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CBR AM study plan

CBR AM · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Patient Assessment, Selection, and Preoperative Preparation

  • Map the domain 1 blueprint into a one-page checklist covering risk stratification, contraindications, and required preoperative workup elements

  • Explain the purpose and interpretation of each routine preoperative laboratory and imaging study ordered before bariatric surgery

  • Differentiate absolute from relative contraindications and rehearse how you would document a decision to proceed or defer

  • Compare candidate selection criteria across sleeve gastrectomy, Roux-en-Y gastric bypass, and adjustable banding in a written comparison table

  • Complete 60 practice questions on preoperative assessment and log every missed concept with the reason for the miss

Your checkpoint

A one-page preoperative assessment checklist plus a scored 60-question practice set with a written error log

Week 2

Patient Assessment, Selection, and Preoperative Preparation & Surgical and Procedural Interventions

  • Describe the anatomic and physiologic changes produced by each bariatric procedure and link them to postoperative risk

  • Outline the preoperative preparation pathway for a patient with a BMI above 50, including medical optimization and team coordination

  • Sequence the key intraoperative and immediate postoperative steps of sleeve gastrectomy and gastric bypass in your own words

  • Identify which preoperative findings must be communicated to the surgical team before the case begins

  • Answer 40 mixed domain 1 and 2 questions and re-teach each missed item aloud in under two minutes

Your checkpoint

A two-column procedure comparison sheet covering anatomy, expected weight loss, and major risks for three procedures

Week 3

Surgical and Procedural Interventions & Medical Comorbidity Management and Pharmacology

  • Build a preoperative medication hold and adjustment table for anticoagulants, antihyperglycemics, and antihypertensives

  • Explain anesthesia risk considerations specific to patients with obesity, including airway and aspiration risk

  • Describe perioperative venous thromboembolism prophylaxis strategies and the reasoning behind each component

  • Link common comorbidities such as type 2 diabetes and obstructive sleep apnea to concrete changes in the surgical plan

  • Complete 50 practice questions spanning domains 2 and 6 and categorize each error as knowledge gap or misread

Your checkpoint

A one-page perioperative medication management table with holds, bridges, and restart timing

Week 4

Nutrition and Dietary Management & Postoperative Care and Complication Management

  • Outline the staged postoperative diet progression from clear liquids through solid food with timing and rationale for each stage

  • Identify micronutrient supplementation requirements after sleeve gastrectomy and after gastric bypass and explain why they differ

  • Recognize the presenting signs of the most common early postoperative complications and state the immediate next step for each

  • Differentiate dumping syndrome from hypoglycemia and from food intolerance based on timing and symptoms

  • Answer 60 practice questions on nutrition and postoperative care and score at least 75 percent

Your checkpoint

A one-page postoperative diet and supplementation reference card plus a completed 60-question scored practice set

Week 5

Postoperative Care and Complication Management & Behavioral Health and Psychological Support

  • Create a differential list for abdominal pain, nausea, and vomiting at one week, one month, and six months after surgery

  • Explain the evaluation pathway for suspected anastomotic leak, stricture, and internal hernia in order of urgency

  • Describe screening and counseling approaches for depression, binge eating, and alcohol use before and after surgery

  • Practice motivational interviewing responses to a patient expressing regret or unrealistic expectations after surgery

  • Complete 50 practice questions on domains 4 and 5 and write a two-sentence rationale for every answer choice

Your checkpoint

A time-based complication differential table plus a written log of five motivational interviewing practice responses

Week 6

Behavioral Health and Psychological Support & Medical Comorbidity Management and Pharmacology & Long-Term Follow-Up and Weight Maintenance

  • Build a monitoring schedule for nutritional deficiencies, including which labs to check and how often at 3, 6, 12, and 24 months

  • Explain long-term weight regain evaluation, including anatomic, dietary, behavioral, and hormonal contributors

  • Describe the pharmacology of commonly used agents after bariatric surgery and how altered absorption affects drug choice

  • Outline behavioral support structures that improve long-term adherence and identify when to refer for specialty care

  • Answer 60 practice questions across domains 5, 6, and 7 and review every missed item against a primary guideline

Your checkpoint

A long-term follow-up and lab monitoring timeline covering the first 24 months

Week 7

Long-Term Follow-Up and Weight Maintenance & Ambulatory Program Operations, Safety, and Quality Improvement

  • Design a quality improvement cycle for an ambulatory bariatric program, including a measurable aim, an intervention, and a review interval

  • Identify safety and operational standards for the ambulatory setting, including staffing, equipment, and emergency preparedness

  • Explain how program accreditation and outcome tracking requirements shape daily operations

  • Describe strategies for improving patient retention and follow-up attendance and how to measure their effect

  • Complete 50 practice questions on domains 7 and 8 and record your accuracy by domain

Your checkpoint

A one-page quality improvement plan with a measurable aim statement and a data collection method

Week 8

Patient Assessment, Selection, and Preoperative Preparation & Surgical and Procedural Interventions & Nutrition and Dietary Management & Postoperative Care and Complication Management & Behavioral Health and Psychological Support & Medical Comorbidity Management and Pharmacology & Long-Term Follow-Up and Weight Maintenance & Ambulatory Program Operations, Safety, and Quality Improvement

  • Complete two full-length timed practice exams under test-day conditions and record your score for each domain

  • Re-teach the three weakest topics from your error log without notes until each explanation is accurate

  • Review every flagged item from weeks 1 through 7 and confirm each is now understood

  • Build a one-page quick-reference summary of high-yield thresholds, lab intervals, and complication timelines

  • Set a final review schedule for the last 72 hours before the exam that prioritizes your two lowest-scoring domains

Your checkpoint

Two completed timed practice exams with domain-level score breakdowns and a finalized 72-hour review schedule

Milestones

Week 2: Can you explain the anatomic and physiologic differences among three bariatric procedures and connect each to a specific postoperative risk without notes?

Week 4: Have you scored at least 75 percent on a 60-question set covering nutrition and postoperative care, with every miss logged and explained?

Week 6: Can you state the recommended lab monitoring intervals for the first 24 months after surgery and justify each one?

Week 8: Are both timed practice exam scores at or above your target passing margin, with no single domain below 70 percent accuracy?