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The
Final Anaesthetic Exam -
What they didn't tell you and you forgot to ask !!
- by Gabriel Mar Fan
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4.
Other reading materials and resources that are helpful.
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It
is wise to start collecting the review articles and editorials once you
have decided to do the part 2. There are six core journals and people go
back anything from three to five years.
Journals:
BJA
Anesthesiology
Anaesthesia
CJA
Anesthesia and Analgesia
Anaesthesia and Intensive Care
Others:
British journal of hospital medicine
Journal of cardiothoracic anaesthesia
Current opinions in Anaesthesiology
Balliere's clinical anaesthesiology
Acta Anaesthesiologica Scandinavia
Anaes clinics of Nth America
Seminars in Anaesthesia
A few internet journals if you are really keen
Other people's notes and cards – never as good as making your own.
The course notes from various local and interstate Part II courses
Internet anaesthetic websites - talk to any anaes surfer but check the
Queensland Anaesthesia site.
Most hospital (PAH and Mater) XR departments have a X-ray Library - use
it! Friendly radiologists are excellent for the odd tutorial closer to
the exam.
Skeleton – use your old med school one or if you’re desperate, a box
of real bones can be found at the reading room at the Mater dept of
anaes and a fake one at PA registrar room.
There is a excellent collection of Part II topic presentations at the
Gold Coast Anaes Dept from over the last four to five years - worth
making the trip down!
There are many bits and pieces of equipment floating around
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5.
The courses that are available.
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There are several ‘official’ courses and most people go to one of
these (sometimes more!).
The Queensland Part 2 Short Course is held in March & July
each year before each of the part 2 exams. The course goes for one week
and is organised by Stephen Bruce (a past Part 2 Prize winner) &
Scott Buntain. This
course is relatively new and started after I sat the exam so I haven’t
been to it myself. However, the feedback is that it is well organised
and very good. Cost was $360 (check latest price) & numbers are limited to about 20
(max) to allow for significant interaction. You can now enrol/register
for this course via an online registration form on the College website. The course includes talks,
interactive lectures & various exam practice sessions. Only a very
small number of non-Queensland registrars are accepted as
Queensland Registars are given preference and this usually doesn't
leave many leftover spots.
Another course is the bi-annual Melbourne course (Victorian
Regional Committee) which is held usually before the second sit and
before the end of the year at the college HQ. They are usually a week of
intensive lectures with crowded conditions and occasional interactive
lecturers. The course cost $225 and the class size was close to 50. The
notes originating from this course are useful. The other ones are in NSW
with one in RPA near beginning of the year for two weeks and one at
Westmead for one week near July for one week. Both Melbourne and Sydney
courses are amazingly hard to enroll in unless you enquire early and
book before the locals get in.
I went to the one at RPA which was held at the Anaesthetic Dept.
It cost $400 and lasted 2 weeks. Lectures daily from approx 0800 - 1800 variable. Most of the topics are part II based. Good
points include panel discussion on certain topic e.g. Mx of PET and Mx
of certain paed condition, lectures from physician that examines us and
you have a slightly better idea what they want on that
"Saturday". Other good bits include special tutes on ECGs,
anatomy and tour of Ohmeda (semi-useful but good supper though). The
down side is that no viva practise and only one written paper but it was
written by the chairman of board of examiners! The class size was about
40 people total.
The one in Westmead is held around July. The cost is $320 and it
is the most exam orientated one that I have heard of from people that
have been there. The schedule is approx 10 hour days for 5 days with
interactive lectures on exam related topics and almost daily viva
sessions for 2-3 hours. They have also three trial exams and trial MCQ's.
The class size is about 15-20 total.
Selecting a course is up to you. Most people try to assess themselves
against the other candidates at the course and this may or may not be
reassuring. Don't leave applying for a course until the last minute as
there may be limits on how many are accepted. So, be organised & get
in early.
There
are benefits in sitting first up especially if you are applying for PF
jobs later in the year - looks
good on your CV that you have the exam already! I have been told there
is a course in Auckland, NZ but I don't know much about it. Royal
Brisbane Hospital runs weekly Part 2 course but it is hard to know what
is happening unless you have contacts over there. The Brisbane Part 2
Long Course (Thursday nights) is very useful: this is best to enrol in
in your third training year
The
written is the main area where candidate fail. This counts for 40% of
the final mark. Unlike the part I, the vivas are part of the $1850
(probably be higher by the time you read this) deal and you get both
written and oral exams. You only know the final results (if you pass) at
the end of the Saturday / Sunday night. If you are the unfortunate
20-25% that need to donate more money to the college renovations, the
exam breakdown come about one to two week later in the mail.
MCQ
150 Questions - 1/6 mark per question
Morning session : 0900 - 1130 ; 2.5 hours = one minute per question
25% of total mark, overall pass rate 75-80%
No negative marking but used computer answer paper – check Q’s and
answer correspond !!
Type A and Type K - variable split (110/40 approx in mine)
Type A is one out of five choices and K is pre set combination (1+3,
2+4, 123 etc) out of four choices
They do change the answers around - both in order and type i.e. A to K
or other way round
Note well the recent “marker” questions at KB's MCQ book (i.e.
Appeared in past 3-10 papers)
Approx 60% of the questions you would have seen before if you go through
the MCQ book adequately (the most recent 2 papers is invaluable)
They say that the easiest and hardest questions are chucked, so that
only the discriminating remaining MCQ's are marked to sort out the
candidates and ensure fairness and consistency, both between candidates
and between past exams. This fact is of no value to you, practically.
As most people have said, this is the most time consuming, hardest and
frustrating part of the pre-exam study but it does give you a frame work
for your studies
The most recent Gold Coast MCQ book is a must have !! Buy the latest one
if there has been an update since you bought your copy.
Please try to remember some of the MCQ's afterwards for your fellow
candidates and sent it to KB.
SAQ
15 short answer questions (SAQ)
Afternoon session : 1400 – 1630
Worth 15% of total mark; overall pass rate 58-70%
150 mins = 9-9.5 mins per question
Worth doing 1 minute outline if you don’t think/write in an organised
manner
Don’t panic. Take 10 seconds to breathe and clear your brain, drink
water or whatever, between questions.
5 answer booklets - 3 question per book
READ the question and ANSWER the question that is asked. Gratuitous
information written down only wastes time. Failure to answer the exact
question means that the examiner is bound by obligation and fairness NOT
to award any marks for the inappropriate portion of your answer.
Examiners have told me that this section decides how good you are as an
anaesthetist (i.e. Tests knowledge and how you use this knowledge). The
whole paper covers a wide base and everyone will be weak in some
sections.
Express your knowledge and put priority into your “management”
answers
Examiners look for content AND ORGANISATION
Do not go over time for each question. 1 minute lost on each question
means 1.5 questions lost on
the whole paper. I am told that most candidates can score 4/10 for the
most basic answer. 5-6/10 for a good answer and you have to be a legend
to get 7+. If you spend extra time on one answer, the 0.5 mark extra you
get is far less than the 4/10 you could score from a relatively basic
answer later on. Answer plan is better than a blank page if you do run
overtime.
Writing in note form is allowed; essays are not worthwhile.
Almost any topic is feasible including cardiac, colon prep composition
(8/98) and statistics (8/96) If it relates to an anaesthetic, you could
get it.
Collection of SAQ's in
appendix A. It is worth practicing in a mock setting.
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