The document provides an overview of the ACEM Fellowship Examination structure and scoring. It consists of two parts - a written exam with short answer and extended matching questions, and a clinical OSCE with multiple stations assessing different domains. Candidate performance is standard set against a pass mark, with feedback provided for unsuccessful attempts. Recent pass rates have been around 50%. The document offers examples of exam questions and feedback, as well as advice on preparation resources.
How to read ECG systematically with practice strips Khaled AlKhodari
This lecture simplifies the steps of reading ECG systematically. It starts with a simple heart anatomy and the logical steps that should be followed to perfect ECG reading without missing any abnormality. Finally, there are some practice ECG strips that include but not only MI, STEMI, Wellens syndrome, Pulmonary embolism, LVH, arrhythmias... and others
How to read ECG systematically with practice strips Khaled AlKhodari
This lecture simplifies the steps of reading ECG systematically. It starts with a simple heart anatomy and the logical steps that should be followed to perfect ECG reading without missing any abnormality. Finally, there are some practice ECG strips that include but not only MI, STEMI, Wellens syndrome, Pulmonary embolism, LVH, arrhythmias... and others
Assessment in CBME Competency Based Medical Education Dr Girish .B CISP 2 MCIDr Girish B
Assessment in CBME Competency Based Medical Education by Dr Girish .B, Associate Professor, Department of Community Medicine, Chamarajanagar Institute of Medical Sciences (CIMS), Chamarajanagar, Karnataka
National Board for Respiratory Care Test Preparation Mike Hess
Are you a respiratory care student getting ready to take your boards? Worried about what to study or how to prepare? Don't panic! Learn details of the CRT exam and both RRT exams, and get expert study tips. Also find out what to expect on test day, and inside info on the new exams coming in 2015
Smart Strategies to Leverage Patient Surveys for PMCF DATA COLLECTIONCetas Healthcare
Best Practices in PMCF Survey. Design and Execution:
Learnings from 5000 patient case forms
Introductions
• PMCF Surveys – Pros and Cons
• Learnings from 5000 patient forms collected in 2022
– Importance of Stakeholder identification
– Managing Stakeholders’ expectations
– Importance of good questionnaire design
– 7 Steps to building a good questionnaire
– How to identify the ‘right’ respondents
• Strategies to enhance HCP engagement in PMCF surveys
• Cheat Sheet 1: When do conduct PMCF Survey Studies in-house
• Cheat Sheet 2: How to identify a good PMCF Survey partner
Earning your APR (Accredited Public Relations) is a measure of professional experience in the field of public relations. The program recognizes the dedication, energy, perseverance and competence of successful public relations professionals. http://cprsvancouver.com/accreditation
Utilizing Multiple Grader Rubrics for Practical Assessment of Student Perform...ExamSoft
This session will be a recap of the workshop provided by Drs. Jimenez and Zahl at the 2015 ExamSoft Assessment Conference. Methods for utilizing ExamSoft multiple grader rubrics for practical assessment activities will be discussed. Building a multiple grader rubric and assigning graders to student groups will be demonstrated. Procedures to track and categorize student performance data will be discussed and strategies for faculty collaboration will be shared. Physical and technological logistics associated with utilizing multiple grader rubrics for practical assessments will be outlined for replication. Utilizing audience response technology and a Q&A session, participants will be actively engaged in an exchange surrounding the topics presented and how they can be applied in their academic setting.
Assessment in CBME Competency Based Medical Education Dr Girish .B CISP 2 MCIDr Girish B
Assessment in CBME Competency Based Medical Education by Dr Girish .B, Associate Professor, Department of Community Medicine, Chamarajanagar Institute of Medical Sciences (CIMS), Chamarajanagar, Karnataka
National Board for Respiratory Care Test Preparation Mike Hess
Are you a respiratory care student getting ready to take your boards? Worried about what to study or how to prepare? Don't panic! Learn details of the CRT exam and both RRT exams, and get expert study tips. Also find out what to expect on test day, and inside info on the new exams coming in 2015
Smart Strategies to Leverage Patient Surveys for PMCF DATA COLLECTIONCetas Healthcare
Best Practices in PMCF Survey. Design and Execution:
Learnings from 5000 patient case forms
Introductions
• PMCF Surveys – Pros and Cons
• Learnings from 5000 patient forms collected in 2022
– Importance of Stakeholder identification
– Managing Stakeholders’ expectations
– Importance of good questionnaire design
– 7 Steps to building a good questionnaire
– How to identify the ‘right’ respondents
• Strategies to enhance HCP engagement in PMCF surveys
• Cheat Sheet 1: When do conduct PMCF Survey Studies in-house
• Cheat Sheet 2: How to identify a good PMCF Survey partner
Earning your APR (Accredited Public Relations) is a measure of professional experience in the field of public relations. The program recognizes the dedication, energy, perseverance and competence of successful public relations professionals. http://cprsvancouver.com/accreditation
Utilizing Multiple Grader Rubrics for Practical Assessment of Student Perform...ExamSoft
This session will be a recap of the workshop provided by Drs. Jimenez and Zahl at the 2015 ExamSoft Assessment Conference. Methods for utilizing ExamSoft multiple grader rubrics for practical assessment activities will be discussed. Building a multiple grader rubric and assigning graders to student groups will be demonstrated. Procedures to track and categorize student performance data will be discussed and strategies for faculty collaboration will be shared. Physical and technological logistics associated with utilizing multiple grader rubrics for practical assessments will be outlined for replication. Utilizing audience response technology and a Q&A session, participants will be actively engaged in an exchange surrounding the topics presented and how they can be applied in their academic setting.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
2. What this talk is not….
• Comprehensive study guide
• All encompassing list of tips and tricks to
preparing for study and ACEM exams
• Detailed insider knowledge and cumulated
experience of many successful candidates
If you want all that – you need to come to SCGH
ED Fellowship Teaching sessions Thursdays 1030
3. Denial of responsibility
• I am a
– DEMT
– ACEM examiner
– FEx OSCE working party member
– Standard setting panel member
• I have signed a
– Conflict of interest declaration
4. Two distinct Fellowship Exams
Written – 2 x 3 hour papers Clinical OSCE
• 3 x 60 minutes over 3 days
– 3 x 20 minute stations 1 day
– 6 x 10 minute stations 2 days
• 3 mins reading time 7
minutes exam
• 4 mins reading 16 mins
exam
• Double stations = double
marks
• Select Choice Questions
– 120 items
– Extended matching questions
– Multiple choice questions
• Short Answer questions
– 3 equal x 60 minute booklets
– Each question contains several
sub-questions, which require
concise, short answer
responses
5. Two Become One…
• Knowledge required
• Clinical experience required
• Type of thinking required
• You will hear the phrase ”consultant level” until
a) It drives you insane
b) Understand what people mean when they say it
c) Have succumbed to the 3 strikes you’re out rule
d) Are ready for retirement
– If you discover a good definition let me know
6. Now for some practice written
exam questions
Grab a pen and paper!
9. ACEM FEx written SAQ example
A 65 year old man presents to the emergency
department with a history of palpitations.
His vital signs are:
BP 105/60 mmHg
RR 26 /min
12. Discussion on Answering
• Consultant level language
• Specific AND accurate
• No abbreviations
• Read the question
• Write your best answer
– Could it be better?
• You can and will and many people have failed
exams because of poor handwriting
13. Examples of FEEDBACK TO UNSUCCESSFUL
CANDIDATES
• Parts of the SAQ had no answer.
• A significant number of incorrect or irrelevant answers
were provided, leaving no space for the required correct
answers.
• The answer used vague or non-consultant level
terminology.
• Some of the mandatory answers were missing, meaning
the answer lacked prioritisation.
• The handwriting was illegible to the point it cost the
candidate marks.
• A response was provided or omitted which would cause
significant harm to the patient, thus the zero score rule was
applied to a sub question.
14. FEx Written results
• Exams are standard set
– Pass mark will reflect variation in difficulty
between exams
– Modified Angoff method
– Independent judgements are made of the
expected performance ‘just at standard’ candidate
for each question
• Standard setting determines cut score
• Cut score is politically correct way of saying pass mark
• “Nobody fails”
16. FEx Clinical OSCE
• Candidates assessed across multiple domains
– Curriculum framework
• Each station 2 - 4 domains
• Scenario/tasks given outside examination room
• Performance against observed and assessed by
examiner
17. OSCE exam advice
• The intent of the OSCE examination is to assess candidates
at a level consistent with a newly graduated FACEM
– Professional behaviours and interactions
– Communication, psychomotor and other relevant skills
– The application of medical expertise knowledge to various
clinical scenarios
• It is a performance based assessment
– Application of knowledge
• How it is applied matters…
• Wear consultant shoes to the exam
18. Now for a practice OSCE realtime
We are really going to do it…..
I need a volunteer!
19. 2016.1B STATION 15
MANAGEMENT OF A LIFE-THREATENING LOWER GI BLEED
CANDIDATE INSTRUCTIONS
You are working as a consultant in a tertiary Emergency Department. The ED junior registrar (first year
Advanced Trainee) seeks your advice about the management of 74 year-old Peter Smith, who presented
with a large-volume PR bleed.
Mr Smith has a background of atrial fibrillation and is on dabigatran. The registrar has completed the
initial assessment and will provide the history, examination and relevant investigations to date.
Your tasks are to:
• Establish key issues from the patient’s clinical assessment.
• Interpret available laboratory results.
• Advise the registrar on further assessment and management of Mr Smith.
You will not be required to see the patient or perform any examination.
This OSCE will assess the following domains:
• Medical Expertise
• Communication
20. 10 minutes later……..
Take a deep breath
How did that go?
Tell me what you did well…
Tell me blah blah blah
21. OSCE Scoring and Results
• Standard setting occurs
– Borderline regression method
– Uses individual candidates domain scores and
global score in the calculation
– Single pass score for exam is created
– No set number of stations required
• Feedback given to unsuccessful candidates
24. Fellowship exam Resources
- some of my favourites
• https://acem.org.au/Education-Training/Specialist-Training-Assessment-
and-Exams/Fellowship-Examination.aspx
• https://lifeinthefastlane.com/exams/acem-fellowship/
• http://acemfex.adelaideemergencyphysicians.com/
• http://www.shakem.co.nz/part2/overview
• http://www.eduacute.com.au/simulation-blog/hitchhikers-guide-to-the-
acem-fellowship-written-exam/
• https://emergencypedia.com/
• http://www.gcs16.com/
• http://www.edexam.com.au/
• There are many others
25. Final advice
• Take all advice you get (including this) with a grain
of salt
– NO ONE is an authority on how YOU will best pass the
exam
• You need to study hard and be very well prepared
– Follow a program
• For some candidates – doing a paid course might
be worthwhile
– But there is a reason these courses exist
• Its only an exam
Editor's Notes
Words and opinions are my own
Specific – clearly defined or identified
Accurate – correct in all details