Objective Structured Clinical Examinations in Intensive Care Medicine PDF
|Author||Jeyasankar Jeyanathan and Daniel Owens|
|File size||29.6 MB|
Objective Structured Clinical Examinations (OSCEs) in medicine are not a new phenomenon. Intensive care exams across the world are now incorporating this form of examination as part of the assessment process. Take for example the Fellowship of the Faculty of Intensive Care Medicine (FFICM) examination in the United Kingdom (UK) which now includes OSCEs; thus, they are gaining further importance. There are a number of intensive care medicine (ICM) textbooks available, but there are very few resources specifically aimed at the practice of OSCEs in ICM. This book is not designed to be a textbook; rather, it has been specifically designed to implement the rehearsal of OSCEs. Much like a driving test there are certain things in the OSCEs that must be said to score that ever precious mark, even if it is stating the absolute obvious, for example: This is a critical emergency and I would undertake: • An acute assessment, resuscitation and management to follow an ‘airway, breathing, circulation, disability and exposure’ approach. Small and compact in design, this book can be utilised for practice in the immediate days running up to an ICM exam. Previous exam topic favourites have been carefully analysed before the preparation of this book. It will aid the reader to polish their OSCE performance and possibly identify areas that may have been neglected. Depending on the exam that you will sit, a fair proportion of questions will require answers in the form of lists (e.g. list of tests you would order). In our experience this often leads to the examiner repeating the phrase “anything else?”! Try not to get thrown by this; you may have given an excellent answer but there is still a further mark for the one thing you didn’t mention and the examiner is trying to give you the opportunity to score that final mark! No matter how good your knowledge is, everyone forgets something in the heat of the exam!
The OSCE answers and narratives in the book have been purposely arranged as bulleted lists timed for 6-minute stations. This is because every station in an OSCE exam has listed scoring marks which are available in that finite time of 6 minutes. With practice, your ‘OSCE mindset’ can be arranged so as to score marks in a systematic and organised, yet swift, manner. For example, in this chest X-ray, what are some of the causes of bilateral pulmonary infiltrates?: • Pulmonary oedema: – cardiac failure; – valvular heart disease — congenital or acquired; – renal failure; – liver failure; – iatrogenic fluid overload. • Infection: – bacterial; – viral; – fungal or protozoal; • Autoimmune: – Goodpasture’s syndrome; – pulmonary fibrosis. • Acute respiratory distress syndrome (ARDS).
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