Welcome to the    Candidate Orientation              for the Medical Council of CanadaQualifying Examination Part II.
Introduction    Meet Dr. Campbell and Dr. Fournier. They will be    taking the Medical Council of Canada Qualifying    Exa...
Purpose of the examination    The MCCQE Part II is a clinical skills assessment    comprised of a series of patient-based ...
What to bring    The list of items to bring to the exam is included in the    Candidate Information Sheet that will be sen...
Coat check    A coat check will be provided at the site to store your    personal items during the examination and    sequ...
Candidate registration    Dr. Fournier has arrived at the examination site. Once    he has registered, support staff will ...
Candidate orientation    During the candidate orientation on examination    day, the facilitator will give a brief present...
Candidate notebook    In her notebook, Dr. Campbell will find bar code labels,    blank pages, and a list of Common exampl...
Examples of what are considered ONEanswer for written questionsLABORATORY TESTING•   Amylase OR lipase (ordering either is...
Overview of the examinationSaturday    The Saturday session of the examination is comprised    of 10 patient-encounter sta...
Overview of the examinationSunday    The Sunday session of the examination is comprised    of 10 five-minute stations. Sta...
Start station                   My start station will be written on the                    Candidate Information Sheet I w...
Timing of stationsSaturday (10-minute stations)            • You will have two minutes to read the              candidate ...
Timing of stationsSunday (five-minute stations)            • You will have 1 ½ minutes to read the              instructio...
Candidate instructions                                        In any given station, you may                               ...
Candidate instructionsSample    Joseph Trans, 40 years old, presents himself to your office with a    2-hour history of ab...
Bar code labels                             As I walk into the room, I hand one or two bar                             cod...
Oral questions                  In some stations, the examiner will ask me one to three brief questions                  a...
Medical equipment    If a station requires the use of medical equipment other    than a stethoscope and a reflex hammer, i...
Patient management stations    During the examination, you might be asked to    manage a patient problem.    In these stat...
Physician examiners• Examiners observe and assess your performance with  pre-set score sheets.• A second observer may be p...
Examiner interventions    Examiners may intervene:    • By asking you to reread the instructions.    • To protect the stan...
Standardized patients (SPs)    SPs are trained to simulate patients’ signs and    symptoms in a reliable and consistent ma...
Written stations    Sunday of the examination is comprised of 10 stations    of five minutes each, alternating between pat...
Write-in PEPSample formMCCQE Part II Candidate Orientation
Write-in PEP          I must write legibly if I want to get credit                      for my answers.           When lin...
Writing tasks           In the PEP, may be asked to complete patient-           associated tasks such as writing admission...
Extended match (PEP)                           I will read the questions carefully                           before answer...
Rest stations    • Rest stations may be included in the examination for      each session.    • During these stations, the...
Sequestering    For security reasons, candidates may be required to    remain on site before or after the examination sess...
Sign out    Before leaving after each exam day, follow the site    staff’s instructions:    • Hand in your notebook (leave...
Confidentiality reminder    During the application process, we agreed to use examination    materials solely for the purpo...
What do I do if…I have to go to the bathroom?You can use the washrooms:• Before you start the examination• While in seques...
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 site staff as...
Helpful tipsCandidate instructions    • Read your instructions carefully.    • Complete the specified task(s).            ...
Helpful tipsInside the station    • Demonstrate your clinical skills. You will not get credit      for simply SAYING you w...
Helpful tipsPost-encounter probe (PEP)    • When the number of      answers is specified in a      written question, do no...
Useful links           Medical Council of Canada           mcc.ca           Objectives for the Qualifying Examination     ...
Questions?                                      And remember, site staff will be available                                ...
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MCCQE Part II: Candidate orientation

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Candidate orientation for the Medical Council of Canada Qualifying Examination Part II

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MCCQE Part II: Candidate orientation

  1. 1. Welcome to the Candidate Orientation for the Medical Council of CanadaQualifying Examination Part II.
  2. 2. Introduction Meet Dr. Campbell and Dr. Fournier. They will be taking the Medical Council of Canada Qualifying Examination (MCCQE) Part II today. Let’s follow them as they go through the examination process.MCCQE Part II Candidate Orientation
  3. 3. Purpose of the examination The MCCQE Part II is a clinical skills assessment comprised of a series of patient-based encounters. The purpose of this examination is to make a fair and accurate assessment of your clinical skills.MCCQE Part II Candidate Orientation
  4. 4. What to bring The list of items to bring to the exam 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 Reflex hammer Your lunch Lab coat Pencil Entrance card Electronic devices StethoscopeMCCQE Part II Candidate Orientation
  5. 5. 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.MCCQE Part II Candidate Orientation
  6. 6. Candidate registration Dr. Fournier has arrived at the examination site. Once he has registered, support staff will hand him an ID badge, a pencil and a notebook before directing him to the orientation room.MCCQE Part II Candidate Orientation
  7. 7. Candidate orientation During the candidate orientation on examination day, the facilitator will give a brief presentation and answer your questions.MCCQE Part II Candidate Orientation
  8. 8. Candidate notebook In her notebook, Dr. Campbell will find bar code labels, blank pages, and a list of Common examples of what is considered ONE answer for written questions (next slide). 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.MCCQE Part II Candidate Orientation
  9. 9. Examples of what are considered ONEanswer for written questionsLABORATORY TESTING• Amylase OR lipase (ordering either is considered the same as ordering both)• CBC (includes platelets, Hb, WBC, MCV, HCT, Diff)• Coagulation studies (includes PR, INR, PTT) This list will be printed inside my candidate• Electrolytes (includes Na+, K+, CL-, CHO3-,/Total CO2) notebook — I will have• Renal Function (includes creatinine, BUN) access to it during the• Urine Analysis (includes routine and microscopic analyses) examination.• Urine culture and sensitivity (accepted as one answer)• Cardiac Enzymes (includes CK-MB, Troponin T, LDH, CK)• Lipid profile (includes total cholesterol, triglycerides, HDL, LDL)• Serum calcium (means total and ionized)• Lumbar puncture (includes CSF, gram stain, culture and sensitivity, glucose, protein)DIAGNOSTIC IMAGING• Abdominal Ultrasound • CT pelvis• Pelvic Ultrasound • Upper GI series (includes esophagus, stomach, duodenum)• CT abdomenNOTE: Ensure your answers include all the tests and investigations you deemnecessary. IMPORTANT: You are not limited to theMCCQE Part II Candidate Orientation tests and investigations on this list.
  10. 10. Overview of the examinationSaturday The Saturday session of the examination is comprised of 10 patient-encounter stations. Each station is 10 minutes in length. Some of these stations may be rest stations.MCCQE Part II Candidate Orientation
  11. 11. Overview of the examinationSunday The Sunday session of the examination is comprised of 10 five-minute stations. Stations alternate between patient-encounter stations (in blue) and written stations (in red). Some of these stations may be rest stations.MCCQE Part II Candidate Orientation
  12. 12. Start station My start station will be written on the Candidate Information Sheet I will receive in the mail and on my ID badge. On each day of the exam, I will start at the same station number. I will then go through the remaining stations in numeric order. I don’t have to remember all these details. Exam staff will be there to guide me and answer my questions during the examination.MCCQE Part II Candidate Orientation
  13. 13. Timing of stationsSaturday (10-minute stations) • You will have two minutes to read the candidate instructions posted by the door before the buzzer sounds to prompt you to enter the room. • You will then have 10 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.MCCQE Part II Candidate Orientation
  14. 14. Timing of stationsSunday (five-minute stations) • You will have 1 ½ minutes to read the instructions posted by the door before the buzzer sounds to prompt you to enter the room. • You will then have five minutes in the room. – A warning buzzer will sound at 4 ½ 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 1 ½ minutes to read the instructions for the next station, and so on.MCCQE Part II Candidate Orientation
  15. 15. Candidate instructions In any given station, you may be asked to do one or more of Before entering the room, I will read my the following tasks: instructions carefully in order to determine – Perform a physical what my task is for examination each station. The instructions will – Obtain a history also be available in – Manage an acute patient the room. problem – Respond to a patient’s concernsMCCQE Part II Candidate Orientation
  16. 16. Candidate instructionsSample 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.MCCQE Part II Candidate Orientation
  17. 17. Bar code labels As I walk into the room, I hand one or two bar code labels to the examiner. The instructions outside the door will remind me of how many labels to give (one in the 10-minute stations and two in the five-minute stations)MCCQE Part II Candidate Orientation
  18. 18. 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). The oral questions are related to the patient I just saw and are about matters like diagnosis, management decisions, or ethical or legal issues. The candidate instructions will clearly state if there are oral questions for a station.MCCQE Part II Candidate Orientation
  19. 19. 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.MCCQE Part II Candidate Orientation
  20. 20. 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. Download a I may be evaluated on my interaction with the nurse. video clip of a candidate in this If a standardized health professional is present in the room, the candidate type of station instructions will clearly state so.MCCQE Part II Candidate Orientation
  21. 21. 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 satisfactorily.MCCQE Part II Candidate Orientation
  22. 22. 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 Download a perform them. video example of an examiner • By reporting findings if they intervening are available.MCCQE Part II Candidate Orientation
  23. 23. 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 being real. You may be scored on the way you interact with them.MCCQE Part II Candidate Orientation
  24. 24. Written stations Sunday of the examination is comprised of 10 stations of five minutes each, alternating between patient- encounter stations and written stations. • Before you exit the five-minute encounter station, the examiner will hand you the post-encounter probe (PEP) sheet. • There are two types of PEPs: – Write-in – Extended match • Wait until the start buzzer before beginning to write.MCCQE Part II Candidate Orientation
  25. 25. Write-in PEPSample formMCCQE Part II Candidate Orientation
  26. 26. Write-in PEP I must write legibly if I want to get credit for my answers. When lines are numbered in the PEP sheet, only the first answer will count. If the lines are NOT numbered, the number of answers is not limited.MCCQE Part II Candidate Orientation
  27. 27. Writing tasks In the PEP, may be asked to complete patient- associated tasks such as writing admission orders, a prescription, or a SOAP note. For these questions, I am expected to fill out the provided mark sheet or prescription form as completely as I would in a hospital/clinic or when filling in a prescription pad. For prescription-writing questions only, a copy of the Compendium of Pharmaceuticals and Specialties (CPS) will be available in the room.MCCQE Part II Candidate Orientation
  28. 28. Extended match (PEP) I will read the questions carefully before answering them. If I fill in more answers than specified in the question, my score for that question will be zero.MCCQE Part II Candidate Orientation
  29. 29. 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.MCCQE Part II Candidate Orientation
  30. 30. Sequestering For security reasons, candidates may be required to remain on site before or after the examination session on each examination day. • Access to personal belonging or telephones will not be allowed 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.MCCQE Part II Candidate Orientation
  31. 31. Sign out Before leaving after each exam day, follow the site staff’s instructions: • 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.MCCQE Part II Candidate Orientation
  32. 32. Confidentiality reminder During the application process, we agreed to use examination materials solely for the purpose of completing the examination and not to disseminate or reveal to others the examination materials or content. That means we CANNOT divulge station content, patient portrayals and findings, oral questions, PEP questions, etc., at ANY TIME even after the examination is over.MCCQE Part II Candidate Orientation
  33. 33. What do I do if…I have to go to the bathroom?You can use the washrooms:• Before you start the examination• While in sequesteringIf you have an urgent need at othertimes, please inform site staff.MCCQE Part II Candidate Orientation
  34. 34. 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 site staff as soon as possible.They are there to help you and are aware ofthe protocols to follow.It is imperative that you remain calm andco-operative.MCCQE Part II Candidate Orientation
  35. 35. Helpful tipsCandidate 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 5 MINUTES: •CONDUCT A FOCUSED AND RELEVANT PHYSICAL EXAMINATION. As you proceed, EXPLAIN TO THE EXAMINER what you are doing and DESCRIBE ANY FINDINGS. At the next station, you will be asked to answer questions about this patient. GIVE 2 LABELS TO THE EXAMINER.MCCQE Part II Candidate Orientation
  36. 36. Helpful tipsInside 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.MCCQE Part II Candidate Orientation
  37. 37. Helpful tipsPost-encounter probe (PEP) • When the number of answers is specified in a written question, do not select / write more answers than what has been asked. • Write legibly.MCCQE Part II Candidate Orientation
  38. 38. Useful links Medical Council of Canada mcc.ca Objectives for the Qualifying Examination mcc.ca/en/exams/objectives Qualifying Examination Part II mcc.ca/en/exams/qe2 MCCQE Part II interaction rating scales mcc.ca/pdf/Rating-Scale_E.pdfMCCQE Part II Candidate Orientation
  39. 39. Questions? And remember, site staff will be available throughout the day to answer your Please take the time to questions and guide you to your stations. review the information in this presentation and on the mcc.ca website. If you have any questions on examination day, you can ask the facilitator during your Candidate Orientation.MCCQE Part II Candidate Orientation

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