1. SAQ 16OSCE 18Alternative OSCE day Resuscitation Anaesthetics/pain Wound Management Major Trauma Musculoskeletal trauma Urology STD Eye problems ENT problems Dental emergencies Obstetrics & Gynae

2. SAQ 18OSCE 18Alternative OSCE day Cardiology Respiratory Neurology Hepatology/gastroent erology Toxicology Fluid and electrolytes Acid base Renal disease Diabetes and endocrine Haematology

3. SAQ 18OSCE 18Alternative OSCE day Infectious diseases Dermatology Rheumatology Neonatology Paediatrics Environmental Oncology Psychiatry Major incidents Legal aspects Prioritisation Breaking Bad News

4. Reading Adult textbook of Emergency Medicine – Toxicology OHAEM OHCM ATLS, ALS, APLS/EPLS USMLE – Board series prep for Anatomy, Physiology and Biochemistry 4

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6. Useful websites http://www.collemergencymed.ac.uk http://www.nice.org.uk/ http://www.brit-thoracic.org.uk/default.aspx http://www.das.uk.com/ ( Difficult airway society) http://www.das.uk.com/ ( Difficult airway society) http://www.bashh.org/ ( Sexual health – Chlamydia, Gonorrhoea, etc) http://www.bashh.org/ ( Sexual health – Chlamydia, Gonorrhoea, etc) http://www.sign.ac.uk/ http://www.bcshguidelines.com/index.html (Haematology) http://www.bcshguidelines.com/index.html RCOG, Infectious disease society, European society of cardiology, etc 6

7. 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 7

8. SIGN Acute Upper and Lower GI bleed Suspected bacterial UTI in adults 8

9. 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 9

10. BTS Pneumotharax Pneumonia Oxygen NIV – COPD and respiratory failure Diving PE Chest drain 10

11. Paediatrics Meningitis - NICE Sedation – NICE Maltreatment – NICE NAI – NICE Gastroenteritis – NICE UTI – NICE Bronchiolitis – SIGN Limping child Discitis Kawasaki’s Perthe’s SUFE Accidental ingeestion 11

12. Other European Society NSTEMI management Syncope STEMI Heart failure PE Aortic Dissection Haematology Massive bleeding Sickle cell crisis – mgt DVT and D dimer 12

13. Other Infectious Disease Tetanus Sepsis Malaria Septic Arthritis Meningitis RCOG Maternal collapse Chicken pox Rhesus prophylaxis BASHH – PID – PEP – HIV – Epididymo – orchitis – Viral Hepatitis – Arthritis 13

14. Exam Prep Resources www.mcem.org.uk http://www.mcemcourses.org/ (Bromley) http://www.mcemcourses.org/ www.youtube.com – use search terms such as www.youtube.com Bromley MCEM Medical examination videos Medical OSCE www.passmcem.com http://www.mcemexamprep.co.uk/mcema.php http://www.mcemexam.com/ 14

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16. Part B – Two hours Sixteen 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 65-70% and it is set independently. 16

18. Part B 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 18

19. General advice Skim the whole paper for “good” questions Read the question Read the question to the end Don’t forget the blindingly obvious Links Doses No essays