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Showing posts with label Basic. Show all posts
Showing posts with label Basic. Show all posts

12 February 2013

Fitness to drive


I recently received queries from an OTD/IMG regarding AMC exams and Australian medical practice. I will post question and answer as I find time. 

Q - I carefully checked  the list you provided us with (from your blog  http://imgaustralia.blogspot.com.au/2010/10/books-you-need-to-read-for-amc-exam.html  ) . Some books I managed to find online but some others I couldn't. But there is one book in the list which is quite shocking and it is "Assessing fitness to drive - freely available from website" . I mean why is that among the must read books and is it in the list by mistake?!


A - There are always one or two question related to fitness to drive in AMC exam - only one authentic book out there for fitness to drive in Australia. I know it is extensive and messy, but no other way around. I would suggest you try to find answer related to common scenario like MI, epilepsy, DM, collapse and visual requirement for driving and that will be enough rather than reading whole book.

Q - Medicine is really a huge field and pretty much hard to cover (you can't be 100% prepared), so is there a catch how to learn the stuff from the books and what is the best way to be prepared for the exam (it is not just a single book or 3 books it is a complete knowledge)? Should we basically prepare that exam by reading each of the MCQs from the main AMC MCQ book and then expand/build the knowledge for each of the questions  by reading about them from other books listed?

A - Answer of this question lies in your question. There is no such thing that you read 1-2 books in medicine. On fun side, I can tell you read John Murtagh GP, Harrison's Internal Medicine and AMC MCQ book and if you can remember everything you don't need any other book. You will pass. 

Q- Since I'm about to prepare myself just for the MCQ CAT and then start the internship in Australia (if possible) I want to ask are all the books you listedhttp://imgaustralia.blogspot.com.au/2010/10/books-you-need-to-read-for-amc-exam.html  just for that first part (not for the clinical part which can be taken later  during or upon the completion of internship)? I'm asking you that because you put as 3rd book in the list - " AMC Handbook of Clinical Assessment (for part 2, but should read for part 1 if you can)" and again as 7th in the second group - " Systemic Guide to Physical Diagnose by Talley and O'Connor - DVD comes with the book and that is really helpful for physical examination" . Are these books for the MCQ ? Or for the clinical part?


A - You should read all the book to start with. The book you specifically asked, they are for clinical examination only, but while you looking for internship and doing internship that knowledge will come handy. 

Q - What about the therapeutic guidelines, there are plenty of them  (http://www.amc.org.au/index.php/pub#pophealth  the huge list starts from Public health) , which to use exactly?


A - Simple answer is yes. In my view you don't need to read any. If you really want to read then read Therapeutic Guidelines for antibiotics as they are different in different region of the world. 

Q- You listed some books that are not even in the AMC list http://www.amc.org.au/index.php/pub   such are "The Australian Immunisation Handbook" ,  "Oxford Handbook of Clinical Medicine" , "Oxford Handbook of Clinical Specialities" etc.

A - This is from my personal experience and I used these books when I prepared for my exam. Remember clinical knowledge remains same throughout world, but application of that knowledge changes according to area. 

Q- The immunisation book is in the list too? Is this the book. What should we paid attention to when learning from this book since there are so many information and tables there ?


A - Focus on immunisation schedule, requirement, contraindication, administration and common side effects of vaccination listed on schedule.

Q - As for the test, is it a test which we do by writing on the paper or some other way (since I read that we can look back at the questions we did not answer at the first place after completing the very last question).

A - In Australia, it (AMC MCQ) is all computer based exam. I am not sure about overseas centres, but I think all are computer based now for AMC exam.

Q -  There are also the non-scored questions mentioned so do we have to answer them too?

A - Don't worry about them, as you will not able to recognise them differently. To you all will look same. 

Q-   What about the dosages of the medications ? Should we learn them and if yes for which conditions ?

A - Common (i.e Abx for pneumonia, COPD, analgesia etc)  and emergency medications ( like medication for MI, anaphylaxis etc), you need to remember everything including dosage. 

16 May 2012

Registration


Again, this is common and interesting question about registration.Received reply from Dr A about previous post. 

Thank you for your frank reply. I am planning to give my clinical in July and waiting for exam date from AMC. I would like to know about the pathway to get full registration if I take up this GP job? I am aware that even after passing clinical its necessary to do rotation to get full registration, how will I get full registration if i become GP?


Hi Dr A, 


This is interesting question. If you go on rural pathway without passing clinical exam and necessary rotation, you will not be eligible for general registration, you will get conditional registration until you passed your GP exam (FRACGP or similar). Once you have passed your specialist exam, you will get registration as a specialist (GP is specialist in Australia), not general registration. Although nothing much changes from that except few other specialty will need general registration if you want to change your career, otherwise there is not much restriction what you can and cannot do as GP.

You can pass your clinical exam and either apply for exemption or do necessary rotation to get full registration. There is not other way around for OTD/IMG from developing countries (!!!???). Doctors from few countries will be eligible for competent pathway, but it is another point of discussion.

Hope this answers your question. 

20 September 2011

Useful resources for clinical practice

During my internship and general training, I found that there are lots of information available on website, but it can be really daunting task to go through all the website and find what is useful for AMC exam and clinical practice in Australia.

I am going to list the websites I found useful. I will also give small explanation for the website and information about what is useful in that website. Few of the websites and resources are useful, but they cost a lot like UpTodate. I haven't listed this costly resouces.

This is official RACGP website. This is my favorite website for AMC examination preparation. Most of you know that John Murtagh wrote a bible for Australian GP, which is also excellent resouce for AMC examination. RACGP is publisher for the book.
Over the time, RACGP has developed few guidelines to guide general practitioners in Australia. Few of guidelines are adopted from external resources. These all guidelines are available free in electronic version.
RACGP also provides education via www.gplearning.com.au. This is free for RACGP member. RACGP membership costs around $150 pa for junior doctors, but I found that money worthwhile.
Out of these guidelines following guidelines are useful for IMGs to read for exam preparation and clinical practice.
Guidelines for preventive activities in general practice (the red book) 7th Edition 2009
Diabetes management in general practice (17th edition)
Clinical Guidelines for Stroke and TIA Management: A quick guide for general practice
SNAP: a population health guide to behavioural risk factors in general practice
National Heart Foundation of Australia physical activity recommendations for people with cardiovascular disease
The Australian Immunisation Handbook
Guidelines for the prevention, detection and management of chronic heart failure in Australia, 2006
Management of incontinence in general practice
Hepatitis C guideline
Acute gastroenteritis in Children

Heart Foundation Australia website
Find guideline for hypertension, lipids management and reducing risk in health disease

Royal Children's Hospital, Melbourne Clinical Practice Guidelines
RCH CPG is also available on iphone and blackberry via iSilo, and good this about this is free at this stage.
Paediatric Handbook is really useful, but it is not free. It can be purchased from Fishpond or Bookdepository

Shine SA (sexual health informations, networking and education) provides sexual health service to population and education opportunities to health professionals. Website contains useful information about contraceptions and patient education material.

National Prescribing Service Limited. This website provides evidence base independent information about medicines. Search Case studies for health professionals and you will find useful cases to read with expert comments. This case studies are really useful for AMC examinations.

National Asthma Council website is useful resource for Asthma. Go to health professional section and you will find Australian Asthma Handbook and useful resources for spirometry, asthma action plan and information for medications useful in asthma and COAD.

Health Insight is Australian Government initiative to provide useful information to health practitioner. This website cover wide variety of topics and provide useful link for various medical conditions. This website is not on top of my list, but I use this website when I am looking for specific general information about the condition and cannot find on other websites.

Medical Journal of Australia website

New Zealand Dermatology website contains lots of good dermatological pictures and treatment plan.

International website to find lots of free medical journals online.

The Australian Concrane Centre - useful website to find information base on evidence base medicine.

US National Institute of Health. This website provides free digital archive of biomedical and life sciences journal literature.

This website provides information to patient who have depression, but also provides useful resources for mental health to health practitioners.

Sane Australia provides information for mental illness including schizophrenia, bipolar disorder, depression, antipsychotic medications and community care.

Centers for Disease Control and preventions. This website is US website. Provides useful and up to date information for travel medicine and communicable disease.

Clinical Sports Medicine provides useful information for Sport Medicine
Please read disclaimer before using any information provided on this blog. I do not take any responsible for information provided on external websites.

01 August 2011

What is after AMC 1 ( or AMC MCQ)?

Recently, I received email from a doctor who asked above question.
Guys, there are multiple options after AMC1. I will try to answer above question in this article.

I believe if you have done AMC1, you are planning to come to Australia and work as a doctor. I will also assume that you have done your IELTS/OET.

Basically, if you want to be fully registered in Australia, you have to do AMC 2 and 1 year of supervised training (internship) if you are coming after MBBS and want to follow general pathway of AMC. I have not discussed specialist pathway and competent pathway.

Option 1 would be to stay in your home country and continue doing clinical practice while awaiting for AMC 2. There are pros and cons about this option.
Pros -
* You will be practicing medicine and your will be building your clinical experience which will come with all your life.
* You will be earning money to support your venture about AMC exam
Cons -
* You will be working in your home country and my understanding is that you want to work in Australia as a doctor, but remember your experience will count at some degree even in Australia
* It is hard to pass AMC clinical exam with this option as you have no/little clinical experience in Australia
* You will be waiting for exam dates for about 18-20 months or may be longer
* It is difficult to find job as a doctor in Australia if you are overseas

Option 2 would be to come to Australia and wait for the exam
Pros -
* It is little bit easier to find job in medicine compare to 1st option
* You will learn about Australian culture
* Your English language and communication skill will improve (If English is not your first language)
* The best benefit would be lot easier to clear clinical exam
Cons -
* You may need to work in other areas while looking for job in medicine
* Finding job can be difficult in medicine in Australia and it may take up to 12 months or longer
* You need visa to enter in Australia - well, most of people will need
* If you cannot find any other job then it can be very costly to support yourself in Australia - cost depends upon where you live in Australia

Please read disclaimer before using the information in this blog.

18 October 2010

Books you need to read for AMC exam

Reading in medicine is unlimited and there is no fix curriculum. Below is a guidance which book is more important for you to read for the exam. This is not official AMC guidelines, this is only from my experience. Also read AMC MCQ exam specification booklet (available through AMC website) and clinical exam specification booklet (link). There are few booklet and material available through various sources. If you need to purchase them there are various online  (usually cheaper) and offline bookstore available to purchase. These two bookstores will be nice to visit - Bookdepository and Fishpond. Another great online bookstore is obviously Amazon.com.
  • A must read books:
  1. Anthology of Medical Condition
  2. AMC Handbook for MCQs
  3. AMC Handbook of Clinical Assessment (for part 2, but should read for part 1 if you can)
  4. General Practice by Dr J. Murtagh
  5. Oxford Handbook of Clinical Medicine
  6. Oxford Handbook of Clinical Specialities
  7. The Australian Immunisation Handbook - freely available from  Australian Government websiteImmunisation Handbook 
  8. Assessing fitness to drive - freely available from website
  • You should read these books:
  1. Fundamentals of O & G by Llewellyn-Jones
  2. Essential Paediatrics by Hull
  3. Royal Children's Hospital - Paediatric Handbook
  4. Textbook of Surgery by Tjandra
  5. Practise tips by Dr J. Murtagh
  6. Patient Education by Dr J. Murtagh
  7. A Systemic Guide to Physical Diagnose by Talley and O'Connor - DVD comes with the book and that is really helpful for physical examination
  8. Diabetes management in general practice - freely available via RACGP website 
  • Use as a reference:
  1. Davidson's Principles and Practice of Medicine
  2. Harrison's Principles of Internal Medicine
  3. Ethics and the law for health professionals by Ian Kerridge
  4. Australian Family Physician - journal by RACGP - website , available free online, printed copy will need subscription.
  5. Medical Journal of Australia - website
  6. Therapeutic Guidelines - various available
Please read disclaimer before using this information.