AMC TIPS and Tricks July 2014

AMC TIPS and Tricks July 2014
of 11
All materials on our website are shared by users. If you have any questions about copyright issues, please report us to resolve them. We are always happy to assist you.
Related Documents
  AMC clinical examination tips and tricks  (July 2014)You should know by now that the AMC clinical examination is a vey unusual and vey stess!ul examination #oweve$ it is actually at the level o! a !inal yea medical student and %uite &doable' with the aoiate eaation and undestandin o! the natue o! it Most *M+s !ind that it is not so much a test o! medical knowlede (that was coveed in the MC, exam-)$ but much moe a atient cented$ communication skill testin examination .hat means the eaation !o this examination is not so much about moe knowlede ac%uisition but about you behaviou and you o!essional attitude .his exam is like a ame / you need to lay by the ules- thes say it is like a dance and you have to know the stes well o it is like takin at in a movie and you have to know you ole well---You will deal mainly with oleayes and usually the examine does not ask any %uestions but ust obseves you e!omance .he olelayes ae o! vayin %uality$ o!ten youn medical students layin eldely atients which can be %uite con!usin when you walk into the oom .hee ae some eal atients$ e  with heumatoid !eatues$ cadiac mumus$ eiheal neuoathy$ oint oblems$ live symtoms etc but they ae a aity *n eneal the olelayes$ atients and examines ae vey suotive and want to hel you (even thouh you miht not believe this)- 3o lease listen to them cae!ully$ they o!ten ty to ive you valuable hints-n many occasions thee is a second examine esent (not in the new .C in Melbouneanymoe-) who is actually thee to assess the ocess o! the examination itsel! and otates thouh the stations .hat examine does not ude you e!omance$ so lease do not woy about he5is esence PREPARATION: .he &AMC #andbook o! Clinical Assessment' is the best investment you can eve make *t ives you vey comehensive exlanation o! the examination ocess$ has incedibly imotant hints !o the di!!eent clinical aeas coveed in the exam and ives !antastic examles with detailed exlanations o! all asects o! a scenaio 6ach chate is e!aced by most valuable exlanatoy notes which * encouae you to ead thoouhly because they exlain the Austalian aoach- A eat examle is the intoduction to &.he 7sychiatic Consultation' which coves in a vey bie! and ecise way what you ae exected to conside when examinin a mental health atient Cases !om the book and !om the &ecalls' aea eulaly in the examination and suisinly many candidates !ail these stations--- &8ecalls' can be vey misleadin and athe than to otelean the stations * ecommend to be awae o! toics but to wok thouh them in a thoouh way ealisin that a scenaio can easily chane$ e  89, ainin a !emale atient miht be aendicitis in one exam but could be ectoic$ an twisted ovaian cyst$ enal colic o domestic violence in anothe exam You eally have to have a ood undestandin o! the undelyin issues--- My exlanation o! this henomenon is that the examine !inds out vey %uickly i! a candidate has ust ote leant a case$ euitatin !acts but not demonstatin a thoouh undestandin o! the case * believe that the ublication o! the book has iven *M+s an ootunity to undestand thenatue and e%uiements o! this examination much bette than eve be!oe and it is eally imotant to know about the exectations and to undestand the imotance o! !o examle citical eos 7ae 1  the necessay books and esouces in ioity listin: 1.  John Mutah;s &+eneal 7actice' 2. .ally < ;Conno &Clinical 6xamination' 3. &7aediatic #andbook'$ 8oyal Childen;s #osital and also on the net : .he 8oyal =omen;s Clincial +uidelines. &.heaeutic +uidelines Antibiotic' but thee ae many othes which ae wothwhile eadin !. >alan;s Clinical 7sychiaty 8eadin othe books covein suey$ medicine$ ?+$ sychiaty and othe !ields  lease e!e to the AMC web site *n you eaation concentate on the ?+ and aeds cases !ist because you have to  ass at least one o! each othewise you !ail the whole exam .hat means you should evisethe aoximately 1@0 aeds ecalls and 10 ?+ ecalls which should ive you a ood chance to aleady ass B stations--- / simle mathematical odds---.he thid ioity oes to sychiaty because thee ae usually two sychiaty scenaios in the exam and most *M+s don;t !eel com!otable with mental health issues .he intoduction to the sychiatic consultation in the AMC handbook (aes 4B44B) is an excellent statin oint and hihlihts the aeas we exect doctos in Austalia to know about-.hee ae obably about 0 sych ecalls *! you o thouh them$ you now should have a ood chance to have assed aleady  stations--- simle mathematical odds---You should ty to cove at least 4 yeas o! ecalls$ i! not even @---Anothe &mathematical' hint ovided by a evious AMC candidate is that the se%uence o! the stations has always been the same u to now (con!imed by many exam candidates)$ althouh be awae that this system could chane one day:1 Medicine$ +eneal 7actice o 6meency Medicine2 7aediatics 8est station4 3uey@ ?+B +eneal 7actice 5 Medicine o 6meency MedicineD 7sychiaty o +eneal 7actice 5 Medicine 5 6meency Medicine 8est stationE Medicine 5 +eneal 7actice 5 6meency Medicine10 7aediatics11 ?+12 3uey1 8est station14 +eneal 7actice 5 6meency Medicine1@ Medicine1B 7aediatics1D 3uey1 8est station1E 7sychiaty o +eneal 7actice20 ?+7ae 2  7sychiaty is usually station D and 1E$ althouh sometimes +eneal 7actice Medicine aeas in one o! these stations Medicine$ +eneal 7actice and 6meency Medicine sead ove @ stations (1$B$E$14 and 1@) 3tations @$11 and 20 ae ?+$ station 2$10 and 1B aeds and station 4$12 and 1D suey *n summey you should know what !ield is tested in which station .his can be imotant in a &dual toic' station Fo examle i! a woman esents with a ynae oblem but also has a sychiatic comonent it would haveto be a sychiatic main oblem i! it was the sych station but an ?+ main oblem i! itwas an ?+ station-.he etest has usually the !ollowin stuctue:1 Medicine2 7aediatics 8est station4 3uey@ ?+B Medicine 5 +eneal 7acticeD 7sychiaty 8est stationE +eneal 7actice 5 Medicine10 3uey “Objective tr!ct!red Clinical Examination #OCE$ and “M!ltidisciplinar% Clinical Assessment Tasks #MCAT$:  .he assessment domains include: ã Aoach to atient ã 7atient counsellin 5 education ã #istoy ã .echni%ue o! examination$ oaniGation and se%uence ã Accuacy o! examination ã Commentay to examine  ã Choice o! investiations ã *nteetation o! investiastions ã Hianosis 5di!!eential dianosis ã *nitial manaement lan ã 6xlanation o! clinical ocedue ã 7e!omance o! ocedue ã Familiaity with test e%uiment ã Answes to examine;s %uestionsA ood st!d% &ro!p  is most bene!icial and you should actively olelay and be vey citical with each othe- Fom my exeience the best study ou has  eole (one candidate$ one Iexamine;$ one obseve) because eveyone will want the chance to  e!om and you will lean by e!omin- 6veybody should et a chance to olelay and ivin honest citi%ue is vey use!ul !o the obseve as well as !o the ole laye-*deally you should oaniGe eal &tial exams' with you study ou$ !o examle  o 1B cases in a ow$ even cases out o! the book- *nclude hanin the stem on the wall o a doo and etend that you come into the examination oom *t hels you to undestand the essue o! the exam and to lean how to ut a bad e!omance behind you 7ae   9ike the  &7;s' in eal estate (osition$ osition$ osition)$ hee it is practice' practice' practice(((  *t is eally wothwhile doin& it- Just eadin and thinkin about these execises does not hel$ do it like .homas .he .ank ( a lovely childen;s stoy) and you;ll !ind )o! can do it(((T*E TEM: 8ead the instuctions cae!ully-.#6 @ ,s (%uestions) (always ask yousel! at the doo while eadin the case in!o):1 =ho am * (+7 o unio M)2 =hee am * (eneal actice o hosital / ual o meto) =hat ae the oblems (dianosis$ di!!eential dianoses$ main and hidden issues$e  olyuia esentin as ostate oblem$ but bein .2HM o head banin child whee the mothe has sini!icant social oblems which need to be addessedas well)4 *s it an emeency (immediate hysical examination$ H8AKC and manaement !ist$ make sue atient is 3AF6---)@ =hat ae my tasks (stick to the tasks---$ manae you time aoiately-) You only have  minutes$ so be well oaniGed-6vey wod has a meanin- *! the stem mentions that the atient is an &abattoi' woke$ this can be an extemely imotant !act that he miht su!!e !om a Goonosis$ a disease tansmitted by wokin with animals- *! the stem says that a atient is on &tamoxi!en'$ she obably had beast ca *! you ae not sue about any asect eadin the stem$ you will have an ootunity to ask the examine !o clai!ication a!te you have enteed the oom .he scenaios ae usually sinle toic stations$ the main dianosis will be aaent !aily ealy$ sometimes even a!te !inishin eadin the stem outside the oom *! it seems to be acase o! cholecystitis ty to demonstate an oaniGed$ stuctued and !ocused aoach$ honin in onto the &main oblem' #oweve$ kee an oen mind and talk about di!!eential dianoses as well$ because you miht ust think it is &cholecystits' but in eality it miht be anceatitis o somethin else .his becomes esecially imotant i! theole laye o the examine makes comments like: &H last time * had cholecystitis$ it !elt %uite di!!eent' (this is only an examle-) 7ick u you eas and stat to eview i! the ole laye miht ty to ive you a hint that this case is somethin di!!eent ccasionally one station can contain two seaate issues$ e  a aeds case miht be comlicated by a aent with a sych o social oblem and you miht be exected to cove both toics *! you deal %uite well with the aediatic comonent but inoe the !athes &dinkin oblem' (!o examle)$ you could be at hih isk to !ail the station *n summay$ in most stations you should have a ood idea about the task and a well stuctued lan o! aoach in you head at the end o! the eadin time and be!oe you walk into the oom .hee is anothe coy o! the instuctions in the oom and o!ten it is use!ul to look at them aain to make sue that you ae !ollowin the escibed tasks .hee is also a en and ae$ so lease make notes eithe !o you own lan o! oess$ e  1 $2 $ etc o H8AKC o dawins !o the atient to exlain thins 7ae 4

D10 presentation 3

Jul 23, 2017

earth block.pdf

Jul 23, 2017
We Need Your Support
Thank you for visiting our website and your interest in our free products and services. We are nonprofit website to share and download documents. To the running of this website, we need your help to support us.

Thanks to everyone for your continued support.

No, Thanks