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Each year, approximately 50% of ABPN II oral exam candidates fail. Why?

excessive anxiety, preparation ineffective and disorganized interview and presentation are the causes. But this review really insurmountable?
While some candidates do not

grade, others have managed to use effective strategies to pass this difficult exam. What are the ways to overcome this challenge exhausting?
Make a compassionate

an alliance immediately – during the first seconds of contact. A warm handshake and simple friendly gestures such as guide the patient to a seat should help establish a good impression. Report of the building, however, should be maintained during the interview.
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an interview-based symptoms. A true understanding of the patient requires knowledge of psychosocial issues and concerns in progress. The search for a DSM diagnosis through a rigid list of questions involves interviewing poor. In addition, further clues patient. If a patient reported a life event or crisis, to explore this area and temporarily postpone the continuation of symptoms.
Maintain a conversation

“heard during the interview. Use open and closed questions and liberal interchangeably. Stay away from the excesses of closed questions during the first 20 minutes.

empathy generously. Offer a tissue to a patient in tears. Use empathic statements (eg, you’ve been through a lot, you sound upset) to recognize the situations and difficulties of the patient.
Organize your medical history and

Establish a structure during the interview and presentation. Using a map, mnemonics, checklists, templates and checklists for creating a coherent show.

symptoms that can withstand the DSM-IV should be continued. Knowing the chronology of events. However, you must also have adequate information from other fields of history, not just HPI and PPH.
Blend

the mental status examination (MSE) in the interview. From the beginning, observe the patient and verify the impact of depreciation behavior, psychomotor, and involuntary movements. Thus, an ESM rigid in the last phase of maintenance can be avoided.

MSE of the stage, focus only on what is important and clinically relevant. Example, a patient complaining of memory loss may require detailed questions on the recent memory, aphasia, apraxia, agnosia, and executive functioning. All patients however require a cognitive assessment.

To create a gracious interview, use the history of techniques such as transitions especially when moving from one section to another. During the presentation, the organization employs tools such as statements (eg regarding PPH) and transitions (eg, later). Make your presentation short and crisp.

security issues may request and provide appropriate

the oral exam, clear security issue is a must. Be alert to signs such as destructive surface marks on the wrist. Ask suicidal and homicidal, plan, and intent. Knowing the history of attempts and actions and the circumstances of these behaviors.
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clues that indicate a potential hazard. For example, a patient may talk about joining a spouse died or have thoughts that life is not worth living. Ask for more information.

explore risk factors as significant psychopathology, previous attempts, family history, substance abuse, and feelings of hopelessness, among others.

appropriate intervention should be discussed during the presentation. The level of observation and the need for hospitalization should be determined. For an outpatient procedure, avoiding any weapons and the mobilization of support networks are essential.
> Demonstrate diagnostic and clinical skills

During the interview and presentation, it is crucial to explore and discuss the relevant symptoms and history that will confirm a diagnosis. In other words, the diagnosis and differential diagnosis must have proof.
Mention

differential diagnoses are possible only on the basis of clinical data. A shotgun will not be viewed favorably by examiners.

Interventions should use a biopsychosocial approach and should be specific to a particular patient. A comprehensive therapeutic approach – covering all interventions, including realistic – is a surefire way to fail.

Manage your time wisely

create a balance in obtaining adequate information. Apart from the HPI and PPH, give importance to other sections of the story. Personal, social, family and medical history are just as vital. The persistence of symptoms continues to the detriment of other critical information is not beneficial.

Divide your time appropriately. The first 12-15 minutes can be devoted to the introduction, HPI, and post-partum. The remaining time should cover other sections and MSE.

Facilitate appropriate assessment ‘psychiatric / strong>

Adequate psychiatric assessment is the purpose of the oral test. “Global” or “complete” score, but ideal, can not be realistically achieved during a 30-minute interview because this type of evaluation requires time and monitoring.

Despite the 30 minutes it is always at the center to have a good knowledge and understanding of the patient. relevant symptoms, family and psychological issues, and disease before treatment and should be explored.
With a proper evaluation

you, as a candidate oral examination should be able to offer individualized treatment interventions.

In summary, the board certification examination is an essential criterion of your clinical competence. With the above techniques, show the examiners that you have the skills to assess, treat and keep patients safe.