imtiaz & raj welcome you to londonmrcgp courses! overview 2017... · • 150 pearson...

Imtiaz&RajWelcomeyoutoLondonmrcgpCourses!

Introduction• Welcome!

• Housekeeping

• Sponsors

• Time-keeping

• Handouts

• Photos

• Twitter#londonmrcgp

Londonmrcgp CSA Courses•Prior to each CSA:

8.10.17 14.1.18 28.1.18 18.2.18

•Small Groups

•4 Mock CSA’s each!

•RCGP Examiner

•Written Feedback

•ST Educational allowance

HowtopasstheCSAexam• ToptipsforCSA,mockCSAcasesandDVD

• ForewordbyRogerNeighbour:http://www.londonmrcgp.co.uk/documents/RN-

Foreword.pdf

• RCGPbookshop:http://www.rcgp.org.uk/bookshop/mrcgp-study-

aids/how-to-pass-the-csa-exam.aspx• 10%offformembers• 20%offifboughttoday

• SampleVideo:https://www.youtube.com/watch?v=ysOfg1Fv7Dw

• Towinafreecopytoday:follow@londonmrcgp &tweetuswithAKTorCSApreparationtipswith#londonmrcgp

• TweetofthedaychosenafterMockAKT• PleaseneversendusanyofficialRCGPexam

questions

Anxieties!

• Stats

• Admin

• Hottopics

• Evidence

• Howtogetstarted

• MEDICINE!

www.londonmrcgp.co.uk

Programme08:15 Registration08:45 AKTOverview09:15 Statistics11:00 Coffee11:30 Admin12.15 PicturesforAKT13:00 Lunch14:00 HotTopics15:00 SmallGroupWork15:45 Coffee16:00 MockAKT(SlideShow)17:00 MockAKT(Answers)17:30 Close


Aims• Statistics

• Admin

• Hottopics

• SmallGroupWork

• Interactive/fun

• MockAKTwithFeedback

• PASSAKT!


Don’tPanic!!

‘Ajourneyofathousandmilesmustbeginwithasinglestep.’Lao-TsuChinesePhilosopher


AKT• MCQ’s!• ‘Besttestofknowledge’ RCGP

‘GPs are confronted with constantly updated evidence & guidelines. One of the intentions of the MCQ paper is to test such emerging areas of clinicalknowledge’ RCGP

•‘Imagination is far more important than knowledge’Albert Einstein

‘Each question is intended to explore a topic of which an ordinary GP in the UK could be expected to have a working knowledge’ RCGP


AKT

• CrossbetweenoldMRCGPMCQPaper1&SummativeAssessmentMCQ

• RecommendedduringGPRegyear(ST3)

• 3hrs10minMCQ,200items• Nonegativemarking• Computerbased

(https://www.pearsonvue.com/rcgp/)• 150PearsonprofessionalVUEtestingcentres

• 3sittingsperyear• Maximum4attempts…

QuestionFormatRCGPWebsite

• SingleBestAnswer(SBA)• ExtendedMatchingQuestions(EMQ)• Table• Algorithm• Picture• VideoFormat• ‘Draganddrop’• Datainterpretation• Freetext• Rankordering• ‘Hotspot’

RCGPCurriculumhttp://www.rcgp-curriculum.org.uk

TheCoreCurriculumStatement1 BeingaGeneralPractitioner

TheContextualStatements2.01 TheGPConsultationinPractice2.02 PatientSafetyandQualityofCare2.03 TheGPintheWiderProfessionalEnvironment2.04 EnhancingProfessionalKnowledge

TheClinicalExamples

3.01 HealthyPeople:promotinghealthandpreventingdisease3.02 GeneticsinPrimaryCare3.03 CareofAcutelyIllPeople3.04 CareofChildrenandYoungPeople3.05 CareofOlderAdults3.06 Women’sHealth3.07 Men’sHealth3.08 SexualHealth3.09 End-of-LifeCare3.10 CareofPeoplewithMentalHealthProblems3.11 CareofPeoplewithIntellectualDisability3.12 CardiovascularHealth3.13 DigestiveHealth3.14 CareofPeoplewhoMisuseDrugsandAlcohol3.15 CareofPeoplewithENT,Oral andFacialProblems3.16 CareofPeoplewithEyeProblems3.17 CareofPeoplewithMetabolicProblems3.18 CareofPeoplewithNeurologicalProblems3.19 RespiratoryHealth3.20 CareofPeoplewithMusculoskeletal Problems3.21 CareofPeoplewithSkinProblems

MSKProblems


Medicine (80%)

• CVS/Resp/Gastro/Neuro• Endo/Haem/Infectiousdiseases/Renal• Paeds/Obs &Gynae/Psych• Derm/ENT/Opth• MSK/Genetics/Pharmacotherapeutics

• Diseasefactors/Sx/Ix/Mx• Common,lowimpact• Rare,highimpact• Topical


Critical Appraisal & Evidence Based Medicine (10%)

• Statisticalterms/definitions• Criticalappraisalskills• Quantitative• Qualitative• Auditprinciples• Datainterpretation


Administration (10%)

• MedicalCerts• DVLA• OtherCerts• Practiceaccounts• GPcontract• QOF• Practicemanagement• Professionalregulation• Prescribing• Health&Safety


Howtorevise• HotTopicsforOct2017- FromJan2016– Apr2017- BeSelective!

- GP‘ragmags’ :GP,Doctor,Pulse- Innovait- BMJeditorialsandreviewarticles- BJGPthemededitions- ClinicalEvidence- EssentialKnowledgeUpdates(RCGP)- NICE,SIGN,Cochrane- RCGPAKTSummaryReports- GPCurriculum,BNF,GMC(GMPupdated2013)


NICE• NationalInstituteforHealthandClinicalExcellence

• NationalInstituteforHealthandCareExcellence

• Independentorganisationprovidingnationalguidanceonpromotinggoodhealthandpreventingandtreatingillhealth

• Examiner’sfavourite!• ‘NationalguidancesuchasNICE,SIGNandothersaretheestablishedreferencesourcesformanyAKTquestions.’

• www.nice.org.uk


NICE

• Guidancebytype

• Guidancebytopic

• Guidancebydate


GuidancebyType

• Clinicalguidelines• Interventionalprocedures• PublichealthGuidance• Medicaltechnologies• Technologyappraisals• Diagnostics


GuidancebyTopic• Blood&Immune

System• Cancer• Cardiovascular• CNS• DiagnosticProcedures• Digestive,Endo,

Nutritional,metabolic• ENT,Eyes• Gynae• InfectiousDiseases

• Injuries,accidents• MentalHealth• Mouth/dental• MSK• PublicHealth• Resp• Skin• SurgicalProcedures• Therapeuticprocedures• Urogenital

June 15 – Jan16DM x4Mental Health x5UTI, CKD, MSCoeliac, MenopauseOA, Skin cancers

Feb 16NOACsMyelomaMotor neurone diseaseIBS

Mar 16ADHDFood allergyAnaphylaxis

Apr 16Venous thromboembolism

May 16Haem cancers

Jun 16BronchiolitisSuspected ca

July 16Non-alcoholic fatty liver diseaseLiver cirrhosisSepsisNHLDM - Paeds

Aug 16Mental healthObesity

Sep 16Mental health – LDMultimorbidityContraception

Oct 16Coeliac disease

Nov 16Back PainPrison medicineSubstance misuse

Dec 16End of life care –PaedsHIV testing

Jan 17Cereberal palsyLearning disabilities

Feb 17Substance misuseMenopause

Mar 17Mental health prisonsEnd of life care

Apr 17Osteoporosis

NICEuidance byDate 28

RCGPSummaryReports• ProducedaftereveryexamsinceOct2007• Essentialreading!• FeedbackstructuredusingheadingsrelatedtoRCGPcurriculum

• Apr2017Stats:AKT30,1485candidates• Meanscore148.2/200=74.1%• Passmark137(68.5%)• Passrate72.1%(ST2=77.3,ST3=73.2%)• Scores:ClinicalMedicine73.2%,Evidenceinterpretation81.7%,Organisational72.9%

• CumulativepassrateforallthoseinST3after3attemptsisapproximately98%

Oct 07Emcare,AsthmaContraceptionCerts,Travel,ENT

Jan 08Asthma/COPDCerts,GMCguidanceTravel,DermWomen’shealth

May 08Derm,EyesPaeds:InfectionsGMC,Travel

Oct 08Elderlycare,EmcarePaeds:AsthmaCVS,CKD,GMC

Jan 09Paeds:Dev,DrugsClinicalGovInfDiseaseContraception

Apr 09Paeds:AsthmaGenderspecificCerts,EmCare

Oct 09•Headache•Contraception•Imms,GMC

Jan 10AlcoholPaeds:DevChecksAntenatalCareCerts,EmCare

Apr 10Derm,Rheum/MSKHeadacheContraceptionDM– Mx

Oct 10ECGPaeds:Dev,ImmsRheum/MSKDM- diagnosis

Jan 11Prescribing-AbxEmcareEyes,GMC

May 11EmCare,EyesCancer/Palliativecare

Oct 11Paeds:Dev,ENT,InfContraceptionDrugdosesCerts

Jan 12Paeds:Dev.DrugdosesContraception,CertsQualitative,EDDementia,NeuroDrugs

Apr 12Paeds:Anaphylaxis/Asthma,MigraineQuantitative,GMCHT,Spirometry

Oct12Paeds:Dev,ImmsContraception- LARCOsteoporosisDerm,DM- diagnosis

Jan 13Paeds:Dev,ImmsContraception– LARCDM- diagnosisAsthmaBreast/colorectalCa

May 13Derm,ImmsDrugmonitoringEnteralFeedsContraception– EmDM- diagnosis

Oct 13DruginteractionsDM- managementDerm- psoriasisImmsPVDDementia

Jan 14DruginteractionsPaeds:DevDM- insulinEyesMSK- OsteoporosisCerts

Apr 14DeathcertsContraception– LARCMentalHealth– AnxietyGI:IBS,coeliacDrugs/alcoholPoisoningDerm

Oct 14ScreeningObesityPaeds:Dev,illnessAntenatalcare:ImmsIncontinenceGI:IBS,nutritionDM

Jan 15ScreeningPaeds:Imms,drugdosesEm care:CPR,anaphylaxisAsthmaContraceptionHeadaches

Apr 15InfectioncontrolCertsPrescribingPaeds:Imms,DevDementiaSubstancemisuseDM

Oct 15Prescribing- CDs,legalPaed:DevMens health:ED,prostateECGsEyes

Jan 16Prescribing:goutCerts:infdisnotificationStressincontinenceContraceptionEyes:maculardegenDMmedsDerm:guttatepsoriasis

Apr 16DruginteractionsGoodMedicalPractice(consent,capacity,access)Paeds:immsDrugs/alcoholMiscarriageDM:OGTT

Oct 16Em care:Em medsPaeds:Dev,2wwcaDrugmonitoring–antipsychoticsENT:hearingloss/infectionsDerm:approp Abx use

Jan 17Certs - deathPaeds:2wwcaContraceptionHRT,incontinenceMentalHealth– Anx/DepEyeemergenciesType1DMFungalSkinInf

Apr 17Paeds:ImmsContraceptionHRT,infertilityDM- diagnosisAsthmaDerm:minorsurgerycomplicationsDrugmonitoring–antipsychotics


RevisionGroups

• Stillagoodidea!• Teamwork• Sharework-load• Keepsthingsfresh• Distributionofhot

topics• OnesheetA4• MakeupAKT

questions


Practice!• Testeachother’s

knowledge

• Learnfromyourpatients

• Learnduringtutorials

• Books

• Websites

• Courses

Londonmrcgp CSA Courses•Prior to each CSA:

8.10.17 14.1.18 28.1.18 18.2.18

•Small Groups

•4 Mock CSA’s each!

•RCGP Examiner

•Written Feedback

•ST Educational allowance

HowtopasstheCSAexam• ToptipsforCSA,mockCSAcasesandDVD

• ForewordbyRogerNeighbour:http://www.londonmrcgp.co.uk/documents/RN-

Foreword.pdf

• RCGPbookshop:http://www.rcgp.org.uk/bookshop/mrcgp-study-

aids/how-to-pass-the-csa-exam.aspx• 10%offformembers• 20%offifboughttoday

• SampleVideo:https://www.youtube.com/watch?v=ysOfg1Fv7Dw

• Towinafreecopytoday:follow@londonmrcgp &tweetuswithAKTorCSApreparationtipswith#londonmrcgp

• TweetofthedaychosenafterMockAKT• PleaseneversendusanyofficialRCGPexam

questions

imtiaz & raj welcome you to londonmrcgp courses! overview 2017... · • 150 pearson...

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