If I wait for the new new MKSAP, full version with books would cost approximately $900. My program does not provide it for free and it’s not included in our salary. I feel like I need the extra “hand holding” that a dedicated/organized program like MKSAP would provide. For reference, I am an intern and would probably use this for 2-3 years. There are many stresses that come with raising teenagers, but one of the biggest is worrying about drug and al There are many stresses that come with raising teenagers, but one of ...Restrictions. You can use MKSAP 19 with the Extension Questions to submit for CME, MOC, and CPD only if you are an individual subscriber who has purchased MKSAP 19 , which includes the Extension Questions, from ACP or an authorized distributor. Please email [email protected] if you have any questions.Shop All Internal Medicine. Internal Medicine Study Strong Essentials. $ 1,297 .00 $ 1,499 .00. 7 reviews. 2024 Internal Medicine Review Course. $1,599.00. 37 reviews. LIMITED SPOTS LEFT. 2023-2024 Internal Medicine Video Board Review.Handy tips for filling out Board basics mksap 19 pdf online. Printing and scanning is no longer the best way to manage documents. Go digital and save time with airSlate SignNow, the best solution for electronic signatures.Use its powerful functionality with a simple-to-use intuitive interface to fill out Mksap 19 pdf google drive online, e-sign them, and quickly …Dec 31, 2021 MKSAP 18 Part B CME deadline. Mar 31, 2022 Virtual Dx (MKSAP 18 edition) CME deadline. July 31, 2022 Extension Questions (MKSAP 18 edition) CME deadline. Visit the MKSAP Resource Site to access MKSAP internal medicine self-assessment products, including complete editions, updates and CME & MOC information.Read the latest stories about Real Estate on Money By clicking "TRY IT", I agree to receive newsletters and promotions from Money and its partners. I agree to Money's Terms of Use ...Above the 25th percentile: You should also start to work your way through the MKSAP questions. It may be helpful to line up the content areas of review from the ITE, while you do MKSAP questions in the same area to reinforce the content (i.e. cardiology questions while reviewing cardiology educational objectives).Looking to earn CME & MOC credits as an internal medicine physician or resident while learning? View pricing, release dates, and order MKSAP 19 today. Object moved to here. Starting at 10am EST today and continuing on Friday, public impeachment hearings for President Trump will be broadcast live, beginning with three current and former public official...MKSAP 18's original and high-quality questions evolve out of case studies and patient scenarios based on the latest evidence. For more information on MKSAP 18, or to order your copy, visit mksap18.acponline.org. MKSAP 18 Q & A. A 74-year-old woman is evaluated in the hospital for loss of consciousness 1 day after total hip replacement.Version 4.0.0 - Added MKSAP 18 Extension Questions Set 1. Version 3.1.0 - New Info Updates: Targeted revisions to the MKSAP 18 text that reflect important, practice-changing information, such as guideline updates or large study results. Version 3.0.0 - Virtual Dx questions are now available to Complete subscribers. Version 2.0.3CBSU: Get the latest Central Bank stock price and detailed information including CBSU news, historical charts and realtime prices. Indices Commodities Currencies StocksSWAN DEFINED RISK EMERGING MARKETS FUND CLASS I- Performance charts including intraday, historical charts and prices and keydata. Indices Commodities Currencies StocksSpring 2024 Score Release Dates. Testing starts on March 4, 2024 and ends April 26, 2024. Student Answer Submission. Scores Available in K–12 Reporting Portal. Scores Available to Students. Electronic Score Reports (ESR) Available. By March 15, 2024. April 2, 2024. April 4, 2024.Learn more about the go-to resource for lifelong learning in internal medicine. See all MKSAP 19 packages. Log in to MKSAP 19 online. MKSAP is the premier complete learning system and question bank for the broad specialty of internal medicine.1. Take the IM-ITE (Internal Medicine In-Training) Examination®. This online exam is designed to be a practice test and help residents determine how ready …MKSAP learners can also earn same-day CME credits and MOC points with the new Earn-As-You-Go CME, which allows learners to earn CME/MOC for each question answered. Expiration dates: MKSAP 19 Part A: August 31, 2024 MKSAP 19 Part B: January 31, 2025 Virtual Dx: January 31, 2025 Extension Questions: January 31, 2025. CME credits/MOC points vary ...ACP MKSAP. 5,016 likes · 2 talking about this. Trusted by internists since 1967, MKSAP is an evidence-based, all-inclusive learning system. Earn CME. MKSAP is 'gold standard' for clinical reference. Philadelphia, May 1, 2015 - Internal medicine specialists and subspecialists will be able to update their knowledge, earn CME credit, or prepare for board certification with the 17th edition of the Medical Knowledge Self-Assessment Program (MKSAP 17), being released by the American College of Physicians this summer. Four FREE sets of extension questions — a $350 value that brings you incremental 20 AMA PRA Category 1 Credits ™ and 20 MOC points. Add the MKSAP 19 Audio Companion Q&A for even more questions and additional CME credits. Order here for just $350. (Available only as a supplement to the 12-section Audio Companion.) Free App Now Available! MKSAP is 'gold standard' for clinical reference. Philadelphia, May 1, 2015 - Internal medicine specialists and subspecialists will be able to update their knowledge, earn CME credit, or prepare for board certification with the 17th edition of the Medical Knowledge Self-Assessment Program (MKSAP 17), being released by the American College of Physicians this summer. I have heard mksap 20 comes out next year (I think, not sure) and that the board I should be taking may or may not be based on that mksap instead of 19, how do i know which one to buy? Also: how does it work?Dec 31, 2021 MKSAP 18 Part B CME deadline. Mar 31, 2022 Virtual Dx (MKSAP 18 edition) CME deadline. July 31, 2022 Extension Questions (MKSAP 18 edition) CME deadline. Visit the MKSAP Resource Site to access MKSAP internal medicine self-assessment products, including complete editions, updates and CME & MOC information.MKSAP 19 FULL SET (A+B) MKSAP®️ 19 is specifically intended for physicians who provide personal, non-surgical care to adults, including general internists and primary care physicians, subspecialists who need to remain up-to-date in internal medicine, residents preparing for the Certification Exam in internal medicine, physicians preparing for the …By CMEInfo. Credits: 120 (AMA PRA Category 1) Format: Audio CD, MP3. Price: $1,297. Release Date: July 31, 2018. Expiration Date: December 31, 2021. Summary: Connect with the Experts. Packed with the latest diagnostic approaches and management strategies, the MKSAP® 18 Audio Companion provides comprehensive, go-anywhere …Oklahoma City Thunder Forward Paul George says that his desire to play in Los Angeles when he becomes a free agent next summer is "overstated." Oklahoma City Thunder Forward Paul G...Matchbox Twenty (also known as Matchbox 20 and MB20) is an American rock band formed in Orlando, Florida, in 1995.The group currently consists of Rob Thomas (lead vocals, guitar, keyboards), Brian Yale (bass guitar), Paul Doucette (drums, rhythm guitar, backing vocals), and Kyle Cook (lead guitar, vocals).. Matchbox Twenty rose to …The following MKSAP® 19 CDs are available to be checked out. MKSAP 19 audio companion (on MP3) : medical knowledge self-assessment program. Part A: Part …MKSAP® 19 : audio companion (on MP3) medical knowledge self-assessment program (2021): The following MKSAP® 19 CDs are available to be checked out. MKSAP 19 audio companion (on MP3) : medical knowledge self-assessment program. Part A: Part B: Book 1 Gastroenterology and Hepatology. Book 7: Cardiovascular Medicine. Book 2 General Internal ...Regarding the Netflix release date for the 20th season, we usually see new seasons come in the summer, a few months after the season finale has aired on ABC. This has been pushed back a bit later in recent years due to other delays, but given the strikes, we won’t see season 20 added in either the US or Canada until at least late 2024, if not ...Accessible to MKSAP 19 Resident-Fellow Members and all other MKSAP 19 Complete/Complete Green subscribers. MKSAP 19 Digital subscribers can purchase Board Basics separately for $130. Download MKSAP 19 (Text and Qbank) Free: ... Check out our DMCA Policy. If ... January 20, 2022 at 2:58 pm. Can you please reupload? Reply. …There’s a lot to be optimistic about in the Healthcare sector as 3 analysts just weighed in on Merck & Company (MRK – Research Report... There’s a lot to be optimistic a...Learn more about the go-to resource for lifelong learning in internal medicine. See all MKSAP 19 packages. Log in to MKSAP 19 online. MKSAP is the premier complete learning system and question bank for the broad specialty of internal medicine.Roflumilast- contraindicated in liver impairment. ___ is the first test indicated in a patient with a high probability of obstructive sleep apnea without underlying cardiopulmonary or neuromuscular disease. Home sleep testing- pt has sxs of loud snoring, breathing pauses, gasping, excessive daytime sleepiness, nocturia, BMI > 30.MKSAP 18’s print content delivered in a comprehensive Learning Management System, including quizzes, updated content, free Update questions, and apps for online/offline review. All 11 print books, MKSAP 18 Digital, Board Basics, Digital Flashcards and the newest version of the visual diagnostic question module, Virtual Dx (coming 3/2018).Shop All Internal Medicine. Internal Medicine Study Strong Essentials. $ 1,297 .00 $ 1,499 .00. 7 reviews. 2024 Internal Medicine Review Course. $1,599.00. 37 reviews. LIMITED SPOTS LEFT. 2023-2024 Internal Medicine Video Board Review.Hi all. IM intern here. Trying to figure out whether to buy UWorld ABIM vs MKSAP but leaning towards the latter as I want to be able to use it over the full course of residency. I'm trying to figure out if buying MKSAP 18 now is worth it for intern year. The cons that I can come up with are: - Required ACP membership fee ($120 annual)MKSAP for Students 3 includes over 400 patient-centered self-assessment questions and their answers in print and on CD-ROM. Designed for medical students participating in their clerkship rotation, the questions help define and assess mastery of the core knowledge base requisite to internal medicine education in medical school.MKSAP 19 FULL SET (A+B) MKSAP®️ 19 is specifically intended for physicians who provide personal, non-surgical care to adults, including general internists and primary care physicians, subspecialists who need to remain up-to-date in internal medicine, residents preparing for the Certification Exam in internal medicine, physicians preparing for the …Whether you're preparing for an exam or keeping up your knowledge to deliver the best patient care, turn to MKSAP's clear, evidence-based core content, developed by more than 100 experts in 11 fields under the internal medicine umbrella. The text is updated regularly to capture important practice-changing information as it emerges.142 PDF + 60 MP4 files. Add to basket. Add to wishlist. Description. For over 50 years, the Medical Knowledge Self-Assessment Program (MKSAP) has been the most trusted resource in continuous learning for internal medicine physicians and residents. The tradition continues with MKSAP 19.MKSAP (currently including content from the 19th Edition) Annals of Internal Medicine - online access to current and past issues of the premier journal of Internal Medicine DynaMed - the most current, evidence-based clinical decision support tool - …Jude Bellingham has taken Real Madrid by storm in a sparkling debut LaLiga campaign, exceeding sky-high expectations to help his team claim a record-extending … MKSAP (currently including content from the 19th Edition) Annals of Internal Medicine - online access to current and past issues of the premier journal of Internal Medicine DynaMed - the most current, evidence-based clinical decision support tool - free to ACP members : Get the latest Delticom stock price and detailed information including news, historical charts and realtime prices. Indices Commodities Currencies StocksThe easiest way is to visit the Questions Dashboard, click on the name of the section, select "Show Incorrect Questions" from the list of filters that appears above the answer sheet, and then click the "Clear Incorrect Answers" button.Make sure you calculate your score and enter your birth date and ABIM candidate number, and fax the answer sheet to 215-351-2799 or mail the answer sheet to Member and Customer Service, American ...First approval of a conjugate vaccine that helps protect against 20 serotypes responsible for the majority of invasive pneumococcal disease and pneumonia, 1,2,3,4,5,6,7 including seven responsible for 40% of pneumococcal disease cases and deaths in the U.S. Helps protect against more serotypes of pneumococcal disease than any other conjugate vaccine Builds on Pfizer’s more than 20-year ...Messages. Reaction score. Aug 17, 2010. #5. Just remember that you just have to be smarter than the dumbest 10% (roughly) of medicine residents taking the test, if that makes you feel any better. When I took the ABIM the percentage to pass was about 65%. Aug 18, 2010. #6. Hope you guys end up doing well.Learn more about the go-to resource for lifelong learning in internal medicine. See all MKSAP 19 packages. Log in to MKSAP 19 online. MKSAP is the premier complete learning system and question bank for the broad specialty of internal medicine.Gone through uworld x1, done maybe 30% of mksap. Going to focus on repeating the incorrects and reviewing my notes. ... Will be back to comment someone when the results come. ... Someone said there are about 20 question on the whole exam they toss out each year and are just "trial" questions so those don't count towards the actual 64-66% …Membership. The American College of Physicians (ACP) is a diverse community of 161,000 internal medicine physicians, subspecialists, residents, fellows, and medical students worldwide. Join us to advance your career and the internal medicine profession.Jude Bellingham has taken Real Madrid by storm in a sparkling debut LaLiga campaign, exceeding sky-high expectations to help his team claim a record-extending …18 questions probably fine cause they invalidate the wrong ones. 18 text wouldn’t be okay but you have to remember when it was published and updates in practice since then - ie. Covid, new colonoscopy screening, heart failure updates, vaccine changes, etc etc. So it might be simpler to get 19.Duolingo News: This is the News-site for the company Duolingo on Markets Insider Indices Commodities Currencies Stocks MKSAP 19 Now Available. MKSAP 19 Part B is now available. Enjoy working with the full MKSAP 19 program and its exclusive features. Study with Quizlet and memorize flashcards containing terms like Adults with stage 1 hypertension who have an estimated 10-year atherosclerotic cardiovascular disease event risk of <10% should be managed with ____, Adults with stage 1 hypertension who have an estimated 10-year atherosclerotic cardiovascular disease event risk of ≥10% should be …MKSAP 19 includes helpful features to assist with preparing for the LKA and to use while answering and after completing each LKA question set, such as: MKSAP 19 Board Exam Topic Guide, to review commonly tested topics and find out the frequency and importance of specific topics, based on the ABIM exam blueprintAstra Microwave Products News: This is the News-site for the company Astra Microwave Products on Markets Insider Indices Commodities Currencies StocksBack in the 18th century, much of the Martha's Vineyard community learned and became fluent in a shared sign language. Learn more at HowStuffWorks. Advertisement History has not be...Skylook lets you record Skype calls to MP3 in Outlook and more. Skylook lets you record Skype calls to MP3 in Outlook and more. Now you can record your Skype VoIP Calls (both inbou...Feb 1, 2024 · As of November 1, 2021, MKSAP 18 is no longer available to purchase. If you have already purchased MKSAP 18, you will continue to have digital access through February 1, 2024. Consider purchasing the current edition of MKSAP to gain access to new questions and content. MKSAP 19 is filled with new features to help you easily update your ... Passing IM boards percentage based off MKSAP average. Finished the MKSAP bank with a 75% average correct on first pass.Above the 25th percentile: You should also start to work your way through the MKSAP questions. It may be helpful to line up the content areas of review from the ITE, while you do MKSAP questions in the same area to reinforce the content (i.e. cardiology questions while reviewing cardiology educational objectives).The American College of Physicians’ (ACP) Medical Knowledge Self-Assessment Program (MKSAP) is a highly regarded and valuable CPD resource with multiple choice questions which enables physicians to measure their knowledge in the broad specialty of internal medicine. MKSAP is updated every three years with the latest developments in internal ...Thanks. MKSAP and Board Basics are key. 100% of the exam comes from board basics. It’s amazing that even exact pictures from MKSAP and Board Basics are the same ones for the exam. UWorld is overkill and honestly taking time away from reading through board basics a second time. Study early and study hard.ACP MKSAP. 5,014 likes · 6 talking about this. Trusted by internists since 1967, MKSAP is an evidence-based, all-inclusive learning system. Earn CME Help Center. MKSAP 18. Print. Online Answer Sheets [free] PDF Answer Sheets [$20 submission fee] How to Submit for CME. How to Submit for ABIM MOC Points. How to Submit for International MOC/CPD. Digital & Complete. We at the American College of Physicians (ACP) are the accredited providers of CME for MKSAP 18. As such, we are the official record keeper for all CME credits earned and submitted. However, the American Board of Internal Medicine (ABIM) is the official implementer and manager of all Maintenance of Certification (MOC) points.The MKSAP 19 Audio Companion can be accessed any time, anywhere to allow for flexible learning that accommodates your schedule. Use the audio companion to learn about the latest diagnostic approaches and treatment guidelines. Earn up to 120 AMA PRA Category 1 credits and 120 ABIM MOC points with the audio companion.: Get the latest Delticom stock price and detailed information including news, historical charts and realtime prices. Indices Commodities Currencies StocksHow to Submit for CME. To earn CME credits for the print version of MKSAP 17, complete the online answer sheet for each test, score a minimum score of 50% correct, and then click on the Submit for CME credits button that appears after you have scored your test. You will receive an email confirming "same-day" CME credits.SWAN DEFINED RISK EMERGING MARKETS FUND CLASS I- Performance charts including intraday, historical charts and prices and keydata. Indices Commodities Currencies StocksShop All Internal Medicine. Internal Medicine Study Strong Essentials. $ 1,297 .00 $ 1,499 .00. 7 reviews. 2024 Internal Medicine Review Course. $1,599.00. 37 reviews. LIMITED SPOTS LEFT. 2023-2024 Internal Medicine Video Board Review.MKSAP learners can also earn same-day CME credits and MOC points with the new Earn-As-You-Go CME, which allows learners to earn CME/MOC for each question answered. Expiration dates: MKSAP 19 Part A: August 31, 2024 MKSAP 19 Part B: January 31, 2025 Virtual Dx: January 31, 2025 Extension Questions: January 31, 2025. CME credits/MOC points vary ...Version 4.0.0 - Added MKSAP 18 Extension Questions Set 1. Version 3.1.0 - New Info Updates: Targeted revisions to the MKSAP 18 text that reflect important, practice-changing information, such as guideline updates or large study results. Version 3.0.0 - Virtual Dx questions are now available to Complete subscribers. Version 2.0.3MKSAP 19 icon in white. ACP Vertical line MKSAP 19 in white text logo ...Study with Quizlet and memorize flashcards containing terms like Chest pain at night or at rest or use of illicit substances (methamphetamines, cocaine), 5-FU, A tall, thin person with long arms with tearing acute chest and back pain, A patient with sharp or pleuritic chest pain, dyspnea, and risk factors for VTE and more.MKSAP puts out a new, rewritten edition every 3 years that is initially shipped in 2 parts. For example, MKSAP 19 Part A was released in August of 2021 and Part B was released in January 2022. MedStudy vs MKSAP: Cost. The cost of MedStudy vs MKSAP. Purchasing from MedStudyBack in the 18th century, much of the Martha's Vineyard community learned and became fluent in a shared sign language. Learn more at HowStuffWorks. Advertisement History has not be...MKSAP 18 gives you the ability to adjust the font size, as well as the brightness for both day and nighttime viewing. To adjust your setting, click or tap the 3 dot icon in the upper right of the screen. This will open the menu. Select Display Settings. On this screen you can select night mode which will make the screen darker.: Get the latest Delticom stock price and detailed information including news, historical charts and realtime prices. Indices Commodities Currencies StocksShop All Internal Medicine. Internal Medicine Study Strong Essentials. $ 1,297 .00 $ 1,499 .00. 7 reviews. 2024 Internal Medicine Review Course. $1,599.00. 37 reviews. LIMITED SPOTS LEFT. 2023-2024 Internal Medicine Video Board Review.Sentient Brands Holdings News: This is the News-site for the company Sentient Brands Holdings on Markets Insider Indices Commodities Currencies Stockstests in the 16th edition of help you plan an individualized MKSAP and program of continuing education. MKSAP 16 can also help you identify strengths or weaknesses in specific subspecialty areas of internal medicine, enhance your general knowledge, keep you abreast of new developments, and prepare you for future examinations.MKSAP 19 Tracker is a free enhancement to MKSAP 19 Digital. It is an educator’s toolbox enabling monitoring of residents’ progress as they work through MKSAP 19’s multiple-choice questions. Tracker can also help programs meet their documentation needs, serving as a source of documentation of resident performance.A systematic review and meta-analysis of 15 randomized clinical trials found that oseltamivir was not associated with reduced risk of hospitalization compared with placebo and that nausea and...MKSAP 18 Audio Companion: Internal Medicine Board Review | ABIM MOC Self Assessment | Certification and Recertification + MedPrep World Medical Knowledge Library ... 3.9 out of 5 stars. 27. $347.00 $ 347. 00. FREE delivery Apr 16 - 17 . Or fastest delivery Apr 15 - 16 . MKSAP 18 Audio Companion Q&A – Comprehensive ABIM Exam …The tradition continues with MKSAP 19. MKSAP 19 is available in several flexible formats, allowing you to choose the format that best fits your lifestyle. Each format includes 12 syllabus sections and up to 3,000 associated deep-learning questions. To learn about the features in MKSAP 19, visit mksap19.acponline.org.
Available to MKSAP 19 Complete and MKSAP 19 Complete Green subscribers. Board Basics: Free to ACP Resident/Fellow Members with any MKSAP subscription as well as to MKSAP 19 Complete and MKSAP 19 Complete Green subscribers, Board Basics is filled with crucial internal medicine material you should review right before taking your exam.. Breath of the wild yuzu rom
Available to MKSAP 19 Complete and MKSAP 19 Complete Green subscribers. Board Basics: Free to ACP Resident/Fellow Members with any MKSAP subscription as well as to MKSAP 19 Complete and MKSAP 19 Complete Green subscribers, Board Basics is filled with crucial internal medicine material you should review right before taking your exam. MKSAP 19 includes helpful features to assist with preparing for the LKA and to use while answering and after completing each LKA question set, such as: MKSAP 19 Board Exam Topic Guide, to review commonly tested topics and find out the frequency and importance of specific topics, based on the ABIM exam blueprint Shop All Internal Medicine. Internal Medicine Study Strong Essentials. $ 1,297 .00 $ 1,499 .00. 7 reviews. 2024 Internal Medicine Review Course. $1,599.00. 37 reviews. LIMITED SPOTS LEFT. 2023-2024 Internal Medicine Video Board Review. MKSAP 19 Now Available. MKSAP 19 Part B is now available. Enjoy working with the full MKSAP 19 program and its exclusive features.Scored >85 using that and Step Up for the major topics (cards, renal, GI, pulm) Like other people have been saying on here, MKSAP questions are really easy so they can help you solidify basic concepts but you would still need to do Uworld. I had a MKSAP book so I just did a few renal and electrolytes questions in it which helped because I kept ...MKSAP has been trusted by internists since 1967 as the best resource for updating knowledge. MKSAP 18, available in Complete, Digital, and Print packages, consists of 11 comprehensive text chapters with related multiple-choice questions. ... MKSAP 18's original and high-quality questions evolve out of case studies and patient scenarios based on ...Test questions and a prospectus outlining the program, along with a registration form, were sent out to members in October 1967. MKSAP 1 was scheduled for a release in January 1968, at a preorder cost of $10 for members, $25 for member orders after initial publication, and $25 for non-members. By December 1967, 4500 pre-order applications were ...Jul 30, 2018 · Product details. Publisher : American College of Physicians - MKSAP (July 30, 2018) Language : English. ISBN-10 : 1938245474. ISBN-13 : 978-1938245473. Item Weight : 2.9 pounds. Dimensions : 12.44 x 7.01 x 9.49 inches. Best Sellers Rank: #282,869 in Books ( See Top 100 in Books) Whether you're preparing for an exam or keeping up your knowledge to deliver the best patient care, turn to MKSAP's clear, evidence-based core content, developed by more than 100 experts in 11 fields under the internal medicine umbrella. Whether you're preparing for an exam or keeping up your knowledge to deliver the best patient care, turn to MKSAP's clear, evidence-based core content, developed by more than 100 experts in 11 fields under the internal medicine umbrella. The text is updated regularly to capture important practice-changing information as it emerges.MKSAP 18 Q & A. A 19-year-old woman is evaluated for a 6-month history of recurrent episodes of confusion that occur approximately once monthly. Her boyfriend says she has periods of wide-eyed staring, chewing motions, and repetitive grabbing of her clothes with the right hand. The patient sometimes experiences a strange but familiar feeling ...I have heard mksap 20 comes out next year (I think, not sure) and that the board I should be taking may or may not be based on that mksap instead of 19, how do i know which ….
Popular Topics
- Al food stamp calculatorBountiful year genshin
- Restaurants decatur ilMustang sallys troy mo
- Bergen point boat salesCoolmath games idle dice
- Spark driver account deactivatedSouthwest flights tampa
- Litematica schematics download24 hour fitness seattle photos
- Strongsville accidentHisense ac water drain
- Aaa trucks and auto wreckings local car junkyardsPoughkeepsie fatal car crash