Paediatric Regional ACEM Fellowship Exam Preparation of the Paediatric Regional ACEM Fellowship Exam ... (Neurology/ GIT/ Surgical/ Urology/ Renal/ Dermatology/ ENT ... usually the

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  • The Prince Charles Hospital Paediatric Emergency Department

    Property of the Paediatric Regional ACEM Fellowship Exam Program at TPCH

    1

    Paediatric Regional ACEM Fellowship

    Exam Preparation Program

    The Prince Charles Hospital

    Paediatric Emergency Department

    2015 Manual

  • The Prince Charles Hospital Paediatric Emergency Department

    Property of the Paediatric Regional ACEM Fellowship Exam Program at TPCH

    2

    Introduction:

    Welcome to the Paediatric Regional ACEM Fellowship Exam modules at

    The Prince Charles Hospital. These Fellowship Paediatric sessions have

    been designed to allow you to cover the Paediatric syllabus in 6 sessions

    over a period of 4 months leading toward the written component of the

    Fellowship Examination.

    The Program is overseen by our Fellowship Instructors to ensure

    candidates cover the PEM syllabus for the ACEM Exam (30%), as well as

    discussing a range of techniques for approaching the new Format SAQs

    and EMQ.

    After enrollment, candidates will be provided with a program manual

    which is divided into 6 modules. A module will be covered each

    fortnight, composed of New Format SAQs, centered around a set of

    topics from the PEM syllabus. Candidates are expected to complete the

    assigned module before attending the session.

    Candidates should endeavor to cover the recommended readings and

    work through the questions for each session to gain maximum benefit

    from the program.

    There are no course fees for the program.

    Enrolment is open to all ACEM Candidates in Queensland (or beyond)

    who are planning to sit the exam in Feb 2016 and August 2016.

    Please e-mail your name and contact details to the program coordinator.

    Good luck and best wishes in your exam preparation.

    Sincerely

    Dr Alaa Ibrahim & Dr Zaahid Pandie

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    Property of the Paediatric Regional ACEM Fellowship Exam Program at TPCH

    3

    Faculty

    Dr Zaahid Pandie FACEM FRACP PEM Director of Paediatric Emergency Medicine Department The Prince Charles Hospital Dr Kong Liew MBChB, FACEM Director of Paediatric Emergency Medicine Training Lady Cilento Children Hospital Dr Stephen Fahy MBChB, FACEM Emergency Physician The Prince Charles Hospital Dr Alaa Ibrahim MBChB FACEM MRCS Co-Director of Paediatric Emergency Medicine Training The Prince Charles Hospital Program coordinator

    E-mail : alaa_nadhim@hotmail.com

    Alaa_ibrahim@health.qld.gov.au

    Mobile: 0432072275

    Dect phone: 0731396937

    mailto:alaa_nadhim@hotmail.commailto:Alaa_ibrahim@health.qld.gov.au

  • The Prince Charles Hospital Paediatric Emergency Department

    Property of the Paediatric Regional ACEM Fellowship Exam Program at TPCH

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    MODULES

    Use the table below to guide your study to cover the PEM syllabus. Read through the

    appropriate textbook chapters and work through the questions (to time) before attending

    each session.

    Module 1 Tuesday 13/10/2015 1800-2130 (Critical Care/ Airway/ Sedation/ Neonatal Emergency) Module 2 Tuesday 27/10/2015 1800-2130 (Respiratory, Cardiology, Infectious disease) Module 3 TBA 1800-2130 (Trauma / Orthopaedics/ Neurosurgical/ Retrievals) Module 4 TBA 1800-2130 (Neurology/ GIT/ Surgical/ Urology/ Renal/ Dermatology/ ENT) Module 5 TBA 1800-2130 (Endocrine/ Metabolic/ Haematology/ Gynaecology/ Eye) Module 6 TBA 1800-2130 (Toxicology/ Administration/ Psychiatry / Revision)

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    Disclaimer and Warning:

    ACEM has recently changed the format of the Fellowship exam

    and with the limited information available, our faculty have

    interpreted the ACEM College instructions to produce new

    format SAQ questions.

    All reasonable care has been taken to provide questions of an

    exam quality and standard. The faculty cannot guarantee success

    in the ACEM exam and can not be held liable for candidates not

    passing the ACEM Fellowship exam.

    Attending our course does not guarantee success in the ACEM

    Fellowship examination. Success or failure depends on the

    candidates preparation and abilities.

    We recommend using these modules in combination with your

    base hospital fellowship-teaching program.

    Read through the appropriate textbook chapters recommended

    by the college.

    Good luck in your exam preparation

    Program Faculty

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    The ACEM Paediatric Emergency Medicine Curriculum

    Expert level of practice topics are in BOLD and UNDERLINED, high level of practice topics

    are in BOLD and general topics are just listed. The expert and high level of practice topics are

    usually the ones tested in SAQ and EMQ.

    RESUSCITATION

    Airway

    Airway Management

    Life Support

    Shock (SVM)

    Age-specific differences

    ANAESTHETICS

    General Anaesthetic Techniques

    Local Anaesthetic Techniques

    Pain Management

    Procedural Analgesia and Sedation

    (SVM)

    Cardiovascular

    ECGs / CXRs

    Valvular disorders

    Disorders of the myocardium

    Atrial septal defect

    Ventricular septal defect

    Dextrocardia

    Disorders of the pericardium

    Acute pericarditis

    Constrictive pericarditis

    Pericardial effusion

    Pericardial tamponade

    Disturbances of cardiac rhythm

    Bradycardias

    Tachycardias

    Narrow complex regular

    Narrow complex irregular

    Wide complex regular

    Wide complex irregular

    Torsade des pointes

    Ventricular fibrillation

    Accessory pathways

    Wolff-Parkinson-White syndrome

    International guidelines for the

    management of Arrhythmias

    Endocarditis

    Tumours

    Congential heart disease

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    Cyanotic heart disease

    Rheumatic fever

    Respiratory

    Upper airway obstruction

    Croup

    Bronchiolitis

    Pneumonia / CXR

    Empyema

    Acute lung injury/respiratory distress

    syndrome

    Asthma

    Haemoptysis

    Cavitating lung lesions

    Isolated coin lesions on chest x-ray

    Congenital/neonatal

    Bronchopulmonary dysplasia

    Cystic fibrosis

    Gastrointestinal

    Gastroesophageal reflux

    Tracheo-oesophageal fistula

    Inflammatory bowel disease

    Gastroenteritis

    Hepatic disorders

    Jaundice

    Interpretation of liver function tests

    Hepatic failure

    Hepatitis

    Neurological

    Disorders of the cranial nerves

    Facial nerve paralysis

    Headache and facial pain

    Indications for imaging (CT, MRI)

    Migraine

    Raised intracranial pressure

    Thrombotic CVA

    Altered mental state

    Coma

    Approach to ataxia and gait disturbances

    Seizures

    The floppy infant

    Status epilepticus

    Dystonic reactions

    Lumbar puncture

    Interpretation of CSF fluid biochemistry,

    cell count and microbiology

    Infectious disorders of the CNS and PNS

    Meningitis /Encephalitis

    Abscess

    Tuberculosis

    Toxoplasmosis

    Cryptococcal infection

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    HIV

    Guillain-Barr syndrome

    Multiple sclerosis

    Botulism

    Diphtheria

    Tetanus

    Myopathy

    Periodic paralysis

    Hydrocephalus

    Complications of the central nervous

    system devices (V)

    Disorders of the spinal cord

    Endocrine

    Hypoglycaemia

    Diabetic ketoacidosis

    Adrenal disorders

    Acute adrenal insufficiency (adrenal

    crisis)

    Congenital adrenal insufficiency

    Cushings disease

    Conns syndrome

    Phaeochromocytoma

    Thyroid disorders thyroid storm

    Pituitary disorders

    Panhypopituitarism

    Haematological

    Interpretation of haematological

    investigations

    Anaemia

    Abnormal haemoglobins

    Disorders of haemostasis and

    coagulation

    Neutropenia

    Thrombocytopenia

    Disorders of white cells

    Oncology

    Acute spinal cord compression

    Complications related to

    myelosuppression

    Febrile neutropenia

    Immunosuppression and opportunistic

    infections

    Thrombocytopaenia and haemorrhage

    Renal

    Interpretation of urine d