Transcript AKT - Guildford VTS

nMRCGP
• AKT
• CSA
• WBPA
AKT
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APPLIED KNOWLEDGE TEST
3X/YEAR-DATES ON RCGP WEBSITE
DVLA CENTRES USED FOR TESTING
BOOK ONLINE AND EARLY FOR
CHOICE OF VENUES AND DATES
• PREPARATORY COURSES RUN BY
DEANERY
• RCGP BOOKSHOP HAS MULTIPLE
REVISION GUIDES
• BEST SAT AFTER 6MONTHS
QUESTION FORMAT
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EXTENDED MATCHING QUESTIONS
SINGLE BEST ANSWER
MULTIPLE BEST ANSWER
PICTURE FORMAT
TABLE/ALOGORITHM COMPLETION
DATA INTERPRETATION
SEMINAL TRIALS
200 QUESTIONS IN 3 HOURS
QUESTION AREAS
• CLINICAL MEDICINE-80%
• CRITICAL APPRAISAL-10%
• HEALTH INFORMATION AND
ADMINISTRATION-10%
HOW TO PREPARE
(SUGGESTED READING)
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NICE GUIDELINES
EGUIDLINES
TWO WEEK REFERAL RULES
BNF
DRUG AND THERAPEUTICS BULLETIN
KEY BMJ AND RCGP ARTICLES
GP NOTEBOOK
OXFORD HANDBOOK OF GP
CRITICAL READING FOR MRCGP. E Stacey and Y Toum
HOW TO READ A PAPER. T Greenhalgh
PRACTICE QUESTIONS
PUNS AND DENS IN GP
TRAINER REGISTRAR GROUP
CLINICAL UPDATES THURSDAY LUNCHTIME
VTS WEBSITE
HOW TO PREPARE
(other topics to consider)
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Notifiable disease
Vaccination schedules
PMS/ GMS/ PCT/LMC
Death certification
Complaints
Sick notes
Fitness to drive
Acts; e.g. data protection, children’s.
Employment law and Health and safety
Mental health act
HOW TO PREPARE
• Read comments on RCGP website and
look at questions badly answered in last
exam
• www.passmedicine.com
• AKT Revision website
• RCGP-Npep
• Pearson vue website
• Examination.com
CSA
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CLINICAL SKILLS ASSESSMENT
3X/YEAR-DATES ON RCGP WEBSITE
EXAMINATION CENTRE IN CROYDON
PREPARATORY COURSES RUN BY
DEANERY
• RCGP BOOKSHOP HAS MULTIPLE
REVISION GUIDES
• BEST SAT AFTER 6MONTHS
AREAS EXAMINED
• 12 (13) CONSULTATIONS IN SINGLE
CONSULTING ROOM
• 10 MINUTES EACH
• DATA GATHERING, TECHNICAL AND
EXAMINATION SKILLS
• CLINICAL MANAGEMENT SKILLS
• INTERPERSONAL SKILLS
• WEIGHTING MAY BE DIFFERENT FOR
DIFFERENT CASES
LIKELY SCENARIOS
• ANYTHING THAT MIGHT BE ENCOUNTERED
IN GP
• BREAKING BAD NEWS
• CULTURAL ISSUES
• AN ANGRY PATIENT
• A DISABLED PATIENT
• HIDDEN AGENDAS
• THIRD PARTIES
• EXPERT PATIENTS
• PSYCHOSOCIAL PROBLEMS
• DATA INTERPRETATION-ECG,RESULTS ETC
• HOME VISIT, TELEPHONE TRIAGE
EXAM PREPARATION
• DEVELOP PATIENT CENTRED CONSULTING
SKILLS
• ROLE PLAY SCENARIOS AND
CONSULTATIONS WITH PATIENT DOCTOR
AND EXAMINER.BE TOUGH MARKING
EACH OTHER!
• USE COT IN WBPA FOR CONSULTATION
SKILLS
• CBD AND SHARED CASES MAY FORM
DISCUSSION AROUND ISSUES THAT MIGHT
BE COVERED
• READ ABOUT CONSULTATION MODELS
• PRACTICE CLINICAL EXAMINATION SKILLS
• TAKE OWN EQUIPMENT
MARKING(DG & M + S THROUGHOUT)
• DATA GATHERING-HISTORY AND
EXAMINATION
• MANAGEMENT-EXPLANATION,OPTION
SHARING,PRESCRIBING,SAFETY
NETTING AND FOLLOW UP.CHECKING
UNDERSTANDING.
• SKILLS –ACTIVE LISTENING,
EMPATHY,CONNECTING, OPEN
QUESTIONS,CHUNKING AND
CHECKING,SIGN POSTING,
SUMMARISE ETC
REGISTRAR TIPS
• DEVELOP A STRUCTURE THAT IS
ROBUST UNDER PRESSURE
• KEEP AN EYE ON THE TIME
• USE ALL INFORMATION GIVEN TO
YOU
• IF YOU DONT KNOW SAY SO
• DONT USE LEAFLETS AS
ALTERNATIVE TO EXPLANATION
• EXPLAIN ALL ACTIONS AND ASK
PERMISSON
REGISTRAR TIPS
• DON’T SPOT CASES.DEAL WITH WHAT
COMES UP IN FRONT OF YOU
• EXAMINE AS IN FINALS BUT ADAPT
TO CONSULTATION
• PATIENTS WILL HELP YOU IF YOU
ARE EMPATHETIC AND INTERESTED
• BE EXPLICIT WITH FOLLOW UP
• FAILURE TO SHARE PLAN AND
CLARIFY PATIENTS UNDERSTANDING
TWO BIGGEST ERRORS
CSA CONSULTATION MODEL
• OPEN FRIENDLY INTRODUCTION
• PATIENTS AGENDA. I.C.E. ENSURE CLARIFY
UNDERSTANDING
• DOCTORS AGENDA. DIAGNOSIS AND RED FLAGS.
• PSYCHOSOCIAL INCLUDING DRUGS AND
ALCOHOL
• SUMMARISE AND OFFER CONSULATAION PLAN
• EXAMINE
• GIVE INFORMATION
• SHARE MANAGEMENT OPTIONS AND NEGOTIATE
PLAN USING PATIENTS UNDERSTANDING
• SAFETY NET AND REVIEW. BE EXPLICIT
• CHECK UNDERSTANDING
WPBA
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WORK PLACE BASE ASSESSMENT
CASE BASED DISCUSSION
CONSULTATION OBSERVATIONAL TOOL
MULTI-SOURCE FEEDBACK
PATIENT SATISFACTION QUESTIONAIRE
YOU MUST COMPLETE ALL ASSESSMENTS
EPORTFOLIO-THE MORE DETAIL THE
BETTER CHANCE OF PASSING!