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Introduction to Final Year

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

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  1. Introduction to Final Year 24th September 2012

  2. Welcome to Meded! • Three schemes: • Tutoring • Speciality Days • Cases for Finals

  3. 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

  4. 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

  5. Any questions/feedback please email: • medical.education@imperial.ac.uk

  6. Introduction to ICSM Finals

  7. Introduction • Foundation year doctors: • ANIKA KAURA • OLA MARKIEWICZ

  8. Structure of Finals • Written Exams Practical Prescribing Paper 1 & Paper 2 Medicine/Surgery/Pharmacology SBA & EMQ • PACES Medicine Surgery

  9. 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)

  10. 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

  11. 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

  12. BOOKSMEDICINESURGERY

  13. WEBSITES

  14. 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

  15. 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…

  16. 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

  17. MOCK STATION

  18. Thank you! • Please email akaura0@gmail.com if any queries

  19. Introduction to Final Year Dr Ola Markiewicz FY1 Hillingdon Hospital My Final Year

  20. Why I wanted to do this lecture

  21. 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

  22. Plan • My timeline • Tutors • Courses • Writtens • Medicine • Surgery • CPT & Practical Prescribing • Epidemiology • PACES

  23. 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

  24. Tutors

  25. Tutors

  26. Tutors

  27. Courses

  28. Courses

  29. Courses

  30. 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)

  31. 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!

  32. Writtens

  33. Writtens Medicine

  34. Writtens Surgery + Barry’s Guide ?

  35. Writtens Questions for Medicine & Surgery Online: + Web CT!

  36. Writtens CPT Lectures + Questions • Schachter’s book • Schachter’s questions • Web CT • Past questions – repetition!

  37. Writtens Practical Prescribing Lectures + + online BNF • Practice! • Under time pressure • Do past questions then compare answers • Calculations • Be familiar with the BNF

  38. Writtens Epidemiology Lectures! • Learn the definitions – DON’T learn numbers • Practice some calculations – Onexamination • Positive/negative predictive value • Incidence • Etc....

  39. PACES

  40. PACES • Made a list of things that could come up in each station • Ask Dr Clarke – amazing and FREE!

  41. 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

  42. PACES Medicine

  43. PACES Surgery • Anatomy! • Google and wikipedia • Presentation • Complications – structure! • Immediate • Early • Late

  44. PACES Surgery

  45. 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

  46. The Exam Itself Surgery • NWP • Very friendly • Barely touched anyone • Don’t forget peri-op care and trauma • Complications! • Nothing unexpected

  47. 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

  48. Any Questions?

  49. Good Luck!

  50. Welcome to Final Year Pranev Sharma FY1 Cardiology, Northwick Park Hospital

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