Why “Eating A Frog” Every Day Is the Best Way to Pass Your Licensing Exams

Why “Eating A Frog” Every Day Is the Best Way to Pass Your Licensing Exams

Thanks to Bina Jangda of TCM Review for contributing this article!

Mark Twain said if it’s your job to eat a frog, it’s best to do it first thing in the morning. And if it’s your job to eat two frogs, it’s best to eat the biggest one first. 

Maybe you are thinking what frogs have to do with preparing for your board exams. Well, sometimes just clearing space in your day to study for your exam can feel like eating a giant, green bullfrog. You know you’ve got to do it. But there are so many other things to get done first like cleaning behind the fridge or organizing your sock drawer or adding tabs to Maciocia’s Foundations of Chinese Medicineall 1319 pages. 

In the last 6 months of acupuncture school, keeping your motivation high can be challenging. When your Spleen Qi is perpetually sinking, unable to produce Post Heaven Qi, Essence or Blood, and your Liver seems forever stagnated, you can lack the motivation it takes to even begin to study for your licensing exam. So…

If you struggle with procrastination;
If you feel you are getting a lot of study time in, but the big important topics never seem to be completed;
If you have a difficult time sticking to your study plan;
If you can’t decide what to work on when you sit down to study; or
All of the above…

…then it’s time to learn the fine art of Eating the Frog. 

A frog a day might not keep the doctor away, but it sure can help you prepare for and pass your board exams. But why stop there? This healthy new habit will probably also help you set up a rock star clinic or achieve any other important goal.

How to Eat the Frog:

Eating the Frog is a simple 3 step process that has nothing to do with deep fryer or seasoning. It’s a simple productivity hack created by Brian Tracy in his book Eat That Frog!: 21 Great Ways to Stop Procrastinating and Get More Done in Less Time

Step 1: Identify your Frog.  The frog is always the hardest but most important task of the day. If you are like me, you probably have a small pond worth of frogs and that’s okay. Pick just one!  The method sets you up to eat a frog a day. That’s 365 frogs in a year. There’s plenty of time to work through your list. Your frog is always the thing you like to do the least (Zang Fu Patterns) or one that has the highest impact (e.g. completing your licensing exam application and submitting it with payment to the CAB/NCCAOM). Generally, it’s the one thing that requires the most time and energy.  

Some guidelines for selecting the best frog every single time:

  • Pick something that you can complete in 1-3 hours. 
  • Break it down into smaller steps if needed. 
  • Don’t plan ahead. This might sound counterintuitive. You don’t want the next 6 months of frogs planned out on a calendar. Identifying the perfect Frog for the day is really about finding the thing you feel least motivated to do. How you feel about the tasks on your list changes from day to day depending on your energy levels. Preplanning your frogs will set you up for getting behind quickly. It’s human nature to overestimate what you can get done in a day and underestimate what you can get done in a year. 
  • Over-planning can leave us feeling bad when we can’t get everything we want to get done, done. Instead, we look for low hanging fruit, like making flashcards, reworking your study plan or skimming through a TCM Review video to get a sense of accomplishment. I’m not saying that watching my videos are not helping you prepare for your exam. I am saying that watching the videos is just the preliminary steps in preparing for your exam. What is key is the deep work: learning the material and integrating what you learn into your board exam knowledge bank. 

While you don’t want to preplan your frogs out for a month or even a week, you can plan your frog the night before. This is close enough to plan accurately but not so far out that you find yourself building up mental resistance to doing the task. 

Somedays you’ll find that you have two frogs to eat. On those days, eat the biggest frog first.

The beauty of this technique is that you get to start fresh every morning.  It lets you tackle your frogs one day at a time.

Step 2: Once you identify the Frog, eat it! 

Do this most important task first thing in the morning or immediately at the beginning of your study session. Don’t let yourself put it off until later.  

Eating the Frog takes advantage of your most focused time. Focus and willpower are typically highest when we first sit down to study.  Eating the Frog means you are working with your natural body energy. You tackle the hardest, most mentally taxing job first. 

This method will guide you through some of those big, challenging topics for your licensing exam. It will train you to build motivation for, and engagement with, studying. You’ll step into a virtuous cycle of getting things done. And that will spill over into how you feel about the licensing exam, and your ability to pass the exam. When you experience a win at the beginning of your study session, it will help you build momentum and positive emotions that will carry you through the rest of your study session. This approach sets you up for a win at the beginning of your study session (with a rewarding hit of dopamine) and further propel you forward for eating another frog the next day. 

Step 3: Repeat every day. 

The benefit of Eating the Frog is to set up deep work habits. Deep work habits set you up for a win every day. These are tasks like learning the point prescriptions or memorizing the single point functions or re-organizing the channel pathways by body area. It’s the studying and integration of the material you need to know to pass the exam. 

One more tip about working with this technique. Setting up your daily Frog is easy, but it takes willpower to put the practice into place. So if you find your willpower is lacking, grab some Kidney tonics, needle KD3, BL23 and Bl52, bolster up your spleen and get it done. You’ll thank yourself for your perseverance when you are proudly displaying your license on the wall of your brand new clinic. 

Why Join CSOMA?

Why Join CSOMA?

Maybe it’s because you too want to see more licensed acupuncturists working in hospitals, VA and managed care facilities.🏥 That’s a great reason, because as California’s leading and longest-running professional acupuncture association, CSOMA advocates vigorously for job expansion.

Why join? Maybe it’s the generous member discounts. It’s true – with all the savings you get on malpractice insurance, acupuncture and herbal supplies, services like billing & credentialing, and discounted CEUs – your dues do pay for themselves.

Why join? Maybe it’s hard to pick one good reason. After all, CSOMA membership gives you instant access to practice building tools, expert answers to your questions, practitioner-contributed tips & downloads, student resources, and to top it all off, a free print copy of CSOMA’s 30+ year, peer-reviewed publication, the Journal of Acupuncture and Integrative Medicine (JAIM).

Why join? Maybe it’s because we’re able to do all the above with your membership dues, while keeping those dues among the lowest in the integrative healthcare profession 🤔 Did we mention our talented and passionate board of directors? They are our consultants, organizers, problem-solvers, letter-writers, phone callers, meeting-makers and community-builders who help us move mountains – and they do it all, for FREE. What would we do without them?

More importantly, what would we do without you?

We hope you’ll say yes! to becoming a CSOMA member. Join our vibrant community of students, professionals, organizations and supporters of acupuncture medicine. And if you still can’t come up with a good reason, we offer CSOMA’s past president Dr. Nell Smircina’s answer to the question of why join: “Why not?” 

PS: Want to get involved, too? Check out our committee work or drop us a note and share your ideas!

View membership pricing | View member benefits

Bina’s Success Formula for Passing the CALE & NCCAOM

Bina’s Success Formula for Passing the CALE & NCCAOM

Thanks to Bina Jangda of TCM Review for contributing this article!

Acupuncture school is a grueling experience. Students begin programs with a fresh passion to learn a new medical paradigm. By the time they reach 3rd or 4th year of school, they find themselves exhausted and sometimes lacking inspiration, relieved to see an end in sight. Of course, the studying doesn’t end once the diploma is in hand: there is still the daunting task of sitting AND passing the CALE and/or NCCAOM exam!

The anxiety produced by this last barrier is tremendous. I’ve witnessed students physically make themselves sick with worry and stress. Fortunately, it doesn’t have to be this way.

Having taught students to pass their licensing exams for the past 15 years, I’ve observed the habits of the most successful students. It’s not just luck that helps students pass their licensing exams. Instead, there’s a formulaic approach, and it can be applied to preparation for any big exam – whether it’s school comp exams or a licensing exam.

This success formula can be broken down into the following 8 steps:

  1. Consistency

Successful students create a consistent schedule for their board study and stick to it.

TCM theory tells us the digestive system likes regularity. Having meals at the same time of day, not too much, not too little, with a mix of all the five flavors brings strength and harmony to the Middle Jiao. This signals our body to secrete enzymes and promotes more efficient digestion.

Similarly, studying at the same time daily signals the brain and body that it’s time to learn. It works even better if you can study in the same place. This doesn’t necessarily mean that you must study each day at your desk in your room. You can switch it up as long as there is regularity and consistency in your approach. For example, on Mondays, you might study at the library in the mornings, Tuesdays at a café in the evenings, Wednesdays with your study partner at their house, etc. Creating a daily, weekly, and monthly schedule gives you short-term and long-term goals to work toward. 

While it’s important to have a schedule, it’s just as important to have some flexibility in your schedule – especially in the beginning as you start your study journey. We humans tend to overestimate what we can get done in a day, and underestimate what we can get done in a week. Create your schedule, then follow rule number 2:

  1. Repetition Repetition Repetition

Successful students spend part of each study session reviewing what they have already learned.

I often see students spend a week focusing on theory and diagnosis. The next week they focus on acupuncture point prescriptions. After point prescriptions, they study other topics like laws and regulations. When they go back to review theory and diagnosis 3-4 weeks later, they find that they don’t remember anything. How frustrating! The key to studying for your board exams is spaced repetition and regular review of everything you learned previously. This is one of the biggest ways that board exams differ from school exams.  There is no way you can cram for your licensing exams. 

Successful students approach board study slowly and steadily, with a lot of review, review, review. Once you learn a subject, you want to make sure you are reviewing it regularly. At first, that might be daily until it sinks into your long-term memory. Then review it every second or third day.

I had a good friend during acupuncture school that was a year or so ahead of me. She entered all the information she was learning into a quiz program on her smartphone. She’d then review everything nightly and again first thing in the morning. It was amazing to see how much information she could rattle off the top of her head. – Bina Jangda

Studies show that in order to memorize quickly and effectively, look at what you want to learn the last thing before going to bed, and the first thing upon rising. This helps to assimilate new information quickly into your long-term memory. New research shows that the brain is like any other muscle in your body. The more you use it the stronger it becomes and the stronger your memory becomes. 

  1. Take Breaks

Successful students take regular breaks.

It’s impossible to spend all day studying without taking breaks. The brain is like a muscle in that it tires from stress. So take breaks regularly. We recommend our TCM Review students take a 10-minute break after every 50 minutes of study time. Stretch, drink water, or have a protein snack during your break time. If you are blood deficient, a quick 5-minute sprint, 10 sun salutations, or another high-intensity aerobic exercise will increase blood circulation and increase oxygen to the brain. In TCM, we know that when blood is deficient, the areas that suffer the most are the limbs and the head. Think about the symptoms that manifest like poor memory, focus issues, and anxiety. Activating blood flow – especially if you are tired – can help get an extra hour of focused study time in. 

If you are feeling depleted, realize that you don’t have to study a full 3, 4, or 5 hours in one stretch. You can study in smaller chunks throughout the day. For example: studying an hour in the morning, an hour in the afternoon, and an hour in the evening still achieves 3 hours a day of study time. Sometimes it’s better to do smaller study sessions with longer breaks between those sessions. 

  1. Blocking

Successful students break up big subjects into small, digestible blocks.

Successful students block what they need to learn in smaller, digestible sections that are not going to overwhelm them. Often, I hear of students who sit down in an 8-hour study session and learn 60 CAM point prescriptions. Yes, they’ve learned them that day. But do they still know them the next day? Most likely not. What’s in the middle of a longer study session is hardest to retain. We remember best what is at the beginning and end of a study session.

Successful students learn 4-5 CAM point prescriptions a day during a 15-minute period. By studying smaller blocks of information, you’ve shrunk the middle of your subject matter from 60 CAM prescriptions to 2-3 CAM prescriptions. This technique guarantees better results.

  1. Switch It Up

Successful students change subjects often.

The brain, like any muscle, fatigues with overuse. You wouldn’t go to the gym and only do biceps curls. You switch it up to target all the muscles. It’s the same with the brain. The parts of the brain activated while learning diagnosis are different from those memorizing point prescriptions, and further still, different from what is activated working through case studies.

Switch subjects often to keep the mind fresh and attentive. We tell our students to switch subjects after every 30-50 minutes. The harder a subject is for you, the less time you want to spend on it. Repeated short bursts of study time (10-15 minutes a day) over a few months is most effective for learning difficult material.

  1. Get Out of Your Comfort Zone

Successful students spend most of their study time with material they are less confident with.

Successful students push their limits and do not shy away from the task at hand. A mistake I see students make is reviewing a subject that they are good at, and then under-studying or avoiding subjects that are difficult for them.

Successful students spend the bulk of their study time learning what they don’t know or are less secure with. Yes, it can be uncomfortable. For many of you those weak spots are what you’ve been avoiding for the last 3 years of school. There is no skating by with the board exams. Roll up your sleeves and dive in!

  1. Manage Stress

Successful students know how to manage their stress.

This is a big part of studying for the boards. I know that many of our students are still in school when they begin our review course. Between finishing school, work and family life, and keeping up with our course, they are already maxed out. Make sure you are taking care of yourself. Here are a few suggestions:

  • Eat foods that will help keep you nourished and focused. High protein/low carb meals will keep your B vitamin levels high and prevent blood-sugar spikes. This is essential to help you process your stress.
  • Get plenty of sleep. Sleep deprivation won’t help you focus during this time, and it will weaken your memory.
  • Exercise at least a few times a week. Take walks, get outdoors. In a study done at the UBC, researchers found that regular aerobic exercise boosts the size of the hippocampus, the brain area involved in verbal memory and learning. Additionally, exercise improves mood and sleep, and reduces stress.
  • Clear your plate enough to have the bandwidth to focus on the task at hand. For three months before the exam, minimize your commitments and make studying your #1 priority. A couple of years ago, we had a really smart student who was already running an integrative practice. She had a full clinic load and a new relationship. She couldn’t even make it to half the review classes and she definitely couldn’t carve out three hours to study. She had already taken the exam and not passed, and she didn’t pass again. When she finally hired someone to cover her patients and locked herself in her house for 3 months to study, she finally passed, and with 92%! That was a very expensive lesson to learn, mentally, emotionally and financially.
  • Start studying early, even if this means that all you are doing is assembling your study material. Procrastination and stress create a negative feed-back loop. Starting early, on the other hand, helps you to have enough time to implement the tips above and enjoy studying.

The best way to manage stress is to be organized, devote enough time, and put in the work so you are confident with the information.

  1. Positive Visualization

Successful students imagine how it feels to have already passed.

Successful students see themselves succeeding. I know that the thought of studying and writing your exam may sound overwhelming and scary. Imagine instead how it feels to receive the letter in the mail that you have already passed, to have your license framed and hanging on the wall of your clinic. Imagine that you confident and relaxed while taking your exams.

You should know that the worst thing about the board exam is that you have no clue what to expect the day of the big exam. Of course, all those urban myths that shroud the test in secrecy and fear, making it loom like a Goliath don’t exactly bring confidence to the test taker. Unlike classes at school, you only have one shot at it. There is no mid-term before this final so you can get a sense of how it might be.

All of this is simply the fear of the unknown, and nothing more than that. The mind loves to project and create a future when faced with the unknown. So you might as well create a positive one! See yourself sitting there with a nice, healthy posture, breathing fully with a smile on your face, feeling calm and confident, knowing in your heart that you will pass. The reality is, if you take a good review class and really putting in the hours, the knowledge will be there, and you will pass.

Follow these images with an image of you receiving a parcel in the mail shortly after your exam with a big “Congratulations!” and your license certificate ready to display on your new clinic wall.

Student Resources

Student Resources

CSOMA, along with our many corporate members are here to support students. You’ll find helpful tips on passing the licensing exam(s) here and here, and access to many resources, including:

We also encourage students to join a committee, or apply to become a board director.

Professional Resources

Professional Resources

Whether you’re a current member or considering joining, we’ve got the resources you’re looking for!

For Members

Happy Holidays from CSOMA!

Happy Holidays from CSOMA!

Letter from the President, Dr. Nell Smircina, LAc

Happy Holiday Greetings from CSOMA!

We hope this finds you well in the last weeks of 2021.

I’m excited to share a few news items for you to look forward to in the new year:

  • The Journal of Acupuncture & Integrative Medicine (JAIM) is hitting mailboxes shortly! You should receive your copy soon. Our next issue will cover integrative oncology – stay tuned!
  • World Chinese Medicine Forum’s Top Infertility Experts from China series is offering a 50% discount to CSOMA members. Includes 5 sessions, 10 PDAs/CEUs. Sign up at worldchinesemedicineforum.org and use your member discount code. First session is Jan. 12.
  • CSOMA is spearheading an aggressive legislative agenda that expands L.Ac. scope of practice (point injection & laser therapies), and improves access to care (Medicare, VA, insurance).

We look forward to your continued membership with CSOMA, and we wish you a very happy New Year!

Warm Regards,
Dr. Nell Smircina, LAc
CSOMA President

CSOMA Welcomes New Student Members from Southern California University of Health Sciences

CSOMA Welcomes New Student Members from Southern California University of Health Sciences

SAN FRANCISCO, April 28, 2021 – CSOMA is pleased to welcome over fifty new student members from Southern California University of Health Sciences (SCUHS).

The new partnership bolsters CSOMA’s student membership numbers, which comprises the association’s second largest membership group, after licensed professional members. The alliance also strengthens ties between CSOMA and TCM schools like SCUHS through a shared vision of expanding employment opportunities for newly licensed practitioners.

“Southern California University of Health Sciences is a shining example of student advocacy in action,” remarked Dr. Nell Smircina, DAOM, LAc., CSOMA president. “By collectively joining the association at this time, SCUHS students are showing their support of CSOMA’s advocacy work and their commitment to being involved in a larger vision for this growing profession.” 

Earlier this year, CSOMA introduced AB 918, the first bill in California to ensure a nationally recognized standard for the delivery of acupuncture medicine throughout the state. A major tenet of the bill included the option for a prospective acupuncturist to take the national examination to qualify for national certification and California state licensure. AB 918 aims to secure enhanced portability of acupuncture credentials across the nation for greater employment opportunities.

Jenny Yu, Dean of SCUHS Eastern Medicine Department commented, “We are delighted to provide this student membership opportunity with CSOMA for our Doctor of Acupuncture and Chinese Medicine (DACM) program students.”

SCUHS offers a Doctor of Acupuncture and Chinese Medicine (DACM) program in which students are awarded both the DACM and the Master of Acupuncture and Chinese Medicine (MACM) degree that is required to sit for State and National licensing and certification exams. DACM students learn from, with, and about other professions such as chiropractors and physician assistants to prepare for future careers in collaborative and team-based settings.

“Excellence in healthcare begins with excellence in education,” Yu continued. “The collaboration between SCUHS and CSOMA allows our DACM students an early glance into the professional field. Today’s student members will become tomorrow’s professional members, and we look forward to our continued collaboration to better prepare our students in serving their future profession and professional organization.”

About Southern California University of Health Sciences

Founded in 1911, Southern California University of Health Sciences (SCUHS) has been a leader in educating students to be competent, caring, and successful integrative healthcare practitioners and professionals in today’s healthcare delivery system. For more information about SCUHS, visit https://www.scuhs.edu.


CSOMA is a professional association of licensed acupuncturists and supporters of acupuncture, dedicated to the preservation, advancement and integration of the art, science, and practice of all branches of acupuncture medicine into the modern healthcare model, in a caring and ethical manner, thereby enhancing the health and well-being of the general public. 

For more information about CSOMA, please contact Ra Adcock, Executive Director, at ra@csomaonline.org.


Best Practice Guidelines for Reopening Acupuncture Clinics

Best Practice Guidelines for Reopening Acupuncture Clinics

The CCAOM recently issued best practice guidelines for reopening acupuncture offices, stating “because of the asymptomatic shedding of SARS-CoV-2 virus, these precautions are considered universal and should become normalized clinic procedures.” View the guidelines here


  • CSOMA is working with partner associations to provide continued guidelines for best practices in the state of California.
  • Please stay up-to-date with your city, county and state mandates for business practices during this time to ensure that you remain in legal compliance as a business.
  • Consult your malpractice carrier to stay in compliance; MIEC offers COVID-19 Resources for acupuncturists here
March 2019 CSOMA News

March 2019 CSOMA News

Welcome to the March 2019 issue of CSOMA Updates.

Here’s a recap of important news and information, including…

JAIM Online is Here! / Become a CBD Expert with Vida+ and CSOMA / Love Your Practice Highlights & More

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