{"id":2361,"date":"2018-04-14T14:38:25","date_gmt":"2018-04-14T18:38:25","guid":{"rendered":"https:\/\/www.roshreview.com\/?p=2361"},"modified":"2023-03-27T13:31:52","modified_gmt":"2023-03-27T13:31:52","slug":"the-exam-writers-strategy-that-test-takers-dont-know-about-but-should","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/the-exam-writers-strategy-that-test-takers-dont-know-about-but-should\/","title":{"rendered":"The Exam Writer&#8217;s Strategy That Test Takers Don\u2019t Know About (But Should)"},"content":{"rendered":"\n<h6 class=\"wp-block-heading\"><span style=\"font-weight: 400\">Are you ready for a study strategy that will consolidate and organize your studying so you can more easily assess your progress, identify weaknesses, and get the confidence to enter your next exam ready to give the exam writers a real taste of who they\u2019re messing with? <\/span><\/h6>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400\">By the time you graduate from medical school, PA school, or NP school you will have taken an <\/span><b><strong>innumerable amount of exams<\/strong><\/b><span style=\"font-weight: 400\">, and yet, <\/span><b><strong>the fun doesn\u2019t stop here<\/strong><\/b><span style=\"font-weight: 400\">. During residency you take <\/span>Step 3 (CS and CK) and a board certification exam at the end or immediately after graduation. Depending on your specialty, you may have oral boards 1 or 2 years after that, followed by board recertification <span style=\"font-weight: 400\">exams every 10 years (and we all thought the MCAT was enough). During PA school, you have didactic exams, rotation exams, summative exams, and your PANCE and PANRE. In NP school you have subject exams and certification exams. Yet despite the millions of questions in quizzes, tests, question banks, shelf exams, board, and board recertification exams, there are only so many ways that those exam-writing tricksters can test your understanding of the material. The breakdown that I&#8217;m sharing with you is the key to cutting down studying time and increasing test-taking success. <\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400\">Before jumping into the exam, we must start by priming <\/span><b><strong>YOU<\/strong><\/b><span style=\"font-weight: 400\">. Start by <\/span><b><strong>imagining your brain as a filing cabinet<\/strong><\/b><span style=\"font-weight: 400\">. Each bit of new information must be <\/span><b><strong>incorporated and stored in a designated place<\/strong><\/b><span style=\"font-weight: 400\">. Otherwise, accessing information will be like<\/span><b> <strong>searching for a needle in a haystack<\/strong>.<\/b><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline\"><b><strong>Your medical knowledge is divided into 16 CATEGORIES:<\/strong><\/b><\/span><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Screen-Shot-2018-04-04-at-9.09.59-AM-1.png\" alt=\"\" class=\"wp-image-2366\" width=\"813\" height=\"176\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-9.09.59-AM-1.png 1084w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-9.09.59-AM-1-300x65.png 300w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-9.09.59-AM-1-1024x222.png 1024w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-9.09.59-AM-1-600x130.png 600w\" sizes=\"auto, (max-width: 813px) 100vw, 813px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><b>Within each <span style=\"text-decoration: underline\"><strong>CATEGORY<\/strong><\/span><strong> <\/strong>there are <span style=\"text-decoration: underline\"><strong>TOPICS<\/strong><\/span><strong> <\/strong>that are further broken down into <span style=\"text-decoration: underline\"><strong>SUBTOPICS<\/strong><\/span>.<\/b><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><b><strong>Confused?<\/strong><\/b><span style=\"font-weight: 400\"> Let\u2019s use the category <\/span><b><strong>CARDIOVASCULAR<\/strong><\/b><span style=\"font-weight: 400\"> as an example and break down the topics and subtopics:<\/span><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Screen-Shot-2018-04-04-at-9.10.08-AM.png\" alt=\"\" class=\"wp-image-2367\" width=\"735\" height=\"371\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-9.10.08-AM.png 980w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-9.10.08-AM-354x178.png 354w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-9.10.08-AM-300x152.png 300w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-9.10.08-AM-344x174.png 344w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-9.10.08-AM-600x303.png 600w\" sizes=\"auto, (max-width: 735px) 100vw, 735px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><b><strong>THERE ARE ONLY 7 QUESTION TYPES<\/strong><\/b><span style=\"font-weight: 400\">. Yes, I repeat, there are 7 ways to test your knowledge, and once you know them, you will have gained a skill to master your studying and crush your medical examinations no matter what stage in the process you\u2019re at. <\/span><\/p>\n\n\n\n<h6 class=\"wp-block-heading\"><b>The 7 question types:<\/b><\/h6>\n\n\n\n<ol class=\"wp-block-list\">\n<li><b><strong>History taking &amp; Physical exam<\/strong><\/b>\n<ol class=\"wp-block-list\">\n<li>Given XYZ presentation, what would you expect on the physical exam?<\/li>\n\n\n\n<li><span style=\"font-weight: 400\">XYZ was found on the physical exam, what history would have lead to this finding?<\/span> <\/li>\n<\/ol>\n<\/li>\n\n\n\n<li><b><strong>Diagnostic studies<\/strong><\/b><strong> <\/strong>\n<ol class=\"wp-block-list\">\n<li><span style=\"font-weight: 400\">After XYZ presentation, what is the best imaging modality to assess the patient?<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400\">What lab should be ordered to confirm the diagnosis?<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400\">Does XYZ require labs or is the diagnosis based on history and physical exam?<\/span> <\/li>\n<\/ol>\n<\/li>\n\n\n\n<li><b><strong>Diagnosis<\/strong><\/b>\n<ol class=\"wp-block-list\">\n<li><span style=\"font-weight: 400\">Given XYZ presentation, which is the most likely diagnosis?<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400\">What are the criteria to diagnose XYZ?<\/span> <\/li>\n<\/ol>\n<\/li>\n\n\n\n<li><b><strong>Health maintenance<\/strong><\/b><strong> <\/strong>\n<ol class=\"wp-block-list\">\n<li><span style=\"font-weight: 400\">What screening tests are recommended for this patient?<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400\">What vaccinations are recommended for this patient?<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400\">Is this patient part of an at-risk population?<\/span> <\/li>\n<\/ol>\n<\/li>\n\n\n\n<li><b><strong>Clinical intervention <\/strong><\/b>\n<ol class=\"wp-block-list\">\n<li><span style=\"font-weight: 400\">Given XYZ presentation or diagnosis, what nonpharmaceutical actions can you take to control or manage the patient?<\/span> <\/li>\n<\/ol>\n<\/li>\n\n\n\n<li><b><strong>Clinical therapeutics<\/strong><\/b>\n<ol class=\"wp-block-list\">\n<li><span style=\"font-weight: 400\">Given XYZ presentation or diagnosis, what medications can be used to control or manage the patient?<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400\">What are the side effects of a given medication?<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400\">What is the mechanism of action of a given medication?<\/span> <\/li>\n<\/ol>\n<\/li>\n\n\n\n<li><b><strong>Scientific concepts<\/strong><\/b><strong> <\/strong>\n<ol class=\"wp-block-list\">\n<li><span style=\"font-weight: 400\">What is the pathophysiology of XYZ?<\/span> <\/li>\n<\/ol>\n<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">As you see patients in clinic, or encounter them in question banks while preparing for your shelf or board examination, ask yourself if you have an understanding of the <strong>history taking <\/strong>&amp;<strong> physical exam<\/strong>,<strong> diagnostic studies<\/strong>,<strong> diagnosis<\/strong>,<strong> health maintenance<\/strong>,<strong> clinical intervention<\/strong>,<strong> clinical therapeutics<\/strong>,<strong> <\/strong>and<strong> scientific concepts <\/strong>of a patient with a given presentation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400\">For some learners, having this<\/span><b> <strong>framework in your mind<\/strong><\/b><span style=\"font-weight: 400\"> is enough to guide your studying process, and you won\u2019t need to physically keep track of every detail. For others, being able to <\/span><b><strong>see all the information in one place<\/strong><\/b><span style=\"font-weight: 400\"> can be useful.<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400\">Using the model of <\/span><b><strong>category<\/strong>,<strong> subcategory<\/strong>, and <strong>topic<\/strong>,<\/b><span style=\"font-weight: 400\"> create a <\/span><b>spreadsheet<\/b><span style=\"font-weight: 400\"> (Google Docs works great for this) with the 16 categories mentioned above with each in their own tab.<\/span><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Screen-Shot-2018-04-04-at-9.05.35-AM.png\" alt=\"\" class=\"wp-image-2363\" width=\"722\" height=\"29\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-9.05.35-AM.png 963w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-9.05.35-AM-300x12.png 300w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-9.05.35-AM-600x24.png 600w\" sizes=\"auto, (max-width: 722px) 100vw, 722px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400\">In the <\/span><b><strong>first vertical column<\/strong><\/b><span style=\"font-weight: 400\">, fill in the <\/span><b><strong>topics<\/strong><\/b><span style=\"font-weight: 400\"> and <\/span><b><strong>subtopics<\/strong><\/b><span style=\"font-weight: 400\"> as you encounter them in your studies, whether in a question bank or other resource. In the first <\/span><b><strong>horizontal row<\/strong><\/b><span style=\"font-weight: 400\">, place the 7 questions.<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400\">So the structure will look like this:<\/span><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/Screen-Shot-2018-04-04-at-8.31.23-AM.png\" alt=\"\" class=\"wp-image-2364\" width=\"670\" height=\"199\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-8.31.23-AM.png 893w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-8.31.23-AM-300x89.png 300w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/Screen-Shot-2018-04-04-at-8.31.23-AM-600x178.png 600w\" sizes=\"auto, (max-width: 670px) 100vw, 670px\" \/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400\">The next time you are going through a set of questions in the question bank, whether you get an answer correct or incorrect, check in with yourself before moving on if you would be able to answer the <\/span><b>7 questions<\/b><span style=\"font-weight: 400\">. If so, move on, but if not, take the time to fill in the blanks either mentally or physically. <\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>It really is that simple. &nbsp;<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400\">But wait! Before returning to studying, I want to remind you of the most<\/span><b> <strong>critical piece of information<\/strong><\/b><span style=\"font-weight: 400\">. Never fail to recognize all of your accomplishments that enabled you to get where you are today. While many of us have gained studying skills to add to our toolbox by reading blogs on the internet or receiving advice from colleagues and mentors, ultimately,<\/span><b> <strong>YOU know yourself and your brain functionality best<\/strong>.<\/b><span style=\"font-weight: 400\"> If you are an audio-visual learner, be proud and don\u2019t get down on yourself if you can\u2019t study from a textbook. If you prefer to soak up information like a sponge from reading, enjoy! No two students, residents, or practicing clinicians are alike, and as you take on studying for a new exam, whether it be a quiz, test, shelf, board exam, or certification exam, reflect back on what worked in the past and what didn\u2019t and adjust accordingly. After all, <\/span><b><strong>insanity is doing the same thing over and over again and expecting different results<\/strong>.<\/b><\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline\"><strong>Related articles<\/strong><\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.roshreview.com\/blog\/pance-study-plan-dont-teach-pa-school-tools-tactics-targeted-strategies-passing-pance\/\">The PANCE Study Plan They Don&#8217;t Teach You in PA School: Tools, Tactics and Targeted Strategies for Passing Your PANCE.<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.roshreview.com\/blog\/choose-medical-specialty-fourth-year-medical-student-take-step-back\/\">How to Choose Your Medical Specialty as a Fourth-Year Medical Student<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.roshreview.com\/blog\/increase-abfm-certification-exam-100-points\/\">How To Increase Your Family Medicine Certification Exam By 100 Points<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.roshreview.com\/blog\/family-nurse-practitioner-fnp-board-certification-overview\/\">Family Nurse Practitioner (FNP) &#8211; Board Certification Overview<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Are you ready for a study strategy that will consolidate and organize your studying so you can more easily assess your progress, identify weaknesses, and get the confidence to enter your next exam ready to give the exam writers a real taste of who they\u2019re messing with? By the time you graduate from medical school, <a href=\"https:\/\/www.roshreview.com\/blog\/the-exam-writers-strategy-that-test-takers-dont-know-about-but-should\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":19,"featured_media":2467,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[1996,2002],"tags":[2269,2271,2953,3014,3016,3017,3634,3636],"coauthors":[3858],"class_list":["post-2361","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogtype","category-study-strategies","tag-board-exam","tag-board-exams","tag-learning-system","tag-medical-education","tag-medical-school","tag-medical-student","tag-test-taking-techniques","tag-test-taking-skills"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.4 (Yoast SEO v28.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>The Exam Writer&#039;s Strategy That Test Takers Don\u2019t Know About (But Should) | RoshReview.com<\/title>\n<meta name=\"description\" content=\"Ready for a study strategy that will allow you to easily assess your progress, identify weaknesses, and get confidence? 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