Objectives: specialty. to solve to make. judgments. Eligibility: Obtaining. completion. a training. done. Rules: department. Page 1.

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1 SAUDI BOARD RESIDENCY TRAINING PROGRAM Part Two Final Written Examination of (Psychiatry) 2017 Objectives: Determine the quantity and quality of specialty knowledge base ranked as competent, so that the individual can be used as a referral source for the specialty. Using theoretical data, determine the candidate s ability to think logically, to solve problems, to apply basic medical science to clinical problems, and to make judgments with valid comparisons. Screen candidates for the purposes of being allowed to take the final clinical examination. Eligibility: Successful completion of the required period of residency training. Obtaining a training completion certificatee (or equivalent) issued by the local supervisory committee based on a satisfactory Final In Training Evaluation Report (FITER) and any other related requirements assigned by any mentioned scientificc boards (e.g. research, publication, logbook, etc.). FITER example outlined in Appendix 6 in the exam rules and regulations document on SCFHSS website. Any candidate missed a maximum of three (3) months of training of the whole residency program are allowed to sit for the exam (written and clinical), and his/her results will be suspended till that missing period is done. Registering for the examinationn at least one month before the exam date. Rules: The Part II specialty written examinationn will be held once each year on a date published on the SCFHS website. Examination dates should be provided by the SEC in accordance with the fixed annual schedule submitted by the examination department. There shall be no reset examination. A candidate would remain eligible for Part II written examination for a period not longer than three years provided they could prove they had been clinically active. Page 1

2 If the candidate did not pass within the three years, an exceptional attempt may be granted upon the approval of the scientific council, provided evidencee of continuing clinical practice is presented. A candidate who failed to pass Part II written examination including the exceptional attempt has to repeat the final year of training, after which he/she is allowed to sit the Part II written examination twice after approval by the scientific council. After exhausting all the above attempts (maximum 6 attempts) the candidate will not be permitted to sit the Saudi Board Part II written examination. Examinationn Format: A Part II specialty written examination shall consist of two papers each with 100 SBA MCQs (majority shall consist of clinical scenarios). Ten unscored items can be added for pretesting purposes. The examination shall contain mostly type K2 questions (interpretation, analysis, reasoning and decision making) and type K1 questions (recall and comprehension), Clinical presentation questionss include history, clinical finding and patient approach. Diagnosis and investigation questions; includes the possible diagnosiss and diagnostic methodologies (laboratory investigatio on, radiological imaging and clinical procedures), Management questions; includes treatment and clinical management non therapeutic, therapeutic, patient safety, complication. Health maintenance questions; includes health promotion, disease prevention, risk factors assessment, and prognosis, see examples below. The examination shall include basic concept and clinical questions relevant to Psychiatry, see blueprint below. Examinationn Conduct and Duration: Exam period shall be two hours for a 100 question paper, and the exam will be delivered as a computer based testt when available, otherwise paper and pencil. Page 2

3 Passing Score: a. The passing score is 70%. However, if the percentage of candidates passing the examination is less than 70%, the passing score can be lowered by one mark at a time aiming at achieving 70% passing rate or 65% passing score whichever comes first. Under no circumstances can the passing score be reduced below 65%. b. Alternatively, to set the passing score a standard setting method that is supported by published scientific evidencee can be used, for which the Angoff method is recommended. The process to arrive to the passing score requires prior review and approval. If standard setting is used the above passing score regulation does not apply. See appendix 7 for more details in the exam rules and regulations document on the SCFHS website. c. To set a passing score using a standard setting method (b), the specialty examination committee must obtain approval of the process and passing score from the SCFHS Assistant General Secretary for Postgraduate Studies one month prior to exam administration. Declaration of Result: All score reports shall go through a post hoc item analysis before being issued and approved by the SCFHS and SEC within two weeks of the examination. Exemption: SCFHS at present has no reciprocal arrangement with respect to this examination or qualification by any other college or board, in any specialty. Page 3

4 Suggested References Psychiatry for Saudi Board Part II Final Written Examination of A) General: 1. Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry by Benjamin J. Sadock and Virginia A. Sadock (May 16, 20١٤) 2. Shorter Oxford Textbook of Psychiatry by Philip Cowen, Paul Harrison and Tom Burns(Oct 12, 2012) 3. New Oxford Textbook of Psychiatry. 2nd edition by Gelder, Michael/ Andreasen, Nancy/ Lopez ibor 4. Diagnostic and Statistical Manual of Mental Disorders, 5 th Edition: DSM 5 by American Psychiatric Association (May 27, 2013) B) Psychotherapy: 1. Textbook of Psychotherapeutic Treatments in Psychiatryy 1st Edition by Glen O. Gabbard published by American Psychiatric Publishing, Inc. (2008) 2. Becoming a Therapist: What Do I Say, and Why? by Suzanne Bender MD and Edward Messner MD (Nov 19, 2003) 3. Learning Cognitive Behavior Therapy: An Illustrated Guide by Jesse H. Wright, Monica Ramirez Basco and Michael E. Thase (Oct 2005) C) Subspecialties: 1. Psychosomatic Medicine: An Introduction to Consultatio n Liaison Psychiatry by James J. Amos and Robert G. Robinson (Jun 28, 2010) 2. Essentials of Lewis's Child and Adolescent Psychiatry (Essentials Of... (Lippincott Williams & Wilkins)) by Fred R. Volkmar and Andrés Martin (Jun 14, 2011) 3. The American Psychiatric Publishing Textbook of Substance Abuse Treatment (American Psychiatric Press Textbook of Substance Abuse Treatment) by Marc Galanter & Herbert D. Kleber, 4 th edition. Note: This list is intended for use as a study aid only. SCFHS does not intend the list to imply endorsement of these specific references, nor are the exam questions necessarily taken solely from thesee sources. Page 4

5 MCQ Test Blueprint for Psychiatry Board Exam Part II No Section Proportion Paper I Paper II 1 Psychosomatic Medicine (Consultation Liaison Psychiatry) 4 2 Substance related & Addictive Disorders 3 Child and Adolescent Psychiatry 4 Geriatric Psychiatry 5 Psychotherapy 6 Forensic Psychiatry 7 Public Psychiatryy 8 Patient Evaluation 9 Others (Paper II) 5 Total 1 Basic Sciences Basic Psychophar rmacology/ /Physical Therapy (ECT and Others) Essential Topics in Psychiatry Schizophrenia Spectrum & Other Psychotic Disorders Anxiety Disorders/Obsessive Compulsive & related Disorders/Trauma & Stress related Disorders Depressive Disorders/Bipolar & related Disorderss Personality Disorders Emergency Psychiatry Descriptive Psychopathology Psychosocial Interventions Others (Paper I) Total Page 5

6 1 B Basic Sciences: includes Neurosciences, Basic Psychology, Psychosocial Sciences. 2 E Essential Topics in Psychiatry: includes Genetics, Epidemiology, Classification in Psychiatry, Ethics in Mental Health 3 O Others (Paper I): includes Dissociative Disorder, Impulse-Control and Conduct Disorders, Additional Conditions that may be a focus of clinical attention, Relational Problems 4 P Psychosomatic Medicine (Consultation-Liaison Psychiatry): includes Neurocognitive Disorders, Somatic Symptoms & Related Disorders etc. 5 O Others (Paper II): include Sexual Dysfunctions, Eating Disorders, Sleep-Wake Disorders, Cross Cultural Psychiatry, Disorders specific to Women etc. Example Questions EXAMPLES OF K2 QUESTIONS: Question 1: An 18 year old male patient with periods of excessive sleepiness that last for three weeks then subside with normal sleep. The mother reported overeating, self isolation, irritability, and frequent masturbation during these periods. On examination, he is morbidly obese. What is the most likely diagnosis? A. Primary Hypersomnia B. Narcolepsy C. Delayed Sleep Phase Disorder D. Kleine Levin syndrome Question 2: A 45 year old female patient was seen in the psychiatric clinic for a follow up. She was diagnosed with major depressive disorder and was started on Fluoxetine 20 mg per day three months ago with poor response. The patient had gained 12 kg in the last year and she has generalized body weakness, constipation, and cold intolerance. Which of the following laboratory tests is the most appropriate to order? A. Fluoxetine level B. Liver function test C. Thyroid functionn test D. Serum estrogen level Page 6

7 EXAMPLES OF K1: Question 3: A psychiatrist is conducting an interview with a patient who has schizophrenia. During the psychiatric interview, the patient responded to the psychiatrist questions with short answers. What is the term that is used to describe the lack of additional content of speech due to mental illness? A. Avolition B. Asociality C. Abulia D. Alogia Question 4: Bromazepamm reduces anxiety by acting on which of the following neurotransmitters? A. Dopamine B. Serotonin C. GABAA D. Noradrenaline Page 7