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Pre-Exam Orientation for Candidates taking the Certification Examination in Family Medicine
 

Pre-Exam Orientation for Candidates taking the Certification Examination in Family Medicine

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    Pre-Exam Orientation for Candidates taking the Certification Examination in Family Medicine Pre-Exam Orientation for Candidates taking the Certification Examination in Family Medicine Presentation Transcript

    • The OSCE Format of the Clinical Skills Component of the Certification Examination in Family Medicine: Pre-Exam Orientation for Candidates
    • The Certification Examination in Family Medicine The Certification Examination in Family Medicine is comprised of two components: a written examination and a 12-station clinical skills examination. • The clinical skills examination is comprised of eight 10-minute objective structured clinical examinations (OSCEs) and four simulated office orals (SOOs) each 15 minutes in length. • OSCEs take place on Saturday and SOOs on Sunday. Certification Examination in Family Medicine, OSCE portion
    • Introduction Meet Dr. Campbell and Dr. Fournier. They will be taking the OSCE portion of the clinical skills component of the Certification Examination in Family Medicine today. Let’s follow them as they go through the OSCE. Certification Examination in Family Medicine, OSCE portion
    • What to bring The list of items to bring to the OSCE is included in the Candidate Information Sheet that will be sent to you by mail prior to the examination. Items to bring to the exam Items to leave at home Entrance card Your lunch Lab coat Pencils/paper Reflex hammer Electronic devices Stethoscope Large bags or purses Certification Examination in Family Medicine, OSCE portion
    • Coat check A coat check will be provided at the site to store your personal items during the examination and sequestering period. However, as storage space will be limited, we ask that you please leave all large bags and handbags at home. Certification Examination in Family Medicine, OSCE portion
    • Candidate registration Dr. Fournier has arrived at the examination site. Once he has registered, exam staff will hand him an ID badge, a pencil and a notebook before directing him to the orientation room. Certification Examination in Family Medicine, OSCE portion
    • Candidate orientation During the candidate orientation on examination day, the facilitator will give a brief presentation and answer your questions. Certification Examination in Family Medicine, OSCE portion
    • Candidate notebook In her notebook, Dr. Campbell will find bar code labels and blank pages. I can use my notebook throughout the examination for reference and note taking. The notebook will not be graded. I won’t tear out any pages because I have to hand in my notebook INTACT at the end of each examination day. This includes the label backing sheet. Each notebook contains a few extra labels. If I lose one or two, I don’t need to worry. Certification Examination in Family Medicine, OSCE portion
    • Overview of the OSCE The Saturday session of the examination is comprised of ten 10minute stations: • eight patientencounter stations (in blue); • two rest stations (in yellow). 10 01 02 09 03 08 04 07 Certification Examination in Family Medicine, OSCE portion 06 05
    • Start station My start station will be written on the Candidate Information Sheet I will have received in the mail and on my ID badge. I will start at this station number and will then go through the remaining stations in numeric order. 10 01 02 Certification Examination in Family Medicine, OSCE portion 03 08 Exam staff will be there to guide me and answer my questions during the examination. 09 04 07 06 05
    • Timing of OSCE stations 10-minute stations • You will have two minutes to read the candidate instructions posted by the door before the buzzer sounds, prompting you to enter the room. • You will then have ten minutes in the room. – A warning buzzer will sound at nine minutes. – A second buzzer will signal the end of the station. At this point, you will have to leave the room. • You will then get two minutes to read the instructions for the next station, and so on. Certification Examination in Family Medicine, OSCE portion
    • Candidate instructions Before entering the room, I will read my instructions carefully in order to determine what my task is for the station. The instructions will also be available in the room. In any given station, you may be asked to do one or more of the following tasks: – Perform a physical examination – Obtain a history – Manage an acute patient problem – Respond to a patient’s concerns – Counsel the patient and/or a colleague Certification Examination in Family Medicine, OSCE portion
    • Candidate instructions Sample Joseph Trans, 40 years old, presents himself to your office with a 2-hour history of abdominal pain. IN THE NEXT 10 MINUTES: • CONDUCT A FOCUSED AND RELEVANT PHYSICAL EXAMINATION. As you proceed, EXPLAIN TO THE EXAMINER what you are doing and DESCRIBE ANY FINDINGS. GIVE 1 LABEL TO THE EXAMINER. My task here is to conduct a physical examination. Therefore, I won’t ask history questions to the patient. I’ll treat the standardized patient as a real patient because I will only get credit for tasks I complete satisfactorily. More sample stations are available. Certification Examination in Family Medicine, OSCE portion
    • Bar code labels As I walk into the room, I hand one bar code label to the examiner. Certification Examination in Family Medicine, OSCE portion
    • Oral questions In some stations, the examiner will ask me one to three brief questions after the warning buzzer. In these stations, I will not be able to continue interacting with the patient after the warning buzzer, even after I have finished answering the examiner’s question(s). (If there are no oral questions for a station, I will have the full 10 minutes to interact with the patient.) The oral questions are related to the patient I just saw and are about matters like diagnoses, management decisions, or ethical or legal issues. The candidate instructions will clearly state whether there are oral questions for a station. Certification Examination in Family Medicine, OSCE portion
    • Medical equipment If a station requires the use of medical equipment other than a stethoscope and a reflex hammer, it will be provided in the room. Certification Examination in Family Medicine, OSCE portion
    • Patient management stations During the examination, you might be asked to manage a patient problem. In these stations, a standardized health professional, such as a nurse, might be present in the room. I will direct the nurse to order any tests or perform any procedures I believe are appropriate for this patient. I may be evaluated on my interaction with the nurse. If a standardized health professional is present in the room, the candidate instructions will clearly state so. Certification Examination in Family Medicine, OSCE portion Download a video clip of a candidate in this type of station
    • Physician examiners • Examiners observe and assess your performance with pre-set score sheets. • A second observer may be present to observe protocols and to ensure exam quality. • In physical examination stations: • • Tell the examiner what you are doing and briefly describe your findings. You must demonstrate your clinical skills. You will only get credit for tasks completed to the examiner’s staisfaction. Certification Examination in Family Medicine, OSCE portion
    • Examiner interventions Examiners may intervene: • By asking you to reread the instructions. • To protect the standardized patient. • To stop you from doing genital or rectal examinations. – If such examinations are needed, clearly inform the examiner that you would perform them. • By reporting findings if they are available. If no findings are reported to you, please trust the findings from your examination of the standardized patient. Certification Examination in Family Medicine, OSCE portion Download a video example of an examiner intervening
    • Standardized patients (SPs) SPs are trained to simulate patients’ signs and symptoms in a reliable and consistent manner. Treat them as you would treat actual patients and accept their simulated findings as real. You may be scored on the way you interact with them. Certification Examination in Family Medicine, OSCE portion
    • Rest stations • Rest stations may be included in the examination for each session. • During these stations, there are no patients, no questions and no evaluations. • Please sit quietly. You can take this time to rest before your next station. I might sit through a few rest stations during the examination. Certification Examination in Family Medicine, OSCE portion
    • Sequestering For security reasons, candidates may be required to remain on site for up to three hours before or after the examination session. • You will not have access to your personal belonging or telephones during this time. Any breach of the rules or lack of co-operation on my part could invalidate my examination results and prevent access to my future examinations. Certification Examination in Family Medicine, OSCE portion
    • Sign out Before leaving after each exam day, follow the instructions of the exam staff: • Hand in your notebook (leave all pages intact, including the backing sheet from your bar code labels and any unused labels); • Hand in your ID badge; • Sign out on the sheet. Certification Examination in Family Medicine, OSCE portion
    • Confidentiality reminder During the application process, we agreed to use examination materials solely for the purpose of completing the examination and to not disseminate or reveal to others the examination materials or content. That means you CANNOT discuss or disclose exam content (including patient portrayals and findings, oral questions, etc.) at ANY TIME, in ANY WAY even after the examination is over. Examples of this include comparing patient responses with your colleagues, sharing content with future exam candidates, and posting case information online. Any breach in confidentiality of exam materials may lead to disciplinary and legal measures, including invalidating your results and preventing you from participating in future examinations. Certification Examination in Family Medicine, OSCE portion
    • What do I do if… I have to go to the bathroom? You can use the washrooms: • Before you start the examination • While in sequestering If you have an urgent need at other times, please inform exam staff. Certification Examination in Family Medicine, OSCE portion
    • What do I do if… I lose my notebook and/or my bar code labels? I feel ill? I don’t know where to go? Consult the exam staff as soon as possible. The staff members are there to help you and are aware of the protocols to follow. It is imperative that you remain calm and co-operative. Certification Examination in Family Medicine, OSCE portion
    • Helpful tips Candidate instructions • Read your instructions carefully. • Complete the specified task(s). Joseph Trans, 40 years old, presents himself to your office with a 2-hour history of abdominal pain. IN THE NEXT 10 MINUTES: •CONDUCT A FOCUSED AND RELEVANT PHYSICAL EXAMINATION. As you proceed, EXPLAIN TO THE EXAMINER what you are doing and DESCRIBE ANY FINDINGS. GIVE 1 LABEL TO THE EXAMINER. Certification Examination in Family Medicine, OSCE portion
    • Helpful tips Inside the station • Demonstrate your clinical skills. You will not get credit for simply SAYING you would do something (with the exception of genital and rectal examinations). • You will only receive credit for tasks completed satisfactorily. • Treat the SPs as you would treat real patients. Certification Examination in Family Medicine, OSCE portion
    • Useful links The College of Family Physicians of Canada www.cfpc.ca The new Certification Examination in Family Medicine http://cfpc.ca/2013_CCFP/ Certification Examination in Family Medicine, OSCE portion
    • Questions? Please take the time to review the information in this presentation and on the cfpc.ca website. If you have any questions on examination day, you can ask the facilitator during your Candidate Orientation. And remember, exam staff will be available throughout the day to answer your questions and guide you to your stations. Certification Examination in Family Medicine, OSCE portion For other enquiries prior to or following the examination, please contact the CFPC.
    • Examination results When meeting all other requirements of both organizations, candidates who pass this examination will be granted Certification in Family Medicine from the CFPC (CCFP) and the Licentiate of the Medical Council of Canada (LMCC). Certification Examination in Family Medicine, OSCE portion
    • Certification Examination results • You may access your Certification Examination in family medicine results online approximately eight weeks after the examination. • You will receive email notification when the results are available. • You will also receive formal notification of your results by mail. Certification Examination in Family Medicine, OSCE portion
    • Licentiate of the Medical Council of Canada • Approximately eight to nine weeks after the examination, you will receive an email notification stating that you can verify your pass/fail result through your physiciansapply.ca account. • If you have passed the examination, the MCC will also send out a package by mail with your Licentiate documents. Certification Examination in Family Medicine, OSCE portion