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 Stage 2 Assessments...
The Stage 2 assessment consists of two papers to be
completed under invigilated conditions. The papers are designed to
assess the essential competencies in the
National Person Specification and are
based around clinical scenarios. Applicants will be asked to read and
accept the rules governing the Stage 2 assessment when they confirm
their place.
Clinical Problem Solving
This paper lasts 95 minutes. The questions present clinical scenarios
and require you to exercise judgement and problem solving skills to
determine appropriate diagnosis and management of patients. This is
not a test of your knowledge, but rather your ability to apply it
appropriately. The topics will be taken from areas with which a
Foundation Programme Year 2 doctor
could be expected to be familiar. There are no questions requiring a
specific knowledge of general practice.
Questions will be drawn
from the following topic areas...
- Cardiovascular
- Dermatology / ENT / Eyes
- Endocrinology / Metabolic
- Gastroenterology / Nutrition
- Infectious disease / Haematology / Immunology / Allergies /
Genetics
- Musculoskeletal
- Paediatrics
- Pharmacology / Therapeutics
- Psychiatry / Neurology
- Reproductive (male and female)
- Renal / Urology
- Respiratory
Questions may relate to...
Disease factors
Making a diagnosis
Investigations
Management plans
Prescribing
Emergency care
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Every effort is made to ensure that the wording of the questions is as
clear and unambiguous as possible. It is important that applicants
understand the meanings of certain conventional terms which frequently
appear:
- Pathognomic, Diagnostic, Characteristic
and In the vast
majority imply that a feature would occur in at least 90% of
cases.
Typically, Frequently, Significantly, Commonly
and In a substantial majority imply that a feature would
occur in at least 60% of cases.
In the majority implies
that a feature occurs in greater than 50% of cases.
In the minority implies that a
feature occurs in less than 50% of cases
Low chance and In a substantial
minority imply that a feature may occur in up to 30% of cases
Has been shown, Recognised and
Reported all refer to evidence which can be found in an
authoritative medical text. None of these terms makes any
implication about the frequency with which the feature occurs.
Questions may be presented in a variety of formats and you will
have to choose the best of the given responses according to your
clinical judgement. The examples below illustrate some of the question
formats that may be used and the type of topics to be covered. Other
question formats may be used when appropriate e.g. Algorithms and
multiple best answers.
You will be asked to mark your answers on a separate sheet by
filling in lozenges.
Click here to view Clinical Problem Solving Example Questions
Professional Dilemmas
The paper focuses on your approach to
practicing medicine. The paper lasts 115 minutes. You are presented
with scenarios you might meet when practicing as a doctor. Each
scenario encapsulates a professional dilemma and you are asked about
dealing with it. The paper is designed to assess your understanding of
appropriate behaviour for a doctor in difficult situations and allow
you to demonstrate the application of competencies such as
professional integrity, coping with pressure, and empathy and
sensitivity. It does not require specific knowledge of general
practice but does assume general familiarity with typical primary and
secondary care procedures.
Your responses should represent appropriate behaviour for a second
year Foundation doctor. Scoring is based on how close your responses
are to the most appropriate response for the item. The most
appropriate response is determined by a panel of expert GPs. We only
include questions where there is a consensus between our expert panel
regarding the most appropriate response to the situation. Applicants
can score highly in these questions by providing an answer that is
close to, but not identical to that from the expert group. The closer
your answer is to our experts responses the more points you will gain
for the question.
Click here to view some
updated
Professional Dilemmas
Example Questions
Preparation hints:
Papers are NOT negatively marked so make sure you answer all the
questions.
Read instructions and questions carefully. You may invalidate
your answer by responding inappropriately e.g. marking more options
than were asked for.
There may be times when you would like more information to
answer questions. Just give your best answer given the information
provided.
Read the example questions carefully. If you feel you would
benefit from revisiting some areas of knowledge or practice in order
to be better able to show your capability then you should do this
before the assessment.
We will provide a glossary where questions use terms or
abbreviations which are not in universal use or may be misunderstood
by some candidates.
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