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.

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

5. The courses that are available.

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 

6. The Written Exam

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.

Written by Gabriel Mar Fan
Last updated Thursday, 23 June 2005 10:56 AM EST