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MRCP PACES.pptx
- 1. MRCP PACES DR. MONA ELSEHEMY SHINY MOON
- 4. Part I :Testing the theory and basic knowledge
- 5. Part 2: testing data interpretation abilities
- 6. NOW TO PACES ; FILL THE GAP BETWEEN THEORY AND PRACTICE
- 8. What does PACES stand for?? PRACTICAL ASSESMENT OF CLINICAL EXAMINATION SKILLS
- 15. 8 MAIN DOMAINS to commit the oath…..
- 17. Physical examination Identifying physical signs Clinical communication Differential diagnosis Clinical judgment Managing patient concern Managing patient welfare
- 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
- 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
- 36. S OST
- 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
- 47. SO …THIS WHAT SHALL YOU DO !!!
- 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
- 50. FINALY