MICGP Written Modules Outline How to prepare
MCQ Component 75 questions stems Number increased to improve sampling and validity 5 individual responses Total 375 questions 07/10/05 KQ ICGP 2
Proportion of Questions in different areas General Medicine 8 Therapeutics 8 Obstetrics Gynaecology & Womens Health 8 Psychiatry 8 Paediatrics 8 Dermatology 6 Clinical Surgery 5 Ophthalmology 4 Physical Medicine 4 ENT 4 Infectious Diseases 4 Care of the Elderly 8 07/10/05 KQ ICGP 3
MCQ Marking +1 for correct 0 for incorrect or unanswered 70% pass mark 07/10/05 KQ ICGP 4
Content Treat each stem and response as one question all the necessary information should be there to answer. Treat at face value Do not over-interpret Place yourself in the clinical situation and consider what best practice is. 07/10/05 KQ ICGP 5
Physical Medicine Typical features of Frozen Shoulder(adhesive capsulitis) include: a. global limitation of joint movement. T b. pain that interferes with sleep. T c. relationship to minor injury. T d. spontaneous resolution. T e. raised ESR. F 07/10/05 KQ ICGP 6
Women s health In a pregnant woman who contracts Rubella the risk of Congental Rubella Syndrome developing is: a. greatest in the first trimester. b. reduced by administration of vaccine. c. reduced by gamma globulin administration. d. less than 25% after 20 weeks gestation. e. higher in Multiparous mothers. Notes. a. True up to 90% in first 10 weeks. b. F c. F d. T < 10% after 20 weeks e. F 07/10/05 KQ ICGP 7
How to Prepare for MCQ Study-All exams require preparation Direct to areas of identified knowledge deficit Self assessment MCQs in various subspecialities NB. Ophthalmology, Dermatology,Therapeutics. Work in Groups Apply knowledge in hospital and relate to General Practice 07/10/05 KQ ICGP 8
Useful Web Study Resources www.icgp.ie www.gpnotebook.co.uk www.rcgp.org.uk www.bnf.org.uk Recommended textbooks as VTS scheme or ICGP 07/10/05 KQ ICGP 9
MEQ Module Designed to assess application of clinical knowledge in general practice Management ability Consultation skills The doctor as a professional Duties Clinical knowledge-maintain competence Duties as an employer Teamwork- Delegation Honesty Commitment to CME and CA Commitment to be good Communicator 07/10/05 KQ ICGP 10
MEQ Constructs Clinical Issues Consultation skills Management ability Decision Skills Quality in Practice Self awareness Primary Care Team issues Ethics Difficult Patients Legal Issues Administration issues 07/10/05 KQ ICGP 11
Management Assessment Appropriate History Examination Reassure- Advise- Prescribe - Appropriate Cost Effective Refer Primary Care, Secondary, Ancillary Investigate Near Patient. Appropriate. Observe- Follow up arrangements Prevent- 07/10/05 KQ ICGP 12
Prescribing Necessary Efficacious Safety-Side Effects Cost effective-compliance Allergies-Adverse-Alternatives Follow up- monitoring required Explanation- 07/10/05 KQ ICGP 13
Discuss the issues raised Discuss Consider and Debate-Pros and Cons From viewpoint of all participants Issues-topic of interest-important subject Doctor Patient, family and Informal Carers Practice and Staff Colleagues outside of practice 07/10/05 KQ ICGP 14
Mrs Murphy attends with Johnny aged 2 ½ who is slow to speak. She is concerned about this & asks your advice. How would you assess & manage her concerns? Example showing brief outline: Expand bullet points. Assess History Understanding Current Language ability Review development milestones Examination ENT Expand- Growth Agreed Management Plan Referral-Speech T. PHN. ENT. Other. 07/10/05 KQ ICGP 15
How to Prepare for MEQ More suitable to GPRs- experience in GP Publications for MRCGP-Pastest,Kilburn etc. Ethics- Current Medical Council Council Guide to Practice-Ethics in GP OUP Practice Past Papers in Study Group Available from college Some sample answers should be available on schemes 07/10/05 KQ ICGP 16
Common Mistakes MEQ Time Allocation- EQUAL Illegible answers Fail to answer question asked Part answer only Failure to expand on outline Concentration on Irrelevancy Poor problem solving ability 07/10/05 KQ ICGP 17
MEQ Web Resources http://www.gp-training.net/ http://www.bmjjournals.com/ 10 minute consultations Collected resources http://www.bmjlearning.com/planrecord/index. jsp Excellent for up to date teaching modules www.icgp.ie Useful protocols- forum-portal to other sites Forum distance learning modules 07/10/05 KQ ICGP 18
SEQ Designed to assess knowledge of current trends and best practice in General Practice which include: Clinical issues Practice Management Quality in Practice Application of EBM in Practice 07/10/05 KQ ICGP 19
SEQ Write short notes on.x in GP Disease Introduction- Definition/Prevalence/Importance Management Use expanded Bullet Point Format 07/10/05 KQ ICGP 20
WRITE SHORT NOTES ON THE IDENTIFICATION OF PATIENTS WITH ALCOHOL PROBLEMS IN GENERAL PRACTICE. Introduction Definition- What the problem is Impact on individual family practice society Identification Records Formal Assessments- CAGE AUDIT expand. Family History/ Collateral History Presentation Physical : Injury/Violence/GIT/CNS/ Psychological: Depression/Anxiety/ Social and Legal: Work/DD/DV/ Biochemical: LFT/GGT/ MCV NB.Quote valid evidence when possible. 07/10/05 KQ ICGP 21
SEQ how to prepare Identify what issues are topical over the last few years in General Practice, CME, Annual Meetings etc. Work in groups to prepare answers and discuss answers Read widely ICGP publications and Protocols RCGP guidelines- 07/10/05 KQ ICGP 22
SEQ resources As for the MEQ + ICGP Guidelines can be down loaded from ICGP website PDF format 07/10/05 KQ ICGP 23
Finally Exams only sample your ability They are one assessment of performance and knowledge To pass exam you need adequate preparation and practice 07/10/05 KQ ICGP 24