ABPN C-L Psychiatry study materials
ABPN C-L Psychiatry study resources

ABPN C-L Psychiatry study plan

ABPN C-L Psychiatry · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

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.

Week 2

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.

Week 3

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.

Week 4

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.

Week 5

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.

Week 6

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.

Week 7

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.

Week 8

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.