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

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

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

FCEM Autumn 2014

SAQ Result

OSCE Result

Critical Appraisal

ResultCTR

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%

Reading

• Adult textbook of Emergency Medicine – Toxicology

• OHAEM• OHCM• ATLS , ALS, APLS/EPLS• USMLE – Board series prep for Anatomy,

Physiology and Biochemistry

5

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.bashh.org/

( Sexual health – Chlamydia, Gonorrhoea, etc)• http://www.sign.ac.uk/ • http://www.bcshguidelines.com/index.html (Haematology)• RCOG, Infectious disease society, European society of cardiology,

etc• http://www.mcemcourses.org/wp-content/uploads/FCEM-

Guidelines-last-updated-19-2-12.pdf

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

8

SIGN

• Acute Upper and Lower GI bleed• Suspected bacterial UTI in adults

9

Intensive Care Society• Transfer of critical patients

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

10

BTS

• Pneumothorax• Pneumonia• Oxygen• NIV – COPD and respiratory failure• Diving• PE• Chest drain

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 ingestion• Notifiable diseases

12

Other

European Society• NSTEMI management• Syncope• STEMI• Heart failure• PE• Aortic Dissection

Haematology• Massive bleeding /

transfusion• Sickle cell crisis – mgt• DVT and D dimer

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

14

Exam Prep Resources

• www.mcem.org.uk• http://www.mcemcourses.org/ (Bromley)• www.youtube.com – use search terms such as

• Bromley MCEM• Medical examination videos• Medical OSCE• www.passmcem.com• http://www.mcemexamprep.co.uk/mcema.php• http://www.mcemexam.com/

15

16

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.

17

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

18

General advice

• Read the question• Read the question to the end