![Page 1: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/1.jpg)
Dr Margaret Sheehan
Galway University Hospital
Galway, Ireland
FRCPath Part 2 practical exam macroscopic examination and the
OSPE
![Page 2: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/2.jpg)
Changing horizons- trainers and trainees
![Page 3: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/3.jpg)
What we will look at
1. Macroscopic examination section
2. OSPE- oral OSPE and written OSPE
3. Presentation of your answers to the examiners
![Page 4: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/4.jpg)
Opportunity for some easy point scoring !
![Page 5: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/5.jpg)
The things you need to know and do
1. Know what is expected of you
2. Advance preparation
3. Tactics to improve your delivery
![Page 6: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/6.jpg)
Time to dispel the myths !
• Examiners WANT you to pass
• 4+ years of preparation and training
• Training ‘on the job’ as well as courses etc
• Why would you ‘get it wrong’ when you have a much better chance of ‘getting it right’????
![Page 7: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/7.jpg)
Assembling all your knowledge
![Page 8: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/8.jpg)
The macroscopic specimens
![Page 9: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/9.jpg)
Macroscopic Specimens
What do you get?
• 4 photographs/ 4 specimens
• Resection specimens
• Cancer/ non cancer
• One or more pathologies
What is expected of you?
• Decide what the specimen is
• Decide where the pathology is in the specimen
• Mark in pen what blocks you would take- know why
• Answer some questions on each specimen and your handling of it
![Page 10: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/10.jpg)
![Page 11: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/11.jpg)
![Page 12: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/12.jpg)
![Page 13: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/13.jpg)
![Page 14: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/14.jpg)
Macros- core questions
1. Describe the anatomy of the specimen and any pathological lesion present
2. What is the likely diagnosis?
3. What blocks would you take and why?
4. Prognostic features/ management /further tests etc
![Page 15: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/15.jpg)
1.Macro- anatomy of the specimen and pathological lesion present
Do’s
• Describe as you would in cut-up
• Approx size / measurement
• Anatomy of the specimen
• Lesion- shape/outline/size
• Colour/ texture-
red (inflamed); black (infarcted); yellowish (necrotic); whorled/ fibrotic/ heterogenous
Don’ts
• Don’t go overboard on measurements (mm)
• Don’t go overboard on colours
GET TO THE POINT
ANATOMY
LESION (S)
![Page 16: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/16.jpg)
2. What is the likely diagnosis?
• One likely diagnosis
• +/- second pathology if present
• GO FOR THE DIAGNOSIS
• ? Other possibilities – mention differentials
• Confident of likely diagnosis at this stage
![Page 17: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/17.jpg)
3. What blocks would you take and why?
• Mark blocks on photo with pen • Ok to use megas if appropriate • Any further slicing of the specimen needed • Key blocking
– Focal lesion (eg tumour) – Margins – Other relevant cut- ends- BV, other key structures – LN; normal background USE COMMON SENSE- WHAT YOU WOULD DO NORMALLY
![Page 18: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/18.jpg)
4.Prognostic information
• Tumours-TNM, staging , grading
• Other tests may be relevant- prognostic and predictive
• Targeted therapy
• Non tumours- other relevant features- resection margins, multi-system disease
![Page 19: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/19.jpg)
Oral OSPE- the scenario
Management scenario
![Page 20: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/20.jpg)
OSPE scenario- Principle of this
1. Viva format- no advance preparation
2. Meet 2 examiners
3. Given a scenario- typed, with questions at the end of the text
4. Given 5 mins approx to read and gather thoughts/ notes
5. Discuss- go through questions
![Page 21: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/21.jpg)
The TEST- the pathologist as a manager !
![Page 22: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/22.jpg)
Crisis management in the workplace
![Page 23: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/23.jpg)
Crisis Management preparation
TEMPLATE
How to approach
CHECK LIST
BUZZ WORDS
![Page 24: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/24.jpg)
OSPE- the scenario- template to approach
1. Identify the issue 2. Identify the key people on whom it impacts-
internal / external 3. Communicating the problem to key stakeholders 4. What is the key impact of the problem- this is
what has to be addressed 5. Priorities- to be dealt with 6. Short term problem/crisis handling 7. Long term prevention of such problems in the
future
![Page 25: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/25.jpg)
1.Identify the issue
CRISIS
1. Staffing- shortage
2. Staff- behaviour problem/ interpersonal issues
3. Equipment failure/IT
4. Service delivery- capacity/ different areas
5. Quality issues- specimen mix up/ carry over
6. Accreditation process
![Page 26: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/26.jpg)
2. Identify key people impacted
• Depends on issue
• Interpersonal- specific people
• Service delivery- users- clinical hospital/ GP’s/ coroners etc
• Crisis ‘hit’ on department- staffing/ funding- morale of staff within dept to be maintained
![Page 27: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/27.jpg)
3. Communication of the problem
![Page 28: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/28.jpg)
3. Communicating problem- to whom
• Key stakeholders
• Depends on the problem
• Staff within department
• Users of service- clinical; GP’s; screening programmes
• Those who can help- network hospitals
• CLINICAL DIRECTOR OF LABORATORY SERVICE
• HR DEPARTMENT
• HOSPITAL MANAGEMENT
![Page 29: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/29.jpg)
Communication
![Page 30: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/30.jpg)
4. Key impact of the problem Issue- hit on staffing, funding, facilities
• Delivery of service- routine diagnostics, cytology, screening specimens, frozen sections, molecular service, MDM’s
• KPI’S- TAT, accreditation
• CPD of staff
• Training
Issue- individual issue- behaviour etc
• Impact on other people with whom they engage
• Morale in department
![Page 31: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/31.jpg)
5. PRIORITIES
![Page 32: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/32.jpg)
5. Priorities
The service
• Delivery of the service
• What can/ cannot be delivered
• Look at components- – Cancer biopsies
– Cancer resections
– Non cancer cases
– Cytology specimens
– Frozen sections
– Screening program specimens
The people involved
• Staff morale within department
• Those whose service is now being compromised- clinical
• THE PATIENT- quality assurance of the service being delivered
• Trainees in dept- impact on training program
![Page 33: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/33.jpg)
6. Short term problem/crisis handling
Service delivery
• Rationalise what can/ cannot be delivered
• ? Suspension of certain services short term
• Prioritisation system for specimens
• Investigate sending our to commercial labs
• Investigate sending to other network hospitals
People involved • Engage with clinicians-
prioritise urgent cases • Overtime / extra hours –
remuneration, safety etc • Senior trainees ? Contribution
‘acting up’ • Colleagues in other network
hospitals- to assist • Locum staff • Engage with HR and
Management- facilitate financial commitment to solutions
![Page 34: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/34.jpg)
7. Long term prevention
• Staffing- recruitment, making department attractive
• Equipment- service contracts; Service level agreements with other service lab providers
• Behaviour- staff morale, staff value, leadership training,
• Bring your clinical colleagues on board- recognise value of service the lab provides- their support is more valuable than their antagonism (MDT)
![Page 35: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/35.jpg)
KEY ‘buzz words’ ‘concepts’ in OSPE scenario
COMMUNICATION
KEY STAKEHOLDERS
PRIORITISE
STAFF MORALE
TEAMWORK
ENGAGEMENT
HR ; HOSP MANAGEMENT
NETWORK HOSPITALS
![Page 36: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/36.jpg)
OSPE written
Problem solving
More case specific
![Page 37: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/37.jpg)
OSPE written- the format
• Written exercise
• More often case specific
• Written paragraph describing a problem
• MDM type cases often
• Managing problem in a service- network, error situation
![Page 38: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/38.jpg)
OSPE written
• Given the scenario as a written text
• Associated questions to be answered- written
• Clear marking structure
• 0,1,2 etc depending on detail in answers
• Can score quite well
![Page 39: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/39.jpg)
OSPE written- examples
• MDT type case
• Right hemicolectomy for cancer
• Staging and grading
• Prognostic features
• Ancillary studies- MSI, molecular RAS, BRAF
• Implications and relevance
• Problem type case
• Central laboratory providing breast pathology to several hospitals
• Problems with fixation of specimens, delayed delivery, Friday surgery
• Problems associated
• How to solve
![Page 40: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/40.jpg)
Presentation of your answers to the examiners
![Page 41: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/41.jpg)
The elephant in the room !
FEAR Of failure
![Page 42: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/42.jpg)
Fear of failure……leading to
• Conveying lack of confidence
• Changing you mind on a diagnosis
• Retracting answers
• ‘dithering’
DON’T do this
First answer often most likely to be correct
![Page 43: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/43.jpg)
Preparation for Presentation
Presenting yourself
Presenting your knowledge
Presenting your experience
Talk the talk… walk the walk
![Page 44: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/44.jpg)
Preparation
• Mental preparation
• Presentation- what you say and how you say it
• Appearance/body language
![Page 45: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/45.jpg)
Mental preparation
• FEAR- of ‘getting it wrong’
• Fear of ‘drying up’ – ‘forgetting’
Fear- the enemy
F = False
E = Expectation
A = Appearing
R = Real
![Page 46: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/46.jpg)
What is the worst that can happen?
• You are presented with something less familiar to you/ you haven’t seen in a while
• Remember you have ‘seen it all’ in your training
![Page 47: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/47.jpg)
Time to go back to first principles
![Page 48: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/48.jpg)
Back to first principles
Macros
• Where in the body
• Describe it
• Size , shape, colour
• Margins
• Tumour- stage
• Non tumour- disease activity
• Differentials will emerge
OSPE scenario
• Crisis management
• Who is affected ?
• Who should I communicate with ?
• What do I prioritise?
• What are the impacts?
• Don’t forget the buzz words
![Page 49: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/49.jpg)
Preparation- what you say and how you say it
• STOP, LOOK, LISTEN
• Deep breath
• Read slowly
• Listen carefully
• Organise your thoughts
• Structure your thoughts
![Page 50: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/50.jpg)
What you say and how you say it
• Lots of time
• OSPE- questions do the organising for you
• Resist the tendency to ‘blurt out’ answer
• Have a ‘template’ in your mind/ buzz words
• Slowly, logically- give your answers
• Don’t suddenly ‘pull back’- makes you sound indecisive or uncertain
![Page 51: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/51.jpg)
What you say and how you say it
• Confidence
• Of course there are differentials but there is also an obviously likely diagnosis
• Don’t cloud the picture
• ‘this is my preferred diagnosis…etc’
![Page 52: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/52.jpg)
The big DON’T s
• Never admit your weakness
• Don’t say
- ‘I don’t see this where I work…
- I haven’t seen this for a while…
What this really says is
Watch out for me- I am likely to get
this wrong
![Page 53: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/53.jpg)
The big DON’Ts
Don’t put a red flag over your head
saying
‘this is my weakness’
![Page 54: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/54.jpg)
Keeping up appearances !
![Page 55: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/55.jpg)
The apparel oft proclaims the man (and woman…)
Shakespeare, Hamlet
![Page 56: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/56.jpg)
Appearance
• Creates an impression
• Dress code: smart casual !
• Be comfortable
Not the day to push the boundaries
![Page 57: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/57.jpg)
Finally- on the day(s)
• Well rested
• Travel in advance
• Be on time (advance recce..)
• Smart appearance- body language
• Confident
• Decisive
• Buzz words
![Page 58: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/58.jpg)
On the Day…. 3 rules
• Be relaxed / confident
• Bring your vast knowledge/ experience to the exam
• Hand it over …………effectively
![Page 59: FRCPath part 2 practical exam macroscopic examination and ... · FRCPath Part 2 practical exam macroscopic examination and the ... Macroscopic examination section 2. OSPE- oral OSPE](https://reader034.vdocuments.net/reader034/viewer/2022050710/5aebe7a87f8b9a90318da18c/html5/thumbnails/59.jpg)
Thank You