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nMRCGP

nMRCGP. AKT CSA WBPA. AKT. 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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nMRCGP

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  1. nMRCGP • AKT • CSA • WBPA

  2. AKT • 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

  3. QUESTION FORMAT • EXTENDED MATCHING QUESTIONS • SINGLE BEST ANSWER • MULTIPLE BEST ANSWER • PICTURE FORMAT • TABLE/ALOGORITHM COMPLETION • DATA INTERPRETATION • SEMINAL TRIALS • 200 QUESTIONS IN 3 HOURS

  4. QUESTION AREAS • CLINICAL MEDICINE-80% • CRITICAL APPRAISAL-10% • HEALTH INFORMATION AND ADMINISTRATION-10%

  5. HOW TO PREPARE(SUGGESTED READING) • 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

  6. HOW TO PREPARE(other topics to consider) • 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

  7. 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

  8. CSA • 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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 PLA N •  EXAMINE • GIVE INFORMATION • SHARE MANAGEMENT OPTIONS AND NEGOTIATE PLAN USING PATIENTS UNDERSTANDING • SAFETY NET AND REVIEW. BE EXPLICIT • CHECK UNDERSTANDING

  16. WPBA • 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!

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