7. CLINICAL EXIT EXAM
• Specialty based
• Covers fundamentals - but –
• Clinical scenario is more important
• .i.e. ‘’patient centered approach ! ’’
EXAM PREP ONCO LERNERS
2016
8. At Study plan stage
• - studying ‘’a’’ clinical scenario
• While studying ‘’a’’ tumor
• Remember :
• Always take a bigger broader picture
• Narrate ‘’FULL’’ plan – not in piecemeal
• Leave rare ones, e.g. >5% occurring
issues
EXAM PREP ONCO LERNERS
2016
9. At Study plan stage
• - studying ‘’a’’ clinical scenario
• While studying ‘’a’’ tumor
• Remember :
• Always take a bigger broader picture
• Narrate ‘’FULL’’ plan – not in piecemeal
• Leave rare ones,e.g. >5% occurring issues
EXAM PREP ONCO LERNERS
2016
13. Clinical scenario
• This is a 42 years old lady with a skin
lesion at her right cheek , refusing surgery,
biopsy is sq cell ca.
• o/e findings are……………..
EXAM PREP ONCO LERNERS
2016
14. Clinical scenario
• This is a 42 years old lady with a skin
lesion at her right cheek , refusing surgery,
biopsy is sq cell ca.
• o/e 1x1 cm lesion, raised, rolled edges,
irregular, no palpable nodes in face and
neck
• How will you treat this patient
EXAM PREP ONCO LERNERS
2016
15. Clinical scenario
• This is a 42 years old lady with a skin
lesion at her right cheek , refusing surgery,
biopsy is sq cell ca.
• o/e 1x1 cm lesion, raised, rolled edges,
irregular, no palpable nodes in face and
neck
• How will you treat this patient
EXAM PREP ONCO LERNERS
2016
17. How Will YOU treat THIS
Patient
• This is a Simple Question asked in Exam.
• There can be more than ‘’ONE’’ way of
treating a Patient
• Examiner is ‘’NOT’’ asking that How many
Options are written in the Reference Book
• Remember in Short Case we have only
7.5 MINUTES / Even Less in Viva
EXAM PREP ONCO LERNERS
2016
19. …avoid..options !!!
One clinical scenario =
One management plan *
*= except in Long Case where Examiner
can change the Scenario ( remember new
scenario = new Plan of Treatment )
Refer to : page 05 Orange Book
EXAM PREP ONCO LERNERS
2016
20. Avoid ‘’Ifs’’ & ‘Buts’
……be straight
Focused
To the point – avoid mentioning
various options !!!!
EXAM PREP ONCO LERNERS
2016
21. …imp tip…
• [may not be relevant for all examinees]
• Keep a pen and rough papers in pocket to
write down imp, points, esp. in long
case,,but can be used in viva as well
EXAM PREP ONCO LERNERS
2016
22. ..name of the game is…..
Practice,,practice,,practice
MOCKS !
EXAM PREP ONCO LERNERS
2016
23. What is self assessment ?
EXAM PREP ONCO LERNERS
2016
24. ANSWER IN A FLOW
e.g. RT / CHEMO plan
-practice
EXAM PREP ONCO LERNERS
2016
25. Now !!
Common Issues which come
across Candidates during
Exams
EXAM PREP ONCO LERNERS
2016
26. What shall I do ‘’if’’ I have not
seen certain treatment during
my training period ?
EXAM PREP ONCO LERNERS
2016
27. • Ideally this should not happen – see the
list
• All strategies have to be covered
• But still if ‘’not’’ seen and done
• E.g. HDR, CT Sim, Brachy,Lkma
Chemo,etc,etc,etc,,
EXAM PREP ONCO LERNERS
2016
28. • Say truthfully to the Examiner that uptill
now in my Career I have not used
_____(eg Interstitial Brachy ) in any
patient…
• --------BUT--------
• I know the Indications, procedure and
complications of this kind of treatment..
EXAM PREP ONCO LERNERS
2016
30. RT
• Any Technique of your own choice – but
it’s Important to know all 2 D
• NEATLY DRAWN DIAGRAMS
• FIELDS – BOTH ENTRY & EXIT
• OAR ( MENTION WITH OUT PROMPT )
EXAM PREP ONCO LERNERS
2016
31. CHEMO
• MAIN REGIMENS ONLY
• BUT SHOULD HAVE KNOWLEDGE OF
SECOND/THIRD LINES of Common
Tumos
• NEW AGENTS !!!! ***
EXAM PREP ONCO LERNERS
2016
33. ,,some tips…
• Try to understand structuring
• Mock with ‘’time watch ‘’
• 20 questions = stemna required
• 10 per paper
• Clinical scenario = data given
• Descriptive question
• Short notes
EXAM PREP ONCO LERNERS
2016
34. Written paper
• Read at least 3 times before answering
• Use bullet points
• Avoiding long sentences
• Time – per question
• Attempt all
• What can go wrong
EXAM PREP ONCO LERNERS
2016
36. Distinct ‘’2’’ parts
• ?? Lets take a tour !!
• Over simplified example = 20 x 3 = 60
• C a n v a r y
• 1st part = with patient no Q/A
• 2nd part = Viva re; this patients
• 3rd part = closing discussion on this patient
and opening new scenarios ‘generally’’
re; same tumor.
EXAM PREP ONCO LERNERS
2016
37. LONG CASE
• Time = 60 minutes
• Distribution of time
• Understanding the structuring
• And keeping stemna
• Time vs number
• 3 portions !!! ( c a n v a r y ! ! )
EXAM PREP ONCO LERNERS
2016
39. Short case.. Imp. points
• Time distribution
• 1.5 minutes = history + exam (or Exam
only)
• 7.5 minutes
• description
• Treatment Option ??? Is the Question
• Be vigilant ; mocks ++++, one plan
• no options ( as time is too short )
EXAM PREP ONCO LERNERS
2016
41. Table Viva
• Specific case
• General discussion
• To start with ::::>>> Main skill required =
radiology ( very very obvious)
-- Go Thru Image Library
EXAM PREP ONCO LERNERS
2016
48. Don’t be Paranoid !
99.9% Candidates Fail because of
their ‘’OWN’’ Wrong Answers…
Not Always because of :-
-Lack of Knowledge
-but exam technique issues
EXAM PREP ONCO LERNERS
2016
49. Exam Day
• Long Stemna required
• Breathing Exercises
• No one knows all 100% Answers
• You can easily transform the weaknesses
of this ‘’easy’’ professional Exam for your
benefit
• And Plan the Day properly
EXAM PREP ONCO LERNERS
2016
54. There is ‘’NO’’ point in Blaming
Exam System –OR—
Examiners
After extensive Counseling Sessions and
Feedback Reviews we came to know that
Cause of Failure is always the Examinees
Lack of Correct Answering of Qs
EXAM PREP ONCO LERNERS
2016
55. So, if we can address it !!
We will NOT have any
problems
As a Life long Learner, we will be
studying forever,,Exam is only a
Milestone mark….
EXAM PREP ONCO LERNERS
2016
56. • PRIORITY LIST FOR SETTING UP
• SELF LEARNING STUDY PLAN
• 5 – phased revision plan,,,,,,,to cover all
important areas,,,,,,,,,
EXAM PREP ONCO LERNERS
2016
