CREST Program

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-

  1. Medical expertise
  2. Clinical synthesis
  3. Prioritisation and decision making
  4. 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-

  1. Differential diagnosis
  2. Focused assessment
  3. Interpretation and applying the assessment findings
  4. Formulation of an impression
  5. identifying other issues- social, cultural and others
  6. Formulation of a management plan
  7. Effectively communicating the management plan to the patient/in-patient team member.

Topics and timetable-

CREST PROGRAM  – ALTERNATE TUESDAYS 12:30
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