Couverture de Ep 574 Passing the NAPLEX the First Time with Ellie Twedt P4 U Iowa

Ep 574 Passing the NAPLEX the First Time with Ellie Twedt P4 U Iowa

Ep 574 Passing the NAPLEX the First Time with Ellie Twedt P4 U Iowa

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 Podcast Episode: Passing the NAPLEX the First Time Welcome to today's episode with our guest Ellie Twedt, a P4 at the University of Iowa College of Pharmacy, where we're diving into a smarter, science-backed way to prepare for the NAPLEX while navigating your APPE rotations. Instead of cramming or waiting until the last minute, we'll explore how to blend real-world learning with proven study techniques from Make It Stick: The Science of Successful Learning. This book highlights three powerful methods for long-term mastery—spaced practice, retrieval practice, and interleaving. We'll focus especially on spaced practice and how it can transform your approach to studying. Imagine using your RxPrep book not as a giant wall of content, but as a map. As you move through each APPE, you'll connect the rotation experience to the RxPrep chapters that match what you're seeing in the real world. This method turns APPEs into a natural structure for preparing for the NAPLEX, with built-in review and reinforcement along the way. We'll talk about how to link chapters to rotations, create a rotation-based study schedule, and build habits that make your knowledge stick. If you've ever felt overwhelmed by the sheer volume of material or wondered how to balance NAPLEX prep with the demands of your APPEs, this episode is for you. By the end, you'll have a strategy that transforms studying from a last-minute scramble into a continuous, confident process—one that leverages both your rotations and the science of successful learning. You can find the free materials she talks about in the interview under "Free General Resources" here: https://residency.teachable.com/p/extremeloi Auto Generated Transcript Hey, welcome to the Pharmacy Residency Podcast. I haven't podcasted in a while, but we've got 500 episodes that you can use as a reference—they're all still out there. We've had a bit of an issue with the NAPLEX, and I think this year presents a real opportunity. This year and next will be, if not the easiest times to get a residency, certainly times with significantly fewer applicants—around 2,000 fewer graduates in each class. One of the best ways to stand out is to show that you're going to pass the NAPLEX, or at least that you're seriously preparing to give it your best shot. So, I've brought on Ellie Twedt from the University of Iowa. She's a P4 in her second rotation, right? Yep, second rotation. We've asked ourselves: how can we ensure we're putting our best foot forward? We're taking a page out of the book Make It Stick: The Science of Successful Learning. One lesson in there is that spaced practice—essentially, not cramming at the end—is critical. When the NAPLEX rolls around, you don't want to be eight or nine months removed from studying and suddenly find yourself panicking. Unfortunately, that happens often. We've got some solutions, and Ellie is here to walk us through them. Ellie, tell us a little about yourself—how you got into pharmacy school and Iowa specifically. Ellie: Yeah, as Tony mentioned, I'm a P4 at the University of Iowa College of Pharmacy. I came to pharmacy through an untraditional path—starting with veterinary medicine. I found I loved both the drug side of things and working with people, so pharmacy felt like the perfect marriage. Being an in-state student, Iowa made sense, and it also gave me the chance to continue my cross country career. It's been a great fit, and I've really enjoyed my time here. Tony: So you started at Iowa and stayed there. I married into Iowa—that's how I ended up here. Let's shift to talking about NAPLEX pass rates. They've gone down significantly. We're not here to blame anyone, but rather to ask: what can we do about it? When I was in school, the PharmD was in its first year at Maryland. If I had finished my pre-pharmacy work in two years—some call it "two years of pre-pharmacy"—I could've gone straight into three years of pharmacy school. I did mine in three years. So I would've done three years at the University of Maryland at Baltimore (now University of Maryland, Baltimore). APPEs were only in the final semester: four or five weeks in retail, four to five in hospital, and one elective. That was it. There wasn't much of a gap between finishing classes and taking the NAPLEX. I graduated in 1996—nearly 30 years ago. It wasn't as easy as choosing between aspirin and Tylenol, but it was simpler. Over the years, complexity has increased—residencies, PGY2s, fellowships, infectious disease, oncology, etc. The exam has grown more challenging. And while you're not allowed to talk about the NAPLEX after taking it, we hear stories: someone gets an all-oncology version, someone else all HIV or cardiology. Today, students might go 15 to 16 months between finishing didactic work and sitting for the NAPLEX. That's a long gap. You P3s have APPEs that start during your third year, so depending on your schedule, it could be a long stretch between classroom...
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