GENETIC CONDITIONS FOR CSA EXAM!

Helloooo Friend!
Hema Here!
Give me a Biggg Hi5!

                 Genetic conditions !!    
                  

I feel veryyy Scary  :- (

This is one of the things we need to brush up just before our BIG day.

But the truth is as GPs we come across them very often.

I still remember...

How thrilled I felt when I saw my first Duchenne patient in my Surgery...
How I panicked to explain the risks for getting Downs Baby...


In CSA, it is important to remember that we are not going to teach the patient ALL about the condition.

But to facilitate their understanding, to explore their concerns, expectations, how it is affecting them etc.

It is important to acknowledge our limitations in the Genetic Knowledge.

To explain using simple terms - Keep It Simple and Clear!

Feel free to pester your Trainer, fellow GPs, Midwife, Nurses etc to get the right words to explain a genetic condition.

Let our patient lead our consultation.

SHOW EMPATHY! BE NATURAL!

I am sure You will certainly do your best with your real patients.

It is Tough on your BIG day!

So Practise, Practise, Practise!

Get the Patients' agenda earlier

Tailor our explanations to their needs.

Guide them to relevant places like genetic counselling, websites etc.

The Genetic conditions for CSA we need to know for CSA according to our GP Curriculum -

In Autosomal Dominant,

1. APKD

2. NF

3. Huntingtons (scary case - different dimensions/angles - Must Practise)

4. Hypercholesterolemia -  (case to discuss blood results)


In Autosomal Recessive,

1. Cystic Fibrosis (Mum / Young man/ wife can come and ask about it)

2. Sickle Cell Disease/ TRAIT (Woman can come and ask about prenatal advice)

3. Thalassaemia Disease/ Trait.

4. Haemochromatosis ( relative can ask about their chance of getting HC)


In X linked Recessive,

1. Duchenne

2. Hemophilia A (common case)


In X linked Dominant, one and only case -  Fragile X syndrome.

In Chromosomal Abnormalities, You should know about

1.Downs -21 Trisomy 

2. Turners - XO

3. Klinefelter - XXY

Down's syndrome

Very Important - It  has many angles - prenatal, screening, explaining the risks, diagnosis, Options etc.

Practise, Practise, Practise.

Make your Trainers to show you....

We made our Programme Directors to sit on the Hot Seat...

Believe Me - IT WORKED!

Hearty Thanks to them!

You can see how cautiously they choose their words, tone of their voice, body language, use of silence, hesitancy etc...

Wowwww! Excellent!

I adore my Trainers!

The bitter Truth is -

It cannot be taught by words, from the Books...

You need to OBSERVE and  Actively Listen...

Go through the leaflets,

You can get them from
your Practice Midwife, www.patient.co.uk, www.nhs.uk. 

They have got videos from patients, families.

It is easy to understand their perspectives.

The MOST important things are 

To Show Genuine Empathy. 

To Give what they want. 

To Acknowledge your knowledge limitation earlier on.

To be Neutral while giving informations...

It is easy to be drifted towards Doctor centred approach easily....

Do not pressurise yourself to make your Patient 'Expert' in Tennnn minutes....

To Your Success,

Hema xoxo.


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WILL YOU KISS IN THE CSA EXAM?

Hellooo Friend!!!


Hema Here!


Give me a biggg Hi 5 !


KISS...KISS...KISS...

If you are thinking about something physical Here....
Hi Friend, I would say You have got a very good imagination and need a holiday!

Remember... We are in CSA Preparation Blog...

No Time to even Stand and Stare!

I am going to Tell you What Happened in my Surgery recently...Aware of confidentiality :-)

One of my patients recently told me that he would kiss me if allowed (hope not :-) when he came for a medication review.

As I took time to get the histology report from our hospital ICE page and told him the biopsy tissue was a harmless thing, NOT Cancer!

He was totally elated...
It had taken the HUGE burden off his heart.

He would be dreading about cancer for weeks before he got to see the surgeons.

Now he can enjoy the fantastic sunshine!
Temperature is 26- 27 degrees  this weekend!

Just finished some gardening. Clematis blossoms are sooo beautiful...


All that EXTRA effort is very rewarding, Isn't it? 


NOW Seriously,
I am not talking about THAT kind of KISS....
Yes, You might be shouting now -

''Hema, I know all about it-  It is - KEEP IT SIMPLE STUPID''.
Hooray!!!  You are right!


YOU are very Smart! (Big Hi 5 again!)

I would say - Keep It Simple Smart!

It is ALL about keeping our Explanations bit Simple.
During our Practice, one of my friends called Chaitra always used to tell me - 'LESS IS MORE'.

You know me by now, right?
That is very DIFFICULT for me. (You can see from my blog).
I would try to Make my Poor Patients 'EXPERT' about their Problems.
That too in TEN minutes.
How annoying it would be!

That is not at all necessary.

The Secret Keys are to....

1. Ask what they KNOW already?

(Our programme director told us about asking a patient if she knew about virus. She replied back that she was a VIROLOGIST!) Is the spelling correct?

2. What they WANT to know?

When I started GP post,

I was explaining all about NSAIDS for OA but the patient simply wanted to try Physio!!!

(How silly me!)

3. How MUCH they want/need to know?

I always struggle here-
Just need to Ask them to make it Easier.
Tailor the explanation according to the patients' individual needs.

That brings in the importance of finding out their ideas, concerns and expectations!
Now I remember seeing a great Secret on my HSBC relationship officer's mouse pad.
I am sharing it just with you....It is our little secret! :-)
That Secret MANTRA is...

''LISTEN, UNDERSTAND, DELIVER''.
If it works for them, Definitely, IT will work for us too.
I am sure it will save lots and lots of time, energy, etc, etc.( feel free to add whatever suits you).



The Best Thing we can do for ourselves is to Keep it Simple.

Keep it to the bare minimum to start with.

The important thing is to consistently practise them.
So it becomes our HABIT!  
Consistent Practice makes Actions into Habits!
We will certainly look and feel more confident! Wowww!
Good luck with your practice!

To Your Success,

Hema xoxo.


P.S.


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EMBRACE THE CHANGE FOR CSA EXAM!

Hellooo Friend!!!

Hema Here!

Give me a Biggg Hi5!


Are you really ready for the 'CHANGE'?


Let me ask you something...


Have you heard the expression ?

''If you do what you've always done, you will get what you've always got?

If You have been Waiting for a Change,

But Not Doing Anything Different or Applying New Habits,

Then Might be....

Why You are Getting What You have Always Got.

''We must all suffer from one of Two Pains:

The Pain of Discipline or the Pain of Regret.

The difference is discipline weighs ounces while regret weighs tons''

- Jim Rohn.

Here is a chance to do it differently, to learn how to do it

better and to BECOME someone who is SUCCESSFUL.

This is the right time - CSA time.

The Choice is Yours!

Choice is YOURS...

Start working in the Right direction as Early as Possible in your GP career.

Find out What is Wrong...

Feel Free to Pester your Colleagues, Trainers, Programme Directors to learn the Right Way.

Ask them to Show/Roleplay if you are not sure.

Have lots and lots of practice, video sessions, shared surgery... list is limitless.

Find a way/words you are comfortable with!


Make a TO DO List.

Think about your Attitude! your Mindset!

They Play a Strong Part in Your Success.

Don't be Alone.

Form a Practice Group, the Smart Group :-)

Learn from Each Other.

Be Your Own Worst Critic!

Be the CHANGE you want to SEE.

Keep interacting!

To Your Success,

Hema xoxo.

P.S.

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THE CSA AND THE IMG CONUNDRUM?

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Hema Here!
Give me a Hi 5 now!!!

Here again, Dr Kashif Bhatti is sharing his thoughts about the CSA preparation specially for you all :-)

He is one of the TOPPERS in our Beautiful Great Yorkshire Deanery in the February 2012 CSA Batch.

Handed over to Kash...Kash..Kash...

The IMG Conundrum???

We all know the pass marks of local graduates versus International Medical Graduates –

But is this an over-simplification?

Whatever the politics of disseminating these figures to GP trainees ONCE they enter training, the fact remains that the high failure rate (in comparison to local graduates) is a massive Negative barrier to SUCCESS.

Yet, IMGs do pass, and Locals do fail.

There are no analytical statistics on these candidates.

A more interesting question is what is the pass-mark of candidates, graduated from the UK, post FY1-2 only, versus doctors from previous specialty backgrounds, regardless of country of graduation or employment.

I postulate, until the RCGP tells me otherwise (updates soon!), that the former have a higher pass mark than the latter.  

Do you think an IMG, long-in-the-tooth, has less experience or wisdom than a fresh-out-of-FY2-local candidate?

My inference of the situation is that IMGs are good consulters/communicators.

After all, the RCGP tells us it is not about usage of English that fails IMG – but are going about it in the wrong way versus lesser-experienced local graduates.

From personal experience, I feel no difference in what I can achieve in 10 minutes between my new-into-ST3 consultation style versus my optimal-for-the-CSA-and-forever consultation style.

The difference is HOW I gather the information and communicate with my patient. 

Yes, some IMGs are not up to scratch, from a doctor point - of- view, but so are some local graduates.

This is common sense - different specialties require different information and how to acquire this.

The same is in General Practice.

So what does this mean for IMGs?

We should remember firstly that statistics are only that – numbers on a page.

The high failure rate to me suggests lack of adaptation – little else.

This is fundamentally positive news for any IMG!

You CAN pass, You ARE good enough!

You possess ALL the tools anyone else has.

You just do not know how to CHANNEL this.

Let go of your reservations and watch videos of good consulters versus your own!

It is NOT YOU that needs adaptation;

IT is your Behaviour! 

Watch your Behaviour!

Become Positive and Interested.

Show Empathy and Place yourself in your Patient’s Shoes.

The medicine will come through.

You have so much more experience than the local graduates in this regard.

Be Positive, Smile, Enjoy!

Kash.

Dr Kashif Bhatti.



Now, It's Meeee...

Wowww Kash!!  What a thought provoking article!

Thank You, Kash.

Keep interacting!

You are not alone!....

To Your Success,

Hema xoxo.

P.S

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I'd love to hear from you!

PASSING CSA IS EASY, REALLY?.

Helloooo  Friend!

Hema Here!

Give me a Biggg Hi5!

                                    
'''''CSA EXAM''''''     

Sounds scary.. isn't it?

IT WAS FOR ME...

Yes, I was in the same boat like you ALL...

I Started to panic when I thought about the CSA..

1500 Pounds... Weekends spent in just practising...

Being like zombies...Missing family and friends....

Trying to regain our confidence...Crying...(not really)

Cursing me 'why on earth, I took this medical career?'...

Having nightmares explaining the endless jargon free medical informations...etc ..etc..

One of my Colleagues told me that he saw fairies flying and demanding HRT.

Mine is the worst- 

Really BAD guys haunting and demanding Diazepam and Sick notes :-(

Felt like a 'little NEMO' lost in the Deep, Blue, Ocean...

But BELIEVE me..

It is not that tough exam..(honestly)

Infact, whoever passed told us that it was REALLY A FAIR exam looking for smart GPs who know their strength, power, knowledge, last but not the least, acknowledge their limitations.

Thats why I started this Blog to share our Tips, Resources and Informations with you, 'THE SMARTEST GROUP - THE GP REGISTRARS', who are burning your midnight oil to pass the CSA with flying colours.

IT IS FREE....YES....TOTALLY  FREE.....

SHARE IT......PRINT IT.....COPY IT......LIKE IT....

DO WHAT EVER YOU WANT.



I AM DELIGHTED TO BE WITH YOU ON YOUR MOST IMPORTANT JOURNEY IN YOUR LIFE..

                                YOU ARE NOT ALONE.

Now back to our CSA,

The most difficult bit is to forget that it is an EXAM and to carry on as we fantastically run our day to day SURGERY.

YES, YES, YES.... Thats what the CSA exam is all about!!  NOTHING MORE OR LESS...

First thing is to have a CLARITY - This is where we start.
This is your Foundation.

You will learn a whole new way to think about you and your exam preparation.

You will learn how to look at everything you do with new eyes for efficiency and effectiveness.

Here, I am going to share my humble experience, notes,

VALUABLE tips from the Toppers, CSA Examiners, 

Curry Recipes....

( No, just kidding.

OK! OK!  You are not dozing off :-)

Our RCGP President and Chair have kindly agreed to offer their advice. Articles are coming SOON!!

I have grabbed every opportunity to make mistakes in this blog. Nevermind my Grammatical Mistakes!
I am not a Grammar Guru! (Is the spelling right here?)
We all share our own small sweet thoughts.. Thats all...
Your results will drastically increase.

You will shave months of research, reading, courses, workshops - by participating together and working SMART, the Smart Group. 

YOU are welcome to chip in your thoughts...

Those who have passed please join in to support our junior colleagues in their ordeal.

You can email me, drop in your comments, share your thoughts, successes, joys, concerns, doubts,etc,etc.

List is endless..

Hi Friend, You're ready.

I promise you.

And I can't wait to meet you!

Lets Start Our Journey Towards Success...

Start Preparing Now - Sooner is Better!

Wowww!! Give me a Bigggg Hi5 again!!!!

Keep interacting!

You are not alone!

Be the first to receive the FREE life changing updates, Tips from Toppers and to be a Successful Registrar!

To Your Success,
Hema xoxo.

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