Essential Tips for Year 5 Medical Students
Overview of key areas for Year 5 medical students including Pathology, FPAS recap, PACES exam insights, firm rotations, and core concepts to focus on. Helpful resources, top tips, and important details to prepare for the final year of medical school.
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How to Year 5 How to Year 5 Laz and Dan
Overview Pathology Firms O&G Psych Paeds Other firms Resources What MedED can offer Other things you should try to get done in 5thyear General tips Q&A
Recap of FPAS SJT Medical School 50 50 34 points for everyone +1 for every decile above 10th decile (e.g. top decile gets 43 points) 4 points for BSc (1st= 4, 2:1 = 3 etc.) 2 points for publications Specialties 22% Year 3 40% Year 5 60% PACES 22% Pathology 16%
Pathology Top Tips Don t overcomplicate it, it s like 1st/2ndyear Prioritise lecture lead lectures Small details require repetition (brainscape cards are good for this) No point learning it too early Histopathology Rob Goldin Immunology Margaret Callan Haematology Donald MacDonald Themes Resources Older year notes Pathbase 450 SBAs in Clinical Pathology Brainscape flashcards Past papers Chemical Pathology Karim Meeran Microbiology Hugo Donaldson
PACES Psychiatry x 2 Paediatrics x 2 O&G x 2 GP x 2
PACES 8 stations 15 minutes each 2 minutes reading time Typical station 6 minutes history 2 minutes data interpretation 3 minutes explanation 4 minutes viva DOPS can feature in a station Think of cross-over stations between different specialties Example stations show you what to look out for on firms
Firms The Big 3 Paediatrics x 7 weeks O&G x 7 weeks Psychiatry x 6 weeks Other firms GP x 3 weeks Dermatology x 3 weeks Oncology x 2 weeks Radiology & Critical Care x 2 weeks GUM/HIV/ID x 3 weeks SCP x 4 weeks Teaching Skills x 1 week Study Leave 2 x 1 week 2 x 2 weeks
Key concepts for Year 5 Focus on Management Understanding threshold for admission to hospital Understanding who to involve in treatment, e.g. which teams and what level of seniority If this sounds daunting, the main focus is that you will act safely as an FY1
Key concepts for Year 5 More challenging communication skills Difficult patients Breaking bad news Explanations Understanding medical law Mental Health Act Abortion Act Fraser Guidelines Dealing with the viva Need to be concise Have a structure
Obstetrics Clinics Antenatal midwife lead GDM clinic Obstetric Medicine EPAU Obstetric Triage Befriend midwives on the labour ward, explain what you need to see Do night shifts on labour ward Management can be divided into antenatal, perinatal and postnatal. Know when to admit
Gynaecology Clinics are useful for history taking and examinations Attend 2 week wait clinics must understand indications for referral Attend specialist clinics this can turn up in PACES Gynae Theatres for speculum and bimanual. Get comfortable asking patients before the operation for permission. Listen to doctors explaining procedures, read patient info leaflets
Paediatrics Paeds is huge! Try to learn as much as you can on firms. Learning everything on firms is impossible Learn developmental milestones, vaccination schedule and normal obs early Community/developmental paediatrics can be helpful Paeds A&E is very good preparation for PACES Try to see the ABCDE approach, as this may turn up in PACES For chronic conditions must know the details of MDT management
Psychiatry Notoriously relaxed Need to understand different teams who work in Psych and which patients they see, try to spend time with each of them Inpatients Crisis Team Community mental health Liaison Psych CAMHS History taking is longgggg Practise Mental State Examinations (MSE) in clinics and on the ward Categorise management using the bio-psycho-social model Pharmacology is a big topic, learn indications and complications
Other firms Some are very relevant to specialties or pathology: Firm GP Dermatology GUM/HIV/ID Oncology Relevance Specialties Paediatrics Gynae and Microbiology Gynae and Histopathology Let doctors know you have specialties exams so they can find things relevant to you, especially for GP placement. Can get DOPS done on some of these Other firms are a good opportunity to study
Study Leave If you need to use your study leave to recover, that is fine. Would probably advise this for the first break you get. Later in the year try to get some studying done Factor your study leave into your overall plan for the year
Resources for Specialties TEXTBOOKS Ten Teachers (alternative: Impey) PRN Lissauer s QUESTIONS
Tips for Specialties Specialty Guidelines Things to Learn from Firms Services available Differences between drugs Practical things (e.g. EpiPen) Thresholds for hospital admission Obs antenatal care, clinical judgement with antenatal complications, practical measures (e.g. induction of labour) Gynae screening programmes, patient-centred management Resources available at GP (e.g. extent to which conditions can be managed by the GP) NICE Psychiatry NICE Paediatrics RCOG Obs & Gynae NICE CKS GP
Extras for Portfolio WARNING: do NOT stress about any of this, none of it is essential, it just may be something to consider if you have time on your hands Letter to Editor Short response (~500 words) to a published paper Must be done soon after publication (~30 days) If published with a PubMed ID, it can be used for FPAS Some journals cap the number you can submit Journals Advances in Medical Education and Practice Medical Education Online SCP Depends on the intensity and timing of your SCP Audit CQIP Journal article Teaching Helps a lot with PACES Useful to collect feedback Keeps general medicine fresh
Extras for Year 5 BSc Project try to get a poster presentation and/or publication Ask your supervisor for advice May have to do some additional work Imperial has a conference fund and you are given 3 days leave for this Some conferences will provide financial support as well Doctors on firms may offer you chance to get involved with research/audits. If you want research experience in that specialty, tell them! Try to sort your elective if you have time Tidy up your portfolio Keep all your certificates/feedback etc in one place Your imperial email will delete emails after a couple of years Look for where you have gaps to fill
MedEDSupport Pathology Guide Pathology Lecture Series PACES Mentoring Scheme Paces Lecture Series Centralised Mock PACES Year 5 Advice Guide MedED Website
Pathology Guide Currently being updated to this year s syllabus Authors are Imperial Alumni who performed well on their path exam Will be available for free as PDF or as hard copy through union website - Price TBD Ready for collection at the first path lecture in January Must purchase by deadline (TBD) to get a hard copy
Pathology Lecture Series 10 Lectures, 2 on each specialty: Immunology x 2 Chemical Pathology x 2 Histopathology x 2 Microbiology x 2 Haematology x 2 January to March 2020 All lecturers performed well on their path exam and contribute to the path guide as well
PACES Mentoring Scheme Final year students provide at least three small group tutorials Similar to OSCE tutoring scheme Aim is to get you started with PACES preparation If you have a group preference, there is an option to state this on the sign-up form
Specialties Lecture series April and May 2020 Focused on the specialties written exam SBA Based
PACES Management Guide Revamped this year with a focus on management of the 3 specialties Example PACES stations to use in your PACES groups Also available for free as PDF or as hard copy through union website - Price TBD Purpose is to save you time looking up guidelines when studying for Specialties and PACES
Centralised Mock PACES All students are guaranteed a mock PACES 3 different days, each one organised by a different society 4 station mock PACES covering O&G, Paeds, Psych and GP Examiners are doctors, stations verified by the faculty Dates TBC Mid May
Centralised Mock PACES To be eligible for the Mock Paces you will need to: Be a patient on another circuit Examine on one of the society s mock OSCEs
Year 5 Advice Guide Concise Year 5 Advice Guide with key points for firms, written exams and PACES The slides from this evening and the Year 5 Advice Guide will be sent out Provided you fill in feedback!
MedEDWebsite All MedED materials from last year are now available on the website This year s will be uploaded over the year
General Tips 5thyear is a marathon, not a sprint This year you can do almost anything, but not everything Have textbooks or Passmed on your iPad Have a game plan by the middle of the year Learn from your friends on other firms Do practice questions on firms Mention to doctors what you are finding difficult Be kind to yourself
Thank You and Good Luck! https://forms.gle/wVvAk2EMmf8ipVB69
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