GraduateMedicine - The Twilight Zone What to do between the KFP and AKT Exams

fracgp exam Jul 23, 2018

Hi, Dr. Tom Rolley here for Graduate Medicine.

 

I'm just finishing up my week and I've been sitting here completing a bunch of paperwork - one of the joys of general practice!

 

Nonetheless, today, was the KFP exam.


I want to talk about one of the challenges that previously hasn't been in the exams, which is what to do between the KFP and the AKT.

Previously, they were either on the same day, or people consciously choose to split them by six months.


So , there wasn't this semi-twilight zone, 18 hours between finishing the KFP and then taking the AKT tomorrow.

 

What I want to talk about is the potential for whatever happened for you in the KFP is done, and you can't go in and alter those results.


You don't know what those results are.


But the risk is that it affects your confidence for tomorrow's exam.

 

What I wanted to look at is the possibility for how do you still maintain your focus and calmness through this period.


Because there's is still work to do...

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The Problem of General Practice Today

general practice Jul 16, 2018

Hello and welcome to this Facebook Live. My name is Dr. Tom Rolley for GraduateMedicine.com.

I wanted to drop in to what I see as the essential problem of being a GP, at least in Australia in the 21st Century.

And while there's a lot of distractions around about are we getting paid enough, how do we do this, how do we do that, what's the training doing?

But to me what we are actually facing is a problem of too much information.

Too much information that essentially, as general practitioners, having to go across all of the different subspecialties and then have a patient walk in with an undifferentiated problem and be able to work out what's going on. But once we get into what's going on, each of those problems has actually got vast amounts of information.

And to me it's just not possible anymore to be an authority on all of the potential topics that we have to be across as good GPs.

So the outcome of this problem is often ... well let's take it to the exams. We train on getting...

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Is RTP training enough?

fracgp exam Jul 10, 2018

 

Thanks for joining me on this training.

My name is Dr. Tom Rolley for Graduate Medicine.

Look, I want to drop in around a possible situation that you may find yourself in, if you are a GP Registrar, and that is that perhaps your goals as a GP Registrar and the goals of your RTP may be a little bit divergent.

And what I mean by that is, that your RTP may have the distant goal to make you into a good GP and your goal, yes is definitely still going to be, yeah I want to be a good GP, but also you've got this other thing called the FRACGP exam.

So what I want to bring to your attention is could they be divergent?

Could those two things be in fact, divergent?

And the worry that may come to you is, is it enough? Is the RTP training enough?

And so the question that I'll have you consider is, is it possible to be a good GP and still fail the exam?

The RTP goes, yes you are a good GP and yet you show up to the exams, boom, and fail. Is that possible? And I would say yes, it is.

Why?

...
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Pallative Care in GP and the Fear of Dying

general practice Jul 05, 2018

Hello, my name is Tom Rolley.

I  wanted to discuss palliative care and had a patient come in this morning and he was disappointed in that how care that her, one of her parents received.

And for me it's an interesting one cos it can bring up a lot of my own fears, in dealing with palliative care and if I'm not aware of that stuff, then I can end up not providing good management in pal care. So what I think about palliative care?

As a doctor, it forces me to confront my own fear of death.

That's what I see when I hear about palliative care not being done well, I'm like okay, I just wonder whether that doctor's not okay with the fact that they're going to die.

And therefore when they're treating the patient in palliative care, therefore it is hard to actually be okay with making decisions.

So some of the things that come up are, "Should we transfer this patient to a different hospital to get this thing looked at?"

No. They're dying, they are dying.

They're close to death.

...

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Crunch time

fracgp exam Jul 20, 2017

Hi, it's Tom Rolley here for GraduateMedicine, it's Saturday afternoon, and coming to you from my home office. Just thought I'd drop in, we're really one week out from crunch time for many of you.

That actually this time, most likely, next week you will be done with the AKT, and the day before, on Friday, you would have got through the KFP for many.

So just thought I'd look at, hey, how can this last week serve you? 'Cause I think there's a couple of dangers that the breadth of the content that you're expected to be across can be daunting, and it can lead to a feeling that you have not done enough. That you haven't covered the material, because there's always more.

But that can lead to some unusual behaviours in the last week, such as skipping your sleep or taking too much caffeine or panicking about unusual topics that aren't actually in your plan for the materials that you're expected to cover. Now most likely you're in revision mode, you should not be in my judgment looking at...

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What resources to study for the FRACGP exams?

Uncategorized Feb 14, 2017

As we ramp up our study coming into the AKT and KFP exams in July 2017.2 and Feb 2018.1, we want to make sure all doctors sitting the exams are covering all the key FRACGP resources.

We often have lots of questions from our members and registrars who are sitting the FRACGP exams -  which resources do you need to cover to pass?
Below is one such question we had recently...

I am emailing for advice on a bit of a dilemma I am currently in.

I am due to sit the exams in 2018.1

I already have the fourth edition of Murtagh and no companion book.

However, at present the 6th edition is out.

Should I be investing and using the new edition for the exam?

There are 5 Key Resources we believe you need to help you pass your FRACGP exams.

Obviously, one of those key resources is the well-known <em>GP textbook by Professor John Murtagh (AM), John Murtagh General Practice but which one?....

Murtagh 6th edition was published in December 2015, so does it matter which edition you study?

...

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What topics to study for the FRACGP Exams?

Congratulations to all GP registrars who sat the 2017.1 FRACGP exams last Saturday, 4 February 2017.

Well done on all your hard work and study over the past six to 12 months!

As we pass another round of AKT / KFP exams, we can now look forward to preparation for the next round of FRACGP exams in 2017.2, which is just over five months away on 15 July 2017.

So, what are the key topics to prepare for the FRACGP Exams?

It's like the million-dollar question ... give me the answers to pass the exams?! If only there was a straight answer and that simple...

And that is much like being a General Practitioner in an everyday practice. The challenges, problems and key features that patients bring to us are varied from simple to challenging, from paediatrics to geriatrics. It is what makes GP such a great job (in my opinion!)

There are however, a few very valuable resources provided by the RACGP to help you get started in preparing for the FRACGP exams...one being a very useful article that...

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When should you begin your FRACGP exam preparation?

As a FRACGP training provider, we often get asked when should I begin my study for the FRACGP exams.

The Applied Knowledge Test (AKT) and Key Feature Problem (KFP) Exams, as well as the Objective Structured Clinic Exam (OSCE) require a lot of preparation and study in order for you to even pass these days. The FRACGP exams are getting tougher and tougher, so they require a lot more consistent study and application.

Depending on where you are at in your medical career and your past experience, will give you some indication of how much study you feel you need to pass the exams.

We would suggest that you need at least 300 hours at a minimum. You may required up to 750 or 1000 if you are not working in GP very much or there has been a significant break in your medical career (eg. caring for children).

When you break that down, you are looking at at least 5-6 hours per week of study or about 1 hour per day for a year at 300 hours.

This would double if you are preparing 6 months out and...

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GP16: Refining the model for GP consultations - Dr Rolley

Refining the model for GP consultations - Dynamic Assessment Structured Management

Today, the RACGP's GP16 starts in Perth. If you are attending GP16 this week in Perth, it runs between 29 September 2016 - 1 October.

The keynote speakers include some amazing presenters including Australian of the Year 2015, Rosie Batty, Dr Sam Prince  and Professor Mark Harris.

Learn more about GP16 and the full program for registration via the GP16's link: http://gp16.com.au/.

Dr Tom Rolley from GraduateMedicine will also be presenting on "Refining the model for GP consultations - Dynamic assessment structured management".

Tom is looking to present a model on Clinical Decision Making and Clinical Teaching which is applied in patient consultations and also in teaching our IMGs and GP registrars when preparing and studying for the Key Feature Problem and other FRACGP exams with the RACCP. 

Watch out for Tom presenting at 9.45am this Saturday, 1 October 2016 in Session G3 - Online and...

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