LMCC Part I

March 30, 2009

Samantha Halman

PGY1(3/4) – Internal Medicine

Basic Information

Morning component: 3½ hrs– 196 multiple choice questions

7 sections x 28 questions, submitted immediately following completion

5 options/questions – only 1 correct answer

May include results from diagnostic test (e.g. ECGs, X-rays, photos, etc.)

No deduction for wrong answers, so GUESS!

Basic Information

Afternoon component: 4 hrs– Clinical decision-making (CDM)

Short-menu and short-answer case-based questions

About 60 cases; 1-4 questions per case

May need to ask for more info, order diagnostics, make diagnoses, or prescribe therapy

Be specific with diagnoses, doses, etc.

READ carefully! – Not following instructions will result in a score of ‘0’

Components

PediatricsObs/GynePsychiatryInternal MedicineSurgeryEthicsLegislationBasic epidemiology (PPV, NPV, RR, OR)

Studying TipsStudy the way you always study

Budget your time

Take breaks

Focus on “Sure Things”– Pediatrics– Psychiatry– Obs/Gyn– Legislation, ethics, epidemiology

Focus on things you haven’t done much of during electives.

Study Tips

Internal medicine, surgery: common illnesses, things emphasized over med school (e.g., pathology in IBD), basics every physician should know (approach to lytes, acid-base, acute abdo pain, etc.)

Exam Tips

Watch your time

Read carefully

Guess where you can

Move on

Sleep well – especially the night before

Take questions as they are – not tricks

On the 2008 exam…Pediatric febrile illnesses

Dermatology

Abdo pain / GI

Psych meds SFx

Gestational complications

Ethics, transfusion medicine

GOOD LUCK!!!!!!

We look forward to working with you as residents in the

year to come (ie, make you our slaves)