Medical School MD + DO Mastery

A 4-year, board-aligned study system for medical school and licensing exams.

Walk the full Year 1–4 curriculum — foundational sciences, organ-system blocks, clinical clerkships and advanced practice — each with mastery checklists and linked learning resources, plus a dedicated review system for school exams, Shelf/COMAT, USMLE Step 1–3 and COMLEX-USA Levels 1–3.

PSYCHIATRY - NBME SHELF / COMAT TRANSFER

YEAR 3 | PAGE 31D - OFFICIAL BLUEPRINT + QUESTION-SEQUENCING + READINESS

G. WHAT THE CURRENT OFFICIAL EXAMS ARE ASKING YOU TO DO

LaneCurrent official signalHow to prepare
NBME Psychiatry CSMSPsychiatry is a Clinical Science Mastery Series subject. Each current form contains 50 MCQs; standard-paced testing is 75 minutes and includes answer explanations plus approximate Subject Exam score translation.Use late in the clerkship. Review every incorrect, guessed and low-confidence correct for the diagnostic discriminator or management sequence that decided the item.
COMAT Psychiatry - contentLargest current categories are Anxiety/Trauma/OCD 20-25% and Depressive/Bipolar 20-25%; neurocognitive 9-10%, neurodevelopmental/disruptive 9-15%, psychotic 8-10%, substance 8-10%, with additional personality, somatic/sleep and eating/sexual topics.Do not study only mood and psychosis. Revisit anxiety/trauma/OCD, child/development, delirium/dementia, substances and eating disorders.
COMAT Psychiatry - tasksHistory/Physical incl. Diagnosis 30-45% and Management 30-45% dominate; Health Promotion 8-20%, Diagnostic Technologies 5-6%, Scientific Mechanisms 8-10%.Practice the interview/MSE -> diagnosis -> safety -> treatment/disposition sequence. DO learners should integrate osteopathic principles appropriately rather than isolate them as a separate memorization block.
Step 2 CK transferCurrent Step 2 CK specifications list Psychiatry at 10-15% clinical-science overlap and Behavioral Health at 5-10% system/discipline weighting.Shelf preparation should build directly into Step 2: diagnostic differentiation, medication safety, emergency stabilization, ethics/capacity and disposition.

G. WHAT THE CURRENT OFFICIAL EXAMS ARE ASKING YOU TO DO — H. PSYCHIATRY QUESTION-REVIEW ALGORITHM • 1. Stability + safety: is there a medical emergency, severe withdrawal/intoxication, suicidality, violence risk or inability to care for basic needs? • 2. Medical/substance exclusion: does acute fluctuation, inattention, new neurologic finding, medication change or exposure shift the case away from primary

psychiatry?

G. WHAT THE CURRENT OFFICIAL EXAMS ARE ASKING YOU TO DO — H. PSYCHIATRY QUESTION-REVIEW ALGORITHM • 1. Stability + safety: is there a medical emergency, severe withdrawal/intoxication, suicidality, violence risk or inability to care for basic needs? • 2. Medical/substance exclusion: does acute fluctuation, inattention, new neurologic finding, medication change or exposure shift the case away from primary

  • 3. Syndrome + timeline: define mood, psychotic, anxiety/trauma/OCD, cognitive, substance, eating, personality or developmental pattern and apply duration/function discriminators.
  • 4. Longitudinal relationship: prior episodes, psychosis outside mood episodes, treatment response, collateral and baseline function often determine the diagnosis.
  • 5. Next step now: psychotherapy, medication, medical workup, substance-withdrawal treatment, hospitalization, safety planning, ECT/other intervention, or follow-up - choose the step appropriate to severity and setting.

I. 7-DAY PSYCHIATRY EXAM FINISH

DayExecution
7-6Map Qbank misses into mood, psychosis, anxiety/trauma/OCD, substances, neurocognitive, child/developmental, eating/personality/somatic, pharm/toxicity and ethics/disposition. Repair the two largest gaps.
5-4Timed psychiatry shelf/Step 2 blocks. Review every incorrect, guessed and low-confidence correct; write one discriminator or next-step rule per miss.
3Take NBME Psychiatry CSMS or COMAT-SE if scheduled/available; use content patterns - not one isolated question - to redirect the last 48 hours.
2Mixed psychosis/mood timelines + anxiety/OCD/PTSD + substances/withdrawal + delirium/dementia + medication adverse effects + suicide/capacity/disposition.
1Light retrieval and error sheet only. Rehearse duration criteria, medical/substance exclusions, toxidromes and safety/disposition triggers; protect sleep.

I. 7-DAY PSYCHIATRY EXAM FINISH — J. CLERKSHIP MASTERY GATE

  • Can conduct and present a focused psychiatric interview and MSE using observed findings rather than vague labels.
  • Can distinguish look-alike diagnoses using timeline, functional impairment, collateral and medical/substance exclusions.
  • Can connect psychotropic choice to indication, signature toxicity, contraindication/monitoring and emergency adverse effects.
  • Can recognize when safety, capacity, delirium, intoxication/withdrawal or medical instability changes the disposition before the final diagnosis is settled.
  • Can complete timed mixed Psychiatry questions with stable accuracy and fewer repeated timeline/management-sequencing errors.

I. 7-DAY PSYCHIATRY EXAM FINISH — Official / high-yield review links

NBME Clinical Science Mastery SeriesNBOME COMAT Clinical - Psychiatry blueprint
Divine Intervention - Comprehensive Psych NBME Shelf Review USMLE Step 2 CK Content SpecificationsDoctor High Yield - Psychiatry Shelf / Step 2 CK Review UWorld Step 2 CK
2026/27 clerkship-expanded edition - verify school and official exam updates before testing