Shoulder Conditions
1. Frozen Shoulder
- Key Areas:
- Diagnosing frozen shoulder
- Confirmatory examination findings
- Initial management of frozen shoulder
- Common Errors:
- General overview statements such as ‘rest’ or ‘avoid lifting’ instead of specific patient education
- Lack of specific physiotherapy referrals or procedural interventions
2. Shoulder Pain Management and Employment Concerns
- Key Topics Discussed:
- Differential diagnoses
- Examination findings
- Management of fitness to work
- Candidate Performance:
- Incomplete clinical assessment
- Inadequate fitness to work management
- Improvement Areas:
- Comprehensive musculoskeletal examination
- Tailored advice on work fitness
3. Acute Shoulder Pain Post-Injury
- Key Topics Discussed:
- Diagnosis
- Investigations
- Management of acute shoulder injury
- Candidate Performance:
- Incorrect diagnoses
- Irrelevant investigations
- Inappropriate medication prescriptions
- Improvement Areas:
- Accurate injury assessment
- Relevant diagnostic investigations
- Evidence-based management strategies
4. Shoulder Injury Management
- Key Topics:
- Diagnosis and management of shoulder injuries
- Patient information requests
- Candidate Performance:
- Non-specific management plans
- Insufficient information provided to the patient’s queries
- Improvement Areas:
- Developing tailored management plans
- Effectively communicating recovery expectations to patients
5. Acute Shoulder Injury Management and Complaint Handling
- Key Topics Discussed:
- Physical examination signs for shoulder injuries
- Risks associated with subacromial injections
- Addressing patient complaints
- Candidate Performance:
- Inadequate management of patient complaints and misunderstanding of clinical context
- Improvement Areas:
- Specific identification of shoulder injury signs
- Clear communication of procedure risks
- Effective complaint resolution strategies
Foot and Heel Conditions
1. Woman with Foot and Heel Pain
- Key Areas:
- Diagnosing Morton’s neuroma and Achilles tendinopathy
- Management of Morton’s neuroma
- Non-pharmacological management of Achilles tendinopathy
- Common Errors:
- Misdiagnosing Achilles tendinopathy as plantar fasciitis or calcaneal apophysitis
- Providing insufficient detail about reasons for referrals
- Duplicating answers by giving similar responses in different ways
- Non-specific answers that do not demonstrate understanding of appropriate clinical care
2. Ruptured Achilles Tendon
- Key Topics:
- Diagnosis
- Supporting examination findings
- Managing considering comorbidities
- Improvements Needed:
- Accurate diagnosis of Achilles tendon rupture
- Appropriate management planning
3. Interdigital Neuroma
- Key Topics:
- Diagnosis and management of foot pain suggestive of an interdigital neuroma
- Candidate Performance:
- Difficulty in identifying examination findings
- Appropriate management
- Improvement Areas:
- Precise diagnosis
- Tailored management strategies for musculoskeletal foot disorders
Hand and Wrist Conditions
1. Finger Injury and Healthcare Access
- Insight:
- Importance of a thorough examination to diagnose finger injuries correctly
- Understanding cultural competencies to improve healthcare access for Aboriginal and Torres Strait Islander men
- Strengths:
- Proposing specific strategies to encourage healthcare access
- Improvements:
- Avoid assumptions about the patient’s history
- Improve knowledge on finger examination techniques
2. Management of Wrist Injury and Prevention of Future Fractures in an Elderly Woman
- Key Topics Discussed:
- Initial management of wrist injury
- Managing unresolved clinical features
- Fracture risk reduction
- Candidate Performance:
- Non-evidence-based management strategies
- Improvement Areas:
- Adhere to evidence-based guidelines for injury management and fracture prevention strategies
3. Management of a Workplace Hand Injury
- Key Topics Discussed:
- Diagnosis based on clinical context and X-ray results
- Immediate management actions
- Handling requests for opiate medications for ongoing symptoms
- Candidate Performance:
- Lack of specificity in diagnosis and management
- Inadequate consideration of the rural context
- Improvement Areas:
- Enhance diagnostic accuracy
- Provide clear management plans
- Develop strategies for managing chronic symptoms and medication requests
Back Conditions
1. New-Onset Back Pain with a Focus on Serious Underlying Conditions
- Key Topics Discussed:
- Clinical presentation indicative of serious conditions
- Appropriate investigations
- Prognosis regarding return to work
- Candidate Performance:
- Non-specific responses and unclear relevance to clinical scenarios
- Improvement Areas:
- Identify specific clinical indicators of serious conditions
- Choose relevant investigations
- Assess factors influencing prognosis for work return
2. Acute Back Pain
- Medical Heading: Orthopedics or musculoskeletal medicine
- Candidates Did Well On:
- Identifying likely differential diagnoses
- Improvement Areas:
- Avoiding broad or irrelevant differential diagnoses
- Focusing on next steps after investigations relevant to managing a musculoskeletal injury
3. Lower Thoracic Pain
- Topic Discussed:
- Investigation and non-pharmacological management of acute onset lower thoracic midline pain in an elderly patient
- Candidates Did Well On:
- Selecting appropriate investigations for the initial presentation
- Improvement Areas:
- Many candidates recommended pharmacological treatments instead of focusing on non-pharmacological management strategies
Knee Conditions
1. Hot, Tender, Swollen Knee in a Young Girl
- Medical Heading: Pediatrics, Rheumatology
- Key Topics:
- Diagnosis of a knee condition in a pediatric patient
- Immediate and appropriate management
- Skin condition management
- Candidate Performance:
- Misalignment with patient age in management strategies
- Focus on secondary care rather than initial, urgent care
- Improvement Areas:
- Align management strategies with pediatric considerations
- Provide immediate, appropriate care tailored to primary settings
2. Acute Knee Pain and Fever in an Aboriginal Child
- Key Topics Discussed:
- Differential diagnoses
- Initial investigations
- Immediate management
- Candidate Performance:
- Inappropriate management actions for the urgency of clinical presentation
- Improvement Areas:
- Recognize and address the acuity and urgency of clinical presentations in management plans
3. Acute and Recurrent Knee Pain
- Key Topics Discussed:
- Differential diagnosis based on investigation results
- Pharmacological management of recurrent knee pain
- Candidate Performance:
- Errors included overcoding by listing multiple management options within the same line
- Lack of specificity in pharmacological management
- Improvement Areas:
- Prioritize specificity in management plans
- Avoid redundancy in pharmacological options
Elbow Conditions
1. Swollen Elbow Diagnosis and Underlying Pathology
- Medical Heading: Rheumatology, Sports Medicine
- Key Topics:
- Accurate diagnosis of elbow swelling
- Understanding of underlying pathology
- Appropriate management
- Candidate Performance:
- Failure to specify underlying pathology
- Inappropriate use of abbreviations in management plans
- Improvement Areas:
- Clarify understanding of specific conditions leading to elbow swelling
- Provide explicit management plans without relying on abbreviations