Immunization and Preventive Care
1. Immunization in Aboriginal Children
- Insight:
- Understanding specific healthcare needs and barriers in Aboriginal and Torres Strait Islander communities, especially in immunization practices.
- Strengths:
- Recognition of the importance of prophylactic paracetamol in certain immunizations.
- Improvements:
- Improve awareness of cultural and logistical factors influencing vaccination rates in remote communities.
2.Vaccine Cold Chain Breach
- Key Topics:
- Management of vaccination reactions, handling cold chain breaches
- Candidate Performance:
- Lack of knowledge regarding actions following a cold chain breach
- Improvement Areas:
- Understanding vaccine storage and handling protocols, emergency response plans
Health Assessment
1. Health Assessment and Cancer Screening
- Key Topics Discussed:
- Cancer screening recommendations
- Lifestyle change strategies
- Candidate Performance:
- Failure to align recommendations with current guidelines.
- Improvement Areas:
- Knowledge of current cancer screening guidelines
- Effective lifestyle modification counseling.
2. Annual Health Assessment in an Elderly Male (Multiple Entries)
- Key Topics Discussed:
- Interpretation of abnormal results
- Pharmacological actions
- Non-pharmacological advice
- Further investigations
- Dietary advice
- Candidate Performance:
- Inadequate consideration of pharmacological interactions and contraindications.
- Improvement Areas:
- Careful review of current medications, focusing on de-prescribing where appropriate
- Offering specific non-pharmacological advice
- Consideration of medication interactions
- Evidence-based dietary advice.
Chronic Disease Management
1. Providing Clear Instructions for Self-Administration of Insulin
- Key Topics Discussed:
- Proper technique for insulin injection
- Timing and dosage adjustments
- Candidate Performance:
- Effective communication of instructions.
- Improvement Areas:
- Tailoring advice to individual patient needs and capabilities.
2. Advising on Medication Adjustments Related to Procedures and Chronic Conditions
- Key Topics Discussed:
- Adjustments for diabetes, hypertension, and other chronic conditions during procedures.
- Candidate Performance:
- Understanding of specific medication adjustments.
- Improvement Areas:
- Ensuring comprehensive pre-procedure plans.
3. Health Assessment in a Correctional Facility
- Key Topics Discussed:
- Predisposing factors and social determinants of incarceration
- Trauma-informed care principles
- Management of flashbacks
- Candidate Performance:
- Insufficient holistic and culturally appropriate care.
- Improvement Areas:
- Integrate knowledge of social determinants of health
- Apply trauma-informed care principles
- Provide culturally sensitive management for mental health symptoms.
4. Assistance with Quitting Smoking, E-Cigarette Advice
- Key Topics Discussed:
- Pharmacological options for smoking cessation
- Advice on e-cigarettes
- Management of ptosis
- Candidate Performance:
- Non-specific management suggestions, repetitive answers.
- Improvement Areas:
- Tailored smoking cessation strategies
- Evidence-based advice on e-cigarettes
- Specific diagnosis for ptosis.
5. Management of Weight Loss, Vomiting, and Abdominal Pain in a Disabled Patient
- Key Topics Discussed:
- Diagnosis
- Holistic care considerations
- Advice on disability support
- Candidate Performance:
- Failure to consider holistic patient care and broader social support needs.
- Improvement Areas:
- Integrate medical management with broader social support systems
- Including disability support services.
6. Nutrition
- Subject Area:
- Fatigue and tongue soreness from nutritional deficiency.
- Key Topics Discussed:
- Differential diagnosis
- Risk factors
- Initial investigations
- Management
- Candidate Performance:
- General responses not tailored to specific clinical presentation.
- Improvement Areas:
- Targeted management actions for nutritional deficiencies
- Focusing on dietary interventions and supplementation.
Acute and Emergency Care
1. Management of a Patient Reporting Sexual Assault
- Key Topics Discussed:
- History taking for diagnosis determination
- Immediate holistic management considering the assault
- Candidate Performance:
- Overlooking provided case information
- Failing to consider the patient holistically.
- Improvement Areas:
- Sensitive, comprehensive approach to history taking and immediate management in cases of sexual assault
- Considering both physical and psychological aspects.