Self-Assessment for the MCEM Part C by Rebecca Thorpe, Simon Chapman, Jules Blackham

By Rebecca Thorpe, Simon Chapman, Jules Blackham

All questions and solutions mapped on to the school of Emergency drugs syllabus
Enables applicants to recreate OSCE stations and coaching in teams, as directions for all events (candidate, actor, examiner) are included
MCEM-style marking sheets make certain applicants have a superb realizing of the normal that's required by way of the College

Specifically designed for the MCEM half C, this publication comprises a hundred inquiries to aid applicants arrange for this OSCE exam. All questions and solutions are mapped on to the varsity of Emergency medication syllabus and comprise specified info that enables applicants to understand the layout and necessities of every OSCE.

Each query gains directions to candidate, actor, and examiner, so applicants can education in teams and recreate OSCE stations. MCEM-style marking sheets make sure that applicants have a superb knowing of the normal that's required via the College.

Complete and up to date, this publication will supply trainees a pragmatic and complete guidance for the MCEM half C.

Readership: expert trainees in Emergency drugs, in addition to trainees in Acute medication, nurses and different emergency practitioners.

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If given the chance you should ask the following questions: Is anything broken? Does it need an X-ray? Is it my fault? Will it happen again? Will her bones grow normally after this injury? You accept the explanation given and accept the candidate’s advice. Instructions for examiner Observation only. Equipment required None Curriculum mapping Sections of the CEM (2010) curriculum relevant to this question include the following. Common competencies CC1 History taking CC4 Time management and decision-making 21 Self-Assessment for the MCEM Part C CC5 Decision-making and clinical reasoning CC6 Patient as the central focus of care CC7 Prioritization of patient safety in clinical practice CC12 Relationship with patients and communication CC16 Health promotion and public health Paediatric CT3 competencies PAP6 Concerning presentations PAP15 Pain in children PAP17 Painful limbs—traumatic Mark scheme Introduces self 1 Confirms Amy’s mother’s identity 2 Confirms history of injury 1 Confirms understanding so far 2 Accurately describes condition 3 Advises against X-ray and provides explanation 2 Invites questions 1 Deals adequately with concerns 3 Thanks mother 1 Reassures 2 Uses open and closed questioning style 2 Shows non-verbal communication skills 2 Global score from examiner 5 Global score from actor 5 Total 22 32 Question 6 Chest aspiration Question 6 Chest aspiration Instructions for candidate This patient has had his first ever left-sided spontaneous pneumothorax.

G. by changing position. Instructions for examiner Allow the candidate to take the ECG without prompting. Allow the candidate to explain the finished ECG to you. You may prompt their explanation with the following questions: Tell me how to assess the rhythm and rate on this ECG. Is the ECG normal or abnormal? Equipment required ECG machine Curriculum mapping Sections of the CEM (2010) curriculum relevant to this question include the following. Common competencies CC5 Decision-making and clinical reasoning CC12 Relationship with patients and communication CC18 Valid consent ACCS Acute presentations CT1&2 CAP25 Palpitations 40 Question 14 ECG Mark scheme Introduces self 1 Provides brief explanation of procedure 2 Undresses patient 1 Maintains dignity 1 Applies chest lead stickers in correct places: Ÿ Lead 1 in 4th intercostal space, right sternal edge 1 Ÿ Lead 2 in 4th intercostal space, left sternal edge 1 Ÿ Lead 4 in 5th intercostal space, mid-clavicular line (at location of apex beat) 1 Ÿ Leads 3, 5, and 6 equally spaced around leads above 1 Connects leads correctly 2 Is able to produce ECG 2 Checks ECG 2 Removes stickers 1 Allows patient to get dressed 1 Thanks patient 1 Correctly interprets ECG as normal 2 Applies correct rate and rhythm 2 Global score from examiner 5 Global score from actor 5 Total 32 41 Self-Assessment for the MCEM Part C Question 15 Neurosurgical referral Instructions for candidate You are the registrar on nights in the ED of a small district general hospital.

You now feel absolutely fine and want to go home. You think the candidate is being ridiculous if they suggest you need some investigations or to stay in hospital. You have never heard about the risks of taking cocaine, and all your friends do it, so you think it is safer than drinking alcohol. You are reluctant to stay in hospital, but allow yourself to be persuaded by the candidate. Instructions for examiner Allow the candidate to take a history. When there are 3 minutes left in the station, if the candidate has not already done so, you may prompt them to move on to explaining to the patient what the management plan is.

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