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Nejm Knowledge Plus5/11/2021
NEJM Knowledge Production Editor Josette Akresh-Gonzales walks us through the NEJM Knowledge Content creation process from blueprint development to author selection and then through the many layers of peer-review.Share This Post Facebook Twitter LinkedIn Email Related Posts NEJM Knowledge Challenge Us Feature: Exploring Challenger Motivation and Educational Effect February 17th, 2021 Non-Opioid Analgesics Role in Pain Management December 19th, 2019 Distinguishing Between a Hemothorax and a Pneumothorax December 20th, 2018 Do Adaptive Learning Board Review Products Help Candidates Prepare for Certification Examinations October 18th, 2018 The Neuroscience of Learning: Beyond Just Making It Stick August 9th, 2018 How Do You Approach a Patient with Suspected Bacterial Meningitis July 26th, 2018 2 Comments S.David Krimins, MD, FACP February 26, 2015 at 7:37 pm Thanks for all your good work; no small task.Search Search for: Categories Family Medicine Internal Medicine Learning NEJM Knowledge News PAs (Physician Assistants) Pediatrics Physician Assistant Residency Your Experiences Article Archives Article Archives Select Month February 2021 March 2020 February 2020 December 2019 August 2019 June 2019 May 2019 February 2019 January 2019 December 2018 November 2018 October 2018 September 2018 August 2018 July 2018 June 2018 May 2018 April 2018 March 2018 January 2018 October 2017 August 2017 July 2017 June 2017 May 2017 April 2017 March 2017 February 2017 January 2017 December 2016 November 2016 October 2016 September 2016 August 2016 July 2016 June 2016 May 2016 April 2016 March 2016 February 2016 January 2016 December 2015 November 2015 October 2015 September 2015 August 2015 July 2015 June 2015 May 2015 April 2015 March 2015 February 2015 January 2015 December 2014 November 2014 October 2014 September 2014 August 2014 July 2014 June 2014 May 2014 April 2014 March 2014 Maximize your time with NEJM Knowledge A personalized learning experience using state-of-the-art adaptive learning technology Multiple question formats (case-based, short-form, and fill-in-the-blank) Multiple practice exams Earn CME credits and MOC points Convenient, mobile access Approach the boards with confidence.
Buy Now Blog Press Releases Contact Us FAQs Terms of Use Privacy Policy NEJM Knowledge is a product of NEJM Group, a division of the Massachusetts Medical Society. Look carefully at all photographs, radiographs, CT scans, and electrocardiograms each is included for a reason. There are up to 70 questions in each 2-hour segment of an ABIM internal medicine exam, so you need to make the most of your time and knowledge. This post will help you sharpen your approach to do just that. ![]() The majority are case-based scenarios that require reasoning and decision making. Each question has three distinct parts: The patient vignette or question scenario The lead-in or the question itself The answer options, which include one correct answer and several distractors Knowing to look for essential cues within each part of the question and applying specific strategies can help lead you to the correct answer. Read the Lead-In First When you approach a question, youll be tempted to read the case first, but start with the lead-in and pay very close attention to what it asks. Usually it will ask for the best next step or the most likely diagnosis and this should be your focal point as you move through the rest of the question. In some questions, more than one answer could be correct, but remember, you are being asked for the best answer, not simply any plausibly correct answer. To reach the best answer, you may need to draw upon both knowledge and higher-order decision making. Generic advice for multiple-choice tests often suggests covering the answers and mentally forming an answer yourself before looking at the possible choices. This is a good study strategy because the act of retrieving knowledge from your memory may reinforce that knowledge for you and strengthen neural connections, enhancing recall later. But on exam day, the cover test is not a good use of your time. Instead, it is best to approach the question in this order: Read the lead-in first (to see what the focus of the question is). Scan the answer options (to see what types of answers are being sought). This sequence sets you up to approach the vignette with a goal in mind. As you read patient characteristics, review laboratory test results, and view images, you can mentally sort the information according to what the question is asking be it a diagnosis, a treatment, or the best next test. ![]() A question writer typically starts with a testing point, then builds the question to address it. ABIM explains on its website that its question-writing method is designed to focus content experts on the viability of the testing point, the appropriateness of the task that the question poses (diagnosis, treatment), an evidence-based single-best answer, and plausible distractors. After these question elements are created, the authors add the key elements that are needed in a patient-based scenario for that question. Nearly every vignette includes vital signs, physical exam results, and a few other details to make the case patient realistic. These basic patient characteristics often set the stage rather than offer significant clues to the correct answer. Questions typically aim for brevity and include only those lab results or pieces of history and psychosocial information that relate to the answer. New symptoms, recent diagnoses, and the timing of symptom progression should all be taken into account.
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