Post Graduate Medical Education
Clinical reasoning, Prioritisation and decision making, Communication sessions
A teaching Program for our residents and intern doctors designed to enhance their skills in diagnosing, treating and communicating with patients. The program will consist of structured case-based discussions of common topics, emergency department and wards presentations, and challenging communication sessions. International graduates preparing for AMC 2 exam will benefit from attending since we will also guide examination preparation during the session.
Aim-
This program aims to improve our junior medical officers’ clinical reasoning and synthesis skills (JMOs), focusing on effective communication and patient-centred care. Structured formal training towards clinical reasoning and decision-making will help the JMOs to work proficiently, help them to develop appropriate treatment plans, and communicate effectively with patients and their families.
Another important aspect of the program will be the additional focus on AMC 2 exam and international medical graduate (IMG) support. These sessions will provide the IMGs with additional support and resources to help them prepare for the AMC 2 exam and to navigate the Australian healthcare system.
Domains of teaching-
- Medical expertise
- Clinical synthesis
- Prioritisation and decision making
- Communication
Structure of the program-
Ongoing fortnightly sessions covering common topics and presentations in the emergency department and ward situations- 20 weeks cycle.
Date of commencement- 30th May 2023
Tuesday- 1230- 1400 alternate Tuesdays
Facilitators- Dr Ps Bhowmik, Dr Sue Davel
Structure of the session-
Case of the day- and OSCE-style discussion of the case with the role player (the facilitator), followed by a discussion of the critical aspects of the case-
- Differential diagnosis
- Focused assessment
- Interpretation and applying the assessment findings
- Formulation of an impression
- identifying other issues- social, cultural and others
- Formulation of a management plan
- Effectively communicating the management plan to the patient/in-patient team member.
Topics and timetable-
CREST PROGRAM – ALTERNATE TUESDAYS 12:30 |
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Date | Topic | Discussion focus |
30-May | Abdominal pain | Approach in paediatric patients, the elderly. Differential diagnosis. |
13-Jun | Ortho examination | Clinical examination in common scenarios – knee, shoulder, wrist injuries |
27-Jun | Headache | History, differential diagnosis and investigations. Management of acute migraine |
11-Jul | Light-headedness | History, differential diagnosis and investigations. Vertigo/ pre-syncope |
25-Jul | Chest pain | history, and differential diagnosis. Management of life-threatening emergencies |
8-Aug | Palpitations | History, management approach to arrhythmias |
22-Aug | Vaginal bleeding in the pregnant patient | Approach, differential diagnosis and management |
12-Sep | Fever and rash in children | History, examination, differential diagnosis and management |
26-Sep | Fever of unknown origin | History, examination, differential diagnosis and management |
10-Oct | Back pain | History, examination, differential diagnosis and management |
24-Oct | Vaginal bleeding in the non-pregnant patient | history, examination, differential diagnosis and management |
7-Nov | Chest pain | History, diagnosis of life-threatening emergencies, acute management |
21-Nov | Fractures and ortho | Colles fracture, shoulder dislocation, ankle and foot injuries, hand examination. Focus on clinical examination |
5-Dec | Anaemia and transfusions | Approach to anaemia. Communication regarding blood transfusion |
19-Dec | Acute and subacute weakness | Approach, examination, diagnosis |
16-Jan | Abdominal and pelvic pain in females | Include counselling/ communication in PID diagnosis |
30-Jan | Paediatric respiratory conditions | Overview of diagnosis, acute management |
13-Feb | Psychiatry in general practice | Anxiety counselling, postpartum depression – how to evaluate severity when to admit. |
27-Feb | Dyspnoea in adults | History, diagnosis of life-threatening emergencies, acute management |
12-Mar | Communication challenges | Breaking bad news, discussing the ceiling of care, managing unrealistic expectations, how to refer |
For more info- email:
Lords@ramsayhealth.com.au
bhowmikp@ramsayhealth.com.au