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Post subject: Experience with the new Part II vignette A/V format
 Posted: Jun 13, 2006 - 10:35 PM
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Joined: May 27, 2002
Posts: 47
Location: Beautiful Scottsdale Arizona
Status: Offline
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| For those of you who recently took the Part II, please share your experiences with the new vignette format here. What worked well? What did you find difficult about it? How was the exam administered? Any information you share will help your colleagues better prepare. Thanks. |
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moodhealer
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Post subject: RE: Experience with the new Part II vignette A/V format
Posted: Jun 14, 2006 - 09:02 AM
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Joined: Jun 14, 2006
Posts: 1
Status: Offline
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Hello,
I recently took the Part 2 Exam in Philadelphia, and PASSED!!! (on second attempt). On the first attempt, I passed the videotape portion (thanks, I think to Dr. Land's tapes), but failed the interview portion (I believe due to anxiety and insufficient practice). In preparation for the second attempt, I took a formal board review course (Harvard Intensive Diagnostic Interviewing), and practiced much more with board-style inteviews/presentations.
In regards to the new vignette portion, I found it much easier/less-anxiety provoking than the the old videotape portion. There are 4 clinical vignettes (3 are short written cases, and 1 is short snippet of video). You are given a brief time to read/watch the case. Then the examiner will tell you whether the questions will concern diagnosis or treatment of the case. With the video, it is important to watch closely for subtle visual cues. The cases were brief and often with incomplete information (i.e. not complete criteria for a diagnosis). You have one examiner testing you for each vignette, plus a senior examiner who may walk in briefly. I didn't do anything specifically to prepare for this section (wasn't sure what to expect with it). I did find the following board review materials helpful: Harvard Intensive Diagnostic Interviewing Course, Dr. Land's tapes (used to practice presenting cases), Clinical Study Guide for the Oral Boards in Psychiatry by Strahl (good general overview), DSM-IV-TR Case Studies. Although, I believe the main thing that helped me was anxiety reduction (through practice and use of Inderal). Good luck to all who are taking it coming up!!!
Elizabeth C. DeBow, MD |
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joezachary
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Post subject: vignettes/av exam
Posted: Jun 14, 2006 - 02:15 PM
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Joined: Jan 15, 2006
Posts: 5
Status: Offline
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<P>Although I passed the boards last month, I believe that specific preparation with the new vignette format is very important. The boards criteria specify that the presentation and organization of information is graded, so I think that it is crucial to practice reading vignettes and coming up with organized differentials and treatment plans in a coherent way. I think that doing mocks with vignettes and short video clips is as important as preparing for the live interview (each is worth the same percentage)
The vignettes are incomplete, so reading them carefully and also thinking of medical and susbtance use etiologies for phenomenology is important. It was a difficult balance between focusing o­n key symptoms, and simultaneously widening the scope and thinking of possible etiologies based o­n scant hints and information. There is also a certain mental flexibility required in shifting from case to case every 15 minutes, and then leaving the residue of the last case behind in preparation for the new scenario, which I think takes some practice.</P> |
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johnkenny
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Post subject: New Board Format
Posted: Jun 18, 2006 - 06:18 AM
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Joined: Jun 18, 2006
Posts: 2
Status: Offline
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| I recently passed the new format in Philedelphia. I think it is very important to get experience with the vignettes and not go in cold. I took the Ultimate review course with Dr. Spiegel, which I would highly recommend. We did many vignettes during the course. On my exam I had three vignettes and one video clip ( as did most people). This new format allows them to cover areas that were previously less likely to show up with a live patient. CL cases or cases with medical overlap seemed to show up on many peoples vignettes, as did traditional psych topics. |
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badrsj
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Post subject: RE: New Board Format
Posted: Aug 23, 2006 - 06:37 AM
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Joined: Aug 22, 2005
Posts: 6
Status: Offline
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| Hello, I took and cleared the new format boards on the 1st attempt. I think compared to the old format there is important differnce in preperation needed for the vignette portion - one needs to be able to formulate a differential on the fly - the 4 parts were about 12 min each or so. The text was not too long at all - could be read in about 1 minute. Other than formulating a differential - you also need to be able to talk about treatment / management / observation of data - all from various options point of view - needless to say you should start talking from most likely to least likely - and be prepared to defend or assert your view. It is not about being right - it is about showing how you are thinking. The Video Vignette was a short video maybe 2 minutes if at that, again the emphasis was on observation of data, relating it clinically and making a formulation. The areas where we all need to be strong - the DSM diagnostic criteria should be on the fingertips. Medication management. About Special populations (aged, pregnant, medically ill), you do need to be able to say something but remember to use consultants and you will be fine. I think the live patient part has not changed much at all - the emphasis remains on patient interaction and rapport, demonstrating that you went thru most likely diagnostic criteria, doing a good mental status eval - and then comes the grilling part. Again bio-psycho-social & spiritual will carry the day. You do not need to be upto date on the latest and greatest, but you do need to know current concepts - such as "paradigm of change", "informed consent", "amount of info to give", "safety management", "confidentiality" etc. I recommend : the Harvard Book (the black one), also recommend the Harvard course audio CD's - they really bring matter to life. I also recommend Dr. Land's and Dr Chou's Videos. Please note that I do not have any financial intrest with my recommendations. I also recommend critique from colleagues on a live case in your practice / clinic - even if the colleage is not board certified - but shoud prefferably be taking boards. Good luck. |
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