My PANCE exam is schedule for January 11th, which means I have exactly one month to prepare after I finish my last rotation. The first weekend will be dedicated to PANCE study prep and then the following week will be the school-provided pance prep pearls review. I am using my surgery rotation to study all of the surgical related material,
When looking at my scores based on content break down from Rosh Review, Kaplan, PACKRATs, EOR exams, and the EOC, the trends are not consistent. For example, there are sections of the packrat I scored 100% in but on rosh my score in said subject area is much lower. This likely due to my continuous studying throughout the year and when the last time I studied particular subjects were that change my trends over time. Based on the most recent exam, the EOC, there was not any particular content area that it showed I scored extremely well in, rather, I did average across most sections or lower. For this reason, I am focusing my study plan to focus the most on the subjects that hold the most weight such as cardiology and pulmonology. I have reserved the pediatrics content for the last week because I remember a lot of the different infectious diseases & exanthems based on a memorization table so I would like to have that content fresh in my head, whereas cardiology and pulmonology are more about understanding the underlying pathophysiology for me. I also placed those subjects first so that if I get behind schedule those content areas will not suffer. I did not have time to include a review of every single medical subject so I ommitted dermatology, psychiatry, and OB/GYN.
I do hope to run ahead of schedule and be able to squeeze in some derm if possible. Psychiatry I feel proficient in enough to skip over, and OB/GYN is a huge subject area but is only worth 7% so I find that it is not worth the squeeze, although I would like to review main management topics like ectopic pregnancy and TOA if the schedule allows.
My calander formatting goes over each subject area with titles of related videos I will be watching. It is not my first pass on any of these videos, nor my second for that matter, so I do plan to watch them on 1.5x speed and they are each 10-20 minutes in duration on regular speed so I feel the schedule is doable. After I complete each subject area I plan to complete practice questions. I based the number of questions to complete in my calander by what is available in pance prep pearls/rosh and by subject weight or personal weakness. I have further broken up my time by morning and afternoon. I plan to spend 4 hours studying in the morning, followed by 3-4 hours each afternoon/evening. I have also chosen to complete a large number of
PANCE Plan.docx
questions per block to build up stamina for the actual PANCE. I found myself unable to focus on the last 2 sections of the EOC because I ran out of endurance.
Overall, I am feeling confident in my study plan. I set aside an entire afternoon/evening to create it, carefully strategizing the content areas, questions, and pace. It will be a lot of long study hours but I believe this method will yield me my personal best results.
The Plan:
NOVEMBER 2022
| Sunday | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday |
| 1 | 2 | 3 | 4 | 5 | ||
| 6 | 7 | 8 | 9 | 10 | 11 | 12 |
| 13 General surgery -Preoperative evaluation -Postoperative fever -Other postoperative complications | 14 | 15 | 16 | 17 | 18 | 19 General surgery -Gallstone diseases -Cholestatic diseases that aren’t gallstones -Esophageal pathologies -Surgical small bowel -Colon, rectum, and anus |
| 20 General surgery -Surgical pancreatitis -Abdominal pain and the acute abdomen -Leg ulcers -Benign breast diseases -Breast cancer | 21 | 22 | 23 | 24 Surgery subspecialities -Peds: first day -Peds weeks to months -Endocrine diseases | 25 | 26 Surgery subspecialities -Surgical hypertension -Peds CT surgery -CT surgery -Aorta -Vascular |
| 27 Surgery subspecialities -Peds optho -Adult optho -Skin cancer -Neuro brain bleeds -Neuro tumors | 28 | 29 | 30 |
December 2022
| Sunday | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday |
| 1 | 2 | 3 Surgery Subspeciality -Uro peds -Uro cancer -Uro misc -Ortho peds -Ortho hand -Ortho injuries | ||||
| 4 Trauma Surgery -Primary survey and traumatic shock -Head trauma -Neck trauma -Chest trauma -Abdominal trauma -Pelvis trauma -Extremity trauma and fractures -Burns and electrical injuries | 5 | 6 | 7 | 8 | 9 | 10 Cardiology -ACS -Heart Failure -Valvular Disease -Cardiomyopathy -Pericardial Disease -Syncope -ACLS Rhythms -ACLS Easy |
| 11 Pulmonary -Asthma -Lung Cancer -Pleural Effusion -Pulmonary Embolism -COPD -ARDS -DPLD | 12 | 13 | 14 | 15 | 16 SURGERY, EMERGENCY CARE, CARDIO, PULM Questions 250/751 | 17 SURGERY, EMERGENCY CARE, CARDIO, PULM Questions 250/751 |
| 18 SURGERY, EMERGENCY CARE, CARDIO, PULM Questions 250/751 | 19 Mental Health Day | 20 GI Morning: -Gallbladder -Esophagitis -Esophagus -GERD Afternoon: -Peptic Ulcer -Misc Gastric -Acute Diarrhea -Malabsorption Diseases | 21 GI Morning: -Diverticula -Colon Cancer -Cirrhosis -Cirrhosis Complications Afternoon: -GI Bleed -Pancreatitis -IBD -Jaundice -Viral Hepatitis | 22 GI EXAM QUESTIONS 192/385 | 23 GI EXAM QUESTIONS 191/385 | 24 Mental Health Day |
| 25 XMAS | 26 Nephrology Morning: -AKI -CKD -Sodium -Calcium -Potassium Afternoon: Kidney stones -Cysts & Cancer -Acid Base -Acid Base II | 27 NEPHRO EXAM 117 QUESTIONS | 28 Infectious Disease -HIV -TB -Sepsis -Brain inflammation -Skin infections -Pneumonia -UTI -Genital ulcers -Ear Nose Throat -Infective endocarditis | 29 Morning: ID Q’S 98/196 Afternoon: Hematology/Oncology -Anemia Approach -Macrocytic anemia -Microcytic anemia -Normocytic anemia | 30 Morning: ID Q’S 98/196 Afternoon: Hematology/Oncology -Leukemia -Lymphoma -Plasma cell | 31 Morning: Hematology/Oncology -Bleeding -Thrombocytopenia -Thrombophilia AFTERNOON OFF |
JANUARY 2023
| Sunday | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday |
| 1 MORNING OFF Afternoon: Heme 122 Q’s | 2 Endocrinology -Anterior pituitary -Posterior pituitary -Thyroid -Thyroid nodules -Adrenals -Outpatient type 2 diabetes -Type 1 diabetes and insulin strategies -Diabetic emergencies -MEN syndromes | 3 ENDOCRINE 146 QUESTION EXAM | 4 Rheumatology -Approach to joint pain -Lupus -Rheumatoid arthritis -Other connective tissue -Monoarticuloarthropathy -Seronegative arthritis -Vasculitis | 5 RHEUM 80 QUESTIONS | 6 Neurology Morning -Stroke -Seizure -Tremor -Headache Afternoon -Backpain -Dementia -Dizziness -Coma -Weakness | 7 Morning NEURO EXAM 115/230 QUESTIONS Afternoon NEURO EXAM 115/230 QUESTIONS |
| 8 Pediatrics Morning -Neonatal ICU -Failure to pass meconium -Baby emesis -Neonatal jaundice Afternoon -Congenital defects -ALTE BRUE and SIDS Night -Peds infectious rashes -Peds ID review | 9 -Allergies -ENT -Upper airway -Lower airway -Sickle cell disease PEDS 250 QUESTIONS | 10 Mental Health Day | 11 PANCE EXAM |
PANCE BLUEPRINT STUDY GUIDE
General surgery
- Preoperative evaluation
- Postoperative fever
- Other postoperative complications
- Gallstone diseases
- Cholestatic diseases that aren’t gallstones
- Esophageal pathologies
- Surgical small bowel
- Colon, rectum, and anus
- Surgical pancreatitis
- Abdominal pain and the acute abdomen
- Leg ulcers
- Benign breast diseases
- Breast cancer
Surgery subspecialities
- Peds: first day
- Peds weeks to months
- Endocrine diseases
- Surgical hypertension
- Peds CT surgery
- CT surgery
- Aorta
- Vascular
- Peds optho
- Adult optho
- Skin cancer
- Neuro brain bleeds
- Neuro tumors
- Uro peds
- Uro cancer
- Uro misc
- Ortho peds
- Ortho hand
- Ortho injuries
Trauma Surgery
- Primary survey and traumatic shock
- Head trauma
- Neck trauma
- Chest trauma
- Abdominal trauma
- Pelvis trauma
- Extremity trauma and fractures
- Burns and electrical injuries
Cardiology
- ACS
- Heart Failure
- Valvular Disease
- Cardiomyopathy
- Pericardial Disease
- Syncope
- ACLS Rhythms
- ACLS Easy
Pulmonary
- Asthma
- Lung Cancer
- Pleural Effusion
- Pulmonary Embolism
- COPD
- ARDS
- DPLD
GI
- Gallbladder
- Esophagitis
- Esophagus
- GERD
- Peptic Ulcer
- Misc Gastric
- Acute Diarrhea
- Malabsorption Diseases
- Diverticula
- Colon Cancer
- Cirrhosis
- Cirrhosis Complications
- GI Bleed
- Pancreatitis
- IBD
- Jaundice
- Viral Hepatitis
Nephrology
- AKI
- CKD
- Sodium
- Calcium
- Potassium
- Kidney stones
- Cysts & Cancer
- Acid Base
- Acid Base II
Hematology/Oncology
- Anemia Approach
- Macrocytic anemia
- Microcytic anemia
- Normocytic anemia
- Leukemia
- Lymphoma
- Plasma cell
- Bleeding
- Thrombocytopenia
- Thrombophilia
Infectious Disease
- HIV
- TB
- Sepsis
- Brain inflammation
- Skin infections
- Pneumonia
- UTI
- Genital ulcers
- Ear Nose Throat
- Infective endocarditis
Endocrinology
- Anterior pituitary
- Posterior pituitary
- Thyroid
- Thyroid nodules
- Adrenals
- Outpatient type 2 diabetes
- Type 1 diabetes and insulin strategies
- Diabetic emergencies
- MEN syndromes
Rheumatology
- Approach to joint pain
- Lupus
- Rheumatoid arthritis
- Other connective tissue
- Monoarticuloarthropathy
- Seronegative arthritis
- Vasculitis
Dermatology
- Bullous diseases
- Papulosquamous
- Eczematous rashes
- Hypersensitivity
- Hyperpigmentation
- Hypopigmentation
- Alopecia
- Superficial skin infections
Neurology
- Stroke
- Seizure
- Tremor
- Headache
- Backpain
- Dementia
- Dizziness
- Coma
- Weakness
Pediatrics
- Newborn management
- Neonatal ICU
- Failure to pass meconium
- Baby emesis
- Neonatal jaundice
- Congenital defects
- Well child visit
- Vaccination schedule
- ALTE BRUE and SIDS
- Peds infectious rashes
- Peds ID review
- Allergies
- ENT
- Upper airway
- Lower airway
- Seizures
- GI bleeds
- Peds CT surgery
- Orthopedics
- Ophthalmology
- Urology
- Sickle cell disease
- Immunodeficiency
EXTRA MATERIAL TO REVIEW IF AHEAD OF SCHEDULE
Psychiatry
- Anxiety disorders
- Impulse control
- OCD and related disorders
- PTSD
- Mood disorders
- Mood life and death
- Psychotic disorders
- Eating disorders
- Personality disorders
- Dissociative disorders
- Catatonia
- Peds neurodevelopmental
- Peds behavioral
- Psych pharm I
- Psych pharm II
- Addiction
- Addiction II drugs of abuse
- Sleep physiology
- Sleep disorders
- Somatic symptom disorders
Gynecology
- Pelvic organ prolapse
- Urinary incontinence
- Gynecologic infections
- Adnexal masses
- Approach to vaginal bleeding
- Abnormal uterine bleeding
Gynecology Oncology
- Overview of cancers
- Cervical cancer
- Endometrial cancer
- Ovarian cancer
- Vaginal and vulvar cancers
- Gestational trophoblastic disease
Reproductive endocrinology
- Primary amenorrhea
- Secondary amenorrhea
- Menopause
- PCOS and hyperandrogenism
- The infertile couple
Obstetrics
- Physiology of pregnancy
- Preconception counseling and routine prenatal care
- Medical diseases and teratogens
- Contraception
- Antenatal genetic screening
- Ectopic pregnancy
- Spontaneous and induced abortions
- Multifetal gestation
Late pregnancy
- Hypertension and eclampsia spectrum
- Diabetes during pregnancy
- Third trimester vaginal bleeding
- Postpartum hemorrhage
- Perinatal infections 1 – TORCH
- Perinatal infections 2 – not TORCH
- Alloimmunization
Labor and Delivery
- Normal labor and delivery
- Antenatal testing and intrapartum surveillance
- Protraction and arrest of labor
- Pre and post term complications of pregnancy
- Obstetrical operations
