To pass the Second Part Exam, your performance needs to be at the expected level for a junior consultant. You need to be able to rapidly synthesise clinical information from multiple sources to reach a differential diagnosis and appropriate management decisions. (And achieve this while feeling the equivalent of standing at the top of an Olympic downhill ski-run, simultaneously suffering from a severe bout of gastro.)
Some general pointers include:
Get experience running the unit and calling the shots
Establish a good knowledge base - don’t just practice SAQs
Write and share your own SAQs and Vivas
Make every case you see at work a practice Hot Case
Teach everyone else
Consider performance coaching
Finally, if things don’t go to plan the first time, remember it’s an exam not a statement on who you are as a person. Work out what worked and what didn’t and why to change your approach and come back stronger.
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