DOH Doctor Exam study plan
DOH Doctor Exam · Give each week a clear focus.
8 weeks · About 7 hours per week
Internal Medicine
Build a one-page ranked differential for the 12 highest-yield internal medicine presentations, including chest pain, dyspnea, edema, jaundice, syncope, and altered mental status.
Interpret text-described ECG, arterial blood gas, and chest radiograph findings and classify the underlying cardiopulmonary disorder for each.
Justify first-line management choices for hypertension, type 2 diabetes, heart failure, COPD, and acute coronary syndrome, naming the contraindication that rules out each alternative.
Calculate anion gap, corrected sodium, A-a gradient, estimated GFR, and CHA2DS2-VASc score from vignette data and state the clinical action each triggers.
Your checkpoint
A 50-question internal medicine block completed untimed with a score of at least 70%, plus a one-page management algorithm sheet covering the five conditions above.
Internal Medicine & Surgery
Complete the remaining internal medicine content by comparing presenting features of infectious, hematologic, rheumatologic, and neurologic disorders in short vignettes.
Order the primary survey priorities for a trauma patient and state the intervention performed at each step.
Differentiate the four classic acute abdomen presentations by history, examination finding, and the single most useful initial imaging study.
Identify modifiable perioperative risk factors and the prophylaxis indicated for each (VTE, surgical site infection, aspiration, cardiac events).
Distinguish the indications, contraindications, and complications of the common general surgical procedures in the biliary, hernia, and colorectal categories.
Your checkpoint
A 60-question mixed internal medicine and surgery block scored at least 70%, plus a trauma primary survey checklist written from memory with no prompts.
Surgery & Pediatrics
Rank wound types by infection risk and select the appropriate closure, debridement, and antibiotic approach for each.
Match developmental milestones and the childhood immunization schedule to the correct age band without reference.
Calculate pediatric maintenance and deficit fluid volumes and rehydration rates for 10 written cases.
Evaluate neonatal jaundice and the febrile infant by age-stratified risk and state the threshold for a full sepsis workup.
Summarize the approach to the crying infant, failure to thrive, and childhood asthma exacerbation using severity-based treatment steps.
Your checkpoint
A 50-question surgery and pediatrics block scored at least 70%, plus all 10 fluid calculation cases answered correctly with shown work.
Pediatrics & Family Medicine and Primary Care
Apply weight-based pediatric drug dosing and identify the three most common dosing errors tested in outpatient scenarios.
Counsel an adolescent patient on confidentiality, consent, and the screening topics recommended at that visit.
Select the correct preventive screening test and interval for adults by age, sex, and risk factor.
Compare cost-conscious initial workups for the five most common primary care complaints: fatigue, low back pain, headache, cough, and dyspepsia.
Manage chronic disease follow-up for hypertension, diabetes, and hyperlipidemia by setting treatment targets and monitoring intervals.
Your checkpoint
A timed 100-question cumulative mock covering domains 1 through 4, scored at least 68%, with every missed item logged by cause (knowledge gap, misread, or guessing).
Obstetrics and Gynecology & Emergency Medicine
Outline the prenatal visit schedule, routine labs, and screening windows for a low-risk pregnancy.
Stage labor and identify the cause and first-line response for each of the four postpartum hemorrhage etiologies.
Differentiate preeclampsia, eclampsia, and HELLP syndrome by criteria and select the drug, dose, and monitoring for each.
Apply ACLS and sepsis bundle sequence, including drug, dose, and route, to written cardiac arrest and septic shock scenarios.
Match the toxidrome to the antidote and state the contraindicated intervention for each of the eight highest-yield poisonings.
Your checkpoint
A 60-question obstetrics and emergency medicine block scored at least 70%, plus a one-page antidote table and a postpartum hemorrhage response bundle both written from memory.
Psychiatry & Basic and Clinical Sciences
Recall the diagnostic criteria for the highest-yield psychiatric disorders and separate them from their closest mimics.
List the characteristic adverse effects, monitoring requirements, and discontinuation hazards of the major antidepressant, antipsychotic, and mood stabilizer classes.
Conduct a structured suicide risk assessment and document the risk level, protective factors, and disposition for three written cases.
Connect core pharmacology mechanisms, physiology pathways, microbiology features, and pathology patterns to the clinical presentations already studied in earlier weeks.
Your checkpoint
A 50-question psychiatry and basic sciences block scored at least 70%, plus a 40-card drug mechanism and adverse effect deck reviewed to at least 85% recall.
Ethics, Professionalism, and Patient Safety & Preventive Medicine and Public Health
Apply the elements of informed consent, decision-making capacity, confidentiality limits, and error disclosure to written ethical conflicts.
Identify the mandatory reporting situations and the correct reporting pathway for each.
Calculate sensitivity, specificity, positive predictive value, and number needed to treat from a provided two-by-two table and interpret each result.
Distinguish primary, secondary, and tertiary prevention and assign the correct level to common screening and counseling interventions.
Rework the error log from weeks 1 through 6 into a ranked list of the 20 concepts missed most often and restate each correctly.
Your checkpoint
A 40-question ethics, professionalism, and public health block scored at least 80%, plus a rewritten error log with corrected explanations for the 20 highest-frequency misses.
Internal Medicine & Surgery & Pediatrics & Family Medicine and Primary Care & Obstetrics and Gynecology & Emergency Medicine & Psychiatry & Basic and Clinical Sciences & Ethics, Professionalism, and Patient Safety & Preventive Medicine and Public Health
Complete two timed 100-question mixed exams under exam-day pacing, allocating about 90 seconds per item.
Review every missed item from both mocks and reclassify each as a knowledge gap, a reasoning error, or a pacing problem.
Rehearse the personal high-yield summary sheet for the five domains with the lowest mock scores.
Consolidate a final one-page formula and threshold sheet covering screening intervals, drug antidotes, and clinical calculators.
Practice a timed 20-question sprint to confirm pacing stability after fatigue sets in.
Your checkpoint
Two timed 100-question mixed mocks scored at least 70% each, plus a final one-page formula and threshold sheet and a ranked remediation list of no more than 10 remaining weak areas.
Milestones
Week 2: Internal medicine and surgery blocks both complete; cumulative accuracy across the two blocks is at least 70%, and the trauma primary survey checklist is reproduced from memory without prompts.
Week 4: Cumulative 100-question mock across domains 1 through 4 scored at least 68%; the error log contains a cause code for every missed item, and at least 80% of fluid calculation cases are correct.
Week 6: All ten domains have been studied at least once; drug card recall is at least 85%, and no domain has a block score below 60%.
Week 8: Both final timed mocks scored at least 70%, the one-page formula sheet is complete, and the remaining weak-area list has 10 or fewer entries.