In many cases, residents desire to get in the swing of Oral Boards sooner. Many don’t seem to have much problem on Written exams but desire to be exposed to high quality testing and previewing of the kind offered earlier in their training. I certainly encourage this since I know that many residencies have so-called practice orals during their residencies which really in no way match the rigor of the real exam. The course does match the rigor and, in addition, covers the entire range of cases so a resident can certainly gain a tremendous amount by attending the course. Further, there now is both an observational rate only as well as rate for taking examinations.
Fellows need and deserve a discounted rate. However, since they most often actually preparing for the exam, they should take exams, too. For those fellows not taking exams, an observation only experience can also certainly be undertaken.