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2014 NAC candidate orientation presentation


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2014 NAC candidate orientation presentation

  1. 1. CANDIDATE ORIENTATION © NAC / MCC Orientation 2014
  2. 2. [ NAC Examination ]  The National Assessment Collaboration (NAC) Examination assesses the competence of candidates; specifically the knowledge, skills and attitudes essential for entrance into postgraduate training in Canada.  The NAC examination may include problems in: □ Medicine □ Pediatrics □ Psychiatry □ Surgery □ Obstetrics and Gynecology □ Preventive Medicine and Community Health
  3. 3. [ Confidentiality ] Upon registration for this exam, you signed a document attesting you would NOT disseminate or reveal to others any content of the examination. This means you CANNOT discuss or disclose exam content with others at any time, in any way, even after the exam is over. Examples of this include comparing patient responses with your colleagues, sharing exam content with future exam candidates, and posting case information or exam questions 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.
  4. 4. [ Duration ]  The examination duration is about three hours  Plan to be at the examination site for a minimum of six and a half to seven hours  No external contact will be permitted during the examination and sequestering period  No conversations about the examination will be permitted  Candidates will not be dismissed until the time specified on the information sheet
  5. 5. [Items to bring ]  Reflex hammer  Stethoscope  White lab coat without a university or hospital crest Items that are NOT permitted:      Cell phones, pagers, media players, laptops Electronic devices for internet access, reference or recording purposes Pens, pencils, pen lights Paper, books, notebooks Bags, briefcases, wallets, keys
  6. 6. [ Candidate notebook ]  Do not open your notebook until the examination begins  Inside, you will find a sheet of bar code ID labels and some blank pages for your use during the examination  Never rip out any pages; your notebook must be returned intact at the end of the examination
  7. 7. [ Introduction to the OSCE  What is an OSCE? (Objective Structured Clinical Examination)    ] A form of performance-based testing used to measure candidates’ clinical competence During an OSCE, candidates are observed and evaluated as they go through a series of stations in which they interview, examine and treat standardized patients (SPs) who present various types of medical problems The NAC OSCE consists of 12 clinical stations of 11 minutes each
  8. 8. [ Candidate instructions ]  At each clinical station, there is a written statement (Candidate instructions) that:  Introduces a clinical problem  Directs the candidate to appropriately interact with a standardized patient (SP)  Specifies the task, such as obtaining a focused history, conducting a focused physical examination, and/or addressing the patient’s concerns  Indicates whether there are examiner oral questions at the eight-minute signal
  9. 9. [ Important reminders ]  Your badge has a station number that indicates your start station  Candidate instructions are posted outside each station  READ everything carefully  Pay attention to the statement which explains your task  A copy of the instructions will be available inside the room for your reference
  10. 10. [ Physician examiners, SPs and labels  Hand one bar code label to the examiner as you walk into the room (instructions on the door)  Examiners observe and assess your performance with preset rating sheets  Standardized patients (SPs) are trained to simulate patients’ signs and symptoms in a reliable and consistent manner  Treat them as you would real patients ]
  11. 11. [ Physical examinations ]  You will be expected to use the hand sanitizer that will be available in every physical examination station. You may be prompted by the examiner.  Be sure to drape the standardized patients (SPs) appropriately  Carry out any maneuvers necessary for assessing the presenting problem  Examiners only give credit for tasks completed satisfactorily
  12. 12. [ Physical examinations ]  Examiners may intervene by:  Asking you to reread the instructions  The intent is to remind you to refocus on the task and to save you time  Stopping genital, rectal, vaginal, breast or other invasive examinations  If such examinations are appropriate, all you need to do is clearly inform the examiner  Help the examiner score by:   Telling the examiner what you are doing (e.g., inspection) Describing any findings  Include findings that are normal
  13. 13. [ Signals ]  The eight-minute warning signal will indicate:  EITHER that your time with the patient is over and the physician examiner will begin to ask you questions,  OR if there are no examiner questions (as indicated on the candidate instructions), that you still have three minutes remaining with the patient  A signal also indicates the beginning and the end of each station  After each final signal, you will have two minutes to move to the next station and read your instructions
  14. 14. [ Examiner oral questions at eight minutes ]  Physician examiner oral questions may follow the warning signal. They:  are related to the patient you just saw  ask about matters like diagnosis, management decisions, and/or your response to an ethical issue  Candidate instructions on station doors will indicate whether there are oral questions at the eight-minute signal  If there are no oral questions, you will have the full 11 minutes with the patient
  15. 15. [ Signing out ]  Before leaving, you must follow the sign-out procedure.  When it is your turn, hand in your:    candidate notebook (all pages intact) ID badge unused bar code labels including the backing sheet  Sign out on the sheet Congratulations! At this point, the examination is over!
  16. 16. [ Sequestering ]  Candidates may be required to remain on site before or after the examination for security reasons  The length of time depends on the time zone  There is no access to personal belongings or telephones during this time  No conversations about the examination will be permitted Remember: Any breach of examination content or lack of cooperation could invalidate and/or prevent access to future Medical Council of Canada examinations.
  17. 17. [Final review of important points ]  Read your instructions carefully  Complete the specified task  Demonstrate your clinical skills  You receive credit for tasks completed satisfactorily  Treat the SPs as real patients  DO NOT leave without signing out  DO NOT divulge or disseminate any examination content, even after the examination is over
  18. 18. [ Focus on the examination ] Your group leader and the support staff are there to answer your questions and guide you from station to station Try to relax and stay focused on the examination The purpose of the examination is to provide a fair and accurate assessment of your clinical skills
  19. 19. [ And finally,breaks bathroom ] Before the examination begins After the examination is over Urgent need: notify staff
  20. 20. [ RESULTS ]  Results will be made available to you in your account, six to eight weeks after the exam date  Through your online account, you will be able to:  View your results documents  Share them with other organizations