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SAQ 20 OSCE 14 (2 double) Alternative OSCE days Resuscitation Anaesthetics/pain Wound Management Major Trauma Musculoskeletal trauma Urology STD Eye problems ENT problems Dental emergencies / max fax Obstetrics & Gynae
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SAQ 20 OSCE 14 (2 double) Alternative OSCE days Cardiology Respiratory Neurology Hepatology/gastroenterology Toxicology Fluid and electrolytes Acid base Renal disease Diabetes and endocrine Haematology
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SAQ 20 OSCE 14 (2 double) Alternative OSCE days Infectious diseases Dermatology Rheumatology Neonatology Paediatrics Environmental Oncology Psychiatry Major incidents / Hazchem Legal aspects / mental health act /capacity Prioritisation Breaking Bad News
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Critical Appraisal Result
FCEM Autumn 2014 SAQ Result OSCE Result Critical Appraisal Result CTR Result Management Result Overall All candidates 68% 64% 71% 79% 69% 43% First timers 80% 76% 64% (if taken with other parts) 73% if taken alone 85% 67% 47% Number of parts resitting % passing overall 1 92% 2 50% 3 6% 4 25% 5 0%
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Reading Adult textbook of Emergency Medicine – Toxicology OHAEM OHCM
ATLS , ALS, APLS/EPLS USMLE – Board series prep for Anatomy, Physiology and Biochemistry
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Useful websites http://www.collemergencymed.ac.uk
( Difficult airway society) ( Sexual health – Chlamydia, Gonorrhoea, etc) (Haematology) RCOG, Infectious disease society, European society of cardiology, etc
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Guidelines - NICE Hip fracture Epilepsy Therapeutic Hypothermia NSTEMI
COPD Chest pain Loss of consciousness Stroke and TIA Respiratory tract infections Head Injury AF Rapid Tranquilization Falls Self harm
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Intensive Care Society
SIGN Acute Upper and Lower GI bleed Suspected bacterial UTI in adults Intensive Care Society Transfer of critical patients
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CEM Sexual assault – statement Ketamine sedation Domestic violence
Pain – Adults and Children Biers Block First fit – flow chart Tricyclics poisoning Allergic reaction Headache Safeguarding Children Antidote
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BTS Pneumothorax Pneumonia Oxygen NIV – COPD and respiratory failure
Diving PE Chest drain
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Paediatrics Meningitis - NICE Sedation – NICE Maltreatment – NICE
NAI – NICE Gastroenteritis – NICE UTI – NICE Bronchiolitis – SIGN Limping child Discitis Kawasaki’s Perthe’s SUFE Accidental ingestion Notifiable diseases
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Other European Society Haematology NSTEMI management Syncope STEMI
Heart failure PE Aortic Dissection Massive bleeding / transfusion Sickle cell crisis – mgt DVT and D dimer
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Other Infectious Disease RCOG Tetanus Sepsis Malaria Septic Arthritis
Meningitis Maternal collapse Chicken pox Rhesus prophylaxis BASHH PID PEP – HIV Epididymo – orchitis Viral Hepatitis Arthritis
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Exam Prep Resources www.mcem.org.uk
(Bromley) – use search terms such as Bromley MCEM Medical examination videos Medical OSCE
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SAQ– Two & half hours Twenty questions Data interpretation
Problem solving skills Clinical scenario and may have clinical data including radiographs, CT scans, ECGs, blood test results and clinical photographs. The pass mark is usually between 68-70% and it is set independently.
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General guidance No trick questions. Straight forward.
Read the question. Each question may not be interrelated. Most SAQ’s are predictable – Rash, toxicology, etc Even if you don't know the diagnosis – you can still answer most of the questions. Time is of essence If you don't know skip and come back later
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General advice Read the question Read the question to the end
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