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.

Thursday, September 27, 2007

Let's Stick To Our Basic!

Spotted the post of palmdoc in MMR regarding Eternal Clerking. I absolutely agree with palmdoc. I still remember my professor in UM once said, an in-depth clearking and detail examinations are able to make >95% of the clinical diagnosis. We only need investigations to confirm the provisional diagnosis.

Undoubtedly, the advancement of modern medical diagnostic tools have changed the way of our practice. Sometimes, we are over dependent on these new gadgets until we forget the basic skills that we learned during our undergraduate days. In addition, defensive medical practitioner also rely on investigations to self-proof from medical legal issues.

All MRCPians, let's not to forget our eternal basic! I am sure we all can make an accurate clinical diagnosis in 13 minutes of detail history clerking and 5 mins of system examination.

All the best for your coming PACES in Oct/November!

Here is a great melody kudos on the essentials of clinical skills. Cheers!



At 9/27/2007 05:25:00 PM, Anonymous Anonymous said...

You are aboslutely right
Good clinical skills are essential to be a goood doctor and to pass clinical exams such as paces
To become a good clinician you should learn good methods either from a good teacher(difficult to find) or from a good clinical methods textbook
In addition you should see loads of cases

At 9/27/2007 05:28:00 PM, Anonymous Anonymous said...

Your are right
Poor clinical skills results in disaster for patients, doctors and the service
The NHS ( national health service) in UK is almost bankrupt because of poor clinical skills and reliance on multiple expensive tests

At 11/12/2007 10:37:00 PM, Anonymous Anonymous said...

I totaly agree with the comment that good clinical skills are essential on the shop floor both for the sake of patients as well as for the services, however I differ from one of my anonymous colleagues who has shared the dwon side of NHS. Actually the pervalencs of investigations is much less then what I have witnessed in other countries and still clinical skills are a major teaching emphasis especially by the old fashioned consultants. One of my boses used to be infuriated when any of us suggested an echocrdiogram and used to rely heavily on clinical judgement rather CT / USS and MRI .

good luck to all for PACES

At 11/12/2007 11:02:00 PM, Blogger Axonopathic said...

Yes absolutely right! I agree entirely:)

The 'preformed' impulses of ordering investigations rather than harnessing the power of bedside clinical skills have been quite rampantly seen in this era.

Though i'm not that old-fashioned type (I still do a lot of 'indicated' echo myself!), nonetheless, I really think that ordering investigations in a 'carpet bombing' manner without much clinical assessment is a sheer wastage of valuable resources:(

And thank you for your wishing to the PACES candidates!


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