D H R U V A B H A V S A R

Final year Medic: Guide to Year 5

Congratulations for getting this far, hope you all enjoyed your electives!

Year 5 = hard work

Year 5 = very worthwhile

Year 5 = packed full of FYD events (ski-trip, fashion show, weekend away)

Year 5 = over before you know it

General tips

Work hard throughout the year

You are now learning to be a doctor, not just learning to pass exams

Get involved on the wards –you will be amazed at how much you can pick up from being there

Enjoy your FYD events!

Layout of the year

Similar to previous year

Exams: May

OSCE’s: ?November/May

You will pass the year overall not individual specialties

Obs & Gynae

Don’t mess with midwives

Not always easy to see births

Need to get history and examinations signed off

10 cases from 12 possible categories Similar layout to 3rdyear long cases Viva on 2 of your 10 cases in OSCE Find them early on and try to follow them through

Obs & Gynae

Textbooks:

Clinical Obstetrics and Gynaecology (Magowan)

Obstetrics and Gynaecology (Impey)

Core Clinical Cases in Obstetrics and Gynaecology (Gupta)

Paediatrics

Good fun!

Spend lots of time with kids on the ward –you will pass if you look comfortable with children and don’t do anything too stupid!

Learn the developmental milestones back to front

Use the recommended text: Illustrated Textbook of Paediatrics (Lissauer)

CBM

Inner and outer practices Inner: group of 4-5, communication skills, audit, tutorials and

some student surgeries Outer: usually alone, may be far away, lots of independent

consulting time

OSCE -2 stations, role players -Learn anything GP related!

Textbook: Oxford Handbook of GP

Medicine

Make the most of your placement –next year you will be the F1!

Spend half your time with your team, and half your time examining patients

You will need to be slick for the OSCE On-calls are very useful –do them!

Textbook: OHCM Medicine at a Glance

Therapeutics

Now Prescriber’s Passport

Roadshows during medicine block, exam Week 5

The most useful exam for being an F1

Feel a lot more comfortable prescribing

Tips: Learn the emergencies section of OHCM back to front (for

medicine as well)

Know the BNF well!-its all there if you know where to look

Practise prescribing on UHB charts

Surgery

Same trust as for your medicine placement

Know all your surgical examinations well (inc abdo, vasc, joints)

Also management station in OSCE

Spending lots of time in theatre is not very useful

Textbook: Bradbury; Principles and Practice of Surgery (especially chapters 1-13) The written exam questions almost all come from this!

AGENDA (specialties)

Comprises of: A&E (2 weeks)

Dermatology

ENT

GU medicine

Neurology

Lots to cover but generally not in so much detail

A&E

Very good learning experience Clerking patients

Formulating management plans

Clinical skills

Emergency management

Exam can be quite random, your best chance of learning is just being there

Dermatology

Describe, describe, describe!

Learn the dermatology terminology and know how to describe a lesion

Know psoriasis and eczema well

Also suspicious lesions e.g. melanoma

Textbook: ABC of dermatology

Dermatology: an illustrated colour text

BAD Medical Students Dermatology Handbook

ENT

Ask consultants to teach you to examine properly

OSCE: Most likely to be a neck lump, or a scar around the ear

Often more like a teaching session!

Textbook: Lecture Notes on diseases of the ear, nose & throat

OHCS

GUM

An eye-opener –things you never knew were possible…!

Can be good fun

Take lots of histories By the end of the week you won’t be bothered by asking strangers

intimate questions!

Practice clinical skills (swabs & speculums)

Everything you need to know is in the GUM handbook

HIV and syphilis important

Neurology

Everyone placed at QE Can feel frustrating with number of students there

Go to your allocated clinics and investigate whether there are more that have not been timetabled

OSCE: mostly histories, but also role players to be examined e.g. carpal tunnel syndrome

Textbook: Lecture notes in Neurology

UKFPO

Start thinking NOW!! Write down lots of examples for last years questions

Have a think about where you want to be –a lot of people say this is the best time to move away from Birmingham!

You will need to be particularly organised as you may have exams in November

What to expect

The scoring scheme: Academic ranking:40 Application answers:60 Total overall application score:100

The quartile scores: 1st quartile:40 points 2nd quartile:38 points 3rd quartile:36 points 4th quartile:34 points

Rank all Foundation Schools in order of preference 6 questions (Q1=additional degrees, publications)

Tips

Write examples for each question and pick your best

Keep it simple but answer ALL parts of the questions.

Use the “person specification”

Get someone to read and critique it

Start thinking about referees early

Don’t’s

Leave it until the last minute

Cram each statement with multiple examples

Be put off applying for “popular” jobs

Try to be tactical

Be afraid to apply outside the West Midlands But if you’re applying to a “popular” FS, have a think about putting a

“backup” in your next few choices

Good Luck!

Good Luck!