Monday 20 February 2012

MRCOG part 1



Preparing for MRCOG part 1 is like preparing for a long journey as it does not stop here..It takes throguh to MRCOG part 2 theory and then to the OSCE!

So, having decided that you are traveling, it is essential that we are prepared for the tour. 
'Being prepared is equivalent to Success'.

How & What do you prepare? I have written this , from my experience of the exam a decade ago and from friends who wrote it recently. (If anyone has more details, please add to the comment boxes below this post).

The clinch is this is an exclusive MCQ exam rather than a clinical exam like MRCOG part 2.  So, it is essential you go through as many MCQs as possible, read only sufficient theory (not extensive), grasp necessary MCQ points... and then come back to working out MCQs .
Practice the MCQS in MCQ books and in websites like  



I have seen many brilliant candidates failing in MRCOG part 1 exam and some average students clearing it. The reason is that they have not changed their focus to this Exam. It is purely testing your knowledge of basics RELEVANT to Obs & Gyn, but NOT all of the books in undergraduation.
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Mostly the questions are from the following 12 subjects :
Anatomy- Anatomy of female genital tract, Abdomen, Breast, Thyroid, Pituitary & Hypothalamus
Embryology-  Some topics would be covered from reproductive medicine books. But it would be wise to read and cover most topics from a  embryology book like Inderbir Singh(It is a nice and simple book). If you have access to library, you can go through books like langman or Larson’s embryology.
Physiology- don’t read CVS/CNS deeply…..
Read relevant topics like Muscle, Nerve, Cell membrane function, Circulation, o”& CO2 transport, Foetal circulation, Physiology of respiration at birth.
Reproductive Endocrinology- This is an important part of the exam.You need to be thorough with this. Preferred book would be Spheroff endocrinology first 9 chapters. And you could go through relevant topics from The Recent advances in Obs & Gyn(John Bonnar).
Pharmacology- This is one subject where they can ask you anything from first to last. Particularly be thorough with . Any book like Katzung or whichever standard book you have got would be sufficient. Cover the topics of Contraceptive pills, treatment of STI, drugs related to Nutrition.
Biochem- Be thorough with Metabolism of Carbohydrates, Protein, Fat and Nucleic acids, O2-Co2 transport. You can go through Lippincott’s Illustrated book of Biochemistry. It would be easier.
Pathology- Pathology of female genital tract is something you can cover from a standard Gynaecology book like SHAW which you must have read from undergraduation. Particularly, Cover the topics of gynae oncology (pathology of cancers of female genital tract).
Immunology- Be thorough with topics like agammaglobulinemia. ..etc..,. Topics can be covered with Immunology topics in Microbiology book like Panicker and Medicine book like Davidson.
Genetics- The chapters extensively covered in Robin’s pathology and Davidson are sufficient. If you have access to library, get sometime reading ABC genetics.
Microbiology- Be thorough with relevant topics like STI, trichomonas vaginalis, Candida, Bacterial vaginoses. parasites causing anaemia may surprise you at exam as anaemia in pregnancy is a topic in obstetrics though not common in UK. A basic book like Panicker or similar one you studied during undergraduation is sufficient.
Biophysics- Read about USGDopplerCT scan, MRIUSG and Doppler physics are very essential in Obs & Gyn. Any radiology book in the library will give you the necessary articles. Ultraosund in Obs & Gyn by Callen will give you a good idea about the physics
Statistics- Parker is a book you must have read for community medicine in India. It contains an elaborative chapter on Biostatistics.
If you go through Google, you find articles on Biostatistics like t test, probability, etc... As well.

This is an article of how to read a paper; statistics for a non-statistician.
Try to work out some sums similar to those from MCQ books. You have five questions, i.e. 25 stems in total on statistics.
See sample MCQs in the following link:
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The above list is not exhaustive. The real touch is how you pick up the relevant topics from each subject. For example, an anatomy of ureter , physiology of pituitary, biochem of lipid/steroid metabolism are relevant to Obs&Gyn.. So, the timesaving tactic is to read the relevant topics in the subjects..

This is just few tips for MRCOG part1.
Try to complete the following from the books you already have studied during your undergraduation. You Dont have to buy new text books for this exam. 
However, You may need to go through some MRCOG part 1 books like
i)                    MCQ books for  Part 1 from RCOG bookshop and
ii)                   Books like Tim chard 
iii)         Basics for MRCOG part 1 by Michael De Swiet.

There is a reading list in the RCOG website : http://www.rcog.org.uk/catalog/mrcog-part-1-reading-list
Anyone, after having faced undergraduation exams or All India Entrance, can somehow attend the questions on usual topics from Microbiology, Pathology, anatomy, Pharm, etc…as these are common subjects for exam preparation. However, (a bit dry) subjects like Biophysics, Biostatistics need preparation. .and these are treasures, where you score more than others...!  Likewise you can score more than others if you prepare the Immunology and genetics very well.
From September 2007 the MRCOG Part 1 Exam also has EMQs
Try to go through EMQs for the MRCOG Part 1 by John Duthie. 
Ask those collegues who wrote the exam recently, about the topics covered in EMQs.  
As new patterns of exams could come out, always keep updated with RCOG website and with  those who have written the exam recently..

Time management during exam is essential. As you need to complete 300 stems (60 questions with five stems each) in 2 hours, you need to practice. You need to be faster than in All India Entrance exams where it is 300 questions in 3 hours. ( So, Practice as much as MCQS possible and during your revision, try to do them quickly).

Then, MY MANTRA  for any exam, particularly a MCQ based exam is DAY-PERFORMANCE.  The Day performance on examday depends on how much you slept the nights before, the relaxed mind, the proper intake of food/fluids on the day, well-prepared travel, avoidance of tension-creating atmospheres,etc. 
It is essential we dont read on the day of exam! Keeping cool is an art.

This is from my experience of MRCOG part1 exam.
Best of Luck!

Wednesday 15 February 2012

Are you preparing for PLAB?


My Cousin, Nila (meaning Beautiful Moon) had asked how to prepare for IELTS and PLAB. It is more than a decade I had prepared. hence , had to gather new information from recent takers of the exam. While doing so, thought I will post the same here for others to benefit.

Please find the links of IELTS and PLAB.

IELTS:
British council website offers all details abut the exam.
Books:
Cambridge materials are one of the best materials for IELTS
You can get them in Higginbothams bookstore or order it online.
You can take IELTS in British council or Australian council. Both are valid.
Preparation time : 2 weeks
 
Worth getting  score >8.0 in all components.

PLAB:
 
It is the easiest of all Medical exams.
The general opinion is that even Average students who dont get through 
the tough All India PG exams pass the PLAB exam with ease.
Preparation is usually 3 months.
 
Details of the exam:
http://www.gmc-uk.org/doctors/plab.asp (most important site you need to look at for exam, registration and work eligibility)

PLAB materials :

usually need books like OHCM, OHCS and OHFP
 
 
alongwith EMQ and MCQ books as in
 
 
PLAB orientation course in India : 
 
PLAB course in UK:
Courses in Eastham or london are usually famous amongst students who stay mostly in Students flats here.
There are courses in other cities like Birmingham,Manchester as well.

Discussion forums with useful materials/tips:
 
Please go though all the links carefully as they provide most of the details you need for exams.

If you find more information about these, please psot them here in addition as comments so that others benefit.
Hope this helps.
Best wishes.

Friday 10 February 2012

MRCOG part 2 OSCE exam preparation

OSCE is an examination of how the candidate is fit to run a clinic or a labour ward as a Registrar in UK. Exam is purely oriented to UK setting. As we all know, OSCE has twelve stations. Each station would have different scenarios, with actors and examiners in each station.
The first step, I would suggest , in preparation of OSCE is to look into these websites : www.patient.co.uk
 (professional plus) , www.nhs.co.uk
 . These give the latest advice to patietns, which we would actually give to patients in a clinic. The simple language in which we ought to explain to patients in clinic, will be easier to learn from these sites.


Once cleared the theory, it would be wise to attend at least two OSCE courses in UK and then appear for exams particularly when appearing from outside UK. Nottingham , taele fenning courses , royal free courses are useful. For those who do not have UK experience, If you get atleast two weeks clinical attachment , it will be useful for the exam.
http://www.tealefenning.co.uk/

http://www.mrcogdrcog.com/MRCOG2.html

http://mrcogadvantage.com/Papers/papers.html

An useful site for preparation and samples is ; http://www.drcog-mrcog.info/Sample%20OSCE%20questions.htm

The most essentail part of OSCE exam is 'Practice,Practice, practice scenarios'.. Confidence in speaking & Communication skills are most essentially tested here than clinical knowledge which , you would have been tested already in theory. Hence, Practice the scenarios with colleagues or family acting as patients.


Labour ward prioritisation or Gyane theatre list prioritisation are definite Scenarios.


Clinical GOVERNANCE is an important issue in UK. It is mandatory to know about seven pillars of Clinical Governance and its implications in OBGYN practice.Please practice Scenarios like Adverse events analysis, Risk management, Interpreting Audit results, - as atleast one scenario would be from Clinical Governance.




I hope I have covered mostly what I know of and have been advising others whoever prepares for the MRCOG exam.Please feeel free to add more tips here. Best wishes to all those appearing for the EXAM.


 Once you have cleared the exam, you will feel , 'What was all the fuss about?'.


 So, Good luck to all.







MRCOG part 2 THEORY exam preparation

MRCOG part 2 exam JUST tests if the candidate is apt to
be a registrar and a future (potential) Consultant in UK.It is of two parts as we know, Theory & Oral assessment. The theory exam consists of
( i) MCQs- tests the basical theory knowledge
( ii) Essays- test the management of patient or scenario at registrar level (neither SHO level nor Consultant level)
( iii) EMQs - test your rationale for management
T he OSCE consists of 12 stations , testing your skills of managing a clinic in UK and communication skills as well. The exam is not a superspeciality exam. it is only a Postraduate exam (like our M.D) to assess the progress in a career to Consultancy in UK.(my opinion), allowing the Trainee to progress to ST5 (in a 7 year training).
The important websites, i would recommend, arehttp://www.rcog.org.uk/womens-health
 for UK type of patient oriented health information.

The must essential reading materials are: (a) Reviews from Online TOG (The Obstetrician & Gyanecologist -RCOG release) from 1999 till date.(The old TOG had PACE artilcles which were useful). l (b) RCOG Guidelines , NICE & SIGn guidelines related to ObsGyn (links are availble from Rcog site )
 ‎(c) BJOG EDITORIALS & Reviews (first few pages in ecah issue) for last three years. (d) Recent advances in OBs & Gyn - last four issues. (e) Progress in O&G ((studd) - last two issues.
MCQs:
It is not essential to read textbooks as in Indian postgraduate exams.
MCQs in MRCOG part 2 are based on only certain topics , not on all topics in Obs& Gyn Books.So, going through the MCQ books first will give an idea of which topics to read. For example, STI, contraception, obesity,HRT are regular questions in MRCOG.
 Reading selected books like (a) Obstetrics and Gynaecology: An evidence-based text for MRCOG by David M Luesley,Philip N Baker (b) Obstetric Medicine by Nelson Piercy will definitely help. But , the books need to be used while reading MCQs as reference.
Essays:
The essays for last few years covered in the websites like
www.busyspr.com
 are sufficient to know how to handle essays. There are hundreds of essays in each topic in these sites. My advice would be to write as many essays as possible and get corrected by someone who has done the exam or throguh these sites, where they allow you to upload your essays. Prepare essays for yourself for most topics from guidelines (points) from RCOG & NICE & TOG.

The questions for Essays are usually from the previous few issues of TOG. So, TOG reviews are a must-read before exam.

EMQs: There are two books recommended in the RCOG website.
http://www.rcog.org.uk/catalog/book/emqs-mrcog-part-2

EMQs are new to MRCOG exam.The choices in EMQs are rather thought-provoking -(eg: requesting necessary investigations costeffectively).

There is StratOG tutorials in RCOG website , which will help with theory exam. However, . it is quite expensive. But, for those who can afford, it is very good and helpful for exam preapration. (I didnt spend too much for this during my preparation as I found it expensive). My advice on this is : Get the tutorials for those topics which you find difficult to prepare or are weak. (example -fetal medicine, urogynaecology are good topics in stratog.)

Regarding books ' MRCOG & beyond series' as well, they are condensed materiall of the same guidelines. If you buy stratOG in any topic, I would suggest you NOT to buy beyond series in the same topic.

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