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PSA Prep Course DR CHANG KIM FY1 1Disclaimer We are a group of F1 doctors preparing this course to help prepare/as a supplement for your PSA. Please do not use this as your sole source of revision. None of the patients/cases are based on real-life scenarios, and any similarities are coincidental. Some drug concentrations/preparations may have been changed for ease of calculations, and may not resemble real-life clinical practice. Always consult your university for exam-related queries and support, and the BNF/Medicines Complete for up-to-date information on drugs and prescriptions. 2Today’s Topics Prep Course Structure Exam & Question Structure BNF vs MedicinesComplete Survey & MDU Pre Course Mock 3PSA Prep Course Structure September 10: Pre-Course October 22: COCP & HRT Mock September 17: Fluid October 29: Diabetic Drugs Prescription November 5: Drug Monitoring November 12: UTIs, INRs, etc September 24: Adverse Drug Reactions Interpretationata October 1: Drug Calculations October 8: Palliative Care November 26: Post-Course Mock InteractionsKey Drug 4 PSA Exam Structure https://prescribingsafetyassessment.ac.uk/resources/PSA-Blueprint.pdf 60 questions, 120 minutes, does not correlate to 2 minutes per question 5 Prescribing questions •Assessment: Deciding on the most •8 questions appropriate prescription (drug, dose, route and frequency) to write, based onach question is worth 10 marks the clinical circumstances and any • Max 5 for drug choice supplementary information • Max 5 for dose/route/frequency •Outcome: Writing a safe and effective•Most of the exam time spent on these prescription for a single medicine usiquestions the documentation provided, to tackle a specific indication highlighted by the question 6 Prescribing questions Taken from PSA official mock paper. 7 Prescription Review questions •Assessment: Deciding which •8 questions (2 sub-questions) components of the current prescription list are inappropriate, unsafe or •Each question is worth 4 marks ineffective for a patient based on their clinical circumstances •Outcome: Identifying prescriptions (drugs, doses or routes) that are inappropriate, unsafe or ineffective from amongst the current list of prescribed medicines 8 Prescription Review questions Taken from PSA official mock paper. 9 Planning Management questions •Assessment: Deciding which treatme•8 questions (MCQ) would be most appropriate to manage a particular clinical situation •Each question is worth 2 marks •Outcome: Selecting the most appropriate treatment based on individual patient circumstances 10 Planning Management questions Taken from PSA official mock paper. 11Communicating Information questions •Assessment: Deciding what is the •6 questions (MCQ) most important piece of information that should be provided to patients,•Each question is worth 2 carers or other health professionals.marks This information may help patients to choose whether to take the medicine, or may provide information that will enable a medicine to be used safely and effectively. •Outcome: Selecting the information that is most important 12 Communicating Information questions Taken from PSA official mock paper. 13Calculation Skills questions •Assessment: Making an accurate drug•8 questions dosage calculation based on numerical information •Each question is worth 2 marks •Outcome: Recording the answer accurately with appropriate units of measurement 14 Calculation Skills questions Taken from PSA official mock paper. Please note that some of the keys work e.g. numbers, enter +-*/ do not work, backspace doesn’t work Make sure that you familiarise yourself with the website and available resources. 15Adverse Drug Reaction questions •reactions to specific drugs, drugs that •8 questions (MCQ) are likely to be causing specific adverse drug reactions, potentially dangerous •Each question is worth 2 drug interactions and deciding on the marks best approach to managing a clinical presentation that results from the adverse effects of a drug •Outcome: Selecting likely adverse reactions of specific drugs, selecting drugs to discontinue as likely causes of drug-interactionss, andidingprovidingl appropriate treatment for patients suffering an adverse event 16 Adverse Drug Reaction questions •Type A: Identify likely adverse •Type C: Identify drug effect of specific drug interactions •Type B: Identify likely drug to •Type D: Identify treatment for cause specific adverse event adverse event 17 Adverse Drug Reaction questions Taken from PSA official mock paper. 18Drug Monitoring questions •Assessment: Deciding on how to •8 questions (MCQ) monitor the beneficial and harmful effects of medicines. •Each question is worth 2 marks •Outcome: Identifying the appropriate methods of assessing the success or failure of a therapeutic intervention. 19 Drug Monitoring questions Taken from PSA official mock paper. 20Data Interpretation questions •Assessment: Deciding on the •6 questions (MCQ) meaning of the results of investigations as they relate to •Each question is worth 2 decisions about ongoing drug marks therapy •Outcome: Making an appropriate change to a prescription based on those data 21 Data Interpretation questions Taken from PSA official mock paper. 22 Question Timings 2 Minutes Per Question 36 Seconds Per Mark 6 12 8 16 8 8 16 80 16 8 8 12 8 16 6 32 Prescribing Prescription Review Planning Management Prescribing Prescription Review Planning Management Providing InformatioCalculation Skills Adverse Drug Reactions Providing InformatioCalculation Skills Adverse Drug Reactions Drug Monitoring Data Interpretation Drug Monitoring Data Interpretation Since the questions have different mark weightings, it is important that you aim to manage your time and spend longer on the questions where you score more marks More than half your time should be spent on answering 2 of the 8 question types 23 BNF vs Medicines Complete Same level of materials are provided on both sites* End of the day, down to personal preference Most important thing is to start using a website and get familiar with interface/tools Personal preference/Imperial College recommends Medicines Complete > BNF *difference in interface and the drug interaction checker is better on Medicines Complete in my PERSONAL opinion. 24