ABPN C-L Psychiatry study plan
ABPN C-L Psychiatry · Give each week a clear focus.
8 weeks · About 7 hours per week
Foundations and Psychiatric Assessment in the Medically Ill (interviewing, differential diagnosis, neuropsychiatric and cognitive assessment, diagnostic testing)
Construct a 10-step bedside cognitive screening sequence covering attention, orientation, registration, language, memory, visuospatial skill, and executive function, and rehearse it aloud on two written case vignettes.
Differentiate delirium, dementia, major depression, and primary psychotic illness by drafting a comparison table of discriminating features, typical time course, and the single test most likely to change management for each.
Adapt the psychiatric interview for aphasia, hearing loss, intubation, interpreter need, and intellectual disability, listing two concrete techniques per condition.
Interpret five abnormal consult-lab or study results (thyroid panel, B12, ammonia, EEG, lumbar puncture, head imaging) by stating pretest probability, artifact pitfalls, and next step for each.
Your checkpoint
A three-page personal assessment algorithm plus a 40-item self-written domain-1 quiz scored at 80% or higher.
Psychiatric-Medical Comorbidity and Psychopharmacology in the Medically Ill (organ failure, drug interactions, ECT and other somatic treatments)
Tabulate starting and maximum doses, titration intervals, and monitoring for six psychotropics in hepatic impairment, eGFR below 30, and dialysis.
Explain the CYP450 and P-glycoprotein interactions linking five commonly co-prescribed medical drugs (anticoagulants, antiepileptics, antiretrovirals, antiarrhythmics, immunosuppressants) to specific psychotropic adjustments.
Draft a QT-prolongation monitoring plan that weighs baseline ECG, electrolyte correction, combinations, and which agents to stop first.
Outline indications, absolute and relative contraindications, anesthesia interactions, and post-ECT delirium management for ECT in the medically ill, including cardiac devices and elevated intracranial pressure.
Your checkpoint
A two-page dosing and interaction pocket card plus a 30-item self-written quiz scored at 80% or higher.
Emergency, Critical Care, and Acute Hospital Psychiatry (delirium, agitation, suicide and violence risk, capacity, catatonia, ICU and transplant settings)
Build a stepwise agitation algorithm that separates delirium, catatonia, akathisia, neuroleptic malignant syndrome, serotonin syndrome, and intoxication or withdrawal, naming first-line drug, contraindicated drug, and one trap for each.
Apply the Bush-Francis Catatonia Rating Scale and a lorazepam challenge protocol to three written vignettes, documenting expected response and next step.
Write a capacity assessment script that operationalizes the four legal elements across three scenarios: refusing dialysis, leaving against advice, and transplant candidacy.
Compare delirium prevention and treatment in the ICU, including antipsychotic evidence limits, dexmedetomidine, melatonin, and mobilization, and state where each belongs in practice.
Your checkpoint
A one-page emergency algorithm card plus three fully written capacity notes scored against a 10-point self-checklist.
Consultation and Liaison Practice (consultation request triage, communication with medical/surgical teams, care coordination, systems and administrative issues)
Design a consult triage framework that ranks requests by urgency and assigns explicit response windows for suicide risk, agitation, capacity, and routine medication questions.
Script two conversations: converting a curbside question into a formal consult, and de-escalating disagreement with a referring team about disposition.
Identify systems levers that shape C-L work (documentation templates, billing and coding, length of stay, boarding, ethics committee triggers, handoff structure) and note one change you could implement locally.
Complete a 50-item cumulative self-quiz spanning domains 1, 2, 3, and 4 and categorize every error by domain and by error type.
Your checkpoint
Three mock consult notes (one urgent, one capacity, one care-coordination) plus a cumulative 50-item quiz scored at 80% or higher.
Substance Use, Pain, and Palliative/End-of-Life Care (withdrawal, opioid and pain management, ethics and decision-making)
Compare withdrawal scales and protocols for alcohol, benzodiazepines, and opioids, specifying when to use symptom-triggered versus fixed dosing and when to escalate level of care.
Differentiate buprenorphine, methadone, and naltrexone by induction method, agonist interactions, hepatic and cardiac cautions, and suitability for a hospitalized patient.
Solve five equianalgesic opioid conversions that include incomplete cross-tolerance reduction and a rotation plan, then verify each against a second method.
Apply a structured ethics framework to end-of-life dilemmas, distinguishing withdrawing versus withholding treatment, palliative sedation, and decisional capacity at the end of life.
Your checkpoint
An equianalgesic conversion worksheet with ten worked problems, each cross-checked and fully correct.
Special Populations, Reproductive Psychiatry, and Psychosocial/Adjustment Issues (oncology, obstetrics, pediatrics, geriatrics, trauma, adherence)
Assemble a perinatal psychopharmacology decision table for depression, bipolar disorder, anxiety, and opioid use disorder covering pregnancy and lactation, naming the preferred agent and the specific neonatal or lactation concern.
List adherence and psychosocial interventions tailored to oncology, transplant, geriatric, and pediatric consultations, with one measurable outcome for each.
Adapt trauma-informed interviewing to the medically ill, including screening for prior trauma, avoiding restraint triggers, and responding to dissociation during examination.
Distinguish normal grief, adjustment disorder, major depression, and demoralization in the medically ill, stating the feature that best separates each pair.
Your checkpoint
A one-page perinatal medication table plus a 30-item self-written quiz scored at 80% or higher.
Psychiatric-Medical Comorbidity and Psychopharmacology in the Medically Ill (organ failure, drug interactions, ECT and other somatic treatments) & Substance Use, Pain, and Palliative/End-of-Life Care (withdrawal, opioid and pain management, ethics and decision-making)
Re-audit the six lowest-scoring quiz items from each completed domain and rewrite the underlying fact in your own words with a clinical example.
Compose 30 integrated vignettes that cross pharmacology for the medically ill with pain and substance use, then answer them without notes.
Rehearse two timed 25-item blocks of 30 minutes each to build pacing, and record which item stems wording cost the most time.
Reconcile every medication on your dosing pocket card against current labeling and update any entry you cannot defend.
Your checkpoint
A revised pocket card with dated corrections plus a 50-item integrated set scored at 80% or higher.
Foundations and Psychiatric Assessment in the Medically Ill (interviewing, differential diagnosis, neuropsychiatric and cognitive assessment, diagnostic testing) & Consultation and Liaison Practice (consultation request triage, communication with medical/surgical teams, care coordination, systems and administrative issues) & Psychiatric-Medical Comorbidity and Psychopharmacology in the Medically Ill (organ failure, drug interactions, ECT and other somatic treatments) & Emergency, Critical Care, and Acute Hospital Psychiatry (delirium, agitation, suicide and violence risk, capacity, catatonia, ICU and transplant settings) & Substance Use, Pain, and Palliative/End-of-Life Care (withdrawal, opioid and pain management, ethics and decision-making) & Special Populations, Reproductive Psychiatry, and Psychosocial/Adjustment Issues (oncology, obstetrics, pediatrics, geriatrics, trauma, adherence)
Complete two full-length timed practice exams and log every miss by domain, error type, and whether the cause was knowledge, misreading, or overthinking.
Compress each domain into a single review sheet containing only the facts you missed at least twice.
Deliver a 30-minute spoken consult defense on two randomly drawn vignettes, covering formulation, risk, workup, medication choice, and disposition.
Rank the six domains by residual risk and schedule the final 48 hours around the two weakest.
Your checkpoint
Two full-length exams at 80% or higher, a cleaned error log, and six one-page domain summary sheets.
Milestones
Week 2: Domain 1 and domain 3 quizzes both completed; every missed item logged with a rewritten explanation; dosing pocket card drafted.
Week 4: Cumulative 50-item quiz at 80% or higher across domains 1 through 4; three mock consult notes written and self-scored; triage framework usable in one minute.
Week 6: All six domains have been studied once; each domain quiz at 80% or higher; perinatal table and equianalgesic worksheet both complete and error-free.
Week 8: Two full-length practice exams at 80% or higher with error log resolved; six summary sheets finished; weakest two domains identified and re-reviewed in the final 48 hours.