with written questions at the end of each study topic. We have a few products designed to perfectly complement your content review. Our Written Question Manuals provide over 1200+ questions available in printed format or online. For those who have traditionally struggled with written exams, failed the written board exam, or did not score at least 200 on your CREOG in-service exam, you cannot continue with modus operandi. It didn’t work before, so why set yourself up for the same outcome? We have found that knowledge is rarely the problem. You couldn’t have made it this far if that were the case. It’s typically a processing problem. Our Test Taking Skills Online Course gives you the theory and will help you identify possible error patterns in your processing of questions. This is a brilliantly simple and effective process with proven success. We are the only review course whose method is peer reviewed!

Test Taking Technique:
Make sure you carefully note the qualifiers in the stem question, such as EXCEPT, LEAST/MOST likely, BEST, etc. The ABOG written board is known for its NEGATIVELY worded questions, and these are especially challenging. For example, if I say, “DON’T think of the clear turquoise water of the Caribbean.” What do you think of? Yeah, the clear, cool, sparkling, blue waters of the Caribbean, plus warm breezes, etc. Here’s a strategy on how to not succumb to their trap. Change a negative stem to a positive one BEFORE you begin to find the best answer.
  1. Circle the negative word in the stem
  2. Omit the negative word and read the stem as a positive statement
  3. Mark each alternative with T, F, or ? (so all but one will be true)
  4. Select the false answer
Which of the following is not a component of the levator ani?
  1. Coccygeus
  2. Iliococcygeus
  3. Puborectalis
  4. Pubococcygeus
Step 1: Which of the following is NOT a component of the levator ani?
  1. Coccygeus
  2. Iliococcygeus
  3. Puborectalis
  4. Pubococcygeus
Step 2: Which of the following ARE components of the levator ani?
  1. Coccygeus
  2. Iliococcygeus
  3. Puborectalis
  4. Pubococcygeus
Step 3: Which of the following ARE components of the levator ani?
  1. Coccygeus - false
  2. Iliococcygeus - true
  3. Puborectalis - true
  4. Pubococcygeus - true
Step 4: Which of the following is NOT a component of the levator ani?
  1. COCCYGEUS
  2. Iliococcygeus
  3. Puborectalis
  4. Pubococcygeus
Try using Dr. Das’ technique on the following question.
 
REI
In patients affected by Androgen Insensitivity Syndrome, when is removal of the gonads recommended?  
  1. after child-bearing completed
  2. after puberty
  3. at diagnosis, regardless of age
  4. not recommended
 Answer:  B - after puberty
Patients with Androgen Insensitivity Syndrome have a karyotype of 46 XY.  The testes are typically intra-abdominal. After puberty, the testis may display immature tubular development.  The incidence of malignancy is 5-22% but is rare before the age of 20 years. Delaying gonadectomy until after puberty is complete allows the individual to attain normal female secondary sexual characteristics due to testosterone production and aromatization to estrogen. Speroff L, Fritz MA.  Clinical Gynecologic Endocrinology and Infertility, 7th a.


 
For ABOG 2022 Certifying Oral Exam Candidates

The application fee of $840 with no late fee was due on March 17th. The next deadline which includes an additional fee of $360 is April 1st. There’s four months left to complete your collection of cases. No case lists will be accepted after August 17th. Ideally, once a week, these cases should be entered online. At this point, you should have at least 25% of your office patients selected. Plan to complete all 40 categories by the end of May. Remember - you can include only one or two patients per category. You should now have three binders – one for each of the three sections: OB, GYN, and Office. For each GYN patient, compile their case list sheet, H&P, operative notes, pathology reports and discharge summaries.  For all OB patients, keep a file of the prenatal forms, delivery notes, discharge summaries, and postpartum notes. For the Office patients, file the case list sheet, appropriate copies of the office visit(s) and supporting labs, imaging studies, etc. A well-constructed case list makes all the difference in its defense. This is especially important since you must enter your cases online. Although the entry of cases has changed, the strategy has not. For those looking for a great resource to prep for your oral exam and more information on how to properly submit your case lists we encourage you order a copy of Pass Your Oral Ob/Gyn Board Exam, 5th edition, written by Dr. Das. This book provides a complete step-by-step guide. The ideal time to take your review course is in the spring, as you will be all consumed with constructing your case list from June to August. You won’t find out the month of your exam until July, so you must assume it could be as early as October. If that’s the case, you only have one month to study. We recommend one of our Oral Exam Home Study Packages to help you get ahead on your preparation for the exam. If your exam is in November or December consider attending our September 13-18 Board Review Course for an exam focused review. There is precious little time to wade through the volumes of material to figure out what to prioritize. Our faculty members have extensive speaking experience, and their lectures are based on ACOG clinical guidelines – the answer guide for the test. They are especially knowledgeable regarding the oral exam, and every lecture concludes with our signature oral exam defense tips. Ideally, complement the content covered at the review course with a workshop devoted to the strategic construction of your case list.

Case List Construction Tip:
For your OB and GYN case lists, try to use as many of the applied categories as possible.  This will show more depth and breadth to your mode of practice. Carefully look at each case to ponder which category to use.


For AOBOG 2022 ORAL Exam Candidates

Applications for the October 7-8, 2022 exam along with the $3275 exam fee, are due by June 7th, 2022. However, don’t procrastinate. Since AOBOG implemented an exam cap it can and has been reached within a couple of months. Since you’re accountable for a wide range of core topics we recommend you keep your exam prep momentum going by scheduling a Mock Oral exam with one of our seasoned ABC faculty. We only use practicing DO's to prepare you for your AOBOG exam.  You can also challenge yourself with our set of 85, 45 or 20 Structured Cases, which are based on just the core topics. Can’t attend our April or September review course? We designed several Home Study Packages just for the AOBOG oral exam candidate  All three packages include mock orals, structured cases, and Dr. Das’ strategy videos and 44 hrs of online course lectures.  You can access all the lectures online, practice articulation with our AOBOG topic structured cases and then schedule your mock orals with our DO faculty. 

Test Taking Technique
Just remember 70%. That’s all you need to pass the exam.  You do not need, nor will you likely get, 100% of the questions correct. The questions will come at you in rapid-fire. Often the examiner will push you until you finally don’t know the answer. Don’t misinterpret this as failing the question. On the contrary, you probably passed it long before, but the examiner may simply want to explore the depth of your knowledge or at least reassure himself that you will acknowledge your limitations. Let the last question go and focus on the question at hand. Do not let worrying about whether you got the last question correct distract you and thereby compromise the opportunity to get a sure pass question correct.
Remember, just 70%!

Chief Residents Planning a Subspecialty Fellowship

Subspecialty fellows are permitted to select 20 patients from their Chief resident year for their off-specialty case list. In other words, GYN Oncologists, REI and Urogynecologists will need an OB list and MFMs need a GYN list. Start collecting those cases NOW, while you still have easy access to patient records. To be on the safe side, we recommend you collect at least 30, so you can strategically select the final 20 later. For those patients, keep a file of the following: for the GYN patients, collect the H&Ps, operative notes, pathology reports and discharge summaries. For the OB patients, keep a file of the prenatal forms, delivery notes, discharge summaries, and postpartum notes. Don’t worry at all about the office patients, as you may compile these cases only during your fellowship. A word of caution – right now you are at your peak for general OB/GYN knowledge. Believe it or not, two years from now, your knowledge base will regress to that of an intern. Yes, it’s true, if you don’t use it, you lose it. So those cool, esoteric, bizarre, once-in-a-career cases now will be a nightmare to defend later. Your greatest allies are your junior residents. If they can’t easily defend that case, cease and desist and “go fish” for another case.

Test Taking Technique:
Print out the Bulletin for the “Oral Exam for Basic Certification” from abog.org. Go to Publications > Bulletin and peruse the categories. Most generalists don’t have any Oncology and Urogyn cases since they appropriately refer them. But you have the luxury to pick and choose. You want to appear well rounded and balanced. Make sure to include some bread and butter Oncology cases (uterine, ovarian, cervical cancer), Urogyn (prolapse, slings) and for heaven’s sake – at least 3 vaginal hysterectomies!  Also choose some cases on topics that you’ll totally forget about PID, endometriosis, infertility, fibroids. Finally, include some with complications – wound, GU and/or GI injury and some perioperative challenges (Thromboembolism, DM, cardiac, etc.)

Subspecialty Fellows Planning for their 2022 ABOG General Certifying Oral Board Exam

You can now sit for your general oral boards anytime during your fellowship; however, you can only take them once while a fellow. If you neglected to collect cases in your off specialty from your chief year, you must get back to your residency institution to gather those cases AND enter them into your software. GYN Oncologists, REI and FPMs will need an OB list and MFMs need a GYN list. If you currently must take call for these off services, you can use those cases. If you are retrospectively collecting cases, go with your comfort zone. Dang - how could you have forgotten so much in such a short time? Unfortunately, it’s true if you don’t use it, you lose it. Go with the bread-and-butter cases. Remember, this is your general boards. We recommend you chose those cases that reflect high-yield topics. Our Test Topics Manual and the #1 guide Pass Your Oral OB/GYN Board Examwritten by Dr. Das, will both provide excellent step-by-step guidance.

ABOG Maintenance of Certification (MOC) Candidates

Articles within ABOG’s Part II Lifelong learning and self-assessment are typically released in sets of 50 in January, May, and August of this year. ABOG does state on their website that some articles may appear at other times of the year. Each article has eight questions to complete. Diplomates will read only 15 articles instead of 30, but you will still have to answer 120 questions. The first quarter is over. Are you finished with your first quarter articles? Didn’t you make a New Year’s resolution that you weren’t going to procrastinate this year? Promise yourself to get those finished before the second quarter list comes out. For those of you in MOC Year 6, you must pass a written exam by December 15th, 2022. If you’ve never cut corners before, then our five day Board Review Courses,  April 20-24 and September 14-18 are perfect for you. This is not the same type of review course as in the past. Just as you’ve evolved and practice evidence-based medicine, our course is designed for the adult learner, is exam-focused and all lectures follow the national ACOG guidelinesHeck, you’ll walk away with loads of everyday practice tips, too. If you’re feeling a bit rusty or you had to repeat your primary written exam, sign up for our Test Taking Skills Course now offered online.

Test Taking Tip:
The written exam is only 100 questions and you answer two books of fifty questions each. Generalists get to choose their books or “selectives” for each exam. Subspecialists must take the first book based upon their designated subspecialty. They then must choose a second book from the generalists’ selectives.

Generalist Selective Exam A & B (50 questions)
    1. Obstetrics and Gynecology and Office Practice & Women’s Health
    2. Obstetrics only
    3. Gynecology only (tends to have more Surgical GYN focus)
    4. Office Practice and Women’s Health only (primary care, office GYN & family planning focus)
Subspecialists: Selective Exam A (50 questions)
    1. Gynecologic Oncology
    2. Maternal Fetal Medicine
    3. Reproductive Endocrinology & Infertility
    4. Female Pelvic Medicine & Reconstructive Surgery (starting 2019)
 MODE OF PRACTICE
SELECTIVE A
SELECTIVE B
Generalist – OB&GYN
Option 1, 2, 3, or 4
Option 1, 2, 3, or 4
Generalist – GYN Only
Option 3
Option 3 or 4
Generalist – Family Planning
Option 4
Option 4
Generalist – Laborist
Option 2
Option 2
Administrator
Option 3 or 4
Option 3 or 4
MFM
MFM
Option 2
GYN Oncologist
Gynecologic Oncology
Option 3
REI
REI
Option 3 or 4
FPM
Option 3
Option 3

 

Royal Canadian College 2022 Exam Candidates

This year’s applied oral examination is May 31 at your local Centre. Therefore, do not wait until after the written examination to start practicing for the oral exam! Helpful Hints for Multiple Choice Questions (MCQs):

  • If you don’t know, take a guess… no penalty.
  • Manage your time wisely, you have about 1 minute per question.
  • If you change your answer, erase the answer COMPLETELY, as the sheet is read by an optical scanner.
  • Frequently go back to ensure that the question number and the circle you are filling in are the same. You don’t want to be off by one question, all your answers will be wrong.
Test Taking Tips:
If you’re looking for a good source for questions, our Written Question Manuals are arranged by subjects with explanations and references. You can now purchase a 1 mo & 3 mo subscription to our Written Questions Online.
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