CFPC Exam Preparation
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CFPC Exam Preparation. Jane Griffiths Nov 20, 2013. CFPC Examination. eligible in last 6 months of residency has three components Short answer management problems (SAMPs) (6 hours) Simulated office oral examination (SOOs) (4x15 min. stns.) LMCCQE II OSCE stations (8x10 min stns.)
CFPC Exam Preparation
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CFPC Exam Preparation Jane Griffiths Nov 20, 2013
CFPC Examination • eligible in last 6 months of residency • has three components • Short answer management problems (SAMPs) (6 hours) • Simulated office oral examination (SOOs) (4x15 min. stns.) • LMCCQE II OSCE stations (8x10 min stns.) • information can be found at http://www.cfpc.ca/PreparingfortheFamilyMedicineExamination/
SAMPs • exam has ~40 problems in 4 books • full day, total of ~6 hours, divided in morning and afternoon sessions • 25 common / core family medicine topics • be aware of common FM guidelines and 99 priority topics
SAMPs • Carefully read the stem • The setting is described, consider this in your answer • Be specific • hemoglobin rather than CBC, ultrasound rather than imaging • Use generic names, SI units • Usually answer in <10 words
SAMPs • practice opportunities • CFPC “Self Learning” CME includes several SAMPs with each issue… take a look at these to get used to the format • **free access for residents** • practice sessions with each academic day
SOOs • each exam has four SOO stations • 15 minute interview with a standardized patient (role-played by a family physician) • define and manage presented problems • This is a test of your patient centered care • understanding patient’s perspective of the issue • arriving at a shared plan of management
“Mini Exams” • goals of the practice SOO sessions include: • preparation for the CFPC exam • structured assessment and feedback on interview skills • performance does not have an effect on your rotation evaluations
“Mini Exams” • Year 1: SOOs only, during FM rotation • Year 2: SOOs, during your community FM rotation and during the academic days back • for your benefit, please do not discuss the cases with other residents… foreknowledge of content can be misleading and eliminates the element of exam setting simulation
SOO Format • information given at the beginning includes: • outline of format • timeframe… 15min with 3-minute warning at 12 minutes • the patient • e.g.: “You are about to meet Meagan O’Brien, age 55, who is new to your practice.”
SOOs - Content • each station usually has two patient issues • medical condition + social issue • medical condition(s) in a cultural or psychosocial context • one problem is the presenting complaint, the other is not immediately identified • prompts are given if you do not independently identify the second issue (timing will vary with cases)
SOO Problem Approach • take an appropriate history of the problem • HPI, Past Hx, previous treatments / investigations, meds, allergies, social • assess impact of the illness • FIFE: feelings, ideas, function, expectations • second problem may be identified through this questioning
SOO - Context Integration • put the patient’s conditions into context • review what the patient has told you • discuss it with regard to stressors, beliefs, supports, etc • this can be an important step to finding common ground in the management of the issues • be deliberate with this so it stands out
SOO - Management • Involve the patient in decision making • Develop a plan • f/u visit for physical • obtain old records • investigations • provide reassurance • make arrangements for followup • etc as appropriate
SOO Marking Scheme • review this on the website… • http://www.cfpc.ca/PreparingfortheFamilyMedicineExamination/ • note the following sections • problem identification (1&2) • social and developmental context • context identification and integration • management (1&2) • interview process and organization
Assessment of Interview Process and Organization • This is scored on the overall feel of the clinical interview • The candidate is assessed on: • Direction – order and structure • Flexibility and good integration of all components • Appropriate prioritization with efficient and effective allotment of time • Para-verbal communication • Ability to put the patient at ease • Empathy and nonjudgmental demeanor • Avoidance of medical jargon
Preparation - Other Tips • informal SOO practice • Sample modules can be found on line http://www.cfpc.ca/SOOs/ • Practice with preceptors, faculty advisors, peers • Make use of video for review • Make sure you review the video on the cfpc web site