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CFPC Exam Preparation

CFPC Exam Preparation. Jane Griffiths Nov 20, 2013. CFPC Examination. eligible in last 6 months of residency has three components Short answer management problems (SAMPs) (6 hours) Simulated office oral examination (SOOs) (4x15 min. stns.) LMCCQE II OSCE stations (8x10 min stns.)

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CFPC Exam Preparation

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  1. CFPC Exam Preparation Jane Griffiths Nov 20, 2013

  2. CFPC Examination • eligible in last 6 months of residency • has three components • Short answer management problems (SAMPs) (6 hours) • Simulated office oral examination (SOOs) (4x15 min. stns.) • LMCCQE II OSCE stations (8x10 min stns.) • information can be found at http://www.cfpc.ca/PreparingfortheFamilyMedicineExamination/

  3. SAMPs • exam has ~40 problems in 4 books • full day, total of ~6 hours, divided in morning and afternoon sessions • 25 common / core family medicine topics • be aware of common FM guidelines and 99 priority topics

  4. SAMPs • Carefully read the stem • The setting is described, consider this in your answer • Be specific • hemoglobin rather than CBC, ultrasound rather than imaging • Use generic names, SI units • Usually answer in <10 words

  5. SAMPs • practice opportunities • CFPC “Self Learning” CME includes several SAMPs with each issue… take a look at these to get used to the format • **free access for residents** • practice sessions with each academic day

  6. SOOs • each exam has four SOO stations • 15 minute interview with a standardized patient (role-played by a family physician) • define and manage presented problems • This is a test of your patient centered care • understanding patient’s perspective of the issue • arriving at a shared plan of management

  7. “Mini Exams” • goals of the practice SOO sessions include: • preparation for the CFPC exam • structured assessment and feedback on interview skills • performance does not have an effect on your rotation evaluations

  8. “Mini Exams” • Year 1: SOOs only, during FM rotation • Year 2: SOOs, during your community FM rotation and during the academic days back • for your benefit, please do not discuss the cases with other residents… foreknowledge of content can be misleading and eliminates the element of exam setting simulation

  9. SOO Format • information given at the beginning includes: • outline of format • timeframe… 15min with 3-minute warning at 12 minutes • the patient • e.g.: “You are about to meet Meagan O’Brien, age 55, who is new to your practice.”

  10. SOOs - Content • each station usually has two patient issues • medical condition + social issue • medical condition(s) in a cultural or psychosocial context • one problem is the presenting complaint, the other is not immediately identified • prompts are given if you do not independently identify the second issue (timing will vary with cases)

  11. SOO Problem Approach • take an appropriate history of the problem • HPI, Past Hx, previous treatments / investigations, meds, allergies, social • assess impact of the illness • FIFE: feelings, ideas, function, expectations • second problem may be identified through this questioning

  12. SOO - Context Integration • put the patient’s conditions into context • review what the patient has told you • discuss it with regard to stressors, beliefs, supports, etc • this can be an important step to finding common ground in the management of the issues • be deliberate with this so it stands out

  13. SOO - Management • Involve the patient in decision making • Develop a plan • f/u visit for physical • obtain old records • investigations • provide reassurance • make arrangements for followup • etc as appropriate

  14. SOO Marking Scheme • review this on the website… • http://www.cfpc.ca/PreparingfortheFamilyMedicineExamination/ • note the following sections • problem identification (1&2) • social and developmental context • context identification and integration • management (1&2) • interview process and organization

  15. Assessment of Interview Process and Organization • This is scored on the overall feel of the clinical interview • The candidate is assessed on: • Direction – order and structure • Flexibility and good integration of all components • Appropriate prioritization with efficient and effective allotment of time • Para-verbal communication • Ability to put the patient at ease • Empathy and nonjudgmental demeanor • Avoidance of medical jargon

  16. Preparation - Other Tips • informal SOO practice • Sample modules can be found on line http://www.cfpc.ca/SOOs/ • Practice with preceptors, faculty advisors, peers • Make use of video for review • Make sure you review the video on the cfpc web site

  17. Questions?

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