RITE 2015

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

Nonphysiologic

Full Member
7+ Year Member
Joined
Aug 8, 2014
Messages
216
Reaction score
50
Hey,

Several questions here and I know there have been past posts on this but I just wanted a sort of updated idea:


1. What did everyone think of the RITE this year? I actually had time to study this year as opposed to last and that primarily consisted of going through old picture books and literally not even learning any real systematic approach but just pure rote memorizing the image and knowing what that answer was (as you can imagine nothing to do with real learning) and so I think the pictures were at least 60-70% repeats. That was by far the most time efficient and useful thing I did. They also seem to test really super detailed knowledge of cortical anatomy and aphasia and dementias which, to be honest, I almost never see in clinical practice this far in my training. I do see aphasia obviously in the stroke unit but it's not usually tested so indepth.

Anyways, I almost felt like it was a joke when I was doing the pictures section this year. There were times I wouldn't even look at the question stem I just knew the picture from previous years and this knew the answer immediately.

I felt so stupid for not doing this last year when I did horribly because I didn't study at all really and definitely didn't look at old pictures.


2. I know a lot of people don't care about rite and nor does their program but I hate to say it but my attendings and even the way some co residents view you is DEFINITELY effected by rite performance, very similar to BUSTBONES experience. If you don't get in the 90th percentile in my program it's considered not that good which is strange because I'm definitely at a mid tier program. I think it's because my program is half and half FMG as well as attendings? Maybe these people grew up in a more testing based rigid environment? I'm not sure but it seems like some programs don't even care about it and it's genuinely only for the residents to gauge their knowledge. My program, every year, if you got above 80th percentile they send an email out to the entire department congratulating you but really it exposes those that didn't get it and so as you may imagine a lot of the attendings judge you off that.

3. I thought this years RITE was significantly easier than last year but that also could be because I'm a PGY3 now so in general I've seen more and have read more.

4. The only reason I actually care this year about getting in the 90th percentile is because a lot of pain fellowships that I'm applying for are requesting RITE scores. I've contacted the AAN requesting a letter stating this is considered a misuse of the examination and I should not give the rite score report BUT I also don't want pain programs to simply toss my application out because of that so I tried this year...but now that I know how the exam is, the minutia of detail, and the absurd amount of repeat pictures on the exam , I GENUINELY believe it's a huge mistake to select candidates for fellowship based on it. I know people always say that for standardized tests but the RITE was obviously not designed to be used like that and it's very easy to get over 90% of the picture book correct without really having any clue what you're doing just by memorizing old pictures. I don't know if anesthedia or PMR or other specialties in general have their set up to stratify residents but it's obvious the rite isn't set up this way and now I can genuinely say rite score, as long as your around "average" doesn't translate clinically and it's a shame fellowships are using it but maybe they just don't know
 
Hey,

Several questions here and I know there have been past posts on this but I just wanted a sort of updated idea:


1. What did everyone think of the RITE this year? I actually had time to study this year as opposed to last and that primarily consisted of going through old picture books and literally not even learning any real systematic approach but just pure rote memorizing the image and knowing what that answer was (as you can imagine nothing to do with real learning) and so I think the pictures were at least 60-70% repeats. That was by far the most time efficient and useful thing I did. They also seem to test really super detailed knowledge of cortical anatomy and aphasia and dementias which, to be honest, I almost never see in clinical practice this far in my training. I do see aphasia obviously in the stroke unit but it's not usually tested so indepth.

Anyways, I almost felt like it was a joke when I was doing the pictures section this year. There were times I wouldn't even look at the question stem I just knew the picture from previous years and this knew the answer immediately.

I felt so stupid for not doing this last year when I did horribly because I didn't study at all really and definitely didn't look at old pictures.


2. I know a lot of people don't care about rite and nor does their program but I hate to say it but my attendings and even the way some co residents view you is DEFINITELY effected by rite performance, very similar to BUSTBONES experience. If you don't get in the 90th percentile in my program it's considered not that good which is strange because I'm definitely at a mid tier program. I think it's because my program is half and half FMG as well as attendings? Maybe these people grew up in a more testing based rigid environment? I'm not sure but it seems like some programs don't even care about it and it's genuinely only for the residents to gauge their knowledge. My program, every year, if you got above 80th percentile they send an email out to the entire department congratulating you but really it exposes those that didn't get it and so as you may imagine a lot of the attendings judge you off that.

3. I thought this years RITE was significantly easier than last year but that also could be because I'm a PGY3 now so in general I've seen more and have read more.

4. The only reason I actually care this year about getting in the 90th percentile is because a lot of pain fellowships that I'm applying for are requesting RITE scores. I've contacted the AAN requesting a letter stating this is considered a misuse of the examination and I should not give the rite score report BUT I also don't want pain programs to simply toss my application out because of that so I tried this year...but now that I know how the exam is, the minutia of detail, and the absurd amount of repeat pictures on the exam , I GENUINELY believe it's a huge mistake to select candidates for fellowship based on it. I know people always say that for standardized tests but the RITE was obviously not designed to be used like that and it's very easy to get over 90% of the picture book correct without really having any clue what you're doing just by memorizing old pictures. I don't know if anesthedia or PMR or other specialties in general have their set up to stratify residents but it's obvious the rite isn't set up this way and now I can genuinely say rite score, as long as your around "average" doesn't translate clinically and it's a shame fellowships are using it but maybe they just don't know


Many fellowship programs ask for in-service exam scores, especially the high powered programs. Its just a component of their application process. Don't sweat it too much, if you want it, you will get it. Maybe not right away but don't stop trying or be discouraged.
 
Bah I thought the exam was still challenging this year and I surprisingly did well last year

Everyone I know who has already taken the neuro boards have said the RITE is a POS and does not reflect the real boards exam. It's something every program pays AAN a big chunk of $$ to have some way to measure merit over their residents. I agree that the test is just random minute details they test on which has minimal clinical value. I mean when will we ever look at histology slides while in practice? Whereas I've heard the real boards is more clinically relevant and easier too. It is sad that some programs use it to "rank" their residents. Thank goodness my program is chill about RITE scores. Maybe it is a FMG cultural thing as my program is almost all American grad residents/attendings.

As for RITE scores and fellowships, I am more than half way through with fellowship interviews (vascular) and NO ONE has asked for my RITE scores even at the top programs, nor did I list my RITE scores anywhere on my apps. I know Pain may be a different beast. Mainly because a lot of programs are run by Anesthesia, several more run by PMR, and only a few run by neuro. Pain is already competitive among anesthesia residents. So unfortunately they may resort to using the RITE score to rate you by merit. I know it blows because one can easily do well just by studying the old tests. But usually those who study a lot for the RITE will likely study a lot for the Boards. Who knows tho, don't let it discourage you as my program has had 3 ppl match into Pain in the last 6 yrs. One didn't get it on his first try, did a 1 yr neurophys fellowship and then matched pain on his 2nd try. So it is very possible but have a back up just in case. Good luck!
 
Last edited:
Top