PACES MRCP UK - Where MRCPians Meet Since 2006

MRCP is well establised as an entry exam for advanced specialist training in many countries including Malaysia. It consists of 3 paper i.e. Part1, Part2(written tests) and PACES. PACES in full means Practical Assessment of Clinical Examination Skills. It is the third part and the candidate is assessed by fellows of RCP. I passed my PACES in 2005. I am glad that many seniors had guided me throughout my preparation for PACES and I wish to share my experiences with PACES candidates via this blog.


Tuesday, April 18, 2006

Asking For A Postmortem

Sympathy
I’m sorry to hear about the sudden death of your father and all the staff looking after him are saddened by the news

Explain the scenario
Explain that it is not absolutely certain what caused the death, give possibilities
Explain that one of the way of knowing exactly what may have caused the sudden deterioration is a postmortem

Check understanding
What do you understand regarding a postmortem ?
Intermnal examination of person just died, valuable information

Ask advance directive

Has your father ever told you regarding his objection towards postmortem ?

Benefits of postmortem
Valuable information about illness
Explain cause of death
Help Dr treat the same kind of illness
For research

Expain about postmortem

Limited vs Full postmortem
When, where and whom performing the postmortem ?
-by pathologist, in hospital mortuary

Reassurance
Reassure that the body would not be disfigured
Reassure that the funeral arrangements would not necessarily be delayed
As soon as possible

Anything suspicious, this organ will be retained to confirm diagnosis if no objection
Consent if anything retained

Results will be informed – an appointment with consultant

Concerns

Support the decision

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7 Comments:

At 4/20/2006 03:11:00 AM, Blogger BloodDoc said...

Well done dudes.

Am sure you guys have put in great effort.

Tradition of continuous teaching and education is to be continued.

I noticed that so far all the posts are geared towards "passing exam", which are essential for a candidate to pass PACES.

However, passing PACES does not make one automatically become a good physician.

What about some posts on current important landmark study results, so those who pass will also be a knowledgeable physicians? Besids it is also educative for physicians who are in practice.

 
At 4/20/2006 06:18:00 AM, Blogger Vegas said...

I disagree. This blog should be kept for PACES only. Bloodoc - why don't you start a blog for landmark studies? Better to keep things separate.
Thanks.

 
At 4/20/2006 01:45:00 PM, Blogger Axonopathic said...

Thanks blooddoc and vegas for your opinion :)

While passing the exam is of paramount importance before proceeding to the next level, I reckon that equipping with enough current updates is equally essential as well.

We the candidates must stike a balance in btw.

I think we'll keep this blog as for PACES, and hopefully to create another blog solely for updates on landmark trials. And I'll put a link btw them. A for Ace :D

 
At 4/20/2006 05:54:00 PM, Blogger BloodDoc said...

I notice that the owner of this blog is also running a forum.

Maybe another forum for updates and landmak studies is probably better than a blog as it can be easily categorised and organised into specialties and topics, comments are also easier to follow up as they are all kept within the thread.

We can all contribute into the forum. Although I must confess probably I am out of touch with topics outside hematology, thus I need a summarized updates more than the candidates, as I am sure that they are well read.

BTW, landmark studies are not tested anymore in PACES, we did prepare it for VIVA in the old MRCP system.

cheers

 
At 4/20/2006 06:48:00 PM, Blogger Trollmeister said...

I wish you'd do one on this blog...

So fed up with doctors celebrating just how great they are while the nursing and ancilliary staff that do the REAL work get paid fkall.

 
At 4/20/2006 08:16:00 PM, Blogger BloodDoc said...

Sorry typo

BTW, landmark studies are not tested anymore in PACES,
should read
BTW, landmark studies are not tested anymore in PACES??

 
At 4/20/2006 09:48:00 PM, Blogger eMRCPian said...

Thx everyone for your comments and recommendations.
The purpose of this blog is to share tips to pass PACES for MRCPian i.e. the aspiring physician.
It's a good idea to set up a forum/blog to summarize the current landmark trials.

 

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