Monday , 19 June 2017
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The FCEM Management Viva – The Basics

FCEM Management Viva

Total of 35min There is a structured marking grid with ideal Answers The pass mark is 60-65% The aim is to assess: Ability to prioritise and time manage Decision making Delegation Communication Skills Medico-legal awareness Governance Ethics & Probity Managing your staff Recognising educational opportunities Knowledge of complaints and disciplinary procedure Common Themes Complaints Doctors with difficulties Freedom of information …

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Ovarian hyperstimulation syndrome (OHSS)

Ovarian hyperstimulation syndrome

Ovarian hyper stimulation syndrome (OHSS) is the most serious consequence of induction of ovulation. It may occur after stimulation of the ovaries into superovulation with drugs such as human chorionic gonadotrophin (hCG) and human menopausal gonadotrophin. It is rare with clomifene except in polycystic ovarian syndrome (PCOS). Grades and associated clinical features: Mild OHSS Abdominal bloating. Mild abdominal pain. Ovarian size usually <8 cm. Moderate OHSS …

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Critical Appraisal Practice Paper 2

FCEM Critical-appraisal

Total marks: 23 Time allowed: 90mins Paper: High-sensitivity versus conventional troponin in the emergency department for the diagnosis of acute myocardial infarction  1.      Provide a summary / abstract for the paper. (Up to 5 marks) 2.      Give three strengths and three weaknesses of the study design (up to 3 marks) 3.      Explain why this study may have been subject …

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CAP 6: Breathlessness


1. Spontaneous Pneumothorax By definition spontaneous pneumothoraces occur in the absence of any trauma (including iatrogenic causes) to the chest wall. Primary spontaneous pneumothoraces occur in people with no underlying lung pathology. Secondary spontaneous pneumothoraces occur in patients with pre-existing lung parenchymal or pleural pathology (e.g. asthma, lung carcinoma). All patients with secondary pneumothoraces should be admitted and, unless specifically …

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Doctors in Difficulty – Drugs and Alcohol

Doctors in Difficulty: Drug and Alcohol Abuse

A reasonable number of trainees can become ill during training: of these, most have a psychiatric or stress-related problem. Many can be ill for some time, & either not recognised that they were ill or decided against reporting this. A small number use drugs or alcohol. There are several things to consider. Immediate patient safety must come first; a person …

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Management Viva – Complaint related documents

NHS Complaints

The following documents are freely available in the internet which I found important for the understanding of NHS complaints. Few important points to remember: Time frame to make a complaint is one year. The acknowledgement of a formal complain should be sent out within 3 days. If complaint comes directly to the department, it should be diverted to the Complaint …

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