Third-year medical student to his first patient: “Dude, that sounds radical!”
Recursos na Internet
- www.osceskills.com – The Medical OSCE skills website
- www.mrcpuk.org – MRCP(UK) Examination and Specialty Certificate Examination website
- www.acponline.org/education_recertification/education/training/fcim/ – The second edition of The Report of the Federated Council for Internal Medicine (FCIM) Task Force on the Internal Medicine Residency Curriculum
- FRCA, MRCS, PLAB
- www.usmle.org – United States Medical Licensing Examination
- http://mksap.acponline.org – MKSAP 15 – Medical Knowledge Self-Assessment Program
- iPhone
- www.medicalapps.co.uk/clinicalexam.html – APP Clinical exam
- www.clinicalexam.com – Clinical Exame
- http://jama.ama-assn.org/cgi/collection/rational_clinical_exam – JAMA serie
- http://meded.ucsd.edu/clinicalmed – A Practical Guide to Clinical Medicine
- http://jamaevidence.com – Fundamental tools for understanding and applying the medical literature and making clinical diagnoses
- www.ncbi.nlm.nih.gov/pmc/articles/PMC2560106/pdf/occpaper00100-0049.pdf – Objective structured clinical examination (OSCE)
- www.oscehome.com – OSCEhome
PACES EXAMINATION – CLINICAL MARKSHEET
| Clinical skill | Satisfactory | Borderline | Unsatisfactory |
| Start | 1) Adequate hand hygiene (video)
2) Appropriate Introduction
3) Gain consent 4) Appropriate position 5) Adequate exposure |
1) Inadequate or ommited hand hygiene (video)
2) Inappropriate or ommited introduction
3) Consent not asked 4) Inappropriate or ommited Appropriate position 5) inadequate (mininimal or excessive) exposuve |
|
| Physical Examination (A) |
1) Correct 2) Thorough
3) Fluent 4) Systematic 5) Professional technique of palpation, percussion and auscultation |
1) Incorrect techniques
2) Omits significant or important tests 3) Unsystematic 4) Hesitant and lacking in confidence 5) Unprofessional |
|
| Identifying Physical Signs (B) |
1) Identifies correct physical signs
2) Does not find signs that are not present |
1) Misses important physical signs
2) Finds signs that are not present |
|
| Clinical Communication Skills (C) |
1) Elicits presenting complaint, systems review, past, family and medication history, in athorough, systematic, fluent and professional manner
2) Assesses impact of symptoms on patient’s occupation, lifestyle and activities of daily living
3) Explains relevant clinical information in an Accurate Clear Structured Comprehensive Fluent and Professional manner |
1) Omits important areas of the history 2) Unsystematic
3) Appears unpractised 4) Unprofessional 5) Omits important information 6) Gives inaccurate information 7) Uses jargon 8 ) Poorly structured |
|
| Differential Diagnosis (D) |
1) Constructs a sensible differential diagnosis, including the correct diagnosis | 1) Poor differential diagnosis 2) Fails to consider the correct diagnosis | |
| Clinical Judgement (E) |
1) Selects a sensible and appropriate management plan | 1) Unfamiliar with correct management plan
2) Selects inappropriate management |
|
| Managing Patients’ Concerns (F)
|
1) Seeks, detects, acknowledges and attempts to address patient’s concerns
2) Confirms patient’s knowledge and understanding
3) Listens 4) Empathic |
1) Overlooks patients concerns 2) Does not check knowledge and understanding
3) Poor listening 4) Not empathic |
|
| Maintaining Patient Welfare (G)
|
1) Treats patient respectfully and sensitively and ensures comfort, safety and dignity | 1) Causes patient physical or emotional discomfort 2) Jeopardises patient safety | |
| Conclusion | 1) Cover and thanks patient
2) Adequate hand hygiene (video) 3) Summarise findings |
1) Do not cover or incomplete cover patient 2) Forget to thank patient
3) Inadequate or ommited hand hygiene (video) 4) Summarise findings inadequated or not at all 4.1) Omits important areas of the history 4.2) Unsystematic 4.3) Appears unpractised 4.4) Unprofessional 4.5) Omits important information 4.6) Gives inaccurate information 4.7) Poorly structured |