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Okay. Um Hello everyone. Um Nice to see you all again. So welcome to our last part of our complete guide to 80 assessment. Um Just for the sake of nostalgia, we have decided to put up this slide that we do for every single one of our teaching sessions. So uh we are the conflict guide to 80 assessment and you can follow our Facebook page. I don't, but I don't think there will be any updates anymore until hopefully, maybe next year when you guys are year fives and you guys decided to take up this exact same project. And so yeah, once again, so this is an 80 assessment teaching series by year five uh Edinburgh medical students. And once again, this is very familiar infographic for most of you. So we are now at the last part finally at the exam tips and feedback session. So I don't think this session is going to be really long. So we'll just be going through some exam tips that was collated by all the tutors here. So these are all valuable knowledge because all of us here have been through the 80 on skis from Edinburgh ourselves. So we're just giving you some of our personalized tips. And at the same time, we will be giving you feedback on the how to perform a TV assessment session as well as the feedback from the mark 80 Yassky sessions. These are just some of the feedback that most tutors notice. So this is just quite good um learning points, especially if some of you viewers have been to those sessions um physically. So right, without further of do. Um So yeah, this is a exam tips and feedback session and the objectives is like the name sounds, which is going to give you exam tips for the year for Edinburgh 80 on skis as well as feedback from how to perform the 80 assessment as well as the feedback from the Mark A to E A ski. So I'm just gonna invite Eleanor to just speak first regarding the general tips. Thanks Erin. Hi everyone. I'm Eleanor. Um So yeah, just to reiterate what Aaron said, like this is kind of specifically aimed at fourth years at Edinburgh University. So obviously can't speak for the universities if there's anyone here that isn't remember. But these are just some things we've noticed from like the last few sessions uh needs more like general tips. So one thing that I think people have struggled with in the past is like recognizing what the 80 station in the Oscar E is, they don't always say like, you know, perform an A to a assessment, it could say, as it says, they assess the patient or review the patient. Um and if they've given you a little bit of context, so, you know, you say someone has like abdo pain, I think people in the past have been inclined to do a G eye exam, which is understandable. So just kind of recognizing the words and, and if it says something like accessible review, probably you're a TV station using your two minutes before you go into the station effectively. So when you're sitting outside and you're reading your scenario, you know, it's a good time to like get your brain working, um run through Adrian your head and then they usually do give a little bit of context. So you consider differentials before you go in or important questions, you might want to ask in the history to like help you kind of narrow it down as you go. When once you get into the station, it's quite helpful to have that structure before you go in. Yeah, just being prepared that there might be some obstacles you might have to think on the spot. And if you've done like, well, you get to the end with some time left, it's likely that the examiner will probably have some questions for you. So, you know, don't panic too much if you don't know. Um And often if they keep asking you questions, it probably means you're doing well. Like if you get to quite niche points, you've probably done quite well and they're just testing you further. So, um, just be aware, you might have to think on your feet a little bit. You can't rehearse the whole thing. Um, taking a focus, history is important. So the main focus of the station is the a to assessment, but you can do that bit of history first. But again, it's not going to be really detailed. You don't need to know all about like, you know, they're like what their job is or unless it's relevant. Um But just keeping it really brief to really focused history, know what you need to ask and, and I'll be, it'll save you some time and you can move onto your assessment. Um One thing we noticed is just like acknowledging whether the Airways patent or not. So we've said for year for you won't be expected to airway management. So she'll have a patent airway. Um, but just say out loud, like, because the patient speaking to me, I know the Airways patent. So I'm going to move on to breathe in and then like carry on then just, just make it really obvious that, you know, um don't just like skip past it because it's like assumed. Um We've already so upset about differentials rule, the main real amount as you go along, it will just make it a little bit easier at the end when you having to present back and just try and be as confident as you can like it's really scary. Um But if you act confident, you'll see like way more flu and, and if you keep practicing, it will help. So I think I'm going to pass on to Sasha and she's gonna talk about some more tips. Yeah, thanks Ellen nor and thanks everyone for joining our session or some tips for interaction with the patient. So I know it can be a bit like, feel weird because you're talking to the mannequin but try to treat them like it's a real patient and explain what you're doing. And because I think it helps the examiner to know what you're thinking about. You to take kind of take a step back and just work through your 80 really systematically. Um And don't focus on the examiner, they're just there to walk to the fact that you're asking for. Um So try and put your focus on the mannequin and really act like it is a real patient and you're, you're wanting to treat them with. So if you're going to like take down their gown to examine them, remember to say, is it okay if I take your going down and it was you're talking to a mannequin and it's really important because they're just trying to get it to seem like real patient. Um And it just makes you overall and look like you know what you're doing. Um And then just remember to kind of properly examine the mannequin. So again, it can feel kind of silly when you're using a stethoscope and, you know, you're not going to hear anything or you're palpating the abdomen and it's like plastic, but all of these things make you just look, make you look like, you know, exactly what you're doing. So just even though you feel a bit silly, just do everything that you normally would turn no actual patient and just kind of treat them like they're real. And if, if the like examiner says as the voice of the patient that they're finding like they're scared or they're scared, they're going to die or don't ignore it really like try and react to that as you would to normal patient as well. So try and reassure people if okay can or just tell them you're looking after them and you're gonna um just to show they have empathy and you know, good professionals girls. So probably next slide. Um and then again, just some more kind of practical tips. Remember that you always, I just need to call for help at some point. So if you just get that in your head that you always have to call at some point, you're less likely to forget about it and you're gonna do it at the right point. So as soon as you just called in, as soon as you feel like you would be a bit out of your depth, just say I would I need to call for seeing your help now, um, and try and practice 80 as much as possible. Um, talk through it with your flatmates or with your friends. Talk about what you would look for, talk about the investigations you do in the management and just, like, keep thinking about it because it really is an easy way to pick up marks and you're off ski. It's so like if you just hit all those points is a really good way to get marks and it's just something that you can get. So, um, just as easily, um, and make sure you practice timer as well because it's difficult to keep track of time while you're actually doing it. So if you're, if you've got it down to that eight minutes, you'll be really good. Um, and make sure you've considered the possible scenarios. We've obviously covered quite a lot with our, um, series and we've got the hand, we'll just give you, like, remind you of all that we covered, but there's others that we've not covered and just make sure you know, them, no, the investigations and the treatments. Um, so that you can sound like you're really good on. Look at all your marks and practice using the bedside equipment because stuff like fumbling is just like, it just makes you feel a bit more stress on the day. So if you practice using them, you'll be much more fluid and it will smoothly and then just a kind of final point, if you started an intervention, you can ask how it's improved. So, so if you start oxygen, ask if it's come and if you run fluids, when you get to the end, just check, has some pressure improved. And it just shows that you're really understand standing why you're doing these interventions. But you're all right. So I will be taking over for the next part. So it's for the feedback on how to perform 80 assessment. So I was one of the tutors there and I think the general consensus from all the tutors for the students who came to that session is that you guys are definitely way more prepared that we were when we were here for. Um But here's just some of the tips that we have gathered on the day itself just as a re emphasis. So don't forget to expose the patient before you before starting breathing. And that's because when you're running through the station, sometimes can be easy to forget. And one of the things that we like to reemphasize is always to ask for consent before examining because we noticed that a lot of the students actually just went on the examination without really exposing or consenting from the patient. So just try to imagine as if the mannequin is a real patient. And also remember to check for the bedside for any drug charts, any E C G or any patient notes because sometimes they will just lay around there and they'll just be creeping and then you guys just got to like scramble and look around for things. So when you step into the room, it will be a good idea just to scout the entire area, just look for any things that might be beneficial for your, uh, station. And it's also very important not to just state the routine investigations, but to look for specific ones that will show that what you're trying to exclude. For example, if you are suspecting the patient to have an interior M I, then you probably can do a troponin level. And if you're suspecting perhaps heart failure, then you can do a BMP um in the chest presentation. And that basically helps to help the examiner, um, know that, you know, you're, you know, what you're looking for specifically and what we like to emphasize as well is to revise what you're looking for for each of the 80 categories. And what kind of investigation's you like to do because we noticed that some of these students actually did heart rate in b while heart rate is supposed to be actually done in C under circulation. So just make sure you revise, you practice and go through each of the categories, knowing what kind of things you're looking for and what kind of investigation's you should do. And very important to just, you know, keep practicing because um the 80 station is one of those stations where the more you practice, the more confident you get, so that you get to be able to run those stations without really thinking. And that's when, you know, you're really done enough. And so yeah, I'll just passed on to Eleanor. Thank you. Um So this is like some of the most specific feedback from the Markovsky session that ran last week. So a lot of it's like really, really similar to what we've already covered. Um But again, students, we noticed did well when they were interacting more with the mannequin or, you know, like putting their hands on and doing chest expansion or, you know, yeah, basically doing the a to assessment and not saying like what is the respiratory rate saying? Like I'm counting the respiratory rate and then we'll give the, the sort of information. Um It's been said before just getting consent before you start examining. That was one thing that we picked up during the Mark sessions as well, but that will come with practice and you know, just said here, fake it till you make it just act like your act like you say you're confident with it and it'll come across. Um And at the end, um a lot, you were really good at doing it once the eight minutes actually. Um but then had some time at the end. So it's good to basically if you're at a loose end, start your ate away assessment again, and also review the interventions like you've done. Um As Sasha says, it helps, you know, show the examiner that, you know, why you started fluids and what you're hoping to achieve by doing that in terms of bringing up the pressure and things like that. And you can, yeah, it helps with sort of reminding you if you've forgotten to do something. If you go back and start again and go. Actually, I didn't take the temperature, there's another opportunity to do it. Um So don't be scared to sort of add things on at the end if you've forgotten. Um And also practice given an S pa, so that's not something we necessarily covered in the mark, but some of you, when you got to the end sort of did that as you're an initiative. So you said, like you call for help and then would sort of start an expert in that set and, and that's something that definitely got to happen in the exam. Um And I think they're quite tricky to do concisely and so practice that with friends and flatmates as well, you know, give like a brief scenario and then like make up the s bar to each other. Um And it shows like the examiner what you've done as well and it will like, you know, you can recap everything you've been through and show why you've arrived the diagnosis you've arrived at or show why you've ruled in on rules outset of differentials and stuff. So yeah, and that's also a good reminder if you've missed anything. So, yeah, yeah. So uh this is just one of the slides that was in the how to perform an 80 assessment. And I feel like it's quite good for everybody to just remember. So these are just some of the key points for you to remember. It's always call for help when you think you need it don't just cramp up everything to the end. And we always suggest to do interventions as required. So for example, if you notice the 02 stats are low at be, then you should already give the oxygen intervention instead of waiting everything to the end. And it's also very important for you not to forget. I think we have said this multiple times which is to reassess after every intervention is important because that shows the examine that you're not just doing a check box list, but you're actually looking if your intervention actually made a difference. So make sure you recheck the BP after you start some fluids and also make sure to do your investigations as you go along. So don't put everything to the end because usually when you do that, you will tend to forget especially under an exam situation. So make sure you do your chest X ray, your E C G, your bloods and candelas at appropriate times in the 80 assessment. So yeah, I think that is the end. So, um if you guys have any questions, feel free to just ask, we have most of the tutors here and we'll try our best to answer any questions you have for the year for a T E Edinburgh ski before we guys let you be independent in your journey. Um But we'd like to remind you that for today's session. If you fill out the feedback form, that's how we're going to send out the handouts for you guys. We'll try to do that in the next couple of days or the next week. Um But don't forget to fill out the feedback form at the end which we will release um in the chat box. But we're just gonna open this time to the floor if you have any questions at all, just let us know you can just fire away. But if you do not have any questions, I will send the feedback form to the chat. And so yeah, just make sure to fill out this feedback form so that we can send over the handout to you. Um But if you guys have any questions, just let us know. Yes. So uh for this slide, we will be share ing it under the um I think it's one of the catch up content. So I think you'll be able to review this video after you fill out the feedback from. But in terms of the previous 80 presentation slides, we won't be sharing them but we will be sharing them in a compacted form um in the form of the handout, all you got to do is just fill out your feedback form and we'll send that right to you right. If you guys have any more questions, we'll just stay for a couple more minutes for you guys to type in. If not, you guys are free to go. Thank you so much, all of you for supporting us in our S S T five project. It's very touching to see how some of you will hear from the start to the finish. So we are also really excited and we know that you guys are going to do great for your 80 on skis. So yeah, all the best for your exams and have fun for NBC A cheese if you guys are going tonight, right? Looks like nobody have any questions. So we'll just end the session. But yeah, once again, thank you so much for coming to this and supporting us throughout and don't forget to fill out the feedback in order to get your hand out. So, yeah. Thank you so much. Bye.