Ok, that was an extremely difficult exam.
Just to offer some advice for future examees: The question stems are shorter than seek questions. There are two sections in the exam, each 2 hours. Any time left over from the first section does NOT roll over into the second one. So feel free to use all 2 hours for the first 100 questions to review any questions you had difficulty with. You get an optional 20 minute break in between that is separate from the 2 hours per section time you are allotted. The exam is hard and seemed way more like Step 2 but you definitely get asked about ICU related topics.
What I did to study:
Reviewed a few of the SCCM lectures (they won't all be worth your time) - I would not recommend this course if you can get your hands on enough questions.
I did the an ENLS course (my fellowship didn't have much neuro ICU time).
I did about 1000 seek questions and the 251 question book from SCCM.
I tried reading the evidence based critical care book but I got bored very quickly.
Whenever I ran into something I didn't know, google helped me plenty.
I definitely recommend doing lots of questions. I felt like even though the SEEK questions are definitely not the types of questions you get on the ABA CCM boards the act of figuring out what and why you got wrong REALLY helped me for this exam. There were a number questions on the real exam about odd minutia that appeared on the SEEK database.
The key though is the memorize the little details. You really can't just have a general idea of how to diagnose and treat a disease. You literally need to know the exact thing that would work best in the clinical situation they give you. For example, if there was a disease process that has a few good treatments, instead of just knowing the three treatments, you MUST know which is the BEST one to use and what are the clinical situations where you can't use choice A and have to move on to choice B or when you would have to use choice A and B together or A and C together (I hope that makes sense). I would use a real disease process as an example but don't want to breach any policies I am not aware of.
Be prepared to review diseases you may see in non surgical ICUs (i.e. MICU, Neuro ICU, CCU etc). I came from a fellowship that was very heavy on surgical ICUs and had to do a very deep review of MICU relevant processes. The only ICU you won't have to worry about is pediatrics.
We'll see if I passed....
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Edit: I passed and did...freakishly well...