Intro to 5 th Year Anna Gill Annalan Navaratnam Dimi Reissis Alex Lai
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Intro to 5th Year Anna Gill
Annalan Navaratnam
Dimi Reissis
Alex Lai
Disclaimer
Talk is by MedED and Final Years
We are NOT part of the Faculty or involved
in planning examinations
Faculty will be organising a talk closer to
exams
Aim is not to scare you, just a brief outline
Outline
5th Year structure
Firms and Exams
PACES
PACES station
Take home messages
2012-13
02-J
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01-J
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Rotation 1 Rotation 2 Rotation 3 Rotation 4 Rotation 5 Rotation 6
GUM/HIV/ID (3) &
CRITICAL CARE (2) &
RADIOLOGY (1)
O&G
GP/ONCOLOGY/
TEACHING SKILLS
EA
ST
ER
VA
CA
TIO
N
ST
UD
Y
O&G
PAEDS
GUM/HIV/ID (3) &
CRITICAL CARE (2) &
RADIOLOGY (1) ST
UD
Y
Va
ca
tio
n
ST
AR
T O
F Y
EA
R 6
(P
RO
VIS
ION
AL)
PSYCHIATRY
GP/ONCOLOGY/
TEACHING SKILLS
ST
UD
Y
ST
UD
Y
MUSCULOSKELETAL
& DERMATOLOGY
YE
AR
5 E
XA
MIN
AT
ION
S
ST
UD
Y
ST
UD
Y
PSYCHIATRY
MUSCULOSKELETAL
& DERMATOLOGY
ST
UD
Y
ST
UD
Y
PAEDS
ST
UD
Y
PSYCHIATRY
PAEDS
ST
UD
Y
RE
VIS
ION
F
PAEDS PSYCHIATRY
ST
UD
Y
ST
UD
Y
PAEDS
O&G
E
ST
UD
Y
GUM/HIV/ID (3) &
CRITICAL CARE (2) &
RADIOLOGY (1)
GUM/HIV/ID (3) &
CRITICAL CARE (2) &
RADIOLOGY (1)
CH
RIS
TM
AS
VA
CA
TIO
N
ST
UD
Y
O&G
ST
UD
Y
MUSCULOSKELETAL
& DERMATOLOGY
O&G
GP/ONCOLOGY/
TEACHING SKILLS ST
UD
Y
PSYCHIATRY
GP/ONCOLOGY/
TEACHING SKILLS
MUSCULOSKELETAL
& DERMATOLOGY ST
UD
Y
ST
UD
Y
GUM/HIV/ID (3) &
CRITICAL CARE (2) &
RADIOLOGY (1) ST
UD
Y
PSYCHIATRY
GP/ONCOLOGY/
TEACHING SKILLS
ST
UD
Y
ST
UD
Y
O&G
GUM/HIV/ID (3) &
CRITICAL CARE (2) &
RADIOLOGY (1)
A
GP/ONCOLOGY/
TEACHING SKILLS
PAEDS
MUSCULOSKELETAL
& DERMATOLOGY ST
UD
Y
B
C
D PA
TH
OL
OG
Y
ST
UD
Y
ST
UD
Y
MUSCULOSKELETAL
& DERMATOLOGY
Course Map
Examined Attachments (Year 5)
Obstetrics and Gynaecology
Paediatrics
Psychiatry
Emergency
Setting
General Practice
Setting
Exams
1. Pathology
2. Clinical Specialties Written Paper
3. PACES
1. Pathology
Pathology
Friday 21st June 2013
3 hours
35 EMQs – 175 questions in total
7 EMQ per module – evenly weighted
May seem irrelevant to firms
Pathology
Five subsections
All lectures online
1. Chem path
2. Histopath
3. Micro
4. Immunology
5. Haematology
Pathology
Some lectures are covered in the specialties i.e. Paeds haematology
2012-13
02-J
ul-12
09-J
ul-12
16-J
ul-12
23-J
ul-12
30-J
ul-12
06-A
ug-1
2
13-A
ug-1
2
20-A
ug-1
2
27-A
ug-1
2
03-S
ep-1
2
10-S
ep-1
2
17-S
ep-1
2
24-S
ep-1
2
01-O
ct-
12
08-O
ct-
12
15-O
ct-
12
22-O
ct-
12
29-O
ct-
12
05-N
ov-1
2
12-N
ov-1
2
19-N
ov-1
2
26-N
ov-1
2
03-D
ec-1
2
10-D
ec-1
2
17-D
ec-1
2
24-D
ec-1
2
31-D
ec-1
2
07-J
an-1
3
14-J
an-1
3
21-J
an-1
3
28-J
an-1
3
04-F
eb-1
3
11-F
eb-1
3
18-F
eb-1
3
25-F
eb-1
3
04-M
ar-
13
11-M
ar-
13
18-M
ar-
13
25-M
ar-
13
01-A
pr-
13
08-A
pr-
13
15-A
pr-
13
22-A
pr-
13
29-A
pr-
13
06-M
ay-1
3
13-M
ay-1
3
20-M
ay-1
3
27-M
ay-1
3
03-J
un-1
3
10-J
un-1
3
17-J
un-1
3
24-J
un-1
3
01-J
ul-13
08-J
ul-13
15-J
ul-13
22-J
ul-13
Rotation 1 Rotation 2 Rotation 3 Rotation 4 Rotation 5 Rotation 6
GUM/HIV/ID (3) &
CRITICAL CARE (2) &
RADIOLOGY (1)
O&G
GP/ONCOLOGY/
TEACHING SKILLS
EA
ST
ER
VA
CA
TIO
N
ST
UD
Y
O&G
PAEDS
GUM/HIV/ID (3) &
CRITICAL CARE (2) &
RADIOLOGY (1) ST
UD
Y
Va
ca
tio
n
ST
AR
T O
F Y
EA
R 6
(P
RO
VIS
ION
AL)
PSYCHIATRY
GP/ONCOLOGY/
TEACHING SKILLS
ST
UD
Y
ST
UD
Y
MUSCULOSKELETAL
& DERMATOLOGY
YE
AR
5 E
XA
MIN
AT
ION
S
ST
UD
Y
ST
UD
Y
PSYCHIATRY
MUSCULOSKELETAL
& DERMATOLOGY
ST
UD
Y
ST
UD
Y
PAEDS
ST
UD
Y
PSYCHIATRY
PAEDS
ST
UD
Y
RE
VIS
ION
F
PAEDS PSYCHIATRY
ST
UD
Y
ST
UD
Y
PAEDS
O&G
E
ST
UD
Y
GUM/HIV/ID (3) &
CRITICAL CARE (2) &
RADIOLOGY (1)
GUM/HIV/ID (3) &
CRITICAL CARE (2) &
RADIOLOGY (1)
CH
RIS
TM
AS
VA
CA
TIO
N
ST
UD
Y
O&G
ST
UD
Y
MUSCULOSKELETAL
& DERMATOLOGY
O&G
GP/ONCOLOGY/
TEACHING SKILLS ST
UD
Y
PSYCHIATRY
GP/ONCOLOGY/
TEACHING SKILLS
MUSCULOSKELETAL
& DERMATOLOGY ST
UD
Y
ST
UD
Y
GUM/HIV/ID (3) &
CRITICAL CARE (2) &
RADIOLOGY (1) ST
UD
Y
PSYCHIATRY
GP/ONCOLOGY/
TEACHING SKILLS
ST
UD
Y
ST
UD
Y
O&G
GUM/HIV/ID (3) &
CRITICAL CARE (2) &
RADIOLOGY (1)
A
GP/ONCOLOGY/
TEACHING SKILLS
PAEDS
MUSCULOSKELETAL
& DERMATOLOGY ST
UD
Y
B
C
D PA
TH
OL
OG
Y
ST
UD
Y
ST
UD
Y
MUSCULOSKELETAL
& DERMATOLOGY
Microbiology
Immunology
Chem Path
Histopath
Immunology
2. Specialties Written Exam
Specialties Written Exam
Thursday 27th June 2013
3 hours
2 separate papers:
◦ EMQs
◦ SBAs
O&G, Paeds, Psych and GP
3. PACES
PACES
What?
◦ 6 stations
◦ 15 minutes each
When?
◦ Over 3 days
◦ Circuits do vary between am and pm
Who?
◦ Examined by GPs and Specialists
◦ There may be external invigilators – don’t be distracted!
PACES structure
History
Examination
Investigations:
◦ Select relevant tests
◦ Interpret and explain
Management:
◦ Formulate plan with patient
◦ Counselling
Examiner questions
Example structure
History (5 mins)
Interpret investigations (2 mins)
Explain results and formulate plan (4 mins)
Discussion with Examiner (4 mins)
PACES vs OSCEs
OSCE marking
PACES marking
Based on 4 domains:
1. Clinical Skills
2. Formulation of Clinical Issues
3. Discussion of Management
4. Professionalism and Patient-Centred Approach
A B C D E
Excellent Good Pass Narrow
Fail
Outright
Fail
‘You must achieve 50% in each domain and 60% overall’ FEO
WHAT DO THE DOMAINS MEAN?
1. Clinical Skills
History Taking
◦ Focused, systematic exploration of problems
◦ ICE
Examination/Procedural Skills
◦ Competent and fluent
◦ Minimises risk to patient
◦ Hand Hygiene
2. Formulation of Clinical Issues
Accurate summary and interpretation of
clinical findings
Considers psycho-social factors
Differential Diagnosis (prioritised)
3. Discussion of Management
Requests relevant investigations
Considers patient’s concerns
Appropriate management plan
Justifies investigations and management
MDT
4. Professionalism and PCA
Communication with examiner (as a
colleague)
◦ Patient safety/dignity/comfort
◦ Legal and ethical aspects
Communication with patient
◦ Empathy (words and behaviour)
◦ Explains with everyday language (no jargon)
Case Example
Mr A. Brown has come to the GP.
Take a history for 11 minutes.
Discuss a management plan with the
examiner for 4 minutes.
Revision for PACES
PRACTICE, PRACTICE, PRACTICE
◦ PACES group, 2–4 people
◦ Presenting and Management plans
◦ Remember EXAMINATIONS (3rd Year)
Book work
◦ Examiner WILL ask you questions
Go to wards, clinics…etc
◦ COMMON THINGS ARE COMMON
Revision for Written Papers
Pathology
◦ Lectures and hand outs
◦ EMQs on blackboard
Clinical Specialties
◦ Go to Firms
◦ COMMON THINGS ARE COMMON
Recommended Text Books………
Core Reading - Psych
Crash Course: Psychiatry
Psychiatry: PRN
Core Reading – O&G
Impey: O&G
Obstetrics by TEN Teachers
Gynaecology by TEN Teachers
Core Reading - Paeds Lissaur: Illustrated Textbook of Paediatrics
Brough: Rapid Paediatrics and Child Health
Written Papers
Get Ahead!: Specialities for Finals
100 EMQs and 250 SBAs
Psychiatry
finals: EMQs
and OSCEs
Master Pass:
EMQs in
O&G
PACES
Core Clinical Cases
Clinical Cases Uncovered
UKFPO Academic Ranking
Year 3
◦ OSCE: 20%
◦ Written: 20%
Year 5
◦ Pathology: 16%
◦ Specialties Written: 22%
◦ PACES: 22%
Decile Score
(34 – 43 points)
Current Application Process
50 Points: Educational Performance Measurement (EPM)
◦ Decile Score (34 – 43 points)
◦ Additional Degress (Max 5 points)
◦ Publications, Presentations and Prizes (Max 2 points)
50 Points: Situational Judgement Test (SJT)
◦ Replaced ‘white space questions’
◦ Assesses different attributes – NOT clinical knowledge
hqp://www.isfp.org.uk/Pages/default.aspx
Take Home Messages
Attend firms
◦ No replacement!
◦ Future career?
DO NOT leave Path ‘till too late
PACES
◦ Never Forget ICE
◦ Practice, practice, practice
A message from the FEO
Approachable and can offer up certain
days if you have verifiable needs e.g. flights,
weddings etc.
Must not ignore Path!
Must take advantage of the online stuff
from Prof. Meeran and all the mocks -
there is a strong correlation between
uptake and success
MedED in 2012/13
Path revision: March / April 2013
PACES revision: April / May 2013
Specialties revision: May 2013
Thank You
Questions
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