Intro to 5th Year Anna Gill

Annalan Navaratnam

Dimi Reissis

Alex Lai

Disclaimer

Talk is by MedED and Final Years

We are NOT part of the Faculty or involved

in planning examinations

Faculty will be organising a talk closer to

exams

Aim is not to scare you, just a brief outline

Outline

5th Year structure

Firms and Exams

PACES

PACES station

Take home messages

2012-13

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Rotation 1 Rotation 2 Rotation 3 Rotation 4 Rotation 5 Rotation 6

GUM/HIV/ID (3) &

CRITICAL CARE (2) &

RADIOLOGY (1)

O&G

GP/ONCOLOGY/

TEACHING SKILLS

EA

ST

ER

VA

CA

TIO

N

ST

UD

Y

O&G

PAEDS

GUM/HIV/ID (3) &

CRITICAL CARE (2) &

RADIOLOGY (1) ST

UD

Y

Va

ca

tio

n

ST

AR

T O

F Y

EA

R 6

(P

RO

VIS

ION

AL)

PSYCHIATRY

GP/ONCOLOGY/

TEACHING SKILLS

ST

UD

Y

ST

UD

Y

MUSCULOSKELETAL

& DERMATOLOGY

YE

AR

5 E

XA

MIN

AT

ION

S

ST

UD

Y

ST

UD

Y

PSYCHIATRY

MUSCULOSKELETAL

& DERMATOLOGY

ST

UD

Y

ST

UD

Y

PAEDS

ST

UD

Y

PSYCHIATRY

PAEDS

ST

UD

Y

RE

VIS

ION

F

PAEDS PSYCHIATRY

ST

UD

Y

ST

UD

Y

PAEDS

O&G

E

ST

UD

Y

GUM/HIV/ID (3) &

CRITICAL CARE (2) &

RADIOLOGY (1)

GUM/HIV/ID (3) &

CRITICAL CARE (2) &

RADIOLOGY (1)

CH

RIS

TM

AS

VA

CA

TIO

N

ST

UD

Y

O&G

ST

UD

Y

MUSCULOSKELETAL

& DERMATOLOGY

O&G

GP/ONCOLOGY/

TEACHING SKILLS ST

UD

Y

PSYCHIATRY

GP/ONCOLOGY/

TEACHING SKILLS

MUSCULOSKELETAL

& DERMATOLOGY ST

UD

Y

ST

UD

Y

GUM/HIV/ID (3) &

CRITICAL CARE (2) &

RADIOLOGY (1) ST

UD

Y

PSYCHIATRY

GP/ONCOLOGY/

TEACHING SKILLS

ST

UD

Y

ST

UD

Y

O&G

GUM/HIV/ID (3) &

CRITICAL CARE (2) &

RADIOLOGY (1)

A

GP/ONCOLOGY/

TEACHING SKILLS

PAEDS

MUSCULOSKELETAL

& DERMATOLOGY ST

UD

Y

B

C

D PA

TH

OL

OG

Y

ST

UD

Y

ST

UD

Y

MUSCULOSKELETAL

& DERMATOLOGY

Course Map

Examined Attachments (Year 5)

Obstetrics and Gynaecology

Paediatrics

Psychiatry

Emergency

Setting

General Practice

Setting

Exams

1. Pathology

2. Clinical Specialties Written Paper

3. PACES

1. Pathology

Pathology

Friday 21st June 2013

3 hours

35 EMQs – 175 questions in total

7 EMQ per module – evenly weighted

May seem irrelevant to firms

Pathology

Five subsections

All lectures online

1. Chem path

2. Histopath

3. Micro

4. Immunology

5. Haematology

Pathology

Some lectures are covered in the specialties i.e. Paeds haematology

2012-13

02-J

ul-12

09-J

ul-12

16-J

ul-12

23-J

ul-12

30-J

ul-12

06-A

ug-1

2

13-A

ug-1

2

20-A

ug-1

2

27-A

ug-1

2

03-S

ep-1

2

10-S

ep-1

2

17-S

ep-1

2

24-S

ep-1

2

01-O

ct-

12

08-O

ct-

12

15-O

ct-

12

22-O

ct-

12

29-O

ct-

12

05-N

ov-1

2

12-N

ov-1

2

19-N

ov-1

2

26-N

ov-1

2

03-D

ec-1

2

10-D

ec-1

2

17-D

ec-1

2

24-D

ec-1

2

31-D

ec-1

2

07-J

an-1

3

14-J

an-1

3

21-J

an-1

3

28-J

an-1

3

04-F

eb-1

3

11-F

eb-1

3

18-F

eb-1

3

25-F

eb-1

3

04-M

ar-

13

11-M

ar-

13

18-M

ar-

13

25-M

ar-

13

01-A

pr-

13

08-A

pr-

13

15-A

pr-

13

22-A

pr-

13

29-A

pr-

13

06-M

ay-1

3

13-M

ay-1

3

20-M

ay-1

3

27-M

ay-1

3

03-J

un-1

3

10-J

un-1

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17-J

un-1

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24-J

un-1

3

01-J

ul-13

08-J

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ul-13

Rotation 1 Rotation 2 Rotation 3 Rotation 4 Rotation 5 Rotation 6

GUM/HIV/ID (3) &

CRITICAL CARE (2) &

RADIOLOGY (1)

O&G

GP/ONCOLOGY/

TEACHING SKILLS

EA

ST

ER

VA

CA

TIO

N

ST

UD

Y

O&G

PAEDS

GUM/HIV/ID (3) &

CRITICAL CARE (2) &

RADIOLOGY (1) ST

UD

Y

Va

ca

tio

n

ST

AR

T O

F Y

EA

R 6

(P

RO

VIS

ION

AL)

PSYCHIATRY

GP/ONCOLOGY/

TEACHING SKILLS

ST

UD

Y

ST

UD

Y

MUSCULOSKELETAL

& DERMATOLOGY

YE

AR

5 E

XA

MIN

AT

ION

S

ST

UD

Y

ST

UD

Y

PSYCHIATRY

MUSCULOSKELETAL

& DERMATOLOGY

ST

UD

Y

ST

UD

Y

PAEDS

ST

UD

Y

PSYCHIATRY

PAEDS

ST

UD

Y

RE

VIS

ION

F

PAEDS PSYCHIATRY

ST

UD

Y

ST

UD

Y

PAEDS

O&G

E

ST

UD

Y

GUM/HIV/ID (3) &

CRITICAL CARE (2) &

RADIOLOGY (1)

GUM/HIV/ID (3) &

CRITICAL CARE (2) &

RADIOLOGY (1)

CH

RIS

TM

AS

VA

CA

TIO

N

ST

UD

Y

O&G

ST

UD

Y

MUSCULOSKELETAL

& DERMATOLOGY

O&G

GP/ONCOLOGY/

TEACHING SKILLS ST

UD

Y

PSYCHIATRY

GP/ONCOLOGY/

TEACHING SKILLS

MUSCULOSKELETAL

& DERMATOLOGY ST

UD

Y

ST

UD

Y

GUM/HIV/ID (3) &

CRITICAL CARE (2) &

RADIOLOGY (1) ST

UD

Y

PSYCHIATRY

GP/ONCOLOGY/

TEACHING SKILLS

ST

UD

Y

ST

UD

Y

O&G

GUM/HIV/ID (3) &

CRITICAL CARE (2) &

RADIOLOGY (1)

A

GP/ONCOLOGY/

TEACHING SKILLS

PAEDS

MUSCULOSKELETAL

& DERMATOLOGY ST

UD

Y

B

C

D PA

TH

OL

OG

Y

ST

UD

Y

ST

UD

Y

MUSCULOSKELETAL

& DERMATOLOGY

Microbiology

Immunology

Chem Path

Histopath

Immunology

2. Specialties Written Exam

Specialties Written Exam

Thursday 27th June 2013

3 hours

2 separate papers:

◦ EMQs

◦ SBAs

O&G, Paeds, Psych and GP

3. PACES

PACES

What?

◦ 6 stations

◦ 15 minutes each

When?

◦ Over 3 days

◦ Circuits do vary between am and pm

Who?

◦ Examined by GPs and Specialists

◦ There may be external invigilators – don’t be distracted!

PACES structure

History

Examination

Investigations:

◦ Select relevant tests

◦ Interpret and explain

Management:

◦ Formulate plan with patient

◦ Counselling

Examiner questions

Example structure

History (5 mins)

Interpret investigations (2 mins)

Explain results and formulate plan (4 mins)

Discussion with Examiner (4 mins)

PACES vs OSCEs

OSCE marking

PACES marking

Based on 4 domains:

1. Clinical Skills

2. Formulation of Clinical Issues

3. Discussion of Management

4. Professionalism and Patient-Centred Approach

A B C D E

Excellent Good Pass Narrow

Fail

Outright

Fail

‘You must achieve 50% in each domain and 60% overall’ FEO

WHAT DO THE DOMAINS MEAN?

1. Clinical Skills

History Taking

◦ Focused, systematic exploration of problems

◦ ICE

Examination/Procedural Skills

◦ Competent and fluent

◦ Minimises risk to patient

◦ Hand Hygiene

2. Formulation of Clinical Issues

Accurate summary and interpretation of

clinical findings

Considers psycho-social factors

Differential Diagnosis (prioritised)

3. Discussion of Management

Requests relevant investigations

Considers patient’s concerns

Appropriate management plan

Justifies investigations and management

MDT

4. Professionalism and PCA

Communication with examiner (as a

colleague)

◦ Patient safety/dignity/comfort

◦ Legal and ethical aspects

Communication with patient

◦ Empathy (words and behaviour)

◦ Explains with everyday language (no jargon)

Case Example

Mr A. Brown has come to the GP.

Take a history for 11 minutes.

Discuss a management plan with the

examiner for 4 minutes.

Revision for PACES

PRACTICE, PRACTICE, PRACTICE

◦ PACES group, 2–4 people

◦ Presenting and Management plans

◦ Remember EXAMINATIONS (3rd Year)

Book work

◦ Examiner WILL ask you questions

Go to wards, clinics…etc

◦ COMMON THINGS ARE COMMON

Revision for Written Papers

Pathology

◦ Lectures and hand outs

◦ EMQs on blackboard

Clinical Specialties

◦ Go to Firms

◦ COMMON THINGS ARE COMMON

Recommended Text Books………

Core Reading - Psych

Crash Course: Psychiatry

Psychiatry: PRN

Core Reading – O&G

Impey: O&G

Obstetrics by TEN Teachers

Gynaecology by TEN Teachers

Core Reading - Paeds Lissaur: Illustrated Textbook of Paediatrics

Brough: Rapid Paediatrics and Child Health

Written Papers

Get Ahead!: Specialities for Finals

100 EMQs and 250 SBAs

Psychiatry

finals: EMQs

and OSCEs

Master Pass:

EMQs in

O&G

PACES

Core Clinical Cases

Clinical Cases Uncovered

UKFPO Academic Ranking

Year 3

◦ OSCE: 20%

◦ Written: 20%

Year 5

◦ Pathology: 16%

◦ Specialties Written: 22%

◦ PACES: 22%

Decile Score

(34 – 43 points)

Current Application Process

50 Points: Educational Performance Measurement (EPM)

◦ Decile Score (34 – 43 points)

◦ Additional Degress (Max 5 points)

◦ Publications, Presentations and Prizes (Max 2 points)

50 Points: Situational Judgement Test (SJT)

◦ Replaced ‘white space questions’

◦ Assesses different attributes – NOT clinical knowledge

hqp://www.isfp.org.uk/Pages/default.aspx

Take Home Messages

Attend firms

◦ No replacement!

◦ Future career?

DO NOT leave Path ‘till too late

PACES

◦ Never Forget ICE

◦ Practice, practice, practice

A message from the FEO

Approachable and can offer up certain

days if you have verifiable needs e.g. flights,

weddings etc.

Must not ignore Path!

Must take advantage of the online stuff

from Prof. Meeran and all the mocks -

there is a strong correlation between

uptake and success

MedED in 2012/13

Path revision: March / April 2013

PACES revision: April / May 2013

Specialties revision: May 2013

Thank You

Questions