as one of those people who has always scored on the 99th percentile overall on the PRITE I would say yes it does mean that you have a pretty good chance of passing the boards. but there is more to practicing psychiatry than passing the boards. it is one thing to be able to score well on a test, and another to be prepared for clinical practice. knowing more than your attending (which sadly can happen quite often in psychiatry) does not necessarily mean you are better equipped to practice psychiatry than them or that they don't have anything to teach you. ultimately the book knowledge needed to pass the psychiatry boards is pretty basic - it is the easiest of the medical board exams after all. The real skill in psychiatry is in clinical practice and there is no correlation between PRITE scores and clinical competence (this has been studied, sometimes higher PRITE scores are associated with poorer interpersonal skills etc for example).
For those that already have a good foundation of all the areas of psychiatry early on (which usually means you have significant prior exposure to psychiatry or may have completed psychiatry residency in another country or were just lucky - if in doubt pick B) then that means you have the freedom to hone in your knowledge in other areas and gain mastery of a particular area. For example in psychodynamics, mindfulness, or cognitive neuroscience, sexual disorder, eating disorders, neuropsychiatry, neurostimulation, forensics and the myriad of other areas. Psychiatry is such a large field it is not possible to gain mastery over everything in 4 years, and really it just goes to show how wanting the expected knowledge of psychiatry residents is.
thelastpsychiatrist quipped that we get tested on MAOIs, pimozide and DBT which most psychiatrists never even use, but not on Xanax and disability which every non-pp psychiatrist deals with on a daily basis.
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