Final F.C.P.S.�RADIATION ONCOLOGY�Exam-Preparation

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REVISED DeCEMBER 2024

ONCO - LEARNERS FORUM

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Final Exam-Preparation

Concentrate on Each Component of Examination Separately

MCQs/Long/ Short Cases & T.O.A.C.S.

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REVISED DeCEMBER 2024

ONCO - LEARNERS FORUM

OLFPK.BLOGSPOT.COM

Vigilant Revision

1. MCQs
2. TOACS
3. SHORT CASE
4. LONG CASE

1. Subject Grip

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• Maturity

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• Safety

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I- Simple Recall

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II- Synthesis

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III- Analysis

Exam skills – S>M>S

1. Subject Grip

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• Maturity

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• Safety

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( do we really understand them clearly ; the above 3 vary from topic to topic )

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‘ PATIENT �CENTERED �APPROACH ! ’…….�IT IS A CLINICAL EXAM : KEEP CONFINED & FOCUSED TO THE PATIENT�

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�Mock Revision

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Remember :

• Always take a bigger broader picture
• Narrate ‘’FULL’’ plan – not in piecemeal
• Leave rare ones DURING MOCKS, e.g. >5% occurring issues
• Stay in common scenarios

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95%

Clinical scenario

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Patient

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……………………Patient centered………

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Don’t lose sight of ‘’patient’’

( away from Bookish knowledge ! ) …e.g.

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Avoid ‘’Ifs’’ & ‘Buts’

……Be straight, to the point

Stay Focused towards the patient!!!!

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Prompting…….

vs…

Hints !!!

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MCQ PAPER

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Two Papers = 200 M.C.Q.s

• Paper # 01
• 100 M.C.Q.s
• Paper # 02
• 100 M.C.Q.s

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Clinical Exam - components

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• TOACS

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• Long case

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• Short cases

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TOACS

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T.0.A.C.S.

• 13 – 15 STATIONS
• A Separate Dedicated Preparatory Session
• &�TOACS Stations Mock Examination is required

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1 Long Case

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LONG CASE

• Time
• Distribution of time
• Understanding the structuring
• And keeping stamina
• Time versus number
• Roughly we can think that there are 3 phases !!! ( can vary !! )

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Long Case: Roughly ‘’3’’ phases

• ?? Lets take a tour !!
• Over simplified example* = 20 x 3 = 60

Can alter*

• 1^st phase = with patient no Q/A
• 2nd phase = Viva re; this patient
• 3rd phase = Closing discussion on this patient and opening new scenarios ‘generally’’ re; same tumor.

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4 Short Cases!

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Short Cases

• Total 4
• Overall = 10 min each
• History + examination* = 2 min
• * relevant loco-regional

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Treatment – no time to give ‘options’ = 7 min

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How will ‘’you’’ treat ‘’this’’ patient…

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Short case.. Imp points

• Time distribution
• 1.5 minutes = history + exam
• 7.5 minutes
• Describe & Treat

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• Be vigilant ; mocks ++++, one plan
• no options ( as time is too short )

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How to handle……

• ~ Controversial Areas

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• ~ Difference of Opinion

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• ~ Strategies for ‘ certain scenarios’ , e.g.:
• Palliative Strategy – T/P/S
• Recurrence of Tumor
• .etc , etc , etc………

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…certain facts unavoidable in Exam

• In a particular topic : IF KNWOLEDGE BASE IS WEAK ?

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• Luck Always Helps Trained [Brave] Minds

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…imp tip…

• (may not* be relevant for all examinees)

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• Keep a pen and rough papers in pocket to write down imp, points, esp. in long case,,but can be used in viva as well

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..name of the game is…..

practice,,practice,,practice

TIME BOUND SIMULATED MOCKS !

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What shall I do ‘’if’’ I have� not �seen certain treatment / technology / procedure�during my training period ?

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Expectations from the candidates ….???

What do you think?

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So,, in one phrase ,,what is the ‘’only’’ detrimental point ??

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Which can make the decisive judgement ??

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It is the ‘’patient’’

So,,,,,stay PATIENT FOCUSED :

MAKE ‘’ONE’’ PLAN OF TREATMENT

…..examples

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Vigilant Revision

1. MCQ PAPER

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• Long case

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• Short case

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• TOACS

1. Subject Grip

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• Maturity

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• Safety

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I- Simple Recall

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II- Synthesis

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III- Analysis

~ Controversial Areas

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~ Difference of Opinion

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~Strategies for situations

ASSESSMENT LEVELS

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AT EXIT LEVEL

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CLINICAL EXIT EXAM

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�At Study plan stage

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95%

�If I have to show just 1 slide

• & allowed to give just ‘’2’’ tips
• I will just emphasize on :
• 2 things ;-

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• Remember : apply / practice – mocks +++
• 1- be patient centred
• 2- stay with 95% of your patients scenario

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95%

So, what is ??

• Subject grip

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• Maturity

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• SAFETY = ‘zero tolerance’

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ANSWER IN A FLOW

e.g. RT / CHEMO plan

-PRACTICE

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• Ideally this should not happen – see the list
• All strategies have to be covered

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• But still if ‘’not’’ seen and done

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• E.g. HDR, CT Sim, Brachy,Lkma Chemo,etc,etc,etc,,

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Some special tips

• Mention MDT
• Follow a flow
• If interrupted – listen carefully

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• Understand the ‘’safe’’ number game !
• Remember 3 factors ; subject grip/maturity/safety

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Good Luck for Exams!

Feedback is welcomed

olfpk.blogspot.com

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REVISED DECEMBER

2024