28. FIVE STATIONS AND 8 ENCOUNTERS
Station encounter examiners
1 Respiratory
Abdominal
A+B
2 History taking C+D
3 Cardiovascular
neurology
E+F
4 Communication skills G+H
5 Brief clinical consultation 1
Brief clinical consultation 2
I+J
29. Ten examiners independently asses you during the exam
each complete a mark sheet
All 16 mark sheets are completed independently without examiners conferring
UNLESS they feel a candidate unduly rough with a patient
Seven skills assessed in the examination and you are awarded separate marks for
between four and seven of these skills at each encounter…
Your performance in each skill will be evaluated by the end of your exam
Your mark for each skill will be the total mark awarded by all the examiners assessing
that skill
Your mark for each encounter will be the total of the marks awarded by the two
examiners at that encounter
30. skill Pass mark
A Physical examination 14
B Identifying physical signs 14
C Clinical communication 10
D Differential diagnosis 16
E Clinical judgment 18
F Managing patient concern 10
G Managing patient welfare 28
Total Test Score All encounters and skills 130
31. Candidate may fail in the following
way
Not achieve the pass mark on one or more skills OR
Doesn’t achieve overall minimal score
In addition any candidates who receives:
A mark of 28 for skill G “maintaining patient welfare”
Three or more recommendations for counselling from separate examiners for
any reasons
32. IS IT DIFFICULT OR UNFAIR EXAM??
two different examiners at each station
Non of the examiners asks in the area of his specialty
There is mark sheet that all examiners commit to it and they are committed to 4 questions
unless you draw them away
Non of the examiners know the case previously they do calibration of the case just before you
do and discuss the marking criteria taking into consideration the difficulty of the case
Each examiner conduct your assessment totally independently, don’t consult each other and
therefore not aware of the mark awarded to you by the co-examiner at that station or
examiners at other stations
The use of paired independent assessment in each station raises the reliability of assessment
and assure fairness
You are the one who deicide the date of your examination, you enter the exam mostly
prepared with more then 99% of the cases that may come
You know the questions
33.
34. 1. take every single opportunity on every single patient to revise for PACES
..good cases are in front of you in the clinic/ on the take/ in casualty and in
outpatients … TIME NEEDED around 6 MONTHS OF PRACTICE
Make a presentation scheme and do present to a colleague, senior, or
even in front of mirror
𝑝𝑟𝑎𝑐𝑡𝑖𝑐𝑒 𝑜𝑢𝑡 𝑙𝑜𝑢𝑑
35. Many books
Oxford Specialty Training “OST”
Pocket book for paces
Ryder
Baliga 250 cases
Cases for paces
Tim Hall
Your first MRCP book
………………………………MANY MANY MANY OTHERS
39. MANY …AND THE BENEFITS ARE:
MINIMIZE THE EFFORT
FOCUS ON THE IMPORTANT TOPICS
REFRESH YOUR CLINICAL SKILLS
TRAIN YOU ON NEW SKILLS LIKE OPHTHALMOSCOPY AND
NEUROLOGICAL EXAMINATION
EVALUATE YOUR PERFORMANCE AND DETECT DEFECTS TO BE
MANAGED
TRAIN ON TIME MANAGEMENT AND HOW TO ANSWER THE
QUESTIONS AND BE TARGTED
40. HOW MANY COURSES DO I NEED??
TAKE THE IDEA … REFRESH YOUR
SKILLS THEN PRACTICE WITH
STUDY PARTNER OR SENIOR OR IN
YOUR OWN WORK TILL THE EXAM
THEN IF NEED MAKE FINAL
REVISION
41. PASTEST VIDIOS
IMPORTANT … MANY ARE GOOD BUT DON’T
TAKE THEM AS GRANTED
NEVER ENOUGH ALONE
PRACTICE IS YOUR SUCCESS KEY
42. WHAT ARE THE SECRET OF SUCCESS
IN EACH STATION?
IN CLINICAL STATIONS 1…3…& 5
KEEP YOURSELF CALM AND CONFIDENT AND DRESS PROPERLY AND KEEP YOUR SMILE ON
THE EXAM DAY
DON’T OVERESTIMATE AND DON’T UNDERESTIMATE PACES
Perfect technique… do it with your subconscious “practice even on normal persons”
Ability to correctly identify the physical signs…. BE HONEST …NEVER INVENT SIGNS
“inventing signs means dishonesty and this = failure
TRAINING… TRAINING …AND TRAINING ….THE GOLDEN ROLE IS PRACTICE MAKES
PERFECTION
BE PROFESSIONAL , CONSIDERATE, RESPECT THE PATIENT DIGNITY AND WELFARE
BE ORGANIZED, SYSTEMATIC AND FLUENT
ASK ABOUT CONCERN IN STATION 5 AND PROPERLY ADRESS
43. IN TALK STATIONS ..2, 4 AND 5
PRACTICE …PRACTICE AND PRACTICE AGAIN
IN STATION 2 “HISTORY”
BE ORGANIZED AND SYSTEMATIC
PUT GOOD DIFFERENTIAL DIAGNOSIS
FOLLOW THE ITEMS OF THE HISTORY IN ORDER AND DON’T MISS ANY “may be the clue”
CONSIDER COVERING SOCIAL, PSYCHOLOGICAL AND FINANCIAL ASPECTS “REMEMBER; you are
treating a human being who has disease not the disease only” ALWAYS ASK ABOUT THE IMPACT
KEEP YOURSELF CONFORTABLE AND REACT PROPERLY “KEEP PRACTICING THE ART OF MEDICINE”
ASK ABOUT THE CONCERN AND PROPERLY ADRESS “IMAGINE YOUR PATIENT IS A RELATIVE OF YOURS
AND SEE IF YOUR ANSWER IS SATISFACTORY TO HIM OR NOT” .. BE HONEST…CHEARFUL BUT NEVER
GIVE FALCE HOPES
REACHING DIAGNOSIS IS NOT THE GOAL BUT THE MOST IMPORTANT TO HAVE A DIFFERENTIAL
DIAGNOSIS ARRANGED IN ORDER OF MOST PROBALE AND MOST SERIOUS FROM YOUR PATIENT
STORY AND FORMULATE ADEQUATE PLAN OF MANAGEMENT
DON’T FORGET SUMMANRY AND PLAN OF MANAGEMENT
44. IN COMMUNICATION STATION
READ THE SCENARIO CAREFULLY AND ASK YOUR SELF 3 MAIN QUESTIONS:
WHAT IS THE MEDICAL ISSUE IN THIS SCENARIO
WHAT IS THE ETHICAL ISSUE
AND WHAT IS THE LEGAL ISSUE
SCENARIOS ARE REPEATED AND THE EXAMINERS ARE WAITING YOU TO COVER THIS ITEMS …
45. STATION 5
THE MOST AMUSING GAME IN PACES AND ACTUALLY THE MOST CHALLENGING AND
EDUCATING ONE IN PACES
YOU SHOULD TRAIN YOUR EYES TO BE GOOD OBSERVER AND YOUR MIND TO TACKLE THE
IMPORTANT ITEM
BE SYSTEMATIC AGAIN AND FOLLOW THE SCHEME AND BE TARGTED IN YOUR EXAMINATION
IT IS A MENTAL GAME AND THE ONLY STATION THAT TEST ALL THE SEVEN SKILLS
THE ONLY WAY TO PASS IT SAFELY IS TO PRACTICE MUCH … INSPIRE PACES
CONCERN AND IMPACT ARE CRUCIAL AGAIN
DON’T PANIC IF YOU DON’T REACH A DIAGNOSIS ….THE EXAMIER HIMSELF MAY NOT KNOW IT
…THE MOST IMPORTANT IS YOUR APPROACH
48. WHERE SHALL I TAKE MY EXAM
Seats limited don’t delay your preparation
UK if you have good language
Don’t wait fro acceptance to start preparation and make it your practice
even if not accepted
No good and bad center BUT well and bad preparation of the candidates
Those who are afraid from sea never learn how to swim
49. It is completely DO-ABLE exam
IT IS HOW YOU DO ON THE DAY
DON’T THINK YOU ARE NOT PREPARED ENOUGH… YOU WILL
NEVER BE
BE CONFIDENT AND COMPLETELY FOCUSED DURING THE EXAM
DO IN EVERY SINGLE STATION THE BEST OF YOUR ABILITY AS
YOU MAY END UP PASSING BY ONE POINT SO YOU NEED
EVERYTHING
