Introduction to final year
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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 to final year

  • Any questions/feedback please email:

    • [email protected]


Introduction to icsm finals

Introduction to ICSM Finals


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


Websites

WEBSITES


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


Mock station

MOCK STATION


Introduction to final year

  • Thank you!

  • Please email [email protected] if any queries


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 lecture

Why I wanted to do this lecture


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


Introduction to final year

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


Tutors

Tutors


Tutors1

Tutors


Tutors2

Tutors


Courses

Courses


Courses1

Courses


Courses2

Courses


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!


Writtens

Writtens


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....


Paces2

PACES


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


Any questions

Any Questions?


Good luck

Good Luck!


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

  • Any questions?

    [email protected]

    Jenner Ward (Cardiology) – 9th Floor, NPH


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