WEBVTT 00:00:00.169 --> 00:00:01.310 good let me just put this 00:00:01.429 --> 00:00:02.450 little fancy thing and we 00:00:02.470 --> 00:00:03.049 can start the show all 00:00:09.112 --> 00:00:09.692 right welcome to 00:00:09.792 --> 00:00:12.335 orthostatic a product uh a 00:00:12.435 --> 00:00:13.775 service provided by the 00:00:13.814 --> 00:00:14.916 academy of orthopedic 00:00:14.955 --> 00:00:16.275 physical therapy I'll be 00:00:16.295 --> 00:00:17.117 your host today my name is 00:00:17.157 --> 00:00:18.838 jimmy mckay and with me uh 00:00:18.878 --> 00:00:19.577 paul neal how do you 00:00:19.617 --> 00:00:20.878 introduce yourself you say 00:00:20.998 --> 00:00:22.099 orientation people are 00:00:22.118 --> 00:00:23.920 always wanting more like george costanza 00:00:24.440 --> 00:00:26.021 Because I usually just I'm 00:00:26.060 --> 00:00:27.442 happy to say Paul Milchuk, 00:00:27.501 --> 00:00:28.562 I'm a physical therapist 00:00:28.862 --> 00:00:30.184 and I kind of just leave it at that. 00:00:30.283 --> 00:00:30.803 And then, you know, 00:00:30.824 --> 00:00:31.484 they always want to know 00:00:31.545 --> 00:00:32.524 all these other things and 00:00:32.564 --> 00:00:33.326 everything like that. 00:00:33.345 --> 00:00:34.026 And I'm kind of like, 00:00:34.405 --> 00:00:35.667 you can go to the website, 00:00:35.707 --> 00:00:36.768 go to our faculty page. 00:00:36.787 --> 00:00:38.509 You can kind of read all about that stuff, 00:00:38.569 --> 00:00:39.729 you know, if you're interested in it. 00:00:39.829 --> 00:00:42.191 So not not a big self promoter. 00:00:42.951 --> 00:00:43.712 We got to promote a little bit. 00:00:43.731 --> 00:00:44.393 We got to give context. 00:00:44.432 --> 00:00:45.954 So you said you said faculty. 00:00:45.973 --> 00:00:47.014 Where are you on faculty? 00:00:47.033 --> 00:00:47.695 What do you get to do there? 00:00:48.134 --> 00:00:50.256 I am on faculty at Stony Brook University. 00:00:50.676 --> 00:00:51.817 I graduated from PT school 00:00:51.837 --> 00:00:53.497 in 1995 from Stony Brook. 00:00:54.198 --> 00:00:55.039 I started teaching in 2004. 00:00:56.380 --> 00:00:57.701 I joined the faculty in 2010 00:00:57.701 --> 00:00:59.362 and I actually did clinic 00:00:59.381 --> 00:01:00.301 for a couple of years. 00:01:00.942 --> 00:01:02.884 And now I basically teach in 00:01:02.904 --> 00:01:03.844 the orthopedic track. 00:01:03.863 --> 00:01:04.745 So that's kind of why I 00:01:04.784 --> 00:01:05.584 think I'm here today. 00:01:05.605 --> 00:01:06.406 Yes. 00:01:06.525 --> 00:01:07.906 Orthopedic, you know, kinesiology, 00:01:08.027 --> 00:01:08.626 orthopedics. 00:01:08.667 --> 00:01:10.188 That's that's kind of my my 00:01:10.787 --> 00:01:11.909 my area of interest. 00:01:12.308 --> 00:01:14.189 Whenever someone asks, you know, 00:01:14.230 --> 00:01:15.650 what's your area of expertize? 00:01:16.158 --> 00:01:16.957 The only thing I'm 00:01:16.998 --> 00:01:17.858 comfortable with saying I'm 00:01:17.879 --> 00:01:19.078 an expert in is the Simpsons. 00:01:19.618 --> 00:01:21.620 So when it comes to PT, 00:01:21.659 --> 00:01:22.879 my area of specialty, 00:01:22.920 --> 00:01:24.161 my area of interest is 00:01:24.221 --> 00:01:26.801 orthopedics and sports medicine. 00:01:26.840 --> 00:01:28.662 So- We'll do the Simpsons on 00:01:28.721 --> 00:01:29.701 another episode today where 00:01:29.721 --> 00:01:30.322 we'll talk about 00:01:30.382 --> 00:01:31.442 orthopedics and 00:01:31.522 --> 00:01:33.082 specifically something that 00:01:33.143 --> 00:01:34.084 popped up and I didn't 00:01:34.103 --> 00:01:34.903 really know a lot about 00:01:34.924 --> 00:01:36.004 when I was going through PT 00:01:36.024 --> 00:01:36.965 school until probably maybe 00:01:37.325 --> 00:01:38.385 my second or third year, 00:01:38.405 --> 00:01:39.084 people started sort of 00:01:39.325 --> 00:01:40.626 whispering and murmuring 00:01:40.686 --> 00:01:41.286 about this thing. 00:01:41.825 --> 00:01:42.906 And it was this thing called 00:01:43.326 --> 00:01:44.548 specialty exams and 00:01:44.647 --> 00:01:46.067 specifically one had popped 00:01:46.128 --> 00:01:46.888 up in conversation, 00:01:46.909 --> 00:01:48.430 which was the orthopedic 00:01:48.549 --> 00:01:50.210 clinical specialist exam. 00:01:50.230 --> 00:01:52.012 Other people might call it the OCS exam. 00:01:52.552 --> 00:01:53.572 So, you know, Paul, 00:01:53.593 --> 00:01:54.832 how do you describe it when 00:01:54.953 --> 00:01:56.313 students or clinicians 00:01:56.334 --> 00:01:57.295 started talking about it? 00:01:57.915 --> 00:01:59.436 What is the exam and maybe 00:01:59.495 --> 00:02:00.917 who should consider taking it? 00:02:01.397 --> 00:02:03.097 OK, so I was like you. 00:02:03.677 --> 00:02:04.519 I really never heard about 00:02:04.578 --> 00:02:06.179 specialization when I was in school. 00:02:06.900 --> 00:02:08.341 I started to kind of hear about it. 00:02:08.420 --> 00:02:10.201 And then I graduated and. 00:02:11.134 --> 00:02:11.975 heard about it a little more, 00:02:12.015 --> 00:02:13.116 and then I kind of looked into it, 00:02:13.497 --> 00:02:14.717 and then I kind of went after it. 00:02:14.798 --> 00:02:17.759 So in terms of the specialties, 00:02:17.800 --> 00:02:19.320 kind of a more broader overview, 00:02:19.360 --> 00:02:20.622 the American Board of 00:02:20.641 --> 00:02:21.282 Physical Therapy 00:02:21.302 --> 00:02:22.342 Specialties kind of runs 00:02:22.383 --> 00:02:23.183 all these specialties, 00:02:23.223 --> 00:02:24.044 and there are 10 of them, 00:02:24.064 --> 00:02:24.625 and you can go to the 00:02:24.664 --> 00:02:26.306 website and kind of see any 00:02:26.326 --> 00:02:26.986 of the other ones. 00:02:27.046 --> 00:02:29.248 But for the purposes of our discussion, 00:02:29.288 --> 00:02:29.568 obviously, 00:02:29.588 --> 00:02:31.110 we're talking about the orthopedic one. 00:02:31.711 --> 00:02:32.951 So what it is, is 00:02:34.389 --> 00:02:35.308 It's a way to kind of 00:02:35.389 --> 00:02:37.710 recognize that you have a 00:02:37.810 --> 00:02:39.151 deeper knowledge in a 00:02:39.211 --> 00:02:40.811 specific area of physical therapy, 00:02:40.830 --> 00:02:42.211 in this instance, orthopedics. 00:02:42.312 --> 00:02:45.853 So basically, if you're interested in it, 00:02:45.913 --> 00:02:49.193 you're interested in pursuing, again, 00:02:49.213 --> 00:02:50.574 this specialization that 00:02:50.594 --> 00:02:51.694 just demonstrates that you 00:02:51.735 --> 00:02:53.235 have deeper knowledge and 00:02:53.256 --> 00:02:54.015 that you have a deeper 00:02:54.116 --> 00:02:55.876 skill set and that you 00:02:55.996 --> 00:02:58.116 focus in this one area of 00:02:59.698 --> 00:03:00.337 physical therapy. 00:03:02.264 --> 00:03:02.604 Perfect. 00:03:02.644 --> 00:03:04.525 So if someone's nodding along or saying, 00:03:04.585 --> 00:03:05.145 yeah, you know, 00:03:05.164 --> 00:03:06.026 going through school or 00:03:06.066 --> 00:03:07.286 going through clinical practice, 00:03:07.887 --> 00:03:09.187 orthopedics is really what 00:03:09.206 --> 00:03:10.087 gets me excited. 00:03:11.008 --> 00:03:12.068 And this might be a path I 00:03:12.088 --> 00:03:14.050 want to take before I before I leap. 00:03:14.229 --> 00:03:15.650 I do want to look right. 00:03:16.311 --> 00:03:17.711 How do I determine if I'm 00:03:17.812 --> 00:03:19.632 ready to sit for the OCS exam? 00:03:19.651 --> 00:03:20.353 What are the things, 00:03:20.393 --> 00:03:22.174 what are the prerequisites, you know, 00:03:22.234 --> 00:03:23.394 officially or unofficially 00:03:23.413 --> 00:03:24.155 that I might need to 00:03:24.435 --> 00:03:25.854 consider before deciding to 00:03:25.895 --> 00:03:26.855 take the OCS exam? 00:03:27.383 --> 00:03:28.264 So, um, 00:03:28.564 --> 00:03:29.925 first thing you need is you need 00:03:29.925 --> 00:03:32.769 2000 hours of direct patient care hours, 00:03:33.188 --> 00:03:34.490 um, in the specialty area. 00:03:34.509 --> 00:03:35.770 So the way this is done, 00:03:35.812 --> 00:03:36.812 if you go to the website, 00:03:37.032 --> 00:03:37.652 they give you kind of a 00:03:37.712 --> 00:03:39.794 nice Excel sheet that says, um, 00:03:39.854 --> 00:03:41.997 basically a year is 50 weeks. 00:03:42.336 --> 00:03:43.437 And if you're working full time, 00:03:43.478 --> 00:03:44.519 that's 40 hours a week. 00:03:44.558 --> 00:03:45.400 So if you do the math, 00:03:45.419 --> 00:03:47.121 you're going to work 2000 00:03:47.121 --> 00:03:47.921 hours in a year. 00:03:47.942 --> 00:03:49.723 If you take two weeks vacation and then, 00:03:50.024 --> 00:03:51.604 and then you break it up on, on, um, 00:03:51.765 --> 00:03:52.165 after that. 00:03:52.186 --> 00:03:52.926 So you'll say, all right, 00:03:52.967 --> 00:03:53.787 this year I worked 2000 hours. 00:03:54.814 --> 00:03:56.635 I spent 75% of those hours 00:03:56.675 --> 00:03:57.635 in direct patient care 00:03:57.656 --> 00:03:58.256 because we all have 00:03:58.295 --> 00:03:59.336 paperwork and other things, 00:03:59.477 --> 00:04:00.396 administrative issues that 00:04:00.417 --> 00:04:01.076 we have to deal with. 00:04:01.858 --> 00:04:02.798 So then you'll say, all right, 00:04:02.818 --> 00:04:03.298 for that year, 00:04:03.318 --> 00:04:05.318 whatever 75% of 2000 is 00:04:05.338 --> 00:04:06.118 that's how many hours I 00:04:06.139 --> 00:04:07.360 spent in direct patient care. 00:04:07.800 --> 00:04:09.340 And then you'll say, all right, 00:04:09.419 --> 00:04:11.061 out of those hours in direct patient care, 00:04:11.080 --> 00:04:11.241 yeah, 00:04:11.260 --> 00:04:12.262 a hundred percent of those were in 00:04:12.301 --> 00:04:12.942 orthopedics. 00:04:13.282 --> 00:04:14.181 So that's how many hours 00:04:14.222 --> 00:04:15.723 that you would claim for that year. 00:04:16.023 --> 00:04:16.783 So you just kind of go 00:04:16.802 --> 00:04:17.803 through that little spreadsheet. 00:04:17.923 --> 00:04:20.584 And once you get to 2000, 00:04:20.584 --> 00:04:21.125 that's the first 00:04:21.165 --> 00:04:22.165 requirement that you need 00:04:22.285 --> 00:04:23.985 to sit for the exam and 00:04:24.983 --> 00:04:26.783 then you need to provide 00:04:26.963 --> 00:04:31.084 evidence that you have expert, 00:04:31.105 --> 00:04:31.785 not expertise, 00:04:31.805 --> 00:04:32.586 but that you have 00:04:33.086 --> 00:04:34.185 experience in different 00:04:34.245 --> 00:04:35.565 areas of orthopedic PT. 00:04:35.586 --> 00:04:36.887 And this is something that's new, Jimmy, 00:04:37.367 --> 00:04:39.408 as of 2026, as for the new exam, 00:04:39.427 --> 00:04:40.487 we changed our, 00:04:40.728 --> 00:04:41.749 some of our requirements 00:04:42.149 --> 00:04:43.869 and these can be seen on the website. 00:04:44.149 --> 00:04:45.129 But basically what we did 00:04:45.209 --> 00:04:48.711 was we just went into body regions. 00:04:49.110 --> 00:04:52.091 So we said, if you look at, 00:04:52.858 --> 00:04:54.218 We broke them up like spine, 00:04:54.418 --> 00:04:55.819 lower extremity, upper extremity. 00:04:55.980 --> 00:04:56.259 And again, 00:04:56.279 --> 00:04:57.740 there's a nice chart on the website. 00:04:57.759 --> 00:04:59.139 So I'd encourage everyone to look at that. 00:04:59.180 --> 00:05:00.839 But basically what we did was we said, 00:05:01.379 --> 00:05:02.461 if you look at the spine, 00:05:03.321 --> 00:05:05.420 we talk about obviously like TMJ, 00:05:05.480 --> 00:05:07.502 we talk about cervical, thoracic, lumbar, 00:05:07.762 --> 00:05:12.362 SI, you need 750 hours in that area. 00:05:12.661 --> 00:05:13.281 And same thing. 00:05:13.302 --> 00:05:14.283 If you look at upper quarter, 00:05:14.302 --> 00:05:15.862 you need 500 hours, lower quarter, 00:05:15.882 --> 00:05:17.002 you need 500 hours. 00:05:17.543 --> 00:05:18.762 And the way it's broken up 00:05:19.103 --> 00:05:20.824 is I just told you about 00:05:20.863 --> 00:05:22.163 those five areas in the spine. 00:05:22.817 --> 00:05:23.937 um you need to have a 00:05:24.038 --> 00:05:26.000 minimum of 100 hours in 00:05:26.240 --> 00:05:27.761 three of those five areas 00:05:28.182 --> 00:05:29.322 so I know this is this is 00:05:29.362 --> 00:05:29.903 kind of getting in the 00:05:29.942 --> 00:05:31.665 weeds a little bit but um 00:05:31.764 --> 00:05:32.545 again on the website 00:05:32.564 --> 00:05:33.545 there's a nice chart that 00:05:33.605 --> 00:05:34.747 breaks this up and 00:05:34.867 --> 00:05:35.867 basically if you're someone 00:05:35.887 --> 00:05:37.108 that's working in a general 00:05:37.209 --> 00:05:38.689 orthopedic clinic and 00:05:38.709 --> 00:05:39.591 you're just treating 00:05:39.711 --> 00:05:40.932 general orthopedic patients 00:05:40.971 --> 00:05:41.892 with back pain and neck 00:05:41.932 --> 00:05:42.814 pain and shoulder pain and 00:05:42.834 --> 00:05:43.855 knee pain and ankle pain 00:05:44.562 --> 00:05:45.682 you're you're going to knock 00:05:45.843 --> 00:05:47.184 off all these hours fairly 00:05:47.303 --> 00:05:49.084 easily it's basically for 00:05:49.144 --> 00:05:50.245 someone who may be a little 00:05:50.286 --> 00:05:51.826 more specialized in in 00:05:51.906 --> 00:05:53.146 clinics where maybe they 00:05:53.206 --> 00:05:54.247 don't get to see a lot of 00:05:54.327 --> 00:05:55.449 spine or extremities or 00:05:55.488 --> 00:05:56.769 something like that and 00:05:56.790 --> 00:05:57.870 there are ways that you can 00:05:57.930 --> 00:05:59.290 attain those hours so you 00:05:59.331 --> 00:06:00.312 can observe a certified 00:06:00.331 --> 00:06:01.932 hand therapist and if you 00:06:01.973 --> 00:06:03.112 observe them for 100 hours 00:06:03.153 --> 00:06:03.973 treating the clinic they 00:06:04.014 --> 00:06:05.134 sign off and then you've 00:06:05.435 --> 00:06:07.375 you you've had hours in in 00:06:07.415 --> 00:06:10.737 that subset so um that's 00:06:10.778 --> 00:06:11.639 basically kind of the 00:06:11.678 --> 00:06:12.860 second piece so it's the 2000 hours 00:06:13.973 --> 00:06:15.374 And then it's kind of how 00:06:15.394 --> 00:06:17.995 those 2000 hours are broken up. 00:06:18.276 --> 00:06:20.197 And that's basically it. 00:06:20.237 --> 00:06:21.516 That's basically the two 00:06:22.017 --> 00:06:22.877 qualifications or the 00:06:22.898 --> 00:06:24.899 requirements that I should say you need. 00:06:25.279 --> 00:06:26.180 And in terms of if someone 00:06:26.220 --> 00:06:26.759 is thinking like, 00:06:26.800 --> 00:06:28.360 why should I do this or am 00:06:28.440 --> 00:06:29.201 I ready for it? 00:06:29.341 --> 00:06:30.343 Kind of two different questions. 00:06:30.762 --> 00:06:31.682 I think why you should do it, 00:06:31.723 --> 00:06:32.744 that's inherent up to you. 00:06:33.216 --> 00:06:33.377 you know, 00:06:33.396 --> 00:06:34.358 if you feel like you've been 00:06:34.398 --> 00:06:35.238 working in this area, 00:06:35.278 --> 00:06:36.579 you've been working in orthopedics, 00:06:36.680 --> 00:06:37.821 it's your true love, 00:06:38.242 --> 00:06:39.423 and you feel like that, you know, 00:06:39.442 --> 00:06:40.423 you're going to courses and 00:06:40.444 --> 00:06:41.764 you're reading articles and 00:06:41.805 --> 00:06:43.605 you know more than just your average bear, 00:06:44.747 --> 00:06:47.290 this is a way to identify that. 00:06:47.410 --> 00:06:49.692 And this is a way to show the public that, 00:06:49.932 --> 00:06:51.894 you know, I'm above average, 00:06:51.994 --> 00:06:53.595 that I've attained this, 00:06:53.714 --> 00:06:54.795 I possess this knowledge, 00:06:55.076 --> 00:06:56.158 and I've proven that I have 00:06:56.197 --> 00:06:58.560 this knowledge in this specialty area. 00:06:58.968 --> 00:06:59.749 Yeah. 00:06:59.848 --> 00:07:01.850 Any suggestion for what 00:07:01.970 --> 00:07:04.451 someone who's considering this, 00:07:04.892 --> 00:07:05.733 talking to someone who's 00:07:05.754 --> 00:07:07.334 gone through the OCS might pop up? 00:07:07.814 --> 00:07:11.177 Yeah, I think that's a very good idea. 00:07:12.399 --> 00:07:13.740 There are resources that you 00:07:13.779 --> 00:07:15.440 can use to study for it, obviously, 00:07:15.480 --> 00:07:16.401 if you're interested in it. 00:07:17.283 --> 00:07:19.004 The section puts out the current concepts, 00:07:19.124 --> 00:07:21.425 which is an awesome, awesome, awesome. 00:07:21.446 --> 00:07:22.226 I think even if you're not 00:07:22.346 --> 00:07:22.927 thinking about it, 00:07:23.108 --> 00:07:25.509 it's absolutely awesome for a clinic to 00:07:26.069 --> 00:07:27.451 for clinic practices as well 00:07:27.571 --> 00:07:29.211 so that's an excellent 00:07:29.271 --> 00:07:30.992 resource for for gaining 00:07:31.052 --> 00:07:33.334 knowledge um in terms of 00:07:33.434 --> 00:07:33.994 when we look at these 00:07:34.014 --> 00:07:35.435 specialty exams when you 00:07:35.454 --> 00:07:36.755 look at the licensing exam 00:07:36.776 --> 00:07:37.915 when we when we write 00:07:37.975 --> 00:07:39.057 questions for the licensing 00:07:39.117 --> 00:07:40.338 exam those are referenced 00:07:40.358 --> 00:07:41.958 from textbooks because we 00:07:41.997 --> 00:07:43.238 want to make sure students 00:07:43.259 --> 00:07:44.459 have entry-level knowledge 00:07:44.939 --> 00:07:46.781 this is beyond that so I 00:07:46.800 --> 00:07:47.721 would encourage people if 00:07:47.740 --> 00:07:48.682 you're if you're reviewing 00:07:48.721 --> 00:07:49.701 for this exam you want to 00:07:49.742 --> 00:07:50.663 get into the literature you 00:07:50.682 --> 00:07:51.242 want to be looking at 00:07:51.322 --> 00:07:52.343 journal articles to make 00:07:52.384 --> 00:07:53.403 sure that you're up to date 00:07:53.483 --> 00:07:54.425 on current practice 00:07:54.901 --> 00:07:56.101 And we use articles that 00:07:56.182 --> 00:07:59.244 people should have access to, JOSPT, 00:07:59.303 --> 00:08:00.766 American Journal of Sports Medicine, 00:08:00.826 --> 00:08:02.367 British Journal of Sports Medicine, 00:08:02.687 --> 00:08:03.887 kind of the real kind of 00:08:03.927 --> 00:08:06.350 common ones that are very 00:08:06.430 --> 00:08:07.850 referenced in our literature. 00:08:08.992 --> 00:08:09.312 So, again, 00:08:09.331 --> 00:08:10.892 I think if you're thinking about it, 00:08:10.913 --> 00:08:11.733 it's more inherent. 00:08:11.874 --> 00:08:12.894 If you're kind of thinking 00:08:12.915 --> 00:08:13.694 and if you're in the clinic 00:08:13.735 --> 00:08:14.935 and you're thinking, you know, 00:08:15.216 --> 00:08:16.418 I really I feel like I'm 00:08:16.437 --> 00:08:17.057 good at what I do. 00:08:17.098 --> 00:08:19.560 I feel like I strive to learn more. 00:08:19.579 --> 00:08:21.000 And, you know, 00:08:21.100 --> 00:08:22.923 I kind of want to be identified for that. 00:08:23.283 --> 00:08:24.463 Then the OCS is for you. 00:08:25.009 --> 00:08:25.348 Yeah, 00:08:25.408 --> 00:08:27.129 and that's typically what the 00:08:27.149 --> 00:08:27.930 profession of physical 00:08:27.951 --> 00:08:29.252 therapy from where I've seen. 00:08:29.492 --> 00:08:30.733 That's the type of person it 00:08:30.872 --> 00:08:31.452 typically draws. 00:08:31.494 --> 00:08:32.433 So if you're in orthopedics, 00:08:32.494 --> 00:08:33.534 it feels like the next step. 00:08:34.054 --> 00:08:35.015 So you mentioned body 00:08:35.076 --> 00:08:36.216 regions in terms of 00:08:36.576 --> 00:08:38.038 acquiring the hours to be 00:08:38.077 --> 00:08:39.298 able to sit for the exam. 00:08:39.379 --> 00:08:40.440 Let's go beyond that. 00:08:40.519 --> 00:08:41.259 Now you're sitting and 00:08:41.279 --> 00:08:42.500 you're preparing for the exam. 00:08:43.042 --> 00:08:44.643 What are the key topic areas 00:08:44.702 --> 00:08:46.244 and areas of focus that you 00:08:46.303 --> 00:08:47.244 should be paying attention 00:08:47.283 --> 00:08:48.905 to as you go through that study process? 00:08:49.265 --> 00:08:49.885 Okay, so... 00:08:51.764 --> 00:08:52.984 The exam breaks it down a 00:08:53.043 --> 00:08:54.044 couple of different ways. 00:08:55.264 --> 00:08:56.745 So when it comes to kind of 00:08:56.804 --> 00:08:58.265 just knowledge areas, 00:08:58.605 --> 00:09:01.426 we talk about anatomy, movement science, 00:09:01.907 --> 00:09:04.287 pathology or that pathophysiology piece, 00:09:04.706 --> 00:09:05.366 pain science, 00:09:05.386 --> 00:09:06.268 and that's kind of a newer 00:09:06.327 --> 00:09:07.628 one that we just added and 00:09:07.668 --> 00:09:09.749 are adding items to the exam, 00:09:10.349 --> 00:09:11.989 medical and surgical considerations, 00:09:12.869 --> 00:09:13.850 and obviously orthopedic 00:09:13.870 --> 00:09:15.169 physical therapy practice. 00:09:15.668 --> 00:09:16.870 and critical inquiry, 00:09:16.970 --> 00:09:18.649 so evidence-based practice. 00:09:18.669 --> 00:09:20.110 So that's kind of the research piece. 00:09:20.150 --> 00:09:21.010 So those are kind of the 00:09:21.191 --> 00:09:22.511 areas that you want to think about. 00:09:23.032 --> 00:09:24.452 And then when it comes to 00:09:24.472 --> 00:09:26.712 the tasks that are involved 00:09:26.753 --> 00:09:28.874 in those areas, it's kind of, I think, 00:09:28.913 --> 00:09:29.855 what people would expect. 00:09:30.154 --> 00:09:32.956 Examination, evaluation, diagnosis, 00:09:33.015 --> 00:09:35.057 prognosis, interventions, and outcomes. 00:09:35.517 --> 00:09:37.018 So you're kind of using 00:09:37.057 --> 00:09:39.479 those tasks over those knowledge areas, 00:09:39.759 --> 00:09:40.599 and then you're applying 00:09:40.639 --> 00:09:42.000 those to the body regions. 00:09:42.840 --> 00:09:43.019 Sure. 00:09:43.835 --> 00:09:45.816 okay good uh now let's get 00:09:45.855 --> 00:09:47.456 really specific for anybody 00:09:47.496 --> 00:09:48.596 who is preparing for this 00:09:48.998 --> 00:09:49.658 they want to make sure 00:09:49.697 --> 00:09:51.339 whatever whatever time 00:09:51.379 --> 00:09:52.779 they're investing for all 00:09:52.820 --> 00:09:54.220 the the the blood sweat and 00:09:54.240 --> 00:09:55.341 tears hopefully not as many 00:09:55.620 --> 00:09:57.841 uh tears but all the effort 00:09:57.861 --> 00:09:58.682 you're putting into it is 00:09:58.741 --> 00:09:59.783 going in a good direction 00:09:59.942 --> 00:10:01.183 in terms of study materials 00:10:01.224 --> 00:10:02.163 I know when I was preparing 00:10:02.244 --> 00:10:04.024 for the npte I didn't 00:10:04.065 --> 00:10:05.686 decide which which resource 00:10:05.706 --> 00:10:06.745 was better I bought a 00:10:06.807 --> 00:10:07.586 couple of those yeah 00:10:08.006 --> 00:10:09.008 But you mentioned one. 00:10:09.128 --> 00:10:10.109 So in terms of study 00:10:10.129 --> 00:10:11.208 materials and resources 00:10:11.249 --> 00:10:12.409 that are most effective for 00:10:12.490 --> 00:10:13.990 preparing for the OCS exam, 00:10:14.270 --> 00:10:15.912 what are a couple you might suggest? 00:10:17.232 --> 00:10:17.634 So, again, 00:10:17.653 --> 00:10:19.995 I think Current Concepts is an 00:10:20.095 --> 00:10:20.875 excellent product. 00:10:21.937 --> 00:10:23.898 People that might be unfamiliar with it, 00:10:24.057 --> 00:10:25.538 it's a series of monographs 00:10:25.639 --> 00:10:27.921 published by the Academy of Orthopedics, 00:10:28.380 --> 00:10:29.942 and it covers every body region. 00:10:30.501 --> 00:10:32.764 So shoulder, elbow, wrist, hand. 00:10:33.413 --> 00:10:34.513 lumbar spine, cervical spine, 00:10:34.533 --> 00:10:35.634 thoracic spine, ribs, 00:10:35.994 --> 00:10:37.094 everything in the lower extremity. 00:10:37.495 --> 00:10:38.595 So it covers everything. 00:10:38.674 --> 00:10:39.716 So maybe if you don't have 00:10:39.755 --> 00:10:41.676 great experience in one of those areas, 00:10:41.995 --> 00:10:43.017 this can really help you. 00:10:43.116 --> 00:10:44.116 It's published every five 00:10:44.177 --> 00:10:46.317 years and it's up to date. 00:10:46.557 --> 00:10:49.139 So if you purchase it and 00:10:49.178 --> 00:10:50.259 you use that as a resource, 00:10:50.659 --> 00:10:51.399 you know that you're going 00:10:51.419 --> 00:10:53.500 to be up to date on current 00:10:53.541 --> 00:10:55.282 information in all those areas. 00:10:55.302 --> 00:10:56.701 So that I think is an excellent, 00:10:56.822 --> 00:10:57.663 excellent resource. 00:10:58.283 --> 00:10:58.962 The clinical practice 00:10:59.023 --> 00:11:00.244 guidelines are another one. 00:11:00.923 --> 00:11:03.004 Those are, in my opinion, very well done. 00:11:04.488 --> 00:11:05.428 And they reflect current 00:11:05.448 --> 00:11:06.350 clinical practice. 00:11:06.830 --> 00:11:07.070 Again, 00:11:07.309 --> 00:11:08.571 the folks that put those together 00:11:08.630 --> 00:11:09.711 review all the literature, 00:11:09.991 --> 00:11:11.293 and then they make the best 00:11:11.472 --> 00:11:12.133 evidence-based 00:11:12.192 --> 00:11:13.673 recommendations about what 00:11:13.714 --> 00:11:14.595 you should be doing with a 00:11:14.654 --> 00:11:16.436 certain condition in terms 00:11:16.495 --> 00:11:17.135 of these are the best 00:11:17.255 --> 00:11:18.476 outcome measures you should be using. 00:11:18.517 --> 00:11:19.738 These are the best interventions. 00:11:19.758 --> 00:11:21.399 These are the best examination techniques. 00:11:21.946 --> 00:11:24.567 So I think those two resources, 00:11:24.648 --> 00:11:26.288 all the current concepts 00:11:26.870 --> 00:11:28.630 and the clinical practice guidelines, 00:11:29.011 --> 00:11:29.871 and the clinical practice 00:11:29.912 --> 00:11:30.832 guidelines are free. 00:11:30.893 --> 00:11:32.594 You can go to the JOSPT's website. 00:11:32.614 --> 00:11:33.534 You don't have to be a 00:11:33.595 --> 00:11:35.135 member and you have access to all, 00:11:35.176 --> 00:11:36.457 I think there's 21 of them now. 00:11:37.818 --> 00:11:39.379 And if you put those two 00:11:39.419 --> 00:11:40.280 resources together, 00:11:40.301 --> 00:11:41.260 that puts you in really, 00:11:41.301 --> 00:11:42.062 really good shape. 00:11:42.408 --> 00:11:43.873 in addition to your clinical practice. 00:11:44.173 --> 00:11:44.955 And then, like I said, 00:11:45.135 --> 00:11:47.221 as things come out in JOSPT 00:11:47.240 --> 00:11:48.082 and these newer journals, 00:11:48.143 --> 00:11:49.667 if you're keeping your eye on that, 00:11:50.307 --> 00:11:51.090 you'll be in pretty good 00:11:51.129 --> 00:11:51.932 shape for this exam. 00:11:52.403 --> 00:11:52.722 Perfect. 00:11:52.783 --> 00:11:53.443 And yeah, 00:11:53.583 --> 00:11:54.644 Current Concepts in its fifth 00:11:54.664 --> 00:11:55.284 edition right now, 00:11:55.304 --> 00:11:55.924 they're already preparing 00:11:55.965 --> 00:11:56.745 for the sixth edition. 00:11:56.765 --> 00:11:58.466 That's available at orthopt.org, 00:11:58.866 --> 00:12:00.869 as well as those CPGs, 00:12:01.729 --> 00:12:03.350 all those different CPGs 00:12:03.409 --> 00:12:04.811 available for free right now, 00:12:05.230 --> 00:12:06.172 if you're a member or not. 00:12:06.793 --> 00:12:07.033 All right, 00:12:07.072 --> 00:12:08.433 so now let's get into even more 00:12:08.453 --> 00:12:09.053 of the nitty gritty. 00:12:09.073 --> 00:12:10.554 We're getting more and more specific. 00:12:10.914 --> 00:12:13.456 How do I balance exam preparation? 00:12:13.697 --> 00:12:15.317 Because I'm also, as you mentioned, 00:12:15.738 --> 00:12:16.839 a lot of people currently 00:12:16.958 --> 00:12:17.779 working in the clinic. 00:12:17.799 --> 00:12:19.201 So how do I balance exam prep 00:12:19.780 --> 00:12:21.121 with my current professional 00:12:21.182 --> 00:12:22.283 and work responsibilities? 00:12:22.322 --> 00:12:23.283 What's the suggestion or two? 00:12:23.442 --> 00:12:25.364 So it's kind of similar to 00:12:25.384 --> 00:12:26.504 what I tell students when 00:12:26.524 --> 00:12:28.145 they're reviewing for the NPTE. 00:12:28.947 --> 00:12:30.548 Pay attention to the content outline. 00:12:31.067 --> 00:12:32.369 The content outline is the 00:12:32.389 --> 00:12:33.570 blueprint for the exam. 00:12:33.950 --> 00:12:36.431 So what I tell students, look at the NPTE. 00:12:36.711 --> 00:12:37.552 If there are going to be 00:12:37.672 --> 00:12:38.952 three to five research 00:12:39.013 --> 00:12:41.955 questions on a 200 plus question exam, 00:12:42.174 --> 00:12:42.914 you probably don't need to 00:12:42.975 --> 00:12:44.096 spend two weeks studying 00:12:44.135 --> 00:12:45.017 that area because that's 00:12:45.057 --> 00:12:47.298 not going to be time well spent. 00:12:48.206 --> 00:12:49.268 If there's going to be close 00:12:49.307 --> 00:12:50.809 to 50 musculoskeletal 00:12:50.830 --> 00:12:51.791 questions on that exam, 00:12:51.811 --> 00:12:52.551 you probably want to spend 00:12:52.591 --> 00:12:53.711 a decent amount of time on that. 00:12:54.293 --> 00:12:55.413 I think this is no different. 00:12:56.234 --> 00:12:57.596 When you look at the body regions, 00:12:57.676 --> 00:12:58.596 we don't have the same 00:12:58.636 --> 00:13:00.258 amount of items per body region. 00:13:00.298 --> 00:13:03.561 So lumbar spine is about 20% of this exam. 00:13:03.640 --> 00:13:05.643 Shoulders about 15% of this exam. 00:13:05.682 --> 00:13:07.024 So I think you want to pay 00:13:07.063 --> 00:13:07.745 attention to that. 00:13:08.125 --> 00:13:09.446 And if you have limited time, 00:13:09.466 --> 00:13:10.206 which we all do, 00:13:10.605 --> 00:13:11.306 You want to make sure that 00:13:11.326 --> 00:13:12.326 you're going to spend a 00:13:12.386 --> 00:13:13.587 decent chunk of that time 00:13:13.727 --> 00:13:14.509 on the lumbar spine, 00:13:14.528 --> 00:13:15.129 because that's going to be 00:13:15.149 --> 00:13:18.051 a good 40 questions or so on this exam. 00:13:18.150 --> 00:13:19.130 TMJ is about 3%. 00:13:19.991 --> 00:13:21.312 So you're talking six questions. 00:13:21.373 --> 00:13:22.113 So, you know, 00:13:22.133 --> 00:13:23.073 maybe you don't spend three 00:13:23.094 --> 00:13:23.714 weeks on that. 00:13:23.774 --> 00:13:24.774 So I think that helps you 00:13:24.794 --> 00:13:26.355 balance it out because you say, all right, 00:13:26.416 --> 00:13:27.576 I have work, I have family, 00:13:27.616 --> 00:13:28.477 I have some other things. 00:13:28.758 --> 00:13:29.697 So this is how much time I 00:13:29.738 --> 00:13:31.239 have to study for this exam. 00:13:31.720 --> 00:13:33.039 And then once you get into that, 00:13:33.080 --> 00:13:33.941 you want to look at the 00:13:34.081 --> 00:13:34.861 areas that are going to be 00:13:34.922 --> 00:13:35.881 most represented on the 00:13:35.922 --> 00:13:37.043 exam and make sure that you 00:13:37.082 --> 00:13:38.364 kind of dedicate time to that. 00:13:38.820 --> 00:13:39.000 Yeah. 00:13:39.220 --> 00:13:39.419 Yeah. 00:13:39.519 --> 00:13:40.980 That's a that's a good 00:13:41.041 --> 00:13:42.903 suggestion to mimic your 00:13:42.942 --> 00:13:45.163 study patterns to the actual exam. 00:13:45.323 --> 00:13:46.865 And a lot of these exams, you know, 00:13:46.884 --> 00:13:47.485 I was surprised. 00:13:47.505 --> 00:13:48.326 But when you look into them, 00:13:48.745 --> 00:13:50.147 they are very transparent 00:13:50.187 --> 00:13:51.687 in terms of percentages and 00:13:51.727 --> 00:13:52.849 proportions of different 00:13:52.889 --> 00:13:54.129 regions and different types 00:13:54.169 --> 00:13:54.929 of questions on there. 00:13:55.250 --> 00:13:56.890 So use those use those those 00:13:56.951 --> 00:13:57.672 given resources. 00:13:58.312 --> 00:13:59.413 And I can tell you that. 00:13:59.572 --> 00:13:59.852 I mean, 00:13:59.932 --> 00:14:02.475 we those are not suggestions and 00:14:02.695 --> 00:14:04.235 it's the same for NPT and 00:14:04.275 --> 00:14:05.277 for this exam as well. 00:14:06.736 --> 00:14:08.576 When we say 20% of lumbar spine, 00:14:08.798 --> 00:14:09.538 we're not gonna have a 00:14:09.618 --> 00:14:10.977 hundred questions on the lumbar spine. 00:14:10.998 --> 00:14:11.697 We're not gonna have two 00:14:11.738 --> 00:14:13.597 questions on the lumbar spine. 00:14:14.158 --> 00:14:14.879 When PSI, 00:14:14.918 --> 00:14:16.739 the company that puts the exam together, 00:14:17.119 --> 00:14:19.558 they stick to this blueprint really, 00:14:19.619 --> 00:14:20.359 really close. 00:14:20.480 --> 00:14:22.320 So those numbers are really, 00:14:22.360 --> 00:14:23.179 really accurate. 00:14:23.279 --> 00:14:25.279 So I can't emphasize enough 00:14:25.299 --> 00:14:26.541 that you kind of wanna have 00:14:26.561 --> 00:14:27.600 that handy when you're studying, 00:14:27.620 --> 00:14:28.740 because it does help you, I think, 00:14:28.801 --> 00:14:30.360 apportion your time correctly. 00:14:30.400 --> 00:14:30.561 Yeah, 00:14:30.620 --> 00:14:31.660 prepare for the test that you're 00:14:31.701 --> 00:14:32.642 taking and understand that 00:14:32.662 --> 00:14:33.361 that is the test that 00:14:33.381 --> 00:14:33.942 you're actually taking. 00:14:33.961 --> 00:14:34.501 Absolutely. 00:14:34.682 --> 00:14:34.981 Perfect. 00:14:35.464 --> 00:14:36.985 All right, so some common challenges. 00:14:37.065 --> 00:14:38.066 There are some things that 00:14:38.145 --> 00:14:39.267 come up frequently. 00:14:39.486 --> 00:14:41.149 What do people run into in 00:14:41.188 --> 00:14:42.549 terms of pitfalls in the 00:14:42.610 --> 00:14:43.750 exam preparation or while 00:14:43.770 --> 00:14:44.311 they're taking it? 00:14:44.652 --> 00:14:46.212 And then the million-dollar question, 00:14:46.493 --> 00:14:47.354 what are some suggestions 00:14:47.374 --> 00:14:48.115 to avoid those things? 00:14:48.615 --> 00:14:49.855 All right, so some pitfalls. 00:14:50.677 --> 00:14:51.596 You mentioned it before. 00:14:51.898 --> 00:14:53.198 I think you need multiple 00:14:53.259 --> 00:14:55.240 resources to study for this exam. 00:14:55.740 --> 00:14:57.022 How many is up to you? 00:14:57.581 --> 00:14:59.464 So if you're someone that 00:14:59.524 --> 00:15:01.765 can really assimilate and absorb stuff, 00:15:02.437 --> 00:15:03.339 maybe you're going to get 00:15:03.559 --> 00:15:04.422 current practice. 00:15:04.442 --> 00:15:05.706 You're going to get all the CPGs. 00:15:05.745 --> 00:15:06.467 Maybe you're going to take 00:15:06.508 --> 00:15:07.311 an online course. 00:15:07.331 --> 00:15:08.413 There are online courses 00:15:08.433 --> 00:15:09.196 that are available. 00:15:10.566 --> 00:15:11.245 I know a couple of 00:15:11.326 --> 00:15:12.167 colleagues that have taken 00:15:12.206 --> 00:15:13.508 them and spoke very highly of them. 00:15:13.567 --> 00:15:15.548 It's not my job to advertise 00:15:15.589 --> 00:15:16.609 for them or anything like that, 00:15:16.649 --> 00:15:17.730 but they're very well known. 00:15:18.049 --> 00:15:18.730 And I've looked at some of 00:15:18.750 --> 00:15:19.610 that material and I think 00:15:19.650 --> 00:15:20.630 it does a nice job. 00:15:21.072 --> 00:15:22.131 So you might be someone that 00:15:22.152 --> 00:15:23.173 can have like four or five 00:15:23.192 --> 00:15:24.232 different resources and you 00:15:24.253 --> 00:15:25.453 can get through all of them. 00:15:25.874 --> 00:15:26.794 And that's wonderful. 00:15:27.134 --> 00:15:27.914 You might be someone that 00:15:28.034 --> 00:15:28.796 can't quite do that. 00:15:28.895 --> 00:15:30.616 So maybe, you know, you mentioned too, 00:15:30.657 --> 00:15:31.537 maybe you're just going to say, 00:15:31.557 --> 00:15:31.937 you know what, 00:15:31.977 --> 00:15:33.158 let me get through current concepts. 00:15:33.177 --> 00:15:34.479 Let me get through the CPGs. 00:15:35.116 --> 00:15:36.976 and maybe let me see where I 00:15:37.038 --> 00:15:38.618 am after that it kind of 00:15:38.638 --> 00:15:39.937 you have to be very 00:15:39.998 --> 00:15:41.399 reflective and say how much 00:15:41.818 --> 00:15:42.879 how much time does it take 00:15:42.899 --> 00:15:44.198 me to get through x amount 00:15:44.219 --> 00:15:45.220 of material and that's 00:15:45.259 --> 00:15:46.620 different for all of us and 00:15:46.639 --> 00:15:48.220 then like I said how much 00:15:48.259 --> 00:15:50.000 can you assimilate um there 00:15:50.041 --> 00:15:50.681 are some people that when 00:15:50.701 --> 00:15:51.360 they take continuing 00:15:51.400 --> 00:15:52.821 education courses you know 00:15:52.841 --> 00:15:53.522 they may say I'm going to 00:15:53.562 --> 00:15:54.841 take mckenzie courses and 00:15:54.881 --> 00:15:56.221 they just need to stick to 00:15:56.241 --> 00:15:57.322 the mckenzie piece because 00:15:57.361 --> 00:15:58.342 if they start taking some 00:15:58.482 --> 00:16:00.043 other theories they get 00:16:00.123 --> 00:16:01.322 confused and there's 00:16:01.342 --> 00:16:02.323 nothing wrong with that we 00:16:02.364 --> 00:16:03.403 all learn differently so 00:16:03.820 --> 00:16:05.059 I think a common pitfall is 00:16:05.100 --> 00:16:05.721 trying to have too many 00:16:05.780 --> 00:16:07.181 resources and then trying 00:16:07.221 --> 00:16:08.042 to get through all of them 00:16:08.081 --> 00:16:09.721 and then not getting through any of them. 00:16:10.201 --> 00:16:11.602 And then you're kind of not prepared. 00:16:11.702 --> 00:16:12.763 And that probably also we 00:16:13.024 --> 00:16:13.803 spent a lot of money. 00:16:14.604 --> 00:16:15.865 So I think that's number one. 00:16:16.745 --> 00:16:17.565 I think another common 00:16:17.605 --> 00:16:19.025 pitfall is don't just rely 00:16:19.046 --> 00:16:20.086 on your clinical experience. 00:16:20.645 --> 00:16:21.706 There are conditions out 00:16:21.767 --> 00:16:22.927 there that can be asked on 00:16:22.947 --> 00:16:24.447 this exam that maybe you haven't seen. 00:16:24.928 --> 00:16:26.169 And it's not because they're super, 00:16:26.210 --> 00:16:26.850 super rare, 00:16:27.211 --> 00:16:28.272 but maybe it's just the clinic 00:16:28.292 --> 00:16:29.113 you're working at. 00:16:29.153 --> 00:16:30.254 Those patients go to another 00:16:30.293 --> 00:16:31.794 facility or whatever the case might be. 00:16:31.894 --> 00:16:33.256 So don't just say, 00:16:33.537 --> 00:16:34.317 I'm just going to base it 00:16:34.337 --> 00:16:35.418 on the patients I'm treating. 00:16:35.479 --> 00:16:36.940 I think that's a very common 00:16:36.960 --> 00:16:37.740 mistake as well. 00:16:38.181 --> 00:16:38.902 No different than when a 00:16:38.922 --> 00:16:39.682 student's studying for the 00:16:39.721 --> 00:16:40.722 licensing exam and they 00:16:40.743 --> 00:16:41.403 just think about the 00:16:41.443 --> 00:16:42.565 patient who had Parkinson's 00:16:42.585 --> 00:16:43.405 disease in the clinic 00:16:43.426 --> 00:16:45.167 versus what the global 00:16:45.206 --> 00:16:46.207 presentation of it is. 00:16:47.316 --> 00:16:48.096 make sure you're not doing 00:16:48.116 --> 00:16:48.677 that your clinical 00:16:48.697 --> 00:16:49.619 experience is wonderful 00:16:49.658 --> 00:16:50.539 it's why you're sitting for 00:16:50.559 --> 00:16:52.743 this exam but it's not the 00:16:52.783 --> 00:16:53.823 be-all end-all you know 00:16:53.864 --> 00:16:54.565 every everyone that's 00:16:54.605 --> 00:16:55.686 taking the exam those of us 00:16:55.706 --> 00:16:57.067 that write the exam aren't 00:16:57.087 --> 00:16:58.009 in the clinic with you and 00:16:58.028 --> 00:16:58.889 we don't get to see your 00:16:58.929 --> 00:17:00.270 patients so so make sure 00:17:00.291 --> 00:17:01.152 you don't just pigeonhole 00:17:01.192 --> 00:17:03.095 yourself to that so I think 00:17:03.154 --> 00:17:04.036 it's it's those are 00:17:04.056 --> 00:17:05.336 probably the the two main 00:17:05.376 --> 00:17:07.078 pitfalls um that people 00:17:07.118 --> 00:17:08.240 kind of tend to fall into 00:17:08.919 --> 00:17:09.058 Yeah. 00:17:09.338 --> 00:17:10.338 So know thyself, 00:17:10.699 --> 00:17:12.279 understand what's great for you, 00:17:12.519 --> 00:17:13.720 and don't fall into this pitfall, 00:17:13.740 --> 00:17:14.400 which I did when I was 00:17:14.420 --> 00:17:15.540 studying for the MPTE, 00:17:15.560 --> 00:17:16.760 which was watching what 00:17:16.800 --> 00:17:18.221 everybody else was doing and saying, well, 00:17:18.381 --> 00:17:19.040 if they're doing it, 00:17:19.060 --> 00:17:20.061 I must be doing that. 00:17:20.082 --> 00:17:21.182 And that's, of course, not true. 00:17:21.501 --> 00:17:22.602 That's the worst thing you can do, 00:17:22.622 --> 00:17:22.781 I think. 00:17:22.862 --> 00:17:23.821 One of the worst things you can do. 00:17:23.843 --> 00:17:24.042 Right. 00:17:24.123 --> 00:17:25.103 And then also, you know, 00:17:25.163 --> 00:17:26.522 to summarize your last suggestion, 00:17:26.542 --> 00:17:28.423 which is understand that 00:17:28.463 --> 00:17:30.243 what your clinical experience is, 00:17:30.284 --> 00:17:32.365 it might be vast, but it's not the entire, 00:17:32.724 --> 00:17:33.805 it's not necessarily the 00:17:33.845 --> 00:17:34.724 entire big picture. 00:17:34.765 --> 00:17:36.285 So make sure you understand that as well, 00:17:36.305 --> 00:17:37.465 because that's what's being tested. 00:17:37.526 --> 00:17:37.846 Correct. 00:17:38.226 --> 00:17:38.625 Perfect. 00:17:39.026 --> 00:17:40.768 We're going to share all the 00:17:40.807 --> 00:17:42.670 resources that you had mentioned. 00:17:42.710 --> 00:17:43.790 We'll put the links in the 00:17:43.871 --> 00:17:45.492 show notes and the 00:17:45.532 --> 00:17:46.374 description of the video so 00:17:46.413 --> 00:17:47.634 people can check off. 00:17:47.934 --> 00:17:49.277 The last thing we do on the show, 00:17:49.317 --> 00:17:51.078 Paul Neal, we call it Words of Wisdom. 00:17:51.199 --> 00:17:51.499 Wow. 00:17:52.400 --> 00:17:53.461 You work with students. 00:17:53.882 --> 00:17:55.182 If someone was about to 00:17:55.383 --> 00:17:56.723 embark upon the OCS, 00:17:56.765 --> 00:17:58.086 what's something you might 00:17:58.145 --> 00:17:59.067 share with them in terms of 00:17:59.106 --> 00:17:59.667 Words of Wisdom? 00:18:01.328 --> 00:18:01.890 Time management. 00:18:02.280 --> 00:18:02.941 You know, again, 00:18:03.101 --> 00:18:04.201 and I would say what you said, 00:18:04.241 --> 00:18:05.843 you need to be self-reflective. 00:18:06.262 --> 00:18:07.364 If you know it takes you a 00:18:07.463 --> 00:18:09.184 long time to get through material, 00:18:09.444 --> 00:18:10.665 there's nothing wrong with that. 00:18:10.705 --> 00:18:12.307 But this process starts in 00:18:12.366 --> 00:18:16.048 May when the application process opens, 00:18:16.328 --> 00:18:17.068 and then you'll find out 00:18:17.108 --> 00:18:18.450 sometime in the fall when you take it. 00:18:18.509 --> 00:18:19.570 So you probably have a good 00:18:19.750 --> 00:18:21.332 five to six months to study 00:18:21.372 --> 00:18:22.112 for this exam. 00:18:22.392 --> 00:18:23.432 And some people need to use 00:18:23.573 --> 00:18:25.013 every second of that time. 00:18:26.515 --> 00:18:28.316 So you have to know yourself 00:18:28.395 --> 00:18:28.955 and know how much 00:18:29.317 --> 00:18:30.398 how much time it takes you 00:18:30.439 --> 00:18:31.739 to get through material and 00:18:31.759 --> 00:18:32.759 then plan accordingly. 00:18:32.819 --> 00:18:34.961 Because if you don't, you may say, 00:18:35.080 --> 00:18:35.621 I'm going to get through 00:18:35.642 --> 00:18:36.721 the lumbar spine in a week. 00:18:37.221 --> 00:18:38.103 And then all of a sudden a 00:18:38.143 --> 00:18:39.304 week happens and you only 00:18:39.344 --> 00:18:40.223 got through half of it. 00:18:40.723 --> 00:18:41.625 Now you start freaking out. 00:18:41.644 --> 00:18:42.424 I'm like, oh my goodness, 00:18:42.625 --> 00:18:43.086 how am I going to get 00:18:43.105 --> 00:18:43.665 through everything else? 00:18:43.705 --> 00:18:44.266 I'm never going to be able 00:18:44.306 --> 00:18:44.946 to study for this. 00:18:45.007 --> 00:18:45.826 And we just start kind of 00:18:45.866 --> 00:18:47.067 catastrophizing and going 00:18:47.087 --> 00:18:48.167 down that slippery slope. 00:18:48.608 --> 00:18:49.548 So you need to know yourself. 00:18:49.588 --> 00:18:49.909 And again, 00:18:49.929 --> 00:18:50.970 if it takes you a little longer 00:18:51.009 --> 00:18:53.010 to get through material, that's fine. 00:18:53.090 --> 00:18:54.711 You just plan for it accordingly. 00:18:54.811 --> 00:18:56.012 And like with anything in life, 00:18:56.073 --> 00:18:56.613 time management. 00:18:57.362 --> 00:18:58.623 And if you know that about yourself, 00:18:58.643 --> 00:19:00.202 you know, you studied for exams before, 00:19:00.262 --> 00:19:00.522 you know, 00:19:00.583 --> 00:19:01.763 kind of how you get through things. 00:19:02.144 --> 00:19:03.964 Just plan your time accordingly. 00:19:04.464 --> 00:19:04.825 And, you know, 00:19:04.845 --> 00:19:05.704 I think you'll I think 00:19:05.724 --> 00:19:06.645 you'll be in good shape. 00:19:07.786 --> 00:19:09.826 And another piece, something you said, 00:19:10.067 --> 00:19:10.946 just because everyone else 00:19:10.987 --> 00:19:12.268 is doing it doesn't make it right. 00:19:14.107 --> 00:19:15.868 If you if you're good with group study, 00:19:15.888 --> 00:19:16.068 you know, 00:19:16.088 --> 00:19:17.009 maybe there's a couple of other 00:19:17.048 --> 00:19:18.869 people in your area that are that or that, 00:19:18.910 --> 00:19:19.230 you know, 00:19:19.250 --> 00:19:20.351 maybe across the country and you 00:19:20.371 --> 00:19:21.290 want to zoom with that are 00:19:21.490 --> 00:19:23.192 that are also going to take the exam. 00:19:23.672 --> 00:19:23.791 Yeah, 00:19:23.811 --> 00:19:25.211 maybe you can study with two or three 00:19:25.251 --> 00:19:26.613 people and that that works for you. 00:19:27.210 --> 00:19:28.269 For some people that doesn't work. 00:19:28.470 --> 00:19:30.290 So again, you need to kind of know that. 00:19:30.330 --> 00:19:32.051 It's not helpful if you're 00:19:32.071 --> 00:19:32.892 sitting in a group and just 00:19:32.951 --> 00:19:33.833 listening to people say 00:19:33.893 --> 00:19:34.553 things and you're kind of 00:19:34.593 --> 00:19:35.593 agreeing with them and saying, 00:19:35.673 --> 00:19:36.534 I knew that, I knew that, 00:19:36.614 --> 00:19:37.713 I knew that because they're 00:19:37.733 --> 00:19:38.394 not gonna be sitting with 00:19:38.433 --> 00:19:39.954 you when you take the exam. 00:19:40.515 --> 00:19:41.275 So you just have to be 00:19:41.316 --> 00:19:42.336 careful about that group 00:19:42.375 --> 00:19:43.355 study piece because that 00:19:43.375 --> 00:19:44.797 can give you a full sense of security. 00:19:45.076 --> 00:19:45.596 Good wisdom. 00:19:45.636 --> 00:19:46.076 Paul Neal, 00:19:46.438 --> 00:19:47.317 all the way from Stony Brook 00:19:47.377 --> 00:19:48.238 University on Long Island. 00:19:48.258 --> 00:19:50.538 Thanks for a little insight 00:19:50.598 --> 00:19:52.319 into mastering that OCS exam. 00:19:52.339 --> 00:19:52.799 Thanks so much. 00:19:53.599 --> 00:19:54.500 Thank you so much, Jimmy. 00:19:54.641 --> 00:19:55.080 My pleasure.