Computer generated transcript

Warning!
The following transcript was generated automatically from the content and has not been checked or corrected manually.

Part 1 MU PLEVEN BIMSATALKCARDIOLOGY: GENERAL INFORMATION DURATION 10 days rotation Practice reading ECGS from the ROTATION patient files Assigned a doctor from day one for the whole rotation. Registration in Staj book is a must!!! You are in charge of your own learning; take patient history & ask for patient files Seminars EXAM DAY Practical part is done in the cardiology department in 1st base. You can be sent to any cardiology unit, even ICU Must wear scrubs Examined on your patient and given an ECG that may or may not be from your patient. Must pass practical to go to the theory Theory is usually conducted in hall 6 of the main hospital building.CARDIOLOGY: EXAM Don’t choose who to go to based on how EXAMINER Prof. Tisheva and Assoc. Prof Stancheva everyone else’s oral is going EXAM ECG & topic Write everything down you know. Follow the EPDDT format. Stancheva asks outisde of your topic and gives a generally long oral. ECG Write down what you see and treatment of your diagnosis Say what you see in each lead and then your diagnosis Know which area of the heart each lead corresponds to and say so. You will beasked about this by Prof Tisheva ENDOCRINOLOGY: GENERAL INFORMATION DURATION 7 days rotation LOCATION Second base ROTATION Registration in Staj book is a must!!! Find a doctor to shadow, and follow them Talk to patients, discuss treatment with the doctor. The doctors are willing to teach ENDOCRINOLOGY: EXAM EXAM Don’t neglect this Topic part of the Write everything down you know. Follow the EPDDT synopsis format. If you know your topic, it is a quick oral with few questions May ask you questions for points youve missed. Certain topics can lead to questions outside your topic being asked e.g. obesitYNephrology: Overview Length of Rotation: 7 days Location: First Base Hospital AKA UMBAL “Georgi Stranski” Rotation tips: Approach the professor and let him know you are there for your Staj rotation. There is a book to sign for attendance You are expected to be there for the morning rounds, and the professor may ask questions about the patients Nephrology: Exam Preparation Study materials: Lecture notes and classifications (!!!) especially for treatments and drug dosages Short notes Practical thesis documents for guidance (can be found on Distance Learning or 6th Year Google Drive) Osmosis videosNephrology: Practical If you pick Nephrology, when you go to the department, you will be assigned a patient. You are given some time to take history and perform physical examination. Take a thorough examination The professor will come and ask questions. Odd tip - Know how to spell your name in Bulgarian!!!! Good things to know include: Classification of proteinuria Normal values for Nephrology parameters e.g. creatinine, BUN Causes of nephrotic diseases The difference between nephrotic Causes of glomerular diseases and nephritic syndrome Nephrology: Theory Examiner: Assoc. Prof. Biser Borisov, M.D. If your ticket has a Nephrology topic, you sit and write your topic along with your other two essays from the other subjects When you go for the oral, the professor allows you to explain your topic. As you explain he may stop to ask about classifications, dosages for treatment, and first signs and symptoms of the diseaseHAEMATOLOGY: ROTATION DURATION 7 days (1.5 weeks) LOCATION Department of ‘haematology’ First base, white/creamy building behind the changing rooms ROTATION Mandatory attendance Attend as a group and be punctual Professor Popova will be your main point of contact She may refer you to one of the assistants if she is too busy on the day Rotation times will depend on the professor’s schedule Rotation could start as early as 8AM or as late as 5PM depending on her schedule If attending in the morning, you will be expected to join the ward rounds Do some prep before attending the haematology rotationHAEMATOLOGY: PRACTICAL EXAM EXAMINER Usually with one of the assistants at the department DURATION Approx. 40 mins to an hour EXAM A three-part practical exam: Part 1 - patient history and physical examination Approx. 15-20 mins to examine the patient Part 2 - blood report Blood report given after patient examination; few mins to study the report before oral Part 3 - presentation of case, blood report and questions You will be asked to present your patient, findings, and blood report; followed by a series of questions related to your findings and other haematological conditionsHAEMATOLOGY: PRACTICAL EXAM HINTS & TIPS Take a thorough patient history Look for physical signs by visual observation Do not neglect a thorough physical examination, even if your history is sound Know your differential diagnoses Commonly asked question! Know your treatments Also commonly asked! Know your blood values and what you would expect to find in certain haematological conditions, such as malignanciesHAEMATOLOGY: THEORETICAL EXAM EXAMINERS Prof. Popova One of the assistants from the department EXAM Approx. 10-20 min. oral Initially questions will be related to your ticket, but will quickly shift to other topics from the haematology synopsis Neither the professor nor the assistants will read your essay, but may draw on the paper when asking questions HINTS & TIPS The professor is very thorough in her assessment, so be thorough in your prep Study your pathophysiology, definitions, processes, differential diagnoses (very important!), and blood values wellHAEMATOLOGY: STUDY SOURCES Lecture presentations from fifth year Use the lecture material only as a refresher or starting platform; not as a sole source of revision AMBOSS Osmosis Textbook ‘Haematology at a glance’ by A.B. Mehta and A.V. Hoffbrand (4th edition)Gastroenterology: Overview Length of Rotation: 10 days Location: First Base Hospital AKA UMBAL “Georgi Stranski” Rotation tips: Nice department in general. Let the doctor know you are there for your Staj rotation There was no Staj book to sign, but double check when you go!! You are free to take history from patients, as long as the medical team has finished their ward round Gastroenterology: Exam Preparation Study materials: Short notes Osmosis videos Zero to Finals videos If you use your Surgery notes for specific topics that overlap, be sure to expand on the conservative treatmentsGastroenterology: Practical If you pick Gastroenterology, when you go to the department, you will be assigned a patient. You are given some time to take history and perform physical examination. Take an examination that is as thorough as possible with the time you have. An assistant or the professor will come in and ask you to explain the presentation of the patient. Depending on the patient, you will be asked questions about the disease, differential diagnoses, complications, treatment methods, etc.Gastroenterology: Theory Examiner: Assoc. Prof. Ivanka Marinova, M.D. If your ticket has a Gastroenterology topic, you sit and write your topic along with your other two essays from the other subjects When you go for the oral, the professor allows you to explain your topic from the beginning to the end She asks quite basic questions based on anything you missed out as you were explaining your topicPULMONOLOGY: ROTATION DURATION 8 - 10 days (1.5 weeks) 2 students in the AM & 2 in the PM (total 4 students per day) LOCATION Department of ‘Pulmonology’ ‘Trub’ - next to 2nd Base, white/creamy building next door to 2nd Base ROTATION Mandatory attendance Attend as set of 2 students & be punctual. Professor Kyuchukov will be your main point of contact He may refer you to one of the assistants Rotation times can be adjusted to have more time for the IM exam, ask. Rotation could start as early as 7:30AM - 12:30PM & 1pm - 4PM respectively. If attending in the morning, you will be expected to join the ward rounds & do patient obs, etc. Do some prep before attending pulmonology. Main Prof asks questions.PULMONOLOGY: EXAM EXAMINER No Practical for Pulmonology ONLY THEORY as IM exam is in 1st base. Usually with the main professor or Prof Dr Kyuchkov or one of the assistants at the department usually the female. DURATION Approx: 10-20mins for oral. EXAM Easy & low stress & stake exam. Examiners are extremely fair. They ask about your topic, then ask a few random questions; V/Q Mismatch, oxygenation, Risk factors, cancers & treatment for your topic & other topics too.PULMONOLOGY: EXAM EXAMINERS Prof. Kyuchkov +/- female assistant prof Dr. Ivanova One of the assistants from the department EXAM Approx. 10-20 min. oral - (quick oral) - relaxed environment. Initially questions will be related to your ticket, but will ask questions pertaining to other topics from the pulmonology synopsis - mainly treatments and V/Q mismatch & risk factors. Neither the professor nor the assistants will read your essay. The assistant professor is very easy going & kind in her assessment, will also guide you when and as required. HINTS & TIPS Study anatomy, pathophysiology, definitions, processes, differential diagnoses & TREATMENT & IMAGING = ESSENTIAL! NB: Study to learn rather than to pass the exam as respiratory/pulmonology is the bread & butter of any doctor. THINK VITAL ORGAN!PULMONOLOGY: STUDY SOURCES Lecture presentations from fourth year Use the lecture material only as a refresher or starting platform; not as a sole source of revision Osmosis Youtube: radiology i.e. Strong medicine. Google Drive - 4th Year Folder Lecturio - Radiology Textbook ‘Oxford Handbook of Respiratory Medicine’ - Stephen J Chapman et al., 2021 Ed 4. Personal notes - Can share if requested - Reach out to BIMSA team.RHEUMATOLOGY NO ROTATION EXAM DAY : There is no practical part for this department Mainly state notes, YouTube videos and osmosis were used to prepare Questions on diagnosis, image findings, comparison and difference with other conditions, cause, symptoms and treatment where knowing medications is good.HEIS: GENERAL INFORMATION DURATION 7 week rotation + 1 week exam ROTATION HEIS is the only sixth year rotation (except for infectious diseases) conducted on university campus grounds EXAM DAY Conducted on campus, in the main university building Strictly a written and oral exam. No white coat or scrubs required Students called in order according to listing on the exam protocol. You will be instructed to pick four tickets (one for each discipline) and given an hour to write your topics before being called for the oral part Typically conducted in two classrooms, with two professors in each room Results issued on the same day, several hours after the examHYGIENE: ROTATION DURATION 15 days (3 weeks) LOCATION Department of ‘hygiene, medical ecology, occupational disease, and disaster medicine’ Main university campus, ground floor ROTATION Very brief seminars (mostly to register attendance) Assistant may discuss some of the seminar and exam contents Will share presentations and handouts to supplement revisionHYGIENE: EXAM EXAMINER Assoc. Prof. Birdanov EXAM Approx. 5-8 min. oral Will listen to your presentation without interrupting, and then proceed to ask questions relating to your ticket Will not ask questions outside of your ticket HINTS & TIPS Don’t get too technical and overcomplicate your answers A lot of the questions will be of a general natureHYGIENE: STUDY SOURCES Supplementary material from the assistant Lecture notes and/or presentations from third year hygiene Textbooks ‘Hygiene: Hygiene and Ecology - Volume I’ by Dr Dimitar Tsvetkov ‘Hygiene: Occupational Medicine - Volume II’ by Dr Dimitar TsvetkovEPIDEMIOLOGY: ROTATION DURATION 5 days (1 week) LOCATION Department of ‘infectious diseases, epidemiology, parasitology and tropical medicine’ Main university campus, first floor ROTATION 1-2 hour seminars Mandatory and recorded attendance Seminars will emphasise the ‘must knows’ for the exam Assistant will share presentations, handouts and the vaccination schedule for Bulgaria to supplement revisionEPIDEMIOLOGY: EXAM EXAMINERS Prof. Karcheva Assoc. Prof. Petkova EXAM Approx. 5 min. oral Questions generally within the scope of your topic Commonly asked questions Modes of transmission Vaccination schedule for Bulgaria HINTS & TIPS Memorise the vaccination schedule for Bulgaria Epidemiology and infectious diseases go hand-in-hand in terms of relevance of content Studying for one will help supplement the other, and vice versaEPIDEMIOLOGY: STUDY SOURCES Lecture slides and handouts provided by the professor/assistant Textbook Mandell, Douglas, and Bennet’s ‘Principles and Practice of Infectious Diseases’ (9th edition)INFECTIOUS DISEASES: ROTATION DURATION 10 days (2 weeks) LOCATION First base, inpatient department (white/creamy building behind the changing rooms) First base, outpatient clinic (third floor from main entrance of hospital; room 311) ROTATION Approx. 1-2 hour seminars The professor will provide a schedule for the seminars, which will either be conducted in person or online via the virtual classroom (depending on her schedule) Verbal presentation of topic(s) No slides or handouts No patient interaction or ward rounds, unless there is a unique case on the wardINFECTIOUS DISEASES: EXAM EXAMINER Prof. Gancheva EXAM Approx. 5-8 min. oral Will listen to everything you have to say Will politely interrupt you in parts to either ask questions or plug information for your understanding Will only ask about your topic. Rarely strays outside of the ticket HINTS & TIPS She doesn’t expect you to know everything, but will expect you to know the basics of a given topic Listen attentively to the way she presents topics during the rotation, and incorporate a similar structure when revising from the synopsisINFECTIOUS DISEASES: EXAM (CONT.) & STUDY SOURCES HINTS & TIPS (CONT.) When writing and presenting your topic, be sure to include the following: Diagnosis Etiology Epidemiology Treatment Pathophysiology Prevention Symptoms STUDY SOURCES AMBOSS MSD Manual Osmosis Textbook Mandell, Douglas, and Bennett’s ‘Principles and Practice of Infectious Diseases’ (9th edition)SOCIAL MEDICINE: ROTATION DURATION 5 days (1 week) Can be shortened if communicated with the assistant LOCATION Department of ‘social medicine’ Main university campus; rear entrance (Balkan Hotel side), physiology block, 3rd floor ROTATION Approx. 1-2 hour sessions (if conducted over five days) or 3-4 hour sessions (if shortened to two days) Mandatory and recorded attendance Assistant will emphasise the ‘must knows’ and importance of certain elements for the examSOCIAL MEDICINE: EXAM EXAMINERS Prof. Yankulovska (currently on sabbatical leave until September) Assoc. Prof. Georgieva EXAM Approx. 10-12 min. oral Professor will read your essay and initially ask questions relating to the ticket They will then stray to other topics from the synopsis and recommended course book Commonly asked questions: Definitions Formulas Scales Population age structures (progressive, stationary, regressive structures) Levels of healthcare (primary, secondary, tertiary care) Levels of prevention (primordial, primary, secondary, tertiary prevention) Leading causes of death & infant mortality in low- and high-incoming countriesSOCIAL MEDICINE: EXAM (CONT.) TOPICS OMITTED FROM THE 2023-24 STATE EXAM SYNOPSIS Potential errors of epidemiological studies. Types of bias. Confounding. Causation of epidemiology. Bradford Hill criteria Socially important diseases. Dahlgren and Whitehead’s model of social determinants. Worldwide trends in communicable and non-communicable diseases HINTS & TIPS Strict, but fair Know your definitions and formulas Very important as a bare minimum to pass the social medicine exam Careful what you put on paper. The professor will read your essay word for word. If she spots mistakes, she will ask you about it STUDY SOURCE ‘Social Medicine - Basic Course’ by Silviya Aleksandrova-YankulovskaEMERGENCY MEDICINE: ROTATION DURATION 15 days (Approx 3 weeks) LOCATION Sveti Marina - Private Hospital - Anaesthesiology dept Bus arrangements require prior to rotation - Bus leaves at 8AM sharp next one is around 10AM, If missed taxi. ROTATION ? attendance - not all but half of group should attend. Important? not really but you do learn for other upcoming exams. Main professor - Professor ... will be your main point of contact He may refer you to one of the assistants - most observe surgery, will allow some practical hands on; handling the anaestisiology machine. Rotation - generally good especially with our assistant. pre-reading material. Rotation could start as early as 8/8:30AM If attending in the morning, you will be expected to join the ward rounds & do patient obs, etc.EMERGENCY MEDICINE: EXAM EXAMINER No Practical for EM ONLY THEORY, 1 TICKET - 1 SYNOPSIS POINT TOTAL OF APPROX 18 SYNOPSIS (CONFIRM FOR CURRENT YEAR) WRITTEN EXAM, WRITE ABOUT TOPIC: DEFINITION, AEITIOLOGY, PATHOPHYSIOLOGY, SX+SSX, DIAGNOSIS, DIFFERENTIAL DIAGNOSIS, TREATMENT + MANAGEMENT. DURATION Approx: 60-90MINS VARYING. EXAM Easy & low stress & stake exam. Examiners are extremely fair. NO ORAL, SUBMIT WRITTEN PAPER, GRDAED AS RESPECTED OR NOT RESPECTED (BASICALLY PASS OR FAIL) NO-ONE I KNOW HAS FAILED EM).EMERGENCY MEDICINE: STUDY SOURCES Lecture presentations from fourth year Use the lecture material only as a refresher or starting platform; not as a sole source of revision Osmosis Youtube: medico perfectionalis, ZERO TO FINALS, etc. Textbook ‘Oxford Handbook of CLINICAL HANDBOOK’ - Stephen J Chapman et al., 2021 Ed 4. Personal notes & OXFORD HANDBOOK PDF- Can share if requested - Reach out to BIMSA team.PAEDIATRICS DURATION : 6 weeks ROTATION : First base, at the paediatrics department Must wear scrubs, hospital shoes and a stethoscope Everyday attendance at 8-8:30 am Random checks Seminars (done according to the professors and given timetable) You should take the initiative of studying the material, practising history taking and physical examination with the patients in the ward and following doctors Complete attendance is must to recieve final signaturePAEDIATRICS EXAM DAY: EXAMINERS : Assoc Prof. Nikolay Kirilov Bulgaranov, Assoc. Dr. Chaika Kirilova Petrova and other doctors were present in the department that day. EXAM : The practical part is done in the done where you are assigned to a patient by the doctors or the nurse Practical includes the patient's complete history and physical examination After practical, you go into the seminar room on the ground floor to pick topics for the theory. 2 topics for the theory part, paired randomly, no fixed division of topicsPAEDIATRICS EXAM Given some time to think and note down your topics before you go to the prof and doctors in the department for the oral part One prof or doctor does the oral for both practical and theory at the same time Questions focused: on your patient's past, present, developmental, medication, immunisation, feeding and family history Theory questions: Etiology, clinical findings like x-ray and lab, symptoms, treatment Developmental milestones, feeding, Materials used to study: state notes from the year drive, Lectures, preferred paediatrics book, videos on YouTube, osmosis and lecturioOBGYN: Rotation same as mine was!was my personal experience, so I cannot guarantee your rotation will be exactly the Duration: The rotation is split into 4 sub rotations: Gynaecology: 10 days Obstetrics: 15 days Oncogynaecology: 5 days High risk pregnancy: 5 daysOBGYN: Rotation Gynaecology: Group A were in Sveta Marina, and mostly observed surgeries Obstetrics: Both groups were in 2nd Base C Sections, live births **NIGHT SHIFTS: good idea to go to with Dr Nikoleta Stoyanova** Oncogynaecology: Either SM or 1st Base Observe surgeries Strict with attendance TOP TIP: Connect with Dr Nikoleta Stoyanova, she’s a great High Risk Pregnancy: teacher and will answer all your questions. You’ll possibly be able to do more hands on things with Was in 2nd base patients too! Didn’t do muchOBGYN: Rotation TIPS: Double check the synopsis with rotation lead (re-printing of 4th year synopsis) teachers - make the most of itartment in general are good Study before seminars, and have questions Overall it’s a great rotation and you can learn a lot!OBGYN: Exam HOW IT WENT: Was in 1st base Business as usual (CS in the morning) Popovski in one room; Gyokova in the other Popovski’s room was relaxed, didn’t feel like super high stakes Picked 3 tickets - questioned on basics , indications, Sx etcOBGYN: Looking Back What I would have done differently: Rotation was during summer, so I was absent - would have attended more Oncogynaecology - strict, so had to attend 2 rotations per day to catch up Attended more night shiftsOBGYN: STUDY RESOURCES Study materials: Student notes from Drive (4th year drive) Seminar notes Osmosis videos Zero to Finals videos (Understanding the Placenta) MU-PLEVEN: O&G on public playlist on YoutubePROP OF SURGERY & GENERAL SURGERY EXAMINERS Prof. Stoikov EXAM Practical Aspect MCQ Theory Aspect HINTS & TIPS Have an idea of the general aspects of surgery such as blood group tests and surgical hygiene Study this synopsis in sections not necessarily by topicsORTHOPAEDICS: ROTATION DURATION 5 days LOCATION Orthopaedics department (next to Lions Pride Fitness) Changing room in small outbuilding Enter department through back door ROTATION Lessons are 30 minutes to 2 hours Follow the doctors on the ward rounds They may or may not allow you into the theatres Lesson vary greatly between groupsORTHOPAEDICS: EXAM EXAMINER Main professor or one assistant EXAM Approx. 5-10 min. oral (No practical) Will read essay but also expect you to explain in your own words 1 topic out of 33 HINTS & TIPS Revise your MSK anatomy Practise recognising bony structures from radiographic imaging Learn fracture names early Know the synopsis - some disease names differ in BulgariaUROLOGY: ROTATION DURATION 5 Days LOCATION St Marina University Hospital Changing rooms in basement University shuttle every 2 hours from 8am ROTATION Short lessons Teacher is based on the hospital schedule Primarily history taking and case review Opportunity to do clinical skills; placing catheters etcUROLOGY: EXAM EXAMINER Assoc. Prof. Vladislav Rosenov Dunev EXAM Approx. 5-8 min. oral (no practical) Select 1 topic out of 30 Will briefly read your essay whilst you explain Mainly stays on topic; may also ask a few questions outside your topic HINTS & TIPS Focus on the basics of your topic Speak clearly and confidently Must knows: Tumor markers Urinary retention vs. anuriaSTUDY RESOURCES ORTHOPAEDICS Essential Orthopaedics and Trauma (D J Dancy, D J Edwards) Radiopedia.org orthobullets.com Stick to mastering the basics, don’t try and memorise every small detail: UROLOGY Learn minimal info for aetiology, pathology, clinical features, Smith and Tanagho's General Urology investigations and management → then GENERAL expand as you begin to revise the info Mayoclinic.org Medscape.com Passmed, Quesmed, Lecturio etc for practising, application and solidifying knowledge BIMSA THANK YOU MU PLEVEN GRADUATES 2024