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ISCE BOOST Introduction and Case Based Discussions Devon WardOverview Today, we will look at: • Overview of the ISCE exam – including key information, timings, format and general tips • How to prepare for the ISCE itself – including a timeline and good resources • How to write a CBD – including examples Any questions put them in the chat and we’ll get to them as we can!KEY INFOKey ISCE Information Measure of your clinical competence, understanding and demeanour Mock: 15 and 16 th ISCE: 8 and 9 Mayh February Pass mark is 6 out of the 8 stations AND >50% of set adjusted mark overall Plenty of time to prepare!Key ISCE Information – Timings Alarm at: 0 minutes - start station 4 minutes - end of acute history 7 minutes - end of history and examination 11 minutes - end of data interpretation 15 minutes - end of station Use this in your practice so you’re used to keeping to time!ISCE Format Acute Acute Clinical Clinical assessment assessment examination examination 8 Stations 15 mins Pharmacology Comms skills SBAR CBD and therapeuticsMock ISCE Format Acute Clinical assessment examination 6 Stations 15 mins Pharmacology Comms skills SBAR CBD and therapeuticsISCE Format 4-minute history Acute Examiner will provide clinical findings and NEWS assessment Asked to perform a clinical skill and brief management Clinical 7-minute examination Summarise findings examination Answer questions on the care of a patient 7-minute history Comms skills Summarise findings Interpret data Answer questions on the care of a patientISCE Format 4-minute history SBAR Summary SBAR sheet to make notes SBAR presentation for 7 minutes Questions on patient care 7-minute presentation CBD Answer questions on your presentation Pharmacology 7-minute history – focussed on medication review, side effect, explaining a new med Summarise findings and Answer questions on patient care therapeuticsISCE MarkingSafety Alerts – Red Flags Potentially fail a station Don’t get caught out with the“simple stuff”! • Being rude • Inappropriate attire • Not handwashing • Poor or dangerous examination technique • Poor communication skills • Poor Maths skills • Poor clinical skills – sharps, BLS, aseptic technique • Not understanding mental capacity act • Drug allergies – not asking, not checking for allergy bracelet, asking and then prescribing anyway!PREPARATIONPreparing for ISCEs Start early Get a group of Get a toy Continue PT 3 revision Familiarise Get an Ix flow Engage with Self-care with Mx practice ISCEsResources Clinical Skills • Skills videos OSCE Revision Guide • Book early • Dz summaries • Mock ISCEs • Practice stations • History advice Geeky Medics • Skills videos • ISCE resource AI resources • Creates practice stations ISCE Boost! • Can choose a specific focus • Weekly • Can do alone • Instant feedback! • Tailored to CUAI for ISCEs?AI for ISCEs?Our Series and Rough Timeline th W/B 20 Nov – Introduction and CBDs W/B 27 Nov – SBAR and Important Conditions W/B 4 Dec – Pharmacology (how to explain and which ones?) th W/B 11 Dec – Paeds W/B 18 Dec – O+G st W/B 1 Jan – Data interpretation (ABGs, FBC, LFTs, TFTs) W/B 26 Feb – Neuro W/B 11 Mar – Psych th W/B 25 Mar – Imaging (CXR, CT head, MSK) W/B 8 Apr – Common and Important PresentationsCBDCBD Station • Need to find a case on placement and present for 7 minutes • This can be one of your SLEs (CBD, Long Case, Mini-CEX) • It CANNOT be anything that was in an assessment such as your patient pathway or oncology project! • Don’t use your best case for the mock! • Practice with doctorsCBD Station – Exam info • Maximum of one side of A4 using Calibri font size 12 • Clear structure with headings for the history • Widely used and accepted abbreviations can be used e.g., TIA • Contain your name and student number in the top right-hand corner • Only PDF documents will be accepted • New case for each ISCE sitting (formative, summative, re-sit) • The personal details of the patient need to be anonymised, so you are unable to identify the patient based on the submission • The case must be one that you haven’t used, presented, or submitted before from any previous assessments (i.e., Patient Pathway/Oncology/Formative/Summative ISCE etc.).CBD Station With respect to INVESTIGATION, why was that particular test undertaken? How did it inform their subsequent care? (How do you interpret the result in the context of the patient?) Regarding the patient’s management with XXX, what do you think are the risks and benefits of this approach? Are you aware of any guidelines that support this? What are the key impacts of this management plan from the patient’s perspective of your patient? Finally, in regard to [Ethical, EDI or social science issue] what issues arose and how were they addressed? Are there any ethical frameworks, guidelines or principles that you encountered during the care of this patient? And finally, what was it about this patient that made an impact on you?CBD Station Case you were One with ethical or Interesting case psychosocial involved in concepts Enough details to Detailed Concept you find generate investigation and easy or a weak differentials management spot!CBD Station • You only get one side of A4 • Try and lead the examiner towards the questions you want them to ask • Following headings: • Overview • Examination • DDx • Ix • Mx • Case update/Ethical issue/Psychosocial aspectCBD Station Steering them towards the questions I wanted them to ask Used textboxes and narrow margins to maximise the space Clear headings to lead the examiner Important things in boldCBD StationQUESTIONS