How to Use the Osmosis Question Bank Efficiently

Alright I think we'll we do have a lot that I want to get through so I'm going to go ahead and get started feel free to ask questions in the chat we'll do our best to answer every question and there will be time for dedicated questions at the end of the presentation so I just want to thank you for your patience as we try to get through all the questions coming in in the chat the plan here will be we'll go through the presentation and then have some questions and examples at the end so today's agenda we are going to first start off talking about oh sorry let me back up today's presentation is on how to use the osmosis the osmosis question Bank efficiently so we've got a lot of great tools and we're going to go through all of those so that you can get the most out of this great study tool so we'll start off by talking about the keys to effective learning that'll kind of then set the stage as we talk about how the osmosis Q-Bank can fit into an effective study plan we'll talk about specific tips for using the Q-Bank and then I'm going to take you behind the scenes so I am a oh sorry I guess I didn't introduce myself either I'm Dr Suzanne Jenkins I my background is in OBGYN I trained I graduated from residency in 2015 then I worked as a an attending physician at an academic teaching hospital for three years then I was in private practice for several years and now I work as a question writer for osmosis I also work as a general medical writer primarily for OBGYN related topics so this is a passion of mine medical education is a passion of mine and I want to kind of take you behind the scenes later in this presentation and I'll go through how I write my questions which will then be able to use that information to show you the best ways how to answer them so when you know how a question is written you're going to be better at coming up with the correct answer and then we'll go through some examples so keys to effective learning the first is it's always good to have multimodal instruction and what I mean by that is having text having audio visuals the more ways that you can bring the information in in the beginning the better you're going to retain it it's good then to apply more abstract ideas to concrete examples so you can see how those ideas actually fit or how they how they actually work in practice retrieval practice this is a like a science of learning concept which basically means solidifying the connections in your brain it's practice drawing that information out of your brain and bringing it to the top of mind so that's a little bit different than just reading something and understanding it which is more of the initial instruction retrieval practice is actually practicing bringing that information forward so that you can use it spaced repetition is also important because if you learn something and practice it once you may not remember it a week or two or a month later so spacing out your repetition keeps that information fresh so that you can bring it up to the top of your mind and get the correct answers when you need them and now this is an interesting an interesting one this is called interleaving this is another one of those science of learning topics and it basically means studying multiple related topics together at the same time and this is really helpful because it helps you see how similar related ideas kind of fit together how they're similar and how they're different and that then helps you understand all of those different concepts better so now that we kind of are familiar with this terminology we can talk about how a Q-Bank would fit into a study plan so your study plan is probably going to in include multiple different tools so you can have videos textbooks review books or notes osmosis has these really great decision-making Tre for the clinical content flashcards and practice questions so osmosis videos are fantastic that's that good multimodal learning for initial learning it can also be good to review Concepts that you've maybe learned in a lecture class but it combines that audio text Graphics kind of all together to help you understand it the first time textbooks can be helpful for deep Dives but as we know it can take a lot of time to go through and it can be hard to pick out the key points so textbooks usually aren't quite as much of a study plan but review books and notes are great for summarizing that quick info good for quick review but you need to be careful because they're not as good at retrieval practice so they're a part of your study plan but I wouldn't necessarily make them the focus of your study plan so when I say a review book maybe that's first aid or osmosis has these great note sheets on our learn pages that just sort of break down all the key facts that you need to know about a topic in a condensed way so again a really good way to review a lot of information quickly but then you also need to practice retrieving this information the decision making trees are great when you're learning a topic for the first time but they're also a really good way to practice this interleaving or studying multiple topics and seeing how they relate to one another at this seeing how they relate to one another and how they're similar and different and it creates structure in your mind so this is an example of one of our decision trees this one is for pre-term labor so if a patient is presenting with a cheap complaint of pre-term Labor you can kind of walk through this decision making Tree on how do you effectively evaluate this patient and come up with the correct diagnosis and then what do you do after you make the diagnosis flashcards are important part of a study plan because they are good for retrieval practice of these quick facts which we need to know you're able to review multiple topics at once and they're good for spaced repetition here's an example of some of the Osmos flash cards that we have with these it just sort of it'll give you a basic statement with a blank like an actual physical flash card that you would just sort of look at say it in your mind flip it over you're not there's no answer written anywhere you're just going to say it in your mind when you click your confidence as to how confident you are in your answer it will go ahead and tell you the answer and then you can Mark whether you got it or missed it and so you can keep track of that up here at the top so that's another really neat feature in the osmosis platform and then finally practice questions and this is what we're going to spend the bulk of the time on today with these are the questions in our Q-Bank these are great because they hit so many of those key concepts of learning they help with retrieval practice they help you apply the information to concrete examples they're great for interleaving they're good for spaced repetition and it's going to help simulate a test environment so that it will reduce anxiety on the time of the actual test and with interleaving especially if you review the wrong answers and we'll cover more of that in a minute so osmosis also has a really neat tool a really neat tool where you can it will build a study schedule for you I do want to make a note that our engineering team is kind of in the process of updating this feature a little bit but it should be done within the next couple weeks it does still work currently and I built an example one just the other day when I was working on this presentation but this is really cool if you're on your portal page you can come up here and come down to study schedule and then it will let you create a schedule and it'll ask you know when your test is what you're studying for what you want to include in your study schedule so you'll kind of go through and click everything that you want added and then it will generate a study schedule for you get to pick which days you want to study on and then it will break it down by topic and show you know I included in this example that I wanted to use first aid videos flashcards and questions so it's telling me what I need to do each day and in this view you can see I actually have several I have two different schedules at once one for I think this was an OBGYN clerkship and then one for Board review and you can look at it both in the day or as a month view and here you can see the two different colors show you the two different schedules so the productive is showing you that OBGYN clerkship study plan and then this the bottom one is the review and I think in this example I said that Monday the 30th is going to be when I'm taking my OBGYN shelf exam and so you can see then that study plan drops off after that point and but the Board review or the board study plan continues after that so I think this is a really neat feature that kind of helps keep you organized and keep you on track for these important exams so let's talk a little bit about just kind of the basics of using our Q-Bank before we get into kind of the tips and tricks so this is what a osmosis question looks like we've got if you click the back arrow it will take you out of the quiz and it will exit you can click on this progress bar and it'll just sort of expand on where you are in the quiz how far you how far into what you you've gone and it'll give you the breakdown of questions you got right questions you got wrong and the confidence level you had with both the both your right and wrong answers so that that's pretty cool you can open up some Labs so if you need just a reference of normal lab values if you want just if you don't want to use either the progress board or the labs you can expand it out and it will take up kind of the whole screen highlighter mode you can highlight the important points there's an elimination tool so when you want to start eliminating your wrong answers Once you turn that tool on there will be Little X next to each answer when you click it crosses it out then if you change your mind that X turns to a plus you can hit the plus sign and add it back in if you want to kind of declutter things if you turn on the elimination tool you can also click to hide the eliminated answers and then once you cross an answer out it will completely disappear to kind of take that clutter take away some of that visual clutter then when you're ready to select your answer you obviously just click on the circle that you want to choose and this this is one of my favorite features of the osmosis Q-Bank is that when you're ready to submit your question the submit button is actually you rating your confidence in and how you how confident you are in your answer or this information because if you say I know this question I feel really confident I'm going to answer it with high confidence and you get that right great you know this if you get it wrong but you are really confident that tells you oh I really need to pay attention to this and figure out where I went wrong on the other hand if you write something with low confidence and you get it right you want to make sure that you weren't just guessing it can be really helpful to see that question again even though you got it right and so our system keeps track of every question that you take and it keeps track of whether you got it right or whether you got it wrong and how confident you were in your answer so when we talk in a minute about building quizzes you can pull out questions that you got wrong or questions that you got right but with low confidence and I think that's really neat that you can keep track of the information that way to really help with the best retrieval practice for you based on what you need to know so in this case yay we got the question right so when you answer it once you click you know high medium or low confidence it will tell you what the correct answer is an explanation will open up on the right here there'll be a major takeaway there will be a more in-depth explanation there's usually great charts or tables or Graphics from the videos that are included in these explanations which can just be really good study tools excuse me in and of themselves but one other thing I love is that each incorrect explanation or each incorrect answer also has its own explanation that we write now when I write the questions when question writers write these questions these incorrect answers are not just chosen at random these are typically related to Alternative diagnosis or common points of confusion so this is a great way to kind of do some interleaved practice by reviewing these incorrect answer choices even if you get an answer correct so in this case this is a question about placental abruption so it's asking you which finding would support this diagnosis and placental abruption again is when the placenta prematurely separates from the uterus in pregnancy it can cause abdominal pain and bleeding so these other answers are conditions that will potentially also cause abdominal pain or bleeding and they're the things that are in the differential diagnosis So reading these incorrect answers is a great way to reinforce the differences between these related diagnoses so in this case ?sec? causes painless bleeding rather than painful bleeding and that was one of the key points in this question so that's a really cool feature here too all right tips for using Q-Bank I recommend making a study plan and sticking to it as we all know there is so much information to get through in medical education it is very easy to fall behind so make a study plan I recommend when you're making your plan give yourself at least one day off per week either as a mental health break or as a buffer so that way if something comes up because life happens you're not suddenly way behind and so having that built-in buffer just makes it easier to stick to your study plan I recommend completing as many questions as you can because as we saw at the beginning with these study plans the practice questions are some of the best ways that you can prepare for your exams because it's retrieval practice it's concrete examples it's interleaving it's spaced repetition and those are the things that are going to make you learn this information I recommend reviewing the wrong answers for the reason reasons that we've talked about and then review incorrect answer explanations as well okay so shifting gears a little bit there are two main ways that we can use the osmosis Q Bank the first is off of the learn page so a learn page is sort of a web page basically that has that is has all of our content related to that one topic so it will have the video it'll have flashcards it'll have the board questions it'll have decision-making trees all of it will be right there on one page for that topic the questions are right next to the associated videos it's easy to start and stop those quizzes and those questions can be really good to take when you're learning the topic for the first time so you watch the video and then you want to test yourself and apply that knowledge right away you can easily go and take those questions to confirm that you really understood what was being talked about in the video the second way is to use the quiz Builder this is a tool that you access off the homepage and it's going to let you kind of build a quiz that's good to use when you're studying for an exam it lets you put in exactly the topics that you want to study and it's going to simulate a test environment so how you actually get to this I'm going to show you guys so this is an example of what one of our learn Pages looks like so this is uterine disorders we got the video there's the transcript down here and this down here is where you'll find the questions so it's usually underneath this box right here if you haven't done any of the questions there will be a zero here if you've done some of them it will tell you how many you've done and like I said before the system does keep track of all the questions that you've taken on the platform so it will know if you've taken a question before so if you have if you haven't taken any questions this says start I've obviously done a couple so it says resume when you click on that a window will pop up that kind of gives you just a quick summary it tells you how many questions are in the quiz and how long the system estimates it will take you to complete this quiz now if you just want to go for it it's going to automatically give you these 14 questions so even though I've already done what is it I think eight of them if I just click Start it will give me all 14 questions again so if you want to change that you click on this more options right here and it opens up a more detailed view here and this this is where I love this so if you have it set on all it will give you all of the questions associated with this topic if you only want the new questions so again I've done eight of these 14 I can just click new and it'll automatically deselect everything else and just give me the new questions that I had seen but let's say well I want to do the new ones but I also want to do the questions that I got wrong or here's one I got right but with low confidence because basically I didn't really know it I was guessing and I guessed right so I want to see those again so in this case I'm just going to deselect the ones I got correct with high confidence now it's going to give me a nine question quiz covering the new questions and the questions I got wrong so it gives you a lot of flexibility and I just think this is such a cool feature because I know that was something I always liked doing is going over the questions I got wrong when I was studying for my exams okay so when you're ready obviously you're going to click Start and it's going to bring you into the test question if you want to leave because I don't know something comes up and you need to exit you just click the back button and it will bring you back out to that learn page all right the quiz Builder this you're going to get to from the homepage you'll kind of open up that side menu and this feature is right here it's under questions so they don't call it the quiz Builder they just call it questions but here you tell it which exam you're studying for and then from there they pull up all the topics that are on that exam so you can do this you can you can build your quiz in a couple of ways you're basically going to click the topics that you want included so let's say I'm in my OBGYN clerkship and I want to do OBGYN questions so I'll click on OBGYN there are 261 questions in this associate that are tagged with the OBGYN label that are part of this OBG and Q Bank down here it tells me okay there's 261 questions available the max quiz size is 75 and it's going to take about an hour and 40 minutes and I think I don't know I really only have like 15 minutes you can then come down here and all of our questions are actually tagged twice they're associated with a specialty and they're associated with an organ system so you can find the questions so like for example this would be there's three questions that are tagged for OBGYN but rather than being in the reproductive system they're under psych so I'm guessing maybe a question about postpartum depression or something like that so it lets you kind of break them down further by topic so let's say I want to study just obstetric complications I can expand this and click on just disorders of pregnancy now there's only 106 questions let's say all right I just want to do a quiz 10 questions it's going to be about 13 minutes I think that's all I have time for right now I'm going to go ahead and begin the quiz and just like with the just like with the quizzes off the learn page it will actually open up that same window again which I think I'll show you here in just a second you do want to try to build a quiz that you can complete in one well I like to comp I like to complete them so I tend to build quizzes that I can complete in one sitting the system if the quiz Builder we can't save the quizzes in progress but if you think about what I've told you about how the system works the system is recording every single question that you've answered so let's say you have a 10 question quiz and you take six of them but then you need to exit you don't know what those next four questions are so the fact that the quiz isn't saved does I don't want to say doesn't really matter but it's like those four questions could be picked at random out of you know the same pool of questions so if you were to come back into this again you would just if you wanted to kind of reenter this same quiz you just click the same buttons and begin your you know select the same items re-enter your quiz and it will probably give you new questions but again you don't you don't necessarily know like were those the same questions that were in there before or not you never saw them before so that's I think part of the reason why that these quizzes don't save but if you have seen the question that will be marked so if you're just doing new questions it won't give you those questions or if you want to do questions that you've gotten wrong it will do that as well so yeah this this is what I was talking about and you can just like with the other one select the types of questions you want to answer all right let's see how we're doing on time okay good all right so if we go behind the scenes let's talk about how these questions are written so then we can figure out how to best use that information to solve these questions so the first thing you're going to want to do is identify or the first thing I'm doing when I'm writing a question sorry is I'm going to think about the topic and I'm going to identify a key teaching point that I want to get across and then I'm going to decide what the diagnosis of my clinical scenario is going to be from there I'm going to identify the primary alternative diagnosis basically what's the differential and common points of confusion then I'm going to determine what I call the category so basically is this a question am I trying to ask people about clinical presentation risk factors histology you know evaluation management what's kind of the general category that this information is going to fit into then I'm going to take sort of all of that that I kind of thought of so far and I'm going to write my leading question and my answer choices from there I'm going to build out the question basically I'm just going to describe a core present or a common presentation of my diagnosis but in a way that's going to force a learner to think through this key point and then at the end I'll do some fine-tuning so for example this is the exact process I went through when writing a question about heavy menstrual bleeding so I decided I wanted to teach about or kind of reinforce the idea what are the history and exam findings that are going to differentiate adenomyosis from fibroids the two most common causes of heavy menstrual bleeding and I think for this question I'm going to have the diagnosis be fibroids Lomas so now I'm going to think okay so what's the differential for similar conditions well fibroids and adenomyosis can cause heavy menstrual bleeding and they can cause pain so the differential there's actually a new pneumonic for it it's Palm colon for those of you who've taken OBGYN yet this is something you will for sure learn is this this pneumonic so that's kind of easy for me right there that's the differential for heavy menstrual bleeding and then dis Manara or pelvic pain a lot of people kind of get confused between AD no and Endo so I'm going to include that one I think as well so I'm going to select some of the more common ones for this example these are the things that I want to focus on so for my learning objective what are the findings that differentiate these two okay that's going to be a clinical presentation question so an example Leen might be which of the following is the most likely diagnosis my answer choices are kind of already here the differential then I'm going to build out the stem and I'm just going to describe a classic presentation of a fibroid so heavy menstrual bleeding some pain bulk symptoms a key finding might be an enlarged uterus with an IR regular contour and I'll probably try to throw in one or two pieces of distracting information that that may that you'll kind of have to weed out that Learners will have to weed out kind of going through the stem when I want to do fine tuning what I mean by that is I'll say okay this is what's called a first level question you read the question and it's basically asking you what's the diagnosis how can we make this a little harder a lot of the questions on the actual board exams are going to be second level questions so I might change this question to say all right so the person has to figure out the diagnosis but then maybe I also want to ask about pathophysiology and I'll change the answer choices rather than just giving them the diagnosis I'll say the most likely diagnosis is caused by which of the following and then describe the path of Fizz of each of my answers so again it's not that when you see the when you see these answers they're usually not just random Alternatives they've come from specific diagnosis that can easily be confused with the correct answer so how do we use this information to answer this question or to answer the questions the first thing I recommend doing is read the first and last sentence of the stem and quickly skin the answer choices this is going to orient you to what this question is about and kind of get you focused think about what the category is and I think I have yeah so when we're thinking when we're talking about kind of categories and getting oriented to the question all of these questions are going to start with a case presentation from there there's basically two things you'll need to figure out either what's the next step in evaluation or what's the diagnosis the big key though is a lot of these questions are going to be second order questions where it's not going to ask you what's the diagnosis they're going to ask you what's the pathophys what's the risk factor what are symptoms what's an expected exam finding what are some lab and imaging findings what's the management complications prognosis for the most likely diagnosis so when you read your question and you're trying to figure out what's the category this is why you're orienting yourself you're thinking okay I probably am going to need to figure out the diagnosis and then am I going to be what am I going to be looking for sometimes the question will be what's the next step in evaluation and that's where you sometimes don't have enough information to come up with the diagnosis and you'll need to figure out the test that will then get you to the diagnosis so I like to start by sort of generally orienting yourself generally orienting myself to the question and then developing an initial differential for the chief complaint and once you get good at this this is just sort of a quick thing in your head but I encourage you to develop a system so that you can do this systematically a lot of times what happens when I'd be teaching medical students you'd say what's the differential for pelvic paint and it's just sort of popcorn everybody's kind of throwing out the first thing that comes to mind which is okay you know I obviously want everyone to participate but what I would encourage you to do when you're working on these questions is think through it systematically so I'm just going to share my system that I have used both for test taking but also as a practicing clinician because ultimately that's actually what we're studying for right we're not studying to be test takers we're studying to be Healthcare practitioners the first thing is figure out which organs are in the area of concern think sort of regionally but also think about those other tissue types epithelium blood vessels nerves lymph nodes that could be in the area and causing a problem then so that's part one think about the potential organs and then step two is think about honestly it's sort of the Specialties of medicine think about the categories that could be affecting these and what I mean by that is I sort of generally think of these categories cardiovascular neuro malignancy and I sort of lump in tumors cysts masses with that infectious disease or inflammation autoimmune or infiltrative disease endocrinology and reproductive Health trauma congenital or developmental issue or is it iatrogenic and now I want to show you a concrete example to show you kind of what I'm talking about as to how you can build a differential kind of using this system so let's say I want to know what's a quick differential that I want to come up with for a pelvic Mass okay so first I'm going to think of what are the organs systems that could be causing a pelvic Mass well could be the reproductive organs over uterus Fallopian tubes what else is in the pelvis the GI system colon small intestine appendix maybe momentum the Uralic system and then those same kind of the others epithelium vessels lymph etc. and now I can think about all right there could be a systemic problem with any of those so let's see so cardiovascular well if we're talking about vessels we could have an aneurysm we're talking about the reproductive tissues we could have ovarian torsion maybe there's a peripheral tumor maybe there's a uterine Mass an ovarian Mass maybe there's a GI or Urologic Mass from here another systemic way to or systematic way to break this down when you're thinking tumors and masses you always think benign or malignant and then each individual cell type so the you know say we've got an ovarian Mass I can think all right there's benign there's malignant and my different cell types could be the epithelium could be the stromal cells or The Germ cells and there we've kind of very quickly just sort of broken down the potential differential for that maybe for infectious disease we could have an abscess you know a tubal ovarian abscess hydro cell pinks GI abscesses not a whole lot maybe for autoimmune on this one but you can sort of quickly think through these I don't even know what to call them categories I guess to kind of come up with a systematic approach to creating a differential this system I think works really well for masses and pain which are two of the most common complaints so it your approach doesn't have to be this exactly but I think it's good to have an approach so that way when you see a question and you're like all right what's the differential for this you know for this symptom you're not just picking random things out of the air you're kind of quickly going through all right these are my nine things these are my nine things I've learned these nine things that I just want to quickly run through in my head over you know five to 10 seconds and come up with a differential so that's how I did it that was my Approach and I thought that that was that that generally worked for me so hopefully that is helpful for you as well once you have this sort of rough differential in your mind think about what you want to look for in the stem then read the stem and highlight some relevant info and then eliminate your wrong answers so let's do some examples and I'm going to try to go through this so that we have time for questions at the end here so this is actually this is just working backwards from that example that I showed you earlier so if we're going to read the first and last sentence of the stem and skim our answer choices we can see that here we've got A 42-year-old who's presenting with heavy menstrual bleeding and pelvic pain what's the mechanism most likely responsible for the presentation and here we've got sort of some okay pathophysiology types of answers so right off the bat I know all right we're talking about probably some type of uterine pathology my category I need to know what's the diagnosis and what's the pathophysiology of that diagnosis that's what I'm kind of focusing on all right a quick differential well heavy menstrual bleeding if you're you know in this case as an OBGYN student I know Palm Cohen is the acronym that gives you the good differential for heavy menstrual bleeding so that's kind of what I'm thinking there I'm going to think about the things that I'm going to look for in the stem might be related to struct so the structure of the uterus kind of just stepping back with palm Coen the p l m these are considered the structural pathologies and the Coen is the non-structural pathologies so with structural pathologies I'm going to be thinking what does the uterus look like what's the ultrasound show that kind of thing and then risk factors for malignancy thinking about what are risk factors for endometrial cancer all right now let's read the stem and I've just sort of highlighted some things that I thought were helpful here so in this case regular menstrual cycles but changing pads pretty frequently she's got some clots pain is intermittent worse around menses she's got some pain review of systems is positive for constipation and frequency so those would be bulk symptoms basically because there's a mass in the pelvis the key thing here this was my key point is that you have an asymmetrically enlarged uterus with an irregular Contour so when you see something that really stands out definitely highlight that and a myometrial mass so when you see these kind of key things want you pay attention to those then you can go through and think about each answer choice is probably related to some type of diagnosis so now I'm going to try to eliminate my wrong answers and select the correct one so you sort of work through each one and think okay so a hyperplastic overgrowth of endometrial tissue well that's going to be a pup Pop's not going to irregularly enlarge the uterus so that's a no endometrial tissue within the myometrium okay that's going to be ?sic? again it's not going to asymmetrically enlarge the uterus the Contour will still be smooth so probably not that one and that's how you kind of systematically work through these answers so again to just sort of how do you figure out what are the distractors versus what are the key pieces of data again I think orienting yourself by reading the first and last sentence in the answer choice will help Focus you and give you an idea of what you want to be looking for try to mentally just quickly associate each piece of data that you that you get with a potential diagnosis so the information that's in there is going to be pointing you one way or another distracting data will be present to make the incorrect answers seem more plausible but all of the data should fit so when you are trying to come up with the correct diagnosis the data will either all match your typical presentation or it will be irrelevant to the diagnosis so as you're going through each piece needs to fit and when you come to a piece of data that doesn't fit a particular diagnosis you can probably eliminate that diagnosis all right so I'm going to just try to quickly go through this last example here and then hopefully we should have some time for questions so in this case we'll start by again reading the first and last sentence skimming the answer choices we've got a 22-year-old woman with vaginal bleeding after intercourse and the question is what should she be empirically treated for which of the following organisms and our answer choices are a bunch of organisms so right off the bat I know this is a question where I am looking for an infectious disease that's going to cause post qual bleeding so quick differential of infectious postcoital bleeding organ systems that are going to be involved potentially the vagina the cervix the upper tract or the endometrium and I already know it's infectious so that whole wheel that I showed you earlier we know that we've narrowed in on infectious here so I can just sort of break down kind of the key differential there thinking through some key features of things I might want to look for and now we'll read the stem okay so this has been going on for three weeks so it's a relatively acute problem she takes birth control pills her periods are regular she has a history of infection vital signs are normal on the exam her cervix is Frable with mu mucopurulent discharge and cervical motion tenderness so if we go through kind of just quickly mentally all right that matches chlamydia it matches general we didn't really get the information telling us this was didn't really fit with candidiasis. BV isn't even a choice here and doesn't really fit with endometritis either there's no fever so I'm thinking it's probably general chlamydia so I've already narrowed it down to just these top three and kind of given her history and the fact that both of these are still viable answers she needs to be treated for both and that is the correct answer here so to kind of wrap up this portion of the presentation we talked about keys to effective learning how as the Q-Bank fits into a study plan tips for using your Q bank and how best to answer the questions so with that I'd like to check the chat and see if we have some questions we can answer all right oh and one thing that I did want to mention is that we do have a promotion going on right now you can get a free two trial the link has been posted by the support staff here in the chat so don't forget to check that out if that's something that you're interested in anybody have any questions we can answer there are a couple of them in the chat okay I'm not let's see I'm not seeing them look under hosts and panelists that's where I'm at just shared the new one are you seeing it let's see oh yep yes okay question preparing for the MRCP need to know is there anything specific for exams I'm not quite sure I understand what this question is asking is the person still here are they able to elaborate at all oh watch a video okay so watch a video then solve questions or solve questions make cards out of the incorrects then what the video if needed so is the question it looks like the question is it better to watch the video then solve the question questions or solve the questions make flash cards out of your incorrect answers and then watch the video if needed so this is going to be a little bit of a personal preference and depends on kind of how you are taking in the information along together so if this is a topic that you learned about in lecture and you want to test your knowledge you can definitely come straight into to the learn page after your lecture and take the questions it'll keep track of the ones that you get incorrect so that you can make a quiz later out of just your incorrect answers if you missed this lecture or you felt like the lecture maybe wasn't super great you can definitely watch the video first and then test your knowledge I mean our videos are basically designed to replicate lectures in a very effective way so the it's really going to be up to you can another way that some people will take questions is they'll come to a learn page take the question first to sort of test their knowledge that's just sort of a general approach you can definitely learn by reading the main explanations so that's going to be a little bit based on your preference of whether do you whether you like to kind of learn through a case as kind of your initial exposure to a topic or do you like to hear it from a video or a lecture first I hope that answered the question there okay let's see what else do we have here can I get directions to create a quiz specifically for pathopharmacology so that should be from the quiz Builder and I believe you're going to need to go to step one so it'll it's going to ask you step one versus step two and I believe that if you go to step one that should then be one of the kind of areas that you can break down and you can select just pharmacology and then patho pharmacology and create your quiz just from there so I do think that you should be able to do that I have an exam due in two days with 59 questions and 90 minute test okay so like an ex so here's a question that's asking they have an exam coming up in just two days it's covering nine different chapters How can you use osmosis to study for that exam again it's going to depend a little bit on what the subject matter is and kind of what's your Baseline knowledge with that I would recommend using some videos to go over topics that maybe you are a little bit weak on use flash cards to kind of get those key Concepts going and then or to kind of get those key Concepts reinforced since you've got such a short period of time and then dedicate you know do a practice quiz over your topics you know to kind of get some test practice you know at some point like you time is a constraint so there is only so much time before your exam so you know realistically you're going to have to look at how much time you have in just two days the longer you have the better but definitely you can kind of build yourself a quick study schedule and just pick the highest yield things that you think you need to work on when will the study schedule tool be available I don't have an exact date but I am told it is within the month the study schedule tool is and I should clarify it is already available so you can use that right now I actually built one just in When I Was preparing for this presentation so there's just going to be an update coming within the month so it might look a little bit different but it is already available which is pretty neat okay question I really struggle with making differential diagnosis I would really appreciate it if you guys could make a course on differential diagnosis with more of a clinical Focus great suggestion yeah differential diagnosis coming up with a systematic approach to differential diagnosis is key on your clinical rotations and it's also really important in test prep and obviously with just a limited presentation here there's only so much I could cover but yeah that could be a really great topic to do a whole presentation on if you have the md/do product it's already there oh okay that was the answer all right is the explanation after each question enough or sufficient or is there more valuable information in the osmosis videos great question in general I will say that the information in the explanation is going to be enough for that specific I'm going to say topic but that specific I you know mini topic I will say that you know a lot of times our videos will cover multiple diagnoses you know it might be approach to abnormal bleeding well approach to abnormal uterine bleeding is going to have you know potentially seven different key diagnoses and they're going to cover how you get to each one of those and a given question will F will usually focus on one so that explanation will usually be sufficient for that one topic or that one kind of mini topic but it's not going to cover each question is not going to cover all of the information in the video so generally if you watch or so generally if you do all the questions for a topic you're probably getting if you read all of the explanations you are probably getting a vast majority of the information in the video they are designed together so like when I'm writing questions I'm literally going to the video and the script and kind of pulling content directly from there but I can't say that every single individual point is going to be in the explanations conversely sometimes I include information in my explanations that aren't covered in very much detail in the video so again they're sort of complimentary I would say rather than one or the other you know there's definitely times where like a really key point in the video will be one quick sentence and I'll know as an attending physician this is really important and I'll design a question around that and then there might be a slightly more elaboration in the question explanation so hopefully that answers that question let's see so what's the most efficient way to develop a mental model for the different categories made for the questions I think this is the most important step but when initial studying these categories aren't really formed or aren't thought together as a student so when I think about the categories of a question sort of you can almost think of it as this this is just something you learn is what are the key concepts of a clinical scenario that you need to know there's going to be almost every single topic article is going to talk about pathopysiology risk factors the clinical presentation so symptoms and exam findings it's going to talk about the evaluation the man management the complications and the prognosis and those are kind of the main m I i just come back to the word category which I know I keep saying over and over again but those are kind of like your main types of questions if you're going through up to date if you're looking at our fact sheets if you're looking at a textbook you'll just see these headings and topics or see these headings and categories kind of over and over and over again and so those are the same ones that we're using in our questions it takes practice but honestly you could just literally write a list from what I just said or go back to that slide where is it oh no the chat went away let's see well the we're actually all we're at time so and so no more questions but if you want to finish this explanation that's okay let's see yeah where did where was that not this one the one before it here so what I was saying is I mean this is basically going to be your categories and your types of questions and just like sort of that going back to that differential question sorry it was that with the prognosis and going back to that differential question this is how I always started building my differential if you're in a specific subject area you might tweak these a little bit but this was how I thought through a differential diagnosis what are the potential organs and then are there you know cardiovascular problems that affect that organ are there tumors that affect that organ are there infections that affect each of those organs and that's kind of how I worked through it so I basically ended up memorizing you know nine categories that I then like applied that same format kind of over and over and over again and so now it's just kind of deep in my brain and that's how I would recommend kind of getting there so yeah let's see I think this very last question the flash cards so the flash cards are if you are on the main portal page and you kind of back when I was showing like this is how you get to the study schedule and this is how you get to the questions in that same menu there's flashcards and you can build them build out your flashcard quiz very in a very similar way to how you would build out the quiz you tell it basically what you want include in it and then hit start so I think that's it I think we have to wrap up we've gone a just a couple minutes over 3 o'clock so thank you everyone for joining thank you for your questions hopefully you found this presentation helpful and again there's that if you're interested in trying osmosis we've got that two trial available you can find the link in the chat so thank you to everyone and best of luck in your classes on your rotations and on your exams bye helping current and future clinicians Focus learn retain and Thrive learn more ?Music?