Sarcoid : RCP’s favorite in Station 1-2-4-5
Try practice Sarcoidosis in term of Seven core clinical skills assessed in the PACES examination.
Here is a sample from 2010/2 diet:
station 2: jt pain , dry cough and bilateral gld + in CXR,
two candidates sat apart 2 weeks in a UK centre got the same scenario.
(PS. in station 4,don’t bother skill D, ie.Differential Dx;but it is assessed in all other stations!)
Clinical Skill/Skill Descriptor
A
Physical Examination
Demonstrate correct, thorough, systematic (or focused in Station 5 encounters), appropriate, fluent and professional technique of physical examination.
B
Identifying Physical Signs
Identify physical signs correctly, and not find physical signs that are not present.
C
Clinical Communication
Elicit a clinical history relevant to the patient’s complaints, in a systematic, thorough (or focused in Station 5 encounters), fluent and professional manner.
Explain relevant clinical information in an accurate, clear, structured, comprehensive, fluent and professional manner.
D
Differential Diagnosis
Create a sensible differential diagnosis for a patient that the candidate has personally clinically assessed.
E
Clinical Judgement
Select or negotiate a sensible and appropriate management plan for a patient, relative or clinical situation.
Select appropriate investigations or treatments for a patient that the candidate has personally clinically assessed.
Apply clinical knowledge, including knowledge of law and ethics, to the case.
F
Managing Patients’ Concerns
Seek, detect, acknowledge and address patients’ or relatives’ concerns.
Listen to a patient or relative, confirm their understanding of the matter under discussion and demonstrate empathy.
G
Maintaining Patient Welfare
Treat a patient or relative respectfully and sensitively and in a manner that ensures their comfort, safety and dignity.
margin travels around the thoracic wall
following a VI, VIII, X contour
midaxillary line, and vertebra TX posteriorly).