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Hello, my name is Viv. Um I'm an academic foundation doctor working in Peninsula. I'm also one of the co leads for the Fy One program at mind the bleep. Um And really delighted to be bringing you this course. Um I've got two of my colleagues on the call who I'll introduce in a moment. Um And we will get going. So Magda's on the call, she is uh an I MG herself graduating in Milan and currently an fy two doctor in the Peninsula Deanery. She's done some work um sort of locally um providing medical content for IM GS. Um And really delighted to be working with her to bring about this series. So we've got a very, very quick poll. I'll let Mag to say hello, hello. Hello. Hello, everybody. So M is just gonna release the pole if you could very quickly fill out, it takes about 10 seconds just to get a bit of an indication about how prepared you feel. Um Some of you did write that in the sign up form as well with your questions, which was great. Um So if you just fill those out, so um keep submitting your responses, guys, we've had 26 for the what grade you are. If you could just let us know about the first two, that would be great. Um I think it's really difficult for anybody entering their first NHS job. Especially difficult if you come from a very different healthcare system or a different university style. And actually an exam like the P SA might, might not be the highest on your list of priorities. That's very understandable. Um And some of you may have had a little bit of education from your deaneries or support with a preparation for the exams. And some of you may not even know when you're registered to sit the exam. So it's probably going to be a bit of a range. It looks like most people are feeling not very well prepared, haven't had time to study, um or not feeling very confident, which was kind of what we expected. Um August is a very, very busy month, especially for those of you who are F ones. Um And some of you don't know what the PSA is at all. So you definitely will by the end of this session, that's great. And the majority as we sort of expected are fy ones. Um And maybe you've got one medical student not in the UK. So maybe you're just having a look at what the PSA is and preparing yourself a little bit there. So, um, this series is brought to you by mind the Bleak. So it's free medical education resource. We've got a website, a youtube page. Um Obviously the medal has got all of our past and current series. Um There's lots and lots of people involved, but sort of the main ones that might be useful for you to be aware of is our family doctor Akash, um, who's an endocrinology registrar in the London Deanery. Um The F one leads. So I'm joined by Ramer and Manish. Um And then we've also got I MG leads. Um So le N AJ and that's really helpful to know about um if you do have any requests for any I MG specific content, want any support. Um We've got a whatsapp Chat. Um So you can contact them. Um I will just introduce you to Sona who's also on the call. Hi guys, I just wanted to say a quick hello. Um So my name is Sona, I'm the prescribing lead for mind the bleep and some of you might remember the PSA series that was around a couple of years ago. Um So Viv and Magda are going to build on that, have some extra questions and provide some extra support around the PSA exam because it can be quite a daunting thing to, to, to revise for. Um So, yeah, all the best good luck and these lovely ladies are gonna take over. Um So as I mentioned, this was the course that she created um back in 2022. Um We are trying to cover some of the bits that weren't covered in that, but her course is very comprehensive. So I think to get the most out of this course, we'd really recommend watching the recordings. Um They're on youtube and they're on Medal and they're on the mind the bleep website. So to different modes, you can watch them, you can watch them on the bus to work. Um And so he's got a background, having previously worked as a pharmacist before doing her medical degree um and has finished the foundation year program. So I really do encourage you to use that. And we've paired what we cover with what she has covered already. So they are designed to go hand in hand. So this course just for expectations is obviously free, it's an overview and a really hopefully a really useful supplement by people who have done well in the P SA. Um It's not gonna cover every single part of the P SA. Um None of us are psa question writers. So there aren't any conflict of interest to declare with that, but equally, we don't know what's going to be in your exam 100%. Um And we're all practicing full time doctors. Um And we try our best to be accurate with everything that we've written, but there may be in Aur, so we don't guarantee it to be fully accurate, but we are doing our best. So um Today we're gonna discuss what this course will involve, we're gonna really go through what the PSA exam is. So, for those of you who said you've never heard of it, you don't know what it is, that is what we're gonna be covering and we're gonna give you some tips and some resources to help start or continue your PSA revision. Um I've put a QR code for this P SA blueprint. Um It's a really good document. It's a little bit bulkier. Um But it does go through basically all of the blueprint for which they then write questions from. So I probably would scan this now if you have a spare phone or anything around you to use and read through it. But I've included lots of screenshots of this blueprint throughout this presentation just to help guide you. Um I think for any exams using a curriculum is a really good way to go about it. Um And this is written by the people who write the exam. So definitely a useful resource and obviously free. If you just search PSA blueprint, July 2024 on Google, you can also find it. So um this is a bit of an overview of the course, as mentioned, it goes hand in hand with Sona course. I put the QR code for that on the right hand side. Um So our next session is on Thursday at 7 p.m. and MAGDA will be leading that and that will be all about emergency prescribing. Um The sessions are in green, um, are sessions aren't on a Tuesday at 7 p.m. So we've got one on Sunday the eighth and one on Thursday 15th and I've just noticed one on Monday the ninth, which will be the day before the exam for any of you sitting on Tuesday the 10th of September. Um These dates might be slightly um up for change and we may introduce an extra session if there is demand for it. Um But this is just to give you an idea of what we'll be covering roughly um moving on. So what is the PSA so it's a um 200 mark two hour long paper. It's got eight sections um as you can see here and they're all weighted quite differently which I'll go into. Um the previous slide just had a bit of an appendix about topics that they might include in different sections. Um It, that won't be exhaustive. So really you can have quite a range of topics for any one section. Um But I would say that actually understanding the section types will really help you in doing well as opposed to just focusing on the content alone. Um All of this is very clinical um and very relevant to things you're seeing clinically. So I think whilst you're at work trying to have a think about prescribing will probably be a really helpful thing to help with your preparation. So, um why is the PSA required? So as a safety tool, I think one in 10, um there are one in 10 prescribing errors every day in hospital. Um And so this exam is a way of helping to monitor and provide training and support to get safe prescribing. It's obviously mandatory for all medical graduates in the UK. And then as part of your F one Horace, you need to upload your certificate of completion. Um So that's taken directly from the Horace website. Um I would say out of all the exams I've done in medical school, this was one of the exams that actually was very helpful. Um It's very clinically orientated. Um And you really get used to using the B NF, which is the National Formulary. You get really used to thinking about how drugs interact with each other. Um You get used to thinking about how to write legibly and prescribe safely. So I actually think it's a really useful exam. So use that as nice motivation that this isn't something you're gonna spend hours for and none of it's relevant. I would say that it is very clinically relevant. Um And that does help you, especially if you've started working, that clinical relevance is something that you can, that you can use and relate to whilst you're out at work. So it is very important just to consider who writes the PSA. So it's written by the BPS, which is the British Pharmacological Society and the M SE Assessment. And within that there's a stakeholder group that includes a student representative from the BM and from other departments. The reason I've mentioned this is there are lots and lots of resources out there, but probably the ones that are going to be the most accurate will be any that are made by the BPS. Um I will go into that at the end with some recommended resources. Um I know my university did say to us that if you're using textbooks that aren't by those organizations, you do need to take it with a pinch of salt. Um I think again, with any exam, I wouldn't use one resource by itself. It's always good to use several, but just be aware that, you know, there is a specific organ organizing body that write the exam questions. And so if you're using exam questions that aren't written by them, they may not be as accurate. Um So the PSA this is taken from the um PSA website. So for those of you that are sitting, the September sitting that's in about a month's time. Um but there are lots of sessions throughout the year. Um And you know, in the case, if your first attempt isn't successful, there are quite a few options over the next year to resit um your medical school. Sorry, your deaneries should have contacted you or confirmed whether you're sitting the September sitting at this point Um again, I'll go over at the end what to do if that hasn't happened. Um But yeah, this, this um, information is all available freely on the PSA website. Um So, uh and obviously that first sitting is just for foundation schools, so there won't be any medical students in their final year who can sit the one in September. Ok. So section of the PSA I have mentioned this slightly already. Um The timings for this are taken from the mind, the bleep website. We've got a PSA article um and effectively the biggest thing to take away from this slide is that the prescribing section is takes up a big part of the exam and gets you lots and lots of points. Um So when I personally sat the PSA that was the um section that I spent the most time on and I was the most careful with. Um we've all got different strengths. Something I was quite nervous about was the calculations and calculation skills. And I put in a lot of time practicing for that, but actually, it's not worth as many points as some of the other sections. So you just want to be mindful about your timings. It is a time pressure exam. Um And about where you're gonna get maximum points. So I'll expand on that a little bit now. So 40% of your marks are gonna come from the prescribing section. So if you just get points for this alone that could help, that could mean that you pass the exam. Um So again, this is from the blueprint, as I mentioned before. Um my sort of summary point from it is you've got eight questions. Each question is worth 10 marks. Um And you get five marks for picking the correct drug to the right medication and then five marks for the correct dosing and within that, that will include the units and the method of administration. So, is this an intravenous um prescription, an oral, an intramuscular et cetera? Um And it's also looking at your ability to reason and judge safely. So, are you picking the right drug, are you picking the right dose, the right route and the right frequency? Um So if somebody is not um safe to have anything orally, then picking AP o or oral prescription would be inappropriate and wouldn't be safe. Um It's also about writing safe and effective prescriptions. Obviously, there is a move in most hospitals now for electronic prescribing. Um And so sort of the ideas around having really neat handwriting and prescribing that way have changed, but you still need to be writing a safe prescription in other ways. So thinking about that, you've typed in the correct dose, you've not added an extra, an extra zero. You've got the accurate weight and you're prescribing for the, the correct dose for the correct patient weight. Um So, um I've done a bit of a summary here of the main parts. Um And most of this is quite intuitive and would make sense. Um And it's probably something that internationally would be consistent. Um Just the one thing to be aware of is with controlled drugs and this is actually something that Sona pointed out is important to highlight. Um And that's that you need to make sure that those prescriptions are written in both words and figures. So I've just got an example on the right, which comes from the B NF. Um And you can see that they've written the word six as SI X and then they've also written the number six. So that's what we mean by words and figures. Um And if you've worked clinically, you might have already seen that in practice that if you're prescribing, um, TT OS with morphine, you would need to be doing the same thing. If you're doing palliative care prescriptions, you would be doing the same thing. So, again, psa is related to clinical practice. Um This is just an example question from the P SA website. So freely available question. Um, and you can see that there's a few sentences about the case presentation. Um So you've got a lady who's had a long haul flight and calf pain, so, quite suspicious for having acquired a DVT. Um, you can see the examination findings and investigations and then obviously that, that, that the DVT has been confirmed with an ultrasound. Um, and here, you need to write a prescription for one drug that's most appropriate to treat her DVT. Um, and you need to fill in the blanks under medicine, under dose, under frequency and route. Um, and again, if you didn't know the answer to this, that's why your B NF would come in and you could look up the treatment guideline or the treatment summary for DVT to then write in the correct prescription. Um, And once you've written three characters, um the that you'll be able to then select the medication that's relevant. Um at the sort of top of the page, you can see a little calculator. So that would be if you needed to calculate a dose based on weight, for example. Um and the books which would lead you to the B NF or medicines complete. Um So the next section is the prescription review and that's worth 16 percent. So also quite a high percentage of the paper. Um that's eight questions worth four marks. Um And this is really just checking for sort of prescription errors and common prescription errors. Um There's some that some themes that seem to be quite common in clinical practice that tend to then be things that they would really stress in the PSA for safety. So, you know, obvious ones would be that a drug's been prescribed in grams rather than micrograms, that's quite a serious dosing error. Um that a drug's been prescribed at the wrong time, um, out or the wrong frequency. So maybe methotrexate is on the drug chart and it's the correct dose for the patient. Um, and it's the correct method of administration. So maybe orally, but it's been prescribed daily instead of weekly, which obviously, um, is unsafe. Um, and I believe we've got a question here that's showing that. Um, so, um, there's again the case presentation. So that's always what you'll see on all the questions, some investigations, some of which are relevant to the questions, some of which aren't. Um And then select two presentations that are most likely to be a cause of his hematemesis. Um So you would click under the A column for the two that would be involved. And then for se uh section B, select the two prescriptions that are most likely to be contributing to his renal impairment. Um And obviously, the entire exam you have access to the B NF. But some of this content you will have, you may already know and be quite confident with. And for the, the sections like this, which are multiple choice. Generally, people find that sort of putting their answer in straight away and moving on to the next question works best. And then if you've got a surplus of time, you can go back and you can correlate your answer with the B NF. Um I should just mention at this point um that we um will be answering questions at the end. But if you have any questions that you wanted to submit, please feel free to. Um and we can come to those at the end. Um Moving on to the next section is Planning management. Um So this is all about looking at your case presentation um and c clicking on the appropriate way to manage that situation. Um Generally, this is about eight minutes of your paper. So compared to that first section, which is about 40 minutes, there's only eight minutes so much quicker. Um And yeah, generally tends to be quite a quick section for people. Um, probably less needing to use your B NF for this section and more content that you may already know. Um And this is another example question um of a young woman who's presented with lethargy, tiredness and anorexia. Um You've got some examination findings and you've got some um blood results again, some of which will be relevant to some of which will be less. Um And obviously this patient's got a very high blood glucose and is acidotic. So we're thinking, um DK A and then we know that they've got this, this history of type one diabetes. So we've sort of been keeping, um And then you would be thinking about the most appropriate option and obviously, some of these are things that you definitely wouldn't be considering at all. So you'd very quickly know that gliclazide wouldn't be helpful at this moment in time. Um And So a question like this would be quite easy and straightforward to answer without consulting the B NF. Again, you can use all of your experiences at work as practicing doctors to help support that. Um OK, providing information. So, again, not massively heavily weighted this section um and this would be sort of six minutes of your time. So really not massive in the context of the two hours. Um So there's quite common themes that you'll see in practice that again, they can ask about. So things like anticoagulation. So, Warfarin um uh Donax and counseling on do AX, which again, you may have experienced or seen counseled during your work. Um So diabetes and insulin and things around sick day rules. So if somebody's sick, should they have their morning insulin, should they not? And the same for steroids, they're doubling your steroids if you're sick. Um And the missed pill um is also a very common one. And again, you might have had to do missed pill counseling in your oy, for example. Um But that's quite common um thing to encounter in everyday life and therefore, would be reasonable to come up in your prescribing exam. Um And sometimes there's also things around um counseling the patient or the carer. Um And I'm just gonna highlight that the BNF is really excellent for this. Um So again, you have access to this in your exam typically electronically, but you may have paper copies as well. Um And if you go to patient and carer advice, um that gives you information that, that they might want to know about it. Um And then monitoring requirements would also be quite important for this section. Um And it might tell you that there is a risk of um hepatic damage whilst on this medication. And therefore liver function tests need to be done on commencing in a month into using the medication, for example. Um and that would then be um something that you would need to counsel the patient on calculation skills. So, like I said, this was an area that I was quite nervous about, mostly because I think prescri um calculating under pressure can be quite tricky. Um You do have a blank piece of paper or should be receive a blank piece of paper and a pencil in the exam. So you don't have to do it all completely in your head, which er for someone like me is really helpful to know. Um And you have a basic calculator. Um some places might give you a physical calculator. Um where I did my psa it was just on the computer and it wasn't a scientific calculator, it was just a very basic calculator. Um But again, helpful because doing the maths can be quite difficult, especially under stress. Um And there's obviously lots of reasons why calculations are important in medicine. Um often something that tends to fall to our nursing colleagues when they have to, um, draw up medications and dilute medications, but still something that we have to do. Um, and I had to do, for example, today at work, um, and common ones are calculating doses. So if you know that, um, a medication comes up as a certain strength per, um, milliliter and a patient who weighs this much requires, um, a set dose and calculating the milliliters that need to be given, um, rates of infusions and also conversions between micrograms and mgs nanograms and grams. Um So that's all I'll say on the calculation scales. Um Our session next Tuesday will go into the actual detail of that section um and include some questions. Um But that is all I will discuss for now um moving on to adverse drug reactions. So again, this is just a blueprint at the front um which you will have access to. Um But effectively, this is eight questions, two marks a question. Um And you would want to spend probably around eight minutes on this. Um Obviously, if you finish some of these smaller sections quicker, then that's great. You can use that time to review your answers or you spend a bit more time on the prescribing section which is wait here. Um And here we've got an example question from the PSA website um of a um gentleman who's presented collapsed following im injection of diclofenac. He's wheezing and breathless. He's hypotensive and tachycardic. Um So all of this is sort of pointing towards an anaphylaxis. And so you'd want to be picking the management option, um, that is appropriate. And obviously that would always be, um, im adrenaline and that's our first option there. So, a question like this, if you recognize it quite quickly, that could take you 20 seconds. Um, some of the scenarios might be a little bit more confusing or you're not too sure of the answer and that's where you would maybe use your um BNF to look at treatment summaries or look at a a specific medication, double check the route. Um But if you're able to do some of these questions faster, then you can use that extra time for the ones that you find more difficult. Ok. And moving on to our drug monitoring section. So this is 8% of your exam. So again, about eight minutes. Um and this is all about assessing the impact packs of treatment um and monitoring the treatment that might be started and that can be monitoring sort of the negatives of a treatment. So adverse drug effects. Um But that can also be monitoring treatment response and how well a treatment a patient is responding to treatment. Um And yeah, so as I mentioned, we've got eight questions. Each question is worth two marks. Um So this is another example. Um So we've got a lady who presented with facial flushing and night sweats, um irregular menses. So we're thinking about somebody who's perimenopausal. Um She's been diagnosed with vasomotor instability and been started on estradiol uh and two different forms of this. Um one for 16 days and one for 12 and then select the most appropriate monitoring option to assess the adverse effects of this treatment. So if I just go back to here, so as you can see, you could then just click on the B NF monitoring requirements and it would straight away show you for whatever drug is involved, what monitoring requirements are needed. Um If a drug doesn't have monitoring requirements, it means that it's not a medication that's monitored. Um So that's a really useful resource. Again, as you do more questions and more preparation and maybe repeat questions. Um You may not need to use your B NF for that question either. Um Oh, I already had it on this side. Um So this is just an example of um for, for the um estra oil that I mentioned. So it tells you about the history of nodules or fibrocystic disease you want to monitor breast status. Um So that would be something to be aware of. Ok. Our next section is, and the last section is data interpretation. Um So this is 6% of your exam. Um So that and um prescribing decisions are 6%. So they're both six minutes. So again, pretty fast. Um And that might include questions surrounding changing the frequency of a medication, adding medications, stopping medications and changing dosing. And again, common topics that come up in real life and therefore, could be in your exam would be around warfarin poisoning, insulin gentamicin, uh antihypertensives and renal impairment in palliative care. Um So we, we will go into this in more detail in our session on this. Um But that's one of the, yeah, one of the sections to be aware of. So I've just compiled a list of some of the most common questions that were emailed in. Um So the first was how many days of preparation are necessary for the PSA um exam preparation is always going to be very individual and will also depend on what you've got going on in your life at the moment. If you're on a particularly busy or quieter rotation, generally, um would say probably start from now attend the course that would definitely be helpful. Um And it's probably not around days, but I would say consistent PSA practice when I was doing my PSA in my final year of medical school. Um I would try and just do an hour or two a day over a few weeks. Um And then sort of did cram a little bit more nearer to the exam. Um But generally little and often is the secret for the PSA um And really making sure that if you've done any practice papers, you're actually reviewing what you got wrong and understanding why you got wrong and then repeating that paper to make sure you're not making the same mistakes. Um The question in italics, I think we've sort of answered or will be about to answer. Um, how to quickly search the B NF. So practice is a first and then obviously the control F function will be your best friend. Um Interactions checker is a really good resource to use as well. Um So you can pick your drug and if you're, and then put in all of the medications that are options in the question. Um So that's something really important to know. Um Can you prescribe as an F one? So this is gonna vary between trusts. I had initially thought that the answer was no, but there is variation that I understand between trusts. So I think the safest thing to do and to not indemnify yourself by accident is just to email whoever your supervisor is at your current hospital and email the head of your post graduate center and just get an answer in writing um of what the consensus is. And if it's a blanket, no, you cannot prescribe, then follow that because if there is an incident and you've prescribed and you're not cleared by your trust to prescribe, then then that could have ramifications for you. Um If your trust says that you can prescribe and there's an incident, then it falls on the trust because they said they will supervise you and I to prescribe. But the best thing to do is to get uh clarification for your trust and don't get it verbally, make sure there's written clarification that's documented in your email or somewhere. Um How would you suggest preparing for the exam for someone with AD HD? So you should be eligible for extra time for the PSA so I would reach out to usually it would be the, yeah, the the hospital, your education department uh about arranging that sometimes that needs to be done more than six weeks before the exam. So I would email it now and it may be tricky um to facilitate that. Now if it's less than six weeks, but it's worth emailing. Um If that's not possible, then seeing if there's a quiet room that you can use, um maybe away from other candidates would be um a tip. Um It's not as long an exam as some other exams people may have sat, but two hours is still decently long. Um And it's quite a time pressure exam. So I would in the first instance, contact your postgraduate team and see if extra time is an option. Um a separate room as an option, if that would be helpful for you. Um And if breaks are an option, um and it would be sort of the moderator who would pause your exam. So that would all be done through your postgraduate team or wherever you're sitting, your PSA um how to navigate the B NF during the exam so you should be able to split screen in your exam and have the B NF on, you know, the left or the right of your screen and the exam on the other side. Um What sections to focus on, I guess it's really dependent on what your, what section of the paper you're doing. I would say I use interactions checker probably the most of anything. Um And the monitoring requirements generally um through my revision, I sort of remembered um what drug would be indicated and what situation and I remembered often the doses but not always. Um but I would say those would be the sections that I use most. Um as you do your papers, you will find that there are things that you go to first. Um OK, so the action points that I've got for all of you is make sure you're enrolled to sit the PSA. So if it is that September sitting, just confirm with your foundation school. Are you sitting, are you enrolled? Um Is there anything you need to do beforehand? Um Once you're enrolled, you should receive a link to sign up to the PSA website and that will um give you access to a free paper that you can do. Um And that's really useful to do. Um So that's very important to sort, make sure you check your prescribing rights with your hospital and with your trust and get whatever that decision is in writing before you go and prescribe, um protect yourself and make sure you do find that out for yourself. Um read the PSA blueprint. It is worthy as I've mentioned, but just have an idea about these different subsections. Um And I have gone through some of the timings but jot those down or have them sort of where you're gonna be studying and then see if you can when you're practicing questions, do it two time, um sign up to our mailing list and join us weekly with our next session being on Thursday. Um I've got some, this is just from a paper that was analyzing PSA results and it just gives you an indication of pass marks. Um Generally we got told when we were preparing, aim for 80%. Um You definitely want to await, um aim for above the pass mark. Um And the pass mark tends to be in the low 60% but it does vary year on year depending on how people have done. Um And you can see generally people do pass this exam. It is a feasible exam to pass, but I appreciate it's an overwhelming time. There's lots of change you're getting used to a new system. Um And so it's, it's important to set some expectations, try and get your study in if it doesn't go well, there are opportunities to sit this exam again. Um But just make sure you've got the right support. Um I've got some recommended resources again, not a comprehensive list. There are so many that I could offer. The majority of these are all free. Um, so in the bottom right corner, that's the nice C KS treatment summaries. Um, sorry, not I CS. These are the, um, B NF treatment summaries. So, really important I use that analgesia one all the time at work. I've got palliative care summaries and it basically just goes through, um, what, what to do if a patient presents with um a condition and sort of the step line process in them medications and what you would think about prescribing. Um The Mind, the Bleak website has got lots of free articles from pediatric prescribing to hypomagnesia, nausea and vomiting. Um Those aren't just aimed at the PSA, those are also very clinically relevant. But again, will go hand in hand, you'll revise for this exam, you'll feel more aware of safe prescribing and prescribing the PSA, but it will feed into clinical practice. So, really good articles and also articles that I do read as well. Um And then we've got the BPS. So the British Pharmacological Society Practice papers in the bottom left hand corner. Um, as I mentioned, there is access to free a free paper. Um and typically I wouldn't endorse paying for resources, but this is written by the people who write the real PSA. Um I think I don't know if I put the costings on the next slide. Yeah. So the paper one and two are 30 items. So, 30 marks and they're 15 lbs each and paper, three are 60. Um, I found it a really brilliant resource. I found it very helpful. It sort of echoes the, the layout and the format of the PSA and I sort of put a, I'm more I could time myself. Um, so that would be a resource I personally recommend. I'm not affiliated with them. Um, but that was something I found good having said that there is free paper you can use. Um, the books that I've put here, the pass, a psa and prescribing scenarios. At a glance, you should be able to access those for free, um, using your NHS email, um, and sort of with your institutional login. So you don't necessarily have to go and buy these things. Um, again, just worth noting, they're not written by the same people who write the exams and some may have outdated questions. So the safest thing to do is to use more than one resource and not rely too heavily on any one thing um in the middle where it says Tetracycline. Um, that's a top 100 book. Um, that's not something you'd have access to in your exam, but I just find it breaks down the top most commonly prescribed medications. Um, and it just has a really nice format and layout. Um, so you can see on this page, it talks about common indications mechanism of action um, on the pages after it talks about monitoring requirements, advice for patient patients. Um, it's really useful book to have outside of the PSA. Um, just going through the most common medications we'll see every day. Um, but I think for your PSA preparation, it can be quite helpful if you do a question and you get the drug that's involved incorrect and you're not too sure about it. It's quite a good resource. And again, that should be something you can access for free, using your institute login. So you're not having to spend lots of your own money. Um getting all of these resources. So those are just some of the links. Um I've got the reference at the end of the slide for everything that I've used and mentioned today. Um Our next session is on Thursday, as I mentioned with Magda. Um and that will be really starting the content and going through questions, some of which we'll have made ourselves. Um I'm just alerting you to the I MG section of mind, the bleep. It's got lots of other articles as you can see. Um just to help support your transition to working within the NHS. Um And as I mentioned, we've got two really great I MG leads who will be developing lots of content throughout this year as well. Um So if you want any support separate to the PSA and you just want some general support, that's a really good part of the website to check. Um, mag, I can see we've had some messages that I've been trying not to get distracted by. Um, was there anything that was sort of unanswered that you wanted to maybe announce or discuss? Yes. So there were a couple of questions, I think. Um, one of them was particularly interesting but uh so very, very kindly already provided a good answer, but it was about whether trust grade F ones have to take the PSA I my guess is if somebody has a provisional license and not a full medical license, they still have to take the PSA. But SONA is absolutely correct and you should check with your trust. It's exactly the same as you know, the question about whether you're allowed to prescribe if, before you pass the PSA. So definitely check with your F one lead or whoever your supervisor is and like they've said, get it in writing, make sure that you have this answer confirmed by somebody who will actually be responsible for supervising you during that that year. There was one question. The second question I'm sure there was already answered as well. It was whether there's a section on drug, drug interactions. So you did explain that. I don't think we need to um going to um more detail on that. And there's a question from somebody who would like to know if it's better to use um their own laptop or the computer from. That's provided by the exam team. Again, I would check with you because at, at our trust, it, the computers were provided by the trust and I'm not entirely sure if we were allowed to use our own laptops. At least nobody tried to. So this is something that I would again check with you or check with your local team and make sure that you are actually allowed to use your own laptop because yes, it would be better to use your laptop that you're familiar with. But whether that is actually allowed at your own, at your center is something that you need to clarify before you bring your own laptop and, and try to use it during the exam. I think just to jump in with that. Um, if you're using your own laptop and a problem happens with your laptop, like the battery breaks or you lose connectivity um, versus a trust computer breaks, I think it's probably safer to just use a trust computer and if an issue goes wrong, that's definitely not your fault. Um And also if there are any concerns around whether you've got something in the background that you're using to cheat or anything like that, just having a trust computer means that it takes all of that onus off you. Um So I would probably recommend just using a trust um, computer if your trust even allowed you to bring in your own. Um, at my university, we weren't allowed to use our own. So we, we could only use the university ones. OK. So we just have two more questions. One is what drug interaction website is recommended. I would say the B NF if you I it basically gives you a for every drug that you search, you can look up, you can go into the drug interaction section and it's a very long list which is in this particular section. You absolutely have to use the control F function and just double check the specific drugs that you, that you want to um that you want to know about and anything else that you would add to that viv um It's not a website, it's, it's literally on the B NF I'm just trying to see if I can. Uh I've just, I'll send a link in the chat just so you can have a look at it. Um um Yeah, I think it's a really, really good resource um to have. I was something else a different question. What does 30 items mean? Oh, so that's 3030 questions. So it's not the full 200 like you have in the real thing. Um But it's a some questions and it does cover most, I think if not all of the of the sections I've mentioned, um can we see questions on one side and be on the other? So um you can, you can split your screen so really helpful um and save you time and my, when I was at mine, I was able to set the two screens up, I think before we started the exam. Um, but if not, you can just do that as soon as you start. So it's all ready. Um, and definitely I agree with Sona that, um, the PSA lecture one does cover exactly how to type and searching on the BNF for the interest of time. We don't want to go through that today. Um, but I would recommend looking at the recording for that. Um, which I'll pull up as a slide. Yeah. Um, just get bear with me. Doctor. Was there any others? I think that's everything. Laptops. Yes. Yes. What does that mean? I think that's everything, everything was very clear. Um Magda, was there anything else you wanted to add or anything from your own experience of sitting the PSA as an I MG last year in F one that you would like to share in our first session? Oh, so I was going to add if you do get a choice of trust computers, um, go for the one with the biggest screen because I did my PSA exam on a tiny, tiny laptop and it was really, really difficult to actually use split screen and, and have everything open at the same time. So if there is a choice, go straight for the one with the bigger screen. But, um, I think the most important thing is also to practice to do the practice test and to time yourself because I think it's really easy to um underestimate how quickly you have to do those questions and how little time you actually have uh for exam. Remember that there's no negative marks. You can, you should really answer all the questions. You shouldn't skip any questions. I think that's, and just, just practice. I don't think I have anything else particularly, I'll just bring up again mark distribution. I think it is about getting the low hanging fruit with this exam. Just focus on the, on certain sections more than others because if it's a two mark question and you're not, you're not sure guess and move on because that's not worth spending lots of time. It's so time pressured, it's a bit difficult to explain. Um, if you've not yet done a mock. Um, but it is a very time pressured exam. Um And so it's so important that you don't sort of get sidetracked. Um And I think for most, I actually, when I took the exam, that was the biggest problem. People just underestimated how quickly they need to go for all the questions because, you know, when you, you guys practice, when you were in medical school where some people maybe didn't practice as much and, and didn't time themselves. I think when I did my practice test, I would actually deduct 10% of time just to really make myself feel that panic. Um I did not do that time. Um I've just noticed, I think so might still be on the call. I don't know if she wanted to add anything else. Um And thank you everyone for saying thanks. Um Like I said, this is just a very general overview of the exam and the structure and the subsequent sections will go into more detail, but I do really recommend looking through the recording of so's first section where she actually shows you how to use the BNF. Um I was just gonna just add um even with the pharmacy background, I was still quite pressured for time. Um And the, the big section for you to get all the marks, the majority of the marks section one is 80 marks. So spend at least, I think um I think it's about 50 or 60 minutes on that because it's, it's the biggest proportion of marks and it's 10 marks per question. So you need to really focus and you need to make sure you're, you're happy with your answers because that's equivalent to five of a calculate, you know, five calculation two markers. Um So just sit and figure out the timings. Um on the mind, the blue website, there's an article um which uh V has referred you to as well that you can have a look at how we would recommend sort of spreading out the, the timings for the exam because it's all about timing, all about timing and navigating the BNF and knowing kind of where, where to look quickly. Um, but practice, practice, practice and absolutely do it timed. Um, and I think taking 10% off is a really good idea. I didn't think to do that. I probably should have done. But, um, yeah, it's, it's, you have to be very quick, uh, in the exam, but just practice and, uh, you'll be fine. Lovely. Lovely. Thank you very much for that. Oh, well. Um Right. I just wanted to um briefly mention it. I think we're going to send a feedback form to everybody. I don't know if it's going to be now. I sorry mag Yeah, I'll release that now. Um If everyone can fill it in, I think I've included a little bit at the end for um any questions for our next session. Um What we're trying to do is get you to send questions in advance. If there are any questions you find difficult on what to take a photo of and go through. Um And that way it just gives our speakers time to prepare the answers. Um and or include your question in the presentation itself. Um So you should be able to see that feedback form. Once you've done that, you should automatically get a certificate of attendance. Please make sure you do log this session on your Horace so you can get some non core teaching hours. It's always hard to get the hours in and you're going to be studying for this exam anyway. So you may as well kill two birds with one stone. Um I think if we've not getting any other questions, we can sort of end the session now a little bit earlier. Um Our subsequence sessions will be quite jam packed, probably less likely to finish as early. Um But we will try and keep them concise as much as possible. Um If anyone has any questions, I'll still be on the call. I'm happy to hang around and answer them. Um If not, I wish everyone a really lovely night and we will see you on Thursday for mag session and in preparation for that session, I just wanted to mention that you probably already know that. But there's a video on youtube on Mindedly Channel that covers emergency prescribing that we're going to discuss during that session. So if you have time, watch the video and send us your questions based on that. Amazing. So that's everything for me. I think they also doesn't have anything else to add at this point, right? Um I will, yeah, I'll stay on for any longer, but if not have a good evening, everyone, I'll and turn my camera off now. Right? There's one last question about how you can log the hours for no non-core teaching. You just go on horrors and if you go to there's a, there's a whole section where you can log your hours and you just basically write the title of the session and you will have a choice in one of the questions to say, whether it was co teaching or non call teaching and that's it. And then you just submit it. You can, you can also attach your certificates if you want to certificate of attendance. Um, I'll just send a link to the web page that tells you how to log and, um, and it should tell you that. Ok. And I'm sure that we can email the feedback form as well. So the people who are unable to see it, that shouldn't be a problem. Ok. Amazing. Thank you very much. And, um, yeah, if there's, if there's no more questions, we, I'll see you again on Thursday and we'll talk about emergency prescribing. Lovely. Thank you very much.