1/🧡for my #GeneralSurgery folks.
@AmBdSurg oral boards is probably the toughest exam you will face in your career (definitely was for me)!
I couldn't find really good guidance anywhere when I was a resident.
I got #boardcertified within 4 months of graduation,πŸ‘‡ is how to do it!
2/Good @AmBdSurg CE preparation starts with a good preparation for the @AmBdSurg QE!
This πŸ‘‡ is how I studied for the QE:
Read Cameron in PGY-4

In PGY-5:
@SCOREsurg Qs
@SESAP_ Qs
Operative dictations in GS book
Dimicks common scenario book

After graduation:
@TrueLearnLLC Qs
3/ @AmBdSurg QE was like #absite with majority of Qs being straightforward (70%), about 20% requiring 2-3 step thought process to answer & rest being extremely difficult/experimental.
Time management was easier compared to #absite.
πŸ”‘ is to KEEP MOVING & not dwell on one Q!
4/Immediately after taking the @AmBdSurg QE, I did the following:
Dimicks Clinical book
NEFFs oral guidance
SAFE answers for the boards.
Since I also just started fellowship training, which was taking up a decent chunk of my day, this studying took about ~6weeks.
5/One month out from my @AmBdSurg CE I did the following:
Operative dictations in GS
Oral Mock exams 1-2 times a week with a random faculty (at fellowship program) who didn't know me personally.
This really really helped me out!!
It was like taking the CE over & over again
🎯🎯🎯
6/Weekend before the CE, I attended the @Osler_Institute course and guidelines/algorithms (eg NCCN).
The course basically "whips you into shape" for the CE.
You see what not to do while answering.
You learn how to avoid traps.
You understand time management.
Definitely recommend!
7/Now a bit about the CE.
It is very clinical management oriented now.
They DONT CARE about H&P!
They expect you to already know how to do a H&P after having graduated from #surgeryresidency.
They want to know about your decision making & the rationale behind it.
8/CE now focuses on:

1) WHAT would you do? (?CT)
2) WHY would you do it? (?rule in/out perf)
3) WHEN would you do it? (?immediately)
4) HOW will you do it? (?describe ex-lap & repair)

When preparing for the CE keep the above four points in mind and you will be well prepared!
9/πŸ”‘ during the entire CE is to be a SAFE surgeon.
DO NOT create a procedure on the spot.
DO NOT take patient to OR without proper resuscitation.
DO NOT do anything experimental/not standard.

Anytime you are not sure, tell them "I am not sure", instead of fabricating a response
10/ Always ask for a consult if outside GS (they might tell you no one available).
Say you will seek help if encountering a difficult surgical scenario.
Know your limitations and explicitly state you would refer the patient (they might tell you otherwise), don't fall for it!!!
11/We were one of the last batch to take the CE in person at a hotel.
Body language demonstrating confidence was huge!!
Now it's virtual, so try your level best to demonstrate good body language.
Avoid fidgeting, keep hands down, speak clearly & slowly, don't rush into answering.
12/Time management is the responsibility of the examiner, NOT YOU!
Obvious BUT need to state it, ALWAYS do this:
LISTEN carefully to the question.
THINK about how you will answer.
SPEAK slowly & clearly.

DON'T change the above order --> that will result in the tough case for you
13/ When answering, I suggest asking 1-2 Qs about history that's relevant & 1-2 Qs about relevant physical exam.
This will show examiner your thought process.
ALWAYS get labs/radiology, do IV resuscitation/Abx/Tetanus etc as needed.
Go step by step so you don't miss something!
14/Some scenarios are tough,some are a walk in the park.
You must not lose your confidence if the scenario is going downhill.
In the CE pretend you are a Goldfish, forget the last case & focus on the current one.🎯🎯🎯
Repeat this over & over again when you are doing mock exams.
15/ There you have it. Time flies during the CE & before you know it, IT WILL BE OVER!πŸ™Œ
Don't ruminate on the scenarios afterwards.
Don't discuss it with anyone. (@AmBdSurg explicitly states this).
Go enjoy & have fun...you deserve it.
In a few weeks you shall get this email πŸ‘‡
16/ Hope you find this 🧡 useful.
Share it with your #generalsurgery colleagues so they can also get an idea as to how to approach @AmBdSurg QE & CE.
Seeing the certificate up on my office wall always bring a πŸ™‚, IT WAS WORTH IT!

Goodluck, you got this!

β€’ β€’ β€’

Missing some Tweet in this thread? You can try to force a refresh
γ€€

Keep Current with Adeel A. Shamim, MD πŸ‡΅πŸ‡°πŸ‡ΊπŸ‡ΈπŸ‡¨πŸ‡¦

Adeel A. Shamim, MD πŸ‡΅πŸ‡°πŸ‡ΊπŸ‡ΈπŸ‡¨πŸ‡¦ Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @Adeel_A_Sham

Aug 14
1/ Many folks have messaged me asking for guidance regarding #USMLE, so I figured I might create a thread on how I was able to take all exams (except step3) while still in #medicalschool.
The following 🧡 is what I found useful for me, obviously doesn't apply to everyone.
πŸ‘‡
2/ Disclaimer, I was an average #medicalstudent, no genius or prodigy.
I put in the extra effort and it paid dividends.
I graduated in Nov 2012, as an #IMG and matched into surgery in Mar 2013. If I can do it, so can you, just remember no shortcuts in life.
3/ The first time I heard of #USMLE was in Dec 2010, when my buddy was studying for it.
It was around that time I looked into studying for this "international exam" as I would falsely assume.
Once I did some digging, I realized, everyone has to take it to practice in the US.
Read 22 tweets
Jul 2
1/
Want to be busy early on in your surgical career?
Below is a 🧡 on how I was able to perform >1000 procedures in less than two years into being an attending.
#MedTwitter
2/
Don't limit yourself to a single method of intervention!
I perform endoscopy, open, laparoscopic, robotic assisted surgery.
This allowed me to ramp up my practice, as I was able to offer various services to my patients and not refer them.
3/
Try to schedule same types of cases in a day. For example multiple laparoscopic cholecystectomy.
You will get quicker as the day goes on, this builds muscle memory for you, makes your team more efficient.
Read 16 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(