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Introduction to Final Year. 24 th September 2012. Welcome to Meded !. Three schemes: Tutoring Speciality Days Cases for Finals. Cases for Finals. Interactive, non-didactic teaching. Clinical, directly relevant to PACES . Delivered by F1s Dates : 1 st Oct – Session 1 – Neurology

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Introduction to final year

Introduction to Final Year

24th September 2012


Welcome to meded
Welcome to Meded!

  • Three schemes:

    • Tutoring

    • Speciality Days

    • Cases for Finals


Cases for finals
Cases for Finals

  • Interactive, non-didactic teaching. Clinical, directly relevant to PACES. Delivered by F1s

  • Dates:

    1st Oct – Session 1 – Neurology

    8th Oct – Session 2 – Respiratory

    15th Oct – Session 3 – Cardiology

    22nd Oct – Session 4 - Abdo Surgery

    All subsequent sessions on mondays


Intro to final year
Intro to Final year

  • 3 Ex-ICSM F1’s in NWT

    • AnikaKaura, Ola Markiewicz, Pranev Sharma

  • There will be some overlap to represent different learning styles

  • Questions session at end of talk

  • Slides will be up soon on Meded website




Introduction
Introduction

  • Foundation year doctors:

  • ANIKA KAURA

  • OLA MARKIEWICZ


Structure of finals
Structure of Finals

  • Written Exams

    Practical Prescribing

    Paper 1 & Paper 2

    Medicine/Surgery/Pharmacology SBA & EMQ

  • PACES

    Medicine

    Surgery


Paces
PACES

  • 6 (7) stations:

    - 1 x 20 minute history

  • 5 x 10 minute stations

  • 1 x 10 minute rest station

  • Medicine: History Taking, Abdominal, Cardiovascular, Nervous System, Respiratory, Short Cases (Skin/Eyes/Rheum/Endo etc.)

  • Surgery: History Taking, Abdomen, Vascular, Musculoskeletal, Images/Instruments, Short Cases (bed cases or seated)


Paces1
PACES

  • Mostly well outpatients. Although can get inpatients…

  • More subjective – not so much ‘tick-boxing’

  • Broad Domains

    - Clinical Skills (History and Examination)

    Competent, systematic, safe

    - Formulation of Clinical Issues

    Summary, interpretation, diagnosis, appreciate psychosocial

    - Discussion of Management

    Justify investigations, multiprofessional approach, EBM, basic clinical sciences

    - Professional and Patient Centred Approach

    Professional communication, patient safety, legal and ethical principles, empathic behaviour

  • Overall Mark

  • Examiners Meeting


Revision courses
REVISION COURSES

  • BARRY’S SURGERY COURSE

  • MIRZA’S MEDICINE COURSE

  • MEERAN’S MEDICINE WEEKEND

  • FINALS PACES WEEKEND @ WEST MID

  • DR CLARKE MEDICINE & SURGERY

  • BROMPTON PACES


Books medicine surgery
BOOKSMEDICINESURGERY



Paces stations format
PACES StationsFORMAT

  • EFFICIENT Examination i.e. QUICK whilst picking up the SIGNS

  • CONCISE presentation – all the signs and other features like cushingoid etc

  • Offer single DIAGNOSIS and differential

  • Investigations for THOSE diagnoses- know what you would look for in each i.e. ECHO for aortic stenosis to look at area of valve orifice

  • Management of the condition – MDT and holisitic- so for AS offer conservative- cardiac risk factor modification, medical- controlling hypertension and treating cardiac failure, surgical- options of valve repair/replacement


Medicine short cases
MEDICINE- Short Cases

  • No set numbers of cases

  • Focussed examination

  • Rheumatology: Rheumatoid hands, Scleroderma, Ankylosing Spondylitis

  • Endocrinology: Goitre, Acromegaly, Cushing’s

  • Ophthalmology: DM, Optic Atrophy, Retinitis Pigmentosa

  • Dermatology: Rashes….

  • OA, Gynaecomastia, Carpal Tunnel, HHT, Bell’s Palsy, IIIrd nerve palsy…


Surgery short cases
SURGERY- Short Cases

  • Global assessment

  • Browse’s Introduction to S & S of Surgical Disease

  • Groin & Scrotal lumps

  • Head and Neck Lumps

  • Skin: Lipomas, Ganglion, Neurofibromatosis

  • Minor Musculoskeletal: Dupuytren’s, RA Hands, Hallux Valgus

  • Minor Vascular: Varicose Veins, Ulcers, AV Fistula (dialysis)

  • Scars (including breast) & Stomas

  • Nerve palsies

  • Random others




Dr ola markiewicz fy1 hillingdon hospital

Introduction to Final Year

Dr Ola Markiewicz

FY1 Hillingdon Hospital

My Final Year



Why i wanted to do this lecture1
Why I wanted to do this lecture

  • Not going to tell you:

    • What you need to do to pass final year

    • Which books are available

    • Which courses to go/not go on

    • How to get a distinction

  • I will tell you

    • What I (ME!) did to pass final year

    • What I wish I’d done differently


Plan

  • My timeline

  • Tutors

  • Courses

  • Writtens

    • Medicine

    • Surgery

    • CPT & Practical Prescribing

    • Epidemiology

  • PACES


My final year
My Final Year

Aim - finish it!

Tutors sorted

Little bit of reading

CPT/PP

Medical tutoring

Mock exam

Surgical tutoring

Start typing up medical and surgical notes on core subjects a little at a time

Questions

Re-read notes

PACES practice

Group work








Courses3
Courses

Barry’s course: why I didn’t do it

  • Location – time it would take me to get there

  • Duration – I can’t stay awake non-stop in a lecture for 3-4 hours

  • Timing – right around my dinner time

  • Time commitment – had to be free every Tuesday for 10 weeks, couldn’t afford to miss a session (Valentine’s day, Circle Line)


Courses4
Courses

“Para-skivers”:

  • Met once a week at the Reynolds in a group (same time as his course happened)

  • Went through his guide viva-ing each other (can buy his guide for £25)

  • Great viva practice

  • Retained to memory

  • Still got to see friends!



Writtens1
Writtens

Medicine


Writtens2
Writtens

Surgery

+ Barry’s Guide

?


Writtens3
Writtens

Questions for Medicine & Surgery

Online:

+ Web CT!


Writtens4
Writtens

CPT

Lectures +

Questions

  • Schachter’s book

  • Schachter’s questions

  • Web CT

  • Past questions – repetition!


Writtens5
Writtens

Practical Prescribing

Lectures +

+ online BNF

  • Practice!

  • Under time pressure

  • Do past questions then compare answers

  • Calculations

  • Be familiar with the BNF


Writtens6
Writtens

Epidemiology

Lectures!

  • Learn the definitions – DON’T learn numbers

  • Practice some calculations – Onexamination

    • Positive/negative predictive value

    • Incidence

    • Etc....



Paces3
PACES

  • Made a list of things that could come up in each station

  • Ask Dr Clarke – amazing and FREE!


Paces4
PACES

Medicine

  • Tutoring or seeing patients.

  • Saw 2-4 patients per session

  • Don’t overdo it – a liver is a liver.

  • Balance – patients v.s. bookwork

  • Make the most of firms and avoid the rush


Paces5
PACES

Medicine


Paces6
PACES

Surgery

  • Anatomy!

  • Google and wikipedia

  • Presentation

  • Complications – structure!

    • Immediate

    • Early

    • Late


Paces7
PACES

Surgery


The exam itself
The Exam Itself

Medicine

  • NWP

  • Very unhelpful

  • Expected to get moved on – didn’t

  • Thought I’d failed because I didn’t get to talk about management for 4/6 stations

  • Don’t worry about weird stations or getting the diagnosis right

  • Just act like you’re the doctor


The exam itself1
The Exam Itself

Surgery

  • NWP

  • Very friendly

  • Barely touched anyone

  • Don’t forget peri-op care and trauma

  • Complications!

  • Nothing unexpected


Summary
Summary

  • Be honest with yourself

  • Do what you need to do

  • Don’t follow the crowd

  • Make sure you know your basics inside out

  • A little bit at once

  • Everyone else is in the same boat




Welcome to final year

Welcome to Final Year

Pranev Sharma

FY1 Cardiology, Northwick Park Hospital


General advice
General Advice

  • Don’t believe the rumours!

    • “Finals are impossible to pass”

    • “The examiners are trying to fail you”

    • “The examiners will coldly stare at you if you’re stuck”


General advice1
General Advice

  • Don’t believe the rumours!

    • “Finals are impossible to pass”

    • “The examiners are trying to fail you”

    • “The examiners will coldly stare at you if you’re stuck”

  • Organise your tutors


General advice2
General Advice

  • Don’t believe the rumours!

    • “Finals are impossible to pass”

    • “The examiners are trying to fail you”

    • “The examiners will coldly stare at you if you’re stuck”

  • Organise your tutors

  • Organise your time wisely


Paces is a game
PACES is a game

  • Know the rules!

    • Don’t argue with the examiner


Paces is a game1
PACES is a game

  • Know the rules!

    • Don’t argue with the examiner

    • Learn how to talk


Paces is a game2
PACES is a game

  • Know the rules!

    • Don’t argue with the examiner

    • Learn how to talk

    • Use appropriate language


Paces is a game3
PACES is a game

  • Know the rules!

    • Don’t argue with the examiner

    • Learn how to talk

    • Use appropriate language

    • Learn how to present yourself – and dress appropriately!


Paces is a game4
PACES is a game

  • Know the rules!

    • Don’t argue with the examiner

    • Learn how to talk

    • Use appropriate language

    • Learn how to present yourself – and dress appropriately!

    • Be polite


Outline
Outline

  • Medicine

    • Books

    • Courses

    • PACES structure

  • Surgery

    • Books

    • Courses

    • PACES structure


Medicine
Medicine

  • Books


Medicine1
Medicine

  • Courses


Medicine2
Medicine

  • PACES structure

    • Cardio, Neuro, Resp, Abdo: 7 mins examination / 3 mins viva. Aim for 6/4.


Medicine3
Medicine

  • PACES structure

    • Cardio, Neuro, Resp, Abdo: 7 mins examination / 3 mins viva. Aim for 6/4.

    • History: 10 mins history/ 10 mins viva. Aim for 8/12.


Medicine4
Medicine

  • PACES structure

    • Cardio, Neuro, Resp, Abdo: 7 mins examination / 3 mins viva. Aim for 6/4.

    • History: 10 mins history/ 10 mins viva. Aim for 8/12.

    • Shorts: anything goes.


Medicine5
Medicine

  • PACES structure

    • Cardio, Neuro, Resp, Abdo: 7 mins examination / 3 mins viva. Aim for 6/4.

    • History: 10 mins history/ 10 mins viva. Aim for 8/12.

    • Shorts: anything goes.

    • Rest: maybe/maybe not.


Medicine6
Medicine

  • PACES structure

    • Cardio, Neuro, Resp, Abdo: 7 mins examination / 3 mins viva. Aim for 6/4.

    • History: 10 mins history/ 10 mins viva. Aim for 8/12.

    • Shorts: anything goes.

    • Rest: maybe/maybe not.

    • Ask Dr Clarke Imperial Finals Archive


Surgery
Surgery

  • Books


Surgery1
Surgery

  • Courses


Surgery2
Surgery

  • PACES structure

    • Abdo, Ortho, Vascular: 10 mins – examination and viva simultaneously!


Surgery3
Surgery

  • PACES structure

    • Abdo, Ortho, Vascular: 10 mins – examination and viva simultaneously!

    • History: 10 min hx / 10 min viva. Aim 8/12.


Surgery4
Surgery

  • PACES structure

    • Abdo, Ortho, Vascular: 10 mins – examination and viva simultaneously!

    • History: 10 min hx / 10 min viva. Aim 8/12.

    • Shorts: anything goes


Surgery5
Surgery

  • PACES structure

    • Abdo, Ortho, Vascular: 10 mins – examination and viva simultaneously!

    • History: 10 min hx / 10 min viva. Aim 8/12.

    • Shorts: anything goes

    • Images & instruments: anything goes


Surgery6
Surgery

  • PACES structure

    • Abdo, Ortho, Vascular: 10 mins – examination and viva simultaneously!

    • History: 10 min hx / 10 min viva. Aim 8/12.

    • Shorts: anything goes

    • Images & instruments: anything goes

    • Rest: maybe/maybe not


Surgery7
Surgery

  • PACES structure

    • Abdo, Ortho, Vascular: 10 mins – examination and viva simultaneously!

    • History: 10 min hx / 10 min viva. Aim 8/12.

    • Shorts: anything goes

    • Images & instruments: anything goes

    • Rest: maybe/maybe not

    • Ask Dr Clarke Imperial Finals Archive


Thank you
Thank you


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