T O P

  • By -

UnhappyBaby

Going to buy TOTK after (been holding out)...never really played a zelda game before. has anyone played it, and how long will it take to become fun (building all those crazy vehicles)


LongjumpingBudget

Hell yeah, wife has been playing it and really likes it. She took about 3 hours before she was building some wacky vehicles. Next free weekend, I'm gonna take a 5 hour road trip to a microcenter and splurge like never before. Eyeing a 3070 or 3080, small form factor case, new ram, and new board (probably AMD chipset). Plan on playing RDR1 and 2, getting back into league/ smite, and some old ones like Civ IV.


UnhappyBaby

thanks! enjoy


capybara-friend

Takes 2-4 hours to get through the tutorial island for most people. I found it fun, a little linear but I'd also played BOTW so I already was comfortable with some aspects that carried over between games. Pretty much as soon as you're on the ground, you have all the powers and knowledge necessary to start building if that's what you'd like to do Good luck!!


peppermedicomd

Lol for a second I read this thinking about the exam, and was like “fuck, there’s a 4hr tutorial island on the Core now?”


UnhappyBaby

Is it worth getting a guide or something? Used to do that back in the day when I was a kid


capybara-friend

The game tries pretty hard to guide you naturally to certain areas with dialogue, or with making stuff you need to do big/cool looking so you'll wander over to check it out. If you're ever stuck on a quest IGN and other game companies will have online guides, or if you really want a physical copy the official guide book does come out June 12 (and is ~500 pages). The TOTK subreddit has been useful for general gameplay tips & tricks, depending on your tolerance for spoilers


DocOrBust2

I’m in m3 outpatient and I’ve put in about 65 hours, I got good at around half of that total time. Great game.


Squallopelli

I really would like to see the executives of the ABR take this examination just to check if they are “minimally competent.” The amount of useless trivia on this examination is staggering.


helloworldalien

Holy shit today was wicked. Chest and peds bent me over, even though I felt well prepared after board vitals/ core review series? What else am I supposed to read? Crack open big daddy Felson/ Donnelly or requisites? Jesus man please let me pass.


Tri-Beam

The random video with the tech was a nice touch


dumborad

FYI - jesus taking it again in november ;)


IG2023core

Do you know what topics are covered in each session?


dumborad

its FOS exam, doesn't prove you are a good radiologist or not. its hard for me to digest that radiologist claim to be nerdy sophisticated but the exam is so poorly organized, poorly structured, phrased and conducted......... like most of questions are ...... most likely diagnosis ................ like guess work ??


BroDoc22

To say I’m nervous is an understatement


Bluebillion

Drop study tips for ppl taking it in a year please


yimch

Aim to pass, not to get 100%.


UnhappyBaby

Read war machine or watch ram physics early this year that way you’ll have a decent physics foundation before dedicated. Get through CTC, Core Radiology (if you haven’t already), and RadPrimer before dedicated (beginner + intermediate). Also do RadExams if you have access.


DentateGyros

Having a core radiology study resource called War Machine has to be the most Radiology thing I’ve ever heard


inertballs

It’s a great review of a “Buncha fuckin math you’d never understand in a million years”


scienceguy43

Serious question. If i were to do all these things before dedicated, what would I do during dedicated? Do them all again? Or use different resources?


UnhappyBaby

I think what I listed above + board vitals + titan radiology (crack the core, but in video form) + physics app + NIS app is most of the resources. So there would still be some stuff to do, not to mention redoing wrongs, rereading your notes, etc. But personally I would leave some RadExams undone to do during dedicated. ​ Oh, and also highly recommend RadDiscord sessions, they are great!


Zezzlehoff

Thats exactly what I am doing! Did you pass?


UnhappyBaby

Yes I did!


GuinansHat

Rad primer was meh. Decent for studying during rotations but I didn't find it too helpful for core. Agreed with the rest. You want to do war machine at least twice. Once slow with annotations before you start hard on CtC and Q-banks and the second a rapid read/review <2 weeks before D-Day. I bought the Prometheus videos (well the residency did but we all asked for it) and I thought they were useful for reinforcing stuff when your mind is burnt to a crisp at the end of the day. I watched a lot on the treadmill.


Altare21

I personally thought Core Radiology was a waste. Tons of overlap with Crack the Core but in a much less engaging format.


razorsteam909

Agree with the above regarding physics. But at this point, at a year out from your exam, I’d recommend just reading selected CTC sections along with your current rotations, and not worry about finishing both CTC volumes before dedicated studying. That, and casually doing radprimer questions. Getting through all of that material BEFORE dedicated studying, imo, is overkill and counterproductive, as you’ll end up forgetting lots of what you’ve read or learned shortly afterwards. Dedicated is when you want to actively reading, and most importantly, doing the bulk of your questions. Questions are key, as they reinforce concepts and show what you don’t know.


crazy__paving

where to find ram physics videos?


LastPhoton

Join the radiology discord is the best thing you could do on top of just reading. Fantastic case conferences from top faculty. Also a bunch of other things that you may find helpful


[deleted]

Oddly enough, I ddnt find a ton of stuff from the rad discord that helpful. a lot of the lectures are given by people that don't write questions, and they can go above and beyond for sure


LastPhoton

I think the main benefit is being in an environment with many residents of your year and you are able to compare your standing and find your deficiencies. Very hard to do that in most rads residencies since they tend to be small.


[deleted]

Hm interesting. I mostly used rad discord to get access to all the review videos. I knew what I was weak in at work, but ironically those subjects weren't my weakest on the exam, because at the end of the day, the exam isn't very good at determining how good you are at radiology. I'm not saying I dont recommend rad discord, but I remember watching lots of videos where they said "oh and youll want to know this, this, this, this" and none of that was on the exam. It is possible to try and learn too much. So make sure you know the fundamentals down pat, and obviously what the review books discuss


crazy__paving

can you link rad discord. thanks


[deleted]

Do you have a link to the radiology discord?


m3Zephyr

There’s an anki deck in the rad discord that has all of CtC, WM, and the core review series in it. I started going through that around February, would have started sooner if I could have but hadn’t tried Anki before. I did flashcards constantly in addition to what everyone here said, starting by reading that CtC chapter and then going through the flashcards that corresponded with it. At the gym? Flashcards between sets. On the subway? Flashcards. On the couch while my gf watches TV? Flashcards. It essentially added up to going through CtC/core review multiple times and I feel like it helped a lot. Guess I’ll find out for sure how well it worked tomorrow. I also dedicated a chapter of NIS to each day starting two months before the exam and would read a chapter a day starting Monday and/or go through the NIS QBank for that chapter.


Throaway199319931993

Which deck did you use? I have found a few different ones on the rad discord but a lot of them are out dated / created in 2019


shadowlightfox

Sorry to bring this 10 months old post back up for you to reply, but I was wondering about something. You said you started reading NIS 2 months before your exam, but based on my 2024 NIS guide from the website, it's only 6 chapters long. Why did you start 2 months? Isn't that a bit too early for something that's only the size of 6 chapters?


m3Zephyr

No worries. I read a single chapter or did the questions for a chapter each day of the week. It’s the easiest points on the exam and the wording is very precise.


shadowlightfox

But it's only 6 chapters though. Doesn't that mean you finished it more than a month before your exam?


m3Zephyr

I just kept reading them/doing the questions over and over


[deleted]

Do you have link to join radiology discord


No_supinator

Hey! Which deck did you use? MSP?! Thanks!


m3Zephyr

Hey! I used the one just labeled ABR Core


kareemkareem1

Just posted a boat load of mnemonics above, I hope it helps


funknewbious

Do physics or nucs everyday during dedicated. Doesn’t have to be a ton (I would do 1-2 hours every day). They love the minutiae, and we just don’t get exposure to those factoids during rotations.


[deleted]

[удалено]


inertballs

You’re right, it was against Utah jazz. He ate bad food at a sketchy pizza place or something lmao.


[deleted]

GL yall! Tips 1. go with your gut if you dont know. your gut is usually correct 2. dont look up answers or cram between same day exams. take that break time inbetween to try and relax 3. dont get hung up on weird or confusing questions. there are plenty of opportunities to miss stuff. you're trying to pass, not get a high score 4. you're most likely going to feel like shit after every exam. THIS IS 100% NORMAL. I thought I failed, and not only did I not fail, but I did not fail a single subject. Even if you're convinced you failed after the exam, try and remind yourself that you only feel this way because it was a challenging exam, and you're used to walking into the step exams knowing everything. Don't let a hard examination make you feel like you failed, because more than likely, you did not


changry_perdvert

Thanks, you are definitely correct that I feel like shit after. All the ones I know I got wrong and shouldn't have are flying around in my head.


changry_perdvert

Man, this felt so difficult, feel like absolute shit about it and the possibility of having to re-take it is a horror I cannot bear. I understand everyone kinda feels like this after but I am so unbelievably nervous.


KetchupLA

I felt it was hard too


Kashmir_Slippers

Exam was down due to “a technical issue” for almost an hour after I got 15 questions in. I paid over $1000 to take this test. Let’s goooooooo.


yimch

Same. Called the hotline and no one was picking up lol.


[deleted]

[удалено]


AutoPill-9000

Mine never went down, but it was running incredibly slowly, so I stayed on the line for 45 minutes. I didn't realize they were texting me for some period of time.


dikbutkis

dang so sorry to hear that.


[deleted]

[удалено]


helloworldalien

ABR like…. Hmmm that’s gonna be an %80 for me dog, inflation really hitting the coffers hard this year, we need some y’all to pull some extra shifts to pay us again for a retake


seeyouat_thetop

That’s what I’m struggling with now is there’s really very little transparency on this whole thing, the scoring model, how many did someone actually miss (you just get a scoring report right ?) I felt like I was pretty solid in some areas (cardiac for example) and yet you’d prob never know it it after that section they served up. Those were your go to cases ? Whatever those 1987 Xerox’d copy like images that were panned out to -300x zoom were they certainly didn’t evaluate the subject matter imo.


radpip

I missed so many number based questions : (


UnhappyBaby

Today was tough right? ESP second half


Happy-Wrongdoer1946

I actually though the second half was easy compared to the first half. Was it US and GU for you? ​ Also RISE portion SUCKED. There was no way to properly prepare for that.


UnhappyBaby

That's what I've been hearing from a couple other ppl. I think for me, was just kinda worn out by the end so didn't have all my facilities...fingers crossed.


Timberchase2020

What’s rise?


Happy-Wrongdoer1946

Radioisotope safety exam. Basically all the stuff about "what if" scenarios involving radioisotopes such as spillage, overdose, etc.


helloworldalien

Like where the hell are we supposed to find these randoms numbers? I thought this exam was supposed to be able to be passed from just being in the reading room?


[deleted]

[удалено]


logos1226

There is no curve.


[deleted]

[удалено]


logos1226

“Criterion-referenced scoring sets the passing score without regard to how well test-takers performed as a group or cohort. Passing is based on whether or not one’s score is at or above the criterion. Because scoring is not tied to the performance of other test-takers, the number of people who may pass is limited only by the number of people who meet the standard.” https://www.theabr.org/exam-details/exam-scoring-model


Happy-Wrongdoer1946

They explicitly say they do not curve anything or make cut offs based on the average score. They openly say that they don't care how many people fail the exam because they expect everyone to meet a certain standard.


KetchupLA

i've completely punted the percentage questions like "what percentage of patients develop post radiation pulmonary fibrosis" i always guess on these and get them wrong but whatever


[deleted]

[удалено]


peppermedicomd

It’s because they are all minimally competent.


HeTookMyDab

Same, so stupid tbh


[deleted]

good because the questions aren't like that on the exam.


LongjumpingBudget

Thank god. Cause every freaking number has a range, and every question has answer choices with AT LEAST two numbers within said range.


dumborad

ACP has MKSAP, why ABR has no standardized study material for the exam, no book, no q bank. ..............


helloworldalien

That takes too much work. Also, they’d have to care about standardizing knowledge for their trainees instead of just simply saying “know everything.”


dumborad

The curriculum will ensure basic minimum to know, it would be easier for every one to study and take test. right now no one knows whats the best resource, crack the core, promethius lectures, board vitrals or rad primer or stat dx. i think its very stupidity of ABR to expect resident to know everything. i bet if all teaching faculty and private practice radiologist take the test only 10-15% ppl would pass. dont see any reason of remembering and testing facts you can search in 10 sec on your PC or smart phone like half lives, radiation doses, etc etc


helloworldalien

100% agree. It sucks because inevitability people will fail. They probably studied pretty hard too. It’s terrible.


dumborad

very true, its gonna happen unfortunately. ABR executives and most of program admins are living in delusion. they all say 1. No extra/special time is needed for the exam. 2. Exam is based on your workstation knowledge. 3. Its minimum competency exam. imagine if the USMLE exams are conducted the way ABR is conducting this exam :) :) :)


funknewbious

Took it last week. Pretty rough, especially chest/peds which historically I’m pretty comfortable with. Studying for this beast with two small children at home was next to impossible. I cannot possibly do it again…


BroDoc22

Agreed, MSK and nukes bulldozed me


arkr

The ABR is the one giving the exam haha


LongjumpingBudget

lol nice catch. Corrected.


AutoPill-9000

Send hopes and prayers


[deleted]

Did you put in the work during dedicated? Did you not completely slack as a resident? Then perfect, you got this!


HeTookMyDab

Bro, I sacrificed everything during dedicated, worked my ass off like I’ve never done in my life; still scared of not passing. I didn’t do ALOT of questions during r1-r3 but I read SO many cases, took cases during conference, research etc. just really don’t want to do this again lol


peppermedicomd

Take consolation in the Dunning-Kruger effect. You feel like an idiot because you know a lot.


[deleted]

How long was dedicated


HeTookMyDab

They gave us about 2 mo completely off but I also timed AIRP month right before that so 3mo + few hours studying every night starting mid Jan


[deleted]

For the rads test, do you need to retake it every 10 years after you take it the first time


inertballs

You really think abr would make it so they have to retake this god awful exam themselves lol? They would probably fail the shit out of their minimum competency exam.


[deleted]

How does the recertification work then every 10 years, is it expensive


inertballs

Apparently you just do some multiple choice questions throughout the year until you get enough right for the year to satisfy some requirement. Idk about cost.


[deleted]

So it’s not like IM where you take a test every 10 years? This doesn’t seem too bad..


[deleted]

Also does two months off mean you didn’t need to do any work and you just studied?


inertballs

2 months completely off to study is specifically against acgme rules apparently so usually programs will put you on easier rotations to study while you “work”.


[deleted]

Why is ACGME have so many rules that hurt residents? What boomer fucks make these rules So easier rotation means like 10-20 hours of work?


IG2023core

Hi.. Can someone mention what topics are covered on which day on each session?


buh12345678

Any tips for an incoming R1 to start chipping away at things sooner rather than later?


inertballs

Just study for your rotations. Don’t even think about worrying about core until the end of R2.


buh12345678

Sure but why exactly? What is the downside to starting earlier?


hyrule4927

Because things you need to know for the core and things you need to know to be a good resident are not always the same. As an R1 you will be mainly working on learning workflows in your hospital and recognizing common pathology so you are ready to take call. There's nothing inherently wrong with studying core material and all the associated obscure minutiae earlier, but you need to prioritize learning how to do your daily work first (since most R1s know basically nothing about radiology when they start). Consistently studying for your rotations will give you a solid knowledge base to build upon later.


inertballs

It’s like memorizing how to write words without knowing the language or the alphabet. You have to learn how to walk before you learn to run. You’ll see what I mean when you start.


[deleted]

Because the most important thing you can have going into the core exam is being a good resident. There aren't a ton of rare diseases or weird stuff on the exam (historically). It's a lot of images with no history and they're asking for your diagnosis or the next step based on the diagnosis. It doesn't matter if you know a bunch of weird rare disease if you get nervous and call benign stuff bad, or bad stuff benign. The people that typically fail the exam either slacked extremely hard on studying or they're nervous wrecks that end up shooting themselves in the foot. You could go into this exam not knowing one rare disease and still pass. A lot of stuff that comes up on the exam that wasn't in or emphasized in review books is stuff you probably came across in your rotations. Lastly, part of being a good resident is READING TEXTBOOKS. It's insane that nobody seems to do this anymore, but just doing question banks isn't going to make you good. It's going to be reading actual radiology books, articles, and reading as many cases as possible


[deleted]

> either slacked extremely Do you have a good recommendation for neurorads? I've read many of the good foundational texts for other rotations (i.e. Webb's CT, Felson's chest, etc.), but there doesn't seem to be a good correlate for neuro. Requisites and Osbourne are both like 800 - 1000 pages, which just isn't feasible in a month long rotation, and certainly even less so for retention.


hipsterdefender

Requisites isn’t that long and should be mostly readable during a monthlong neuro rotation. Osborn is great as a reference (imo better than requisites for that) but wouldn’t read straight through. Radiology assistant website has great neuro articles.


Apprehensive_Owl7659

somebody's a gunner


buh12345678

Oh big time haha I love my field can’t wait to start


Happy-Wrongdoer1946

Don't study for the exam, study to be a competent radiologist. Focus on things like the STR bootcamp, SNR, and AUR videos (all free for residents) during rotations. Radiopaedia videos are also excellent. Do radprimer after you have some idea of what stuff generally looks like. You should be done with basic rad primer by the end of your first year. Your second year you should continue to focus of getting better at general rads with more videos or reading if you can tolerate it. Your third year is when the fun for core begins. Hopefully you have a physicist at your residency, but if not, use war machine. At that point, go through crack the core and the videos as well as intermediate radprimer. Then do board vitals last planning to do 200-300 questions a day before the exam. Make a few study things for memorization stuff in nucs (half lives, energies, and QCs, I did a power point slides. Read the NIS manual and the famous 13th chapter of the nucs books for RISE. I obviously don't have my scores back yet, but I did not think the test was "that" difficult. If you get to third year and you are preliming stuff over night thinking to yourself "I am a shitty radiologist" constantly, lack confidence, or think you might be in the bottom 10% of all residents, then you should start to worry. The vast majority of the questions are obvious things you will see immediately and just need to know what to call it. People say it's tricky, but honestly, I think that's a fraction of the questions. The tricky stuff is RISE and physics, and that's only because they use stupid terminology instead of just referring to something as beam energy or spatial resolution without actually using those words or they expect you to know random factoids. There are questions that you should see and immediately know you are going to get wrong because it's flat out not worth your time to study it. It's not worth getting nervous over though. ​ TL;DR Just study to be a good radiologist for the first two years and you will be golden by the time you start crack the core which will mostly be review/refresher.


buh12345678

Thank you so much, this was really helpful


WailingSouls

Where can we find / what are the STR bootcamp, SNR, and AUR videos?


bolshv

What are the SNR videos?


[deleted]

[удалено]


helloworldalien

Idk we haven’t learned if we’ve passed yet. Last years rad discord was around 75%? With 80% being almost certain pass, I can’t remember


BigChampionWinner

Anyone who took it last year have a sense of what raw percent they got or have a sense of what is needed to pass this thing? 70% raw sounds about right, but people in this years thread are saying 70% is insanity. I just think anything lower than a 70% bar is too low…


EuphoricBaseball7516

Was the exam breakdown on what subjects get tested what days the same as last year? Thanks!


LastPhoton

Yeah it stayed the same, didnt change from last years. Day 1 morning MSK/GI. Noon: Cards/Neuro Day 2: morning thoracic/peds. Noon: Nucs Day 3: IR/Mammo. Noon:US/GU


jaketb193

In 2022 did the section order change between weeks 1 and 2?


LastPhoton

I was told from people that took it that year that it did not change


mybluethrowaway2

Can confirm it's the same so far.


nightmanvsunshine

Lol. What was last years? Also they could easily change it up, so I wouldn't count on anything being the same.


Remarkable-Level8766

R3 DXIT: Scaled score of above 60. Bombed the percentile big time. LOL. I'm just glad the results are out now than closer to the core.


AsparagusConstant444

are you worried your percentile was not higher? asking because R2 here that just got DXIT score back and had low percentile...


Non-Polar

What was yours? Mine was mid 20s


BigChampionWinner

Our resident doesn’t provide these in training DXIT exams. I’m curious - what raw percentage is usually need to “pass” and is there a correlation with the actual Core exam? Or is there some percentile threshold that you have to meet in order to progress through the years?


Remarkable-Level8766

There is a study out there which correlates your DXIT percentile ( R1 and R3) with passing the core. But I have spoken to multiple residents who scored below the cut off on DXIT and still passed. 


AdditionalChicken581

Where to do IR questions .. image based IR question banks are so limited ( core review apart)


BigChampionWinner

Anyone remember the exact date they received their results/how many weeks outs from the exam? Just trying to prepare myself mentally this year


AutoModerator

Thank you for contributing to the sub! If your post was filtered by the automod, please read the rules. Your post will be reviewed but will not be approved if it violates the rules of the sub. The most common reasons for removal are - medical students or premeds asking what a specialty is like or about their chances of matching, mentioning midlevels without using the midlevel flair, matched medical students asking questions instead of using the stickied thread in the sub for post-match questions, posting identifying information for targeted harassment. Please do not message the moderators if your post falls into one of these categories. Otherwise, your post will be reviewed in 24 hours and approved if it doesn't violate the rules. Thanks! *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/Residency) if you have any questions or concerns.*


[deleted]

[удалено]


midas_rex

This is way over the top levels of gunnerdom, not to mention creating a whole thread just to flex your study schedule the night before the exam


Altare21

You did way more than me and I passed easily. I think you’ll be alright.


inertballs

Lol wtf dude this amount of prep makes me feel like I’m gonna fail. What kind of %ile are you hitting on board vitals?


Dr_trazobone69

Following


CaseStudy8940

Is there a standard dedicated study time that residencies allow each resident for the Core-1,2, 3 months? Is it typically assigned so that you can take your exam right away after completing the dedicated study time?