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Cases for PACES, 3rd Edition

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We wanted to create the most accurate summary in existence of what cases can come up in MRCP PACES. But we can tell you exactly which cases come up most commonly in MRCP PACES, based on the most comprehensive survey ever conducted of previous candidates. Our sources There are a bunch of clinical conditions which are super-stable over time. They’re often quite uncommon or rare in clinical practice, but over-representated in the MRCP PACES exam. It’s also not very likely to come up. The patient’s clinical signs would be expected to have recovered in between being recruited and the exam day.

If you’ve worked in hospital medicine, you’ll have very likely seen alcoholics, intravenous drug users, and other people with a history of substance abuse. It can give rise to bronchial breathing, crepitations in the chest or even a parapneumonic effusion – all great clinical signs.

Methodology

The MRCP PACES exam consists of a ‘carousel’ containing five clinical stations. Each station is 20 minutes long and there is a 5 minute interval between stations. Two independent examiners oversee each PACES station where there is a patient with a given condition, or a surrogate patient. MRCP PACES (Practical Assessment of Clinical Examination Skills) is a clinical exam testing clinical knowledge and skills of doctors hoping to begin higher specialist training (ST3). There might be some marginal benefit if you look up the hospital online to find out if they are a specialist centre for a specific condition. For example, St. Thomas’s Hospital in Central London is the national centre for post-polio syndrome. As a result in the neurology station you are more likely to have a patient who has had a previous polio infection compared to other UK centres.

Then we’ll move onto rare conditions that are disproportionately likely to appear in the MRCP PACES exam. PACES needs proper practice of the cases which are often given in the examination. Pastest's material provides enough resources and methodology to practice the same. I am sure, with the help of these materials, passing PACES is easy. Now in full colour, it features new case material, updated content on ethics and law, and revised brief clinical consultations that better reflect the current exam. Cases for PACES also includes hints and tips for preparing for the exam, and what to expect on the day.

You’ve certainly encountered at least some of those patients in your daily clinical practice. Guaranteed. Prepare for the PACES exam with over 340 hi-res, ‘gold standard’ PACES examination videos showing best-practice from model exam candidates

In fact, there’s a good chance none of these things will present on your wards at all between you applying for MRCP PACES and turning up for your exam. That was the advice I was given when I started out preparing for my MRCP PACES – by a very experienced examiner. Finally, it is important to realise that spending your time trying to find out about people’s experiences of a specific centre is not going to improve your chances of passing the MRCP PACES. If you spend your time trying to find out information about a specific centre that is time spent away from practising your clinical skills. Trying to find out other candidates’ experiences from two years ago will be extremely unlikely to help you pass. It is completely understandable to try to find out other people’s previous experiences of a specific exam centre, or other exams.You can take the same considerations, and use it to devise a list of clinical conditions that are more likely to come up. What you could get is bronchiectasis as a complication of a previous severe pneumonia. Even though that is less common in day to day hospital medicine, it is more likely to come up in an exam. This is all so good... available 24 hours, 7 days a week, even if you are tired just look and listen... you will be engaged... I recommend Pastest PACES to all candidates. We can’t promise that these will come up – but know these conditions inside out and you’ll have taken the most rational approach possible to your preparation and placed the odds on your side. Station five View patients through the eyes of an exam candidate with clear, close-up clinical signs and on-screen palpation findings

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