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Tips and tricks for getting through the second part

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Second part exam preparation

Published in: Health & Medicine
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Tips and tricks for getting through the second part

  1. 1. THE CICM FELLOWSHIP EXAM “The Second Part”
  2. 2. Outline: 1. Understanding the process 2. When to sit 3. How to prepare 4. Written tips 5. Clinical tips 6. On the day tips
  3. 3. The Process
  4. 4. From the Candidate’s Perspective ❖ Eligibility ❖ Decide on date ❖ Application paperwork (need 4 Hot Cases) ❖ Payment by closing date ($$$) Written Written2 M
  5. 5. From the Examiner’s Perspective https://www.cicm.org.au/Newsletters/Trainee-Newsletter/Newsletter/Q-A-with-Mary- Pinder,-Second-Part-Examination
  6. 6. What we receive ❖ Representative ❖ Well Standardised ❖ Competence based assessment
  7. 7. The grass is not greener elsewhere ❖ Resuscitation simulation - ACEM ❖ Minutiae of RACP ❖ Physics of ANZCA
  8. 8. When and how to sit
  9. 9. Job Family LeaveLife Paid Exam Fee
  10. 10. Life EXAM Family Kids Sport/Exercise Social/Friends WORK TIME
  11. 11. Life EXAM Family Kids WORK TIME
  12. 12. Life EXAM Family Kids Sport/Exercise Social/Friends WORK TIME Non Clinical Portfolio
  13. 13. Eliminate the unnecessary
  14. 14. Location and Job ❖ Does this really look like an ICU
  15. 15. Study Group
  16. 16. Consultants ❖ Ensure on board ❖ Pick the right people initially ❖ Then variety ❖ Finish with confidence
  17. 17. Resources
  18. 18. Resources
  19. 19. Courses ❖ Melbourne Clinical Exam Course ❖ Wellington Course ❖ Adelaide ‘Tubs’ Course ❖ Canberra Course ❖ Brisbane Course ❖ Sydney Course 1 Early 1 Late
  20. 20. Remembering & Recording OR Recording Presentations for the Hot Case
  21. 21. Spaced Repetition ❖ Evidence based ❖ Tools available ❖ Vivas & SAQs https://lifeinthefastlane.com/learning-by-spaced-repetition/
  22. 22. The Written
  23. 23. The Curriculum 1. The previous questions 2. The CICM competencies statement 3. Overview in short texts & online examination notes - LITFL CCC, Deranged Physiology
  24. 24. Timetable ❖ Ensure content is mostly covered ❖ Satisfaction at getting through core knowledge ❖ SMART goal setting
  25. 25. Where the money is ❖ Quantitative Breakdown - % on each topic ❖ Bang for buck - Communication, EBM, Radiology, Statistics, Trials, Airway, Ventilation, CRRT, mechanical support. ❖ Hot Topics - Controversial topics in ICU, In the literature this and last year ❖ Adapt to personal weaknesses
  26. 26. The Written - SAQs ❖ Do most of the past questions. ❖ To time ….. really?……from the start? ❖ Reflect and rewrite SAQ’s ❖ Compare ❖ Multi-source feedback ❖ 1-3 months to time
  27. 27. Timing 15 * 9.5 = 142.5 min Exam = 150 min = 7.5 min remaining 9’30”
  28. 28. Answer the question “Candidates are advised to read the questions carefully and thoroughly and ensure they answer the question as asked and address all parts of each question. Candidates are reminded to make sure their writing is legible and to avoid using non- standard abbreviations.
  29. 29. Practice Written Exam
  30. 30. The Clinical
  31. 31. Training for the Clinical ❖ Just another day ……. ❖ Incorporate into daily clinical practice ❖ Regular hot cases ❖ Examine like a physician trainee ❖ Round like a consultant
  32. 32. The Hot Case End of Bed Room Infusions Monitors Ventilator Other Equipment Specific Examination to answer the question Chart and trends Investigations and discussion
  33. 33. The Presentation 1. Answer the question 2. Outline examination findings and explain how they correlate to your conclusions 3. Make it obvious you know what the big issues are, what is interesting, and what the questions will likely be. 4. Be flexible in presentation style 5. Deal with uncertainty 6. Speak like a consultant
  34. 34. The “Structure” Dilemma Reasonable Effort Paralysed by structure Improving but still uncomfortable Inflexibility - this isn't working - abandon Residual structure effect Improved & Flexible Performance
  35. 35. Vivas ❖ Hard to train/write/get committed examiners ❖ No Excuse for Radiology, Procedures, Communication, Resuscitation, algorithms and airway skills ❖ Write your own informed by SAQ, College Reports ❖ Tips: ❖ Verbal efficiency - get your list out with the minimum of words ❖ Back to back
  36. 36. On the day ❖ Rest ❖ Positive visualisation ❖ Feed off successful questions ❖ Note you body language ❖ “Fake it till you make it” - Amy Cuddy
  37. 37. The End

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