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Re: oral board examsFrom: reb2@is2.nyu.eduSat Feb 27 17:33:18 1999
>I am currently in my second year of private practice and am planning on >taking my general oral ob/gyn board exams this November in Chicago. I >have not received any notices yet regarding board review courses -- any >recommendations? Thanks. Below, from the list in 10/98, is the best piece of advice available. And, by the way, the case described (gaseous infiltrates of an enlarged uterus) showed up again, on my exam, Friday afternoon, described a little differently (it was described as a septic abortion). I had actually missed the enlarged uterus (there was a massively distended transverse colon to concentrate on), but when the examiner pointed out a mottled area in the center of the AXR, I remembered reading the email below. I think the examiner was a little shocked that I knew the answer. I saw him leaving the Westin about 5 minutes after the exam was over, so, I assumed, he didn't take the time out to write out the (apparently extensive) paperwork necessary to flunk me. Keep reading the list. You'll probably hear about other things that will show up on the exam. Incidentally, thank you, Dr. McIntosh. ---------------------
--------------------- Kenneth A. Thomas, M.D. wrote: --------------------- When they give you hypothetical situations to manage, follow your instincts, and don't let them fool you into waffling or backing down from your position. And most of all, STOP TALKING WHEN YOU HAVE ANSWERED THE QUESTION. Resist the urge to embellish your answers. If they want more from you, they will say so. Good luck. -- K.Thomas, M.D. FACOG This is great advice. One of my slides was a flat plate of the abdomen demonstrating gaseous infiltrates of enlarged uterus, with the additional history of 3 days postpartum female with fever and abdominal pain. I correctly diagnosed Clostridium gangrene of the uterus, correctly decided to rush her to the OR. Then the questions started. She is only 16, do you have to sterilize her? She is only 16 and the baby died of sepsis? Is there nothing you can do? Nothing? Are you sure? All asked with deadpan expression. It seems silly in the light of day and the comfort of my study that I hesitated even for a moment, but I did, even though I was correct and my plan was the only one that would save the patient's life. I assure you that the examiners are masters at the art of nurturing that kernal of doubt deep within your soul. The lack of response, either positive or negative, calls to our most deep seated insecurities. Don't get suckered.
-- William D. McIntosh, MD Clarksville, TN
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