Advice on how to prepare for "overseas" candidates from Asma Naqi
Abbreviations.
CEMACE:
Center for Maternal and Child
Enquiries
CNST:
Clinical Negligence Scheme
for Trusts
GTG:
Green-top guidelines
from the RCOG
MCQ:
multiple-choice question
NICE:
National Institute for health and
Clinical Excellence
OGRM:
Obstetrics, Gynaecology and Reproductive Medicine
OHSS:
ovarian hyperstimulation syndrome
SIGN:
Scottish Intercollegiate Guidelines
Network
STD:
sexually-transmitted infection
TOG:
The Obstetrician and Gynaecologist
RCOG:
Royal College
of Obstetricians and Gynaecologists
Go to the bottom of the page and other links
After passing the MRCOG Part 2 exam in November 2010, I received a number of calls and e-mails from candidates preparing for the upcoming exam asking for advice.
It’s not easy to describe how to get through this tough exam.
But I’ll try to share with you what I think has made a difference for me.
I hope this
will help you too, with some modifications according to your individual needs.
To become a member of RCOG is indeed a tough task.
And more so for the candidates who have never worked in UK.
I know many candidates who have been trying to get through this exam for several years.
Our main problem is that we are not familiar with the systems in the UK.
Also, we are
often already carrying a lot of other responsibilities like challenging jobs,
family, children and adding to it is the study.
The MRCOG is a clinical exam, but, regardless of your clinical experience it needs a number of specific techniques to prepare and get through it.
Go to the bottom of the page and other links
The most
common problems we all face are:
The syllabus is so extensive that preparation and revision seem to be almost impossible.
With good organisation, you will be able not only to cover all of it, but to revise it too.
I was able
to revise the entire syllabus twice.
Go to the bottom of the page and other links
The key
questions are:
Go to the bottom of the page and other links
There is a
popular saying, ‘well begun is half done’.
And I
totally agree with it, especially when you plan the study.
You should have a good three to six months period in hand for a thorough preparation, depending whether it is your first attempt or a re-sit.
For the first time, 6 months is appropriate.
For the further attempts, 3-4 months should be OK.
But
with a proper plan and after a critical assessment of what was lacking last
time.
I would recommend you to spend a couple of days devising a plan before proceeding to the actual preparation.
I found this very useful.
Divide the
plan into sections e.g.:
Obstetrics
Medical
disorders
Genetic
disorders
Infections
Fetal
medicine
Antepartum
events
Labour and
delivery
Postpartum
events
Gynaecology:
oncology
paediatric
and adolescent gynaecology
menopause
urogynaecology
This list is
not complete.
You need to make a full list of all the major groups covered in O&G and related fields such as genetics, paediatrics and STDs.
Make your own list so that the groupings
make sense to you.
Go to the bottom of the page and other links
After making
out the plan of things to cover, you are ready to start.
Select one topic.
Try to alternate obstetrics with gynaecology to avoid monotony.
Make a list of ALL the disorders that could be covered in that section.
E.g. if you decide to start with medical disorders, it would include:
hypertension,
diabetes,
anaemia,
hemoglobinopathies,
endocrinology etc.
Go to the bottom of the page and other links
For detailed advice please see Dr Tom's and Elaine Church's pages on preparation
I have found
that it is enough if you study:
You need to
look up some topics which are not available on these elsewhere like in a text
book, CEMACE and the web.
Go to the bottom of the page and other links
a) I would
suggest that before you start reading a particular topic, write down all that
you already know about it on a scrap paper.
Try to
follow a set pattern of covering every topic, e.g. definition, prevalence,
aetiology, pre-pregnancy, antenatal, labour, postpartum.
You will be glad to find that you already know a lot about each topic.
But the importance of
this is much more than that.
Now start reading from whatever available material you have in hand.
If you have a GTG,
still you need to revise some basic stuff about each topic from either a text
book or an article from TOG or OGRM.
I personally
didn’t find a need to go through the text books if there was an article
available in either of these journals.
b) Now when you read that topic, concentrate on what you have missed.
After reading it all from the available stuff, note down the points missed in the pre reading notes.
Basically all you would need now is to focus on the points you had missed as you
already know the rest.
Why do I recommend this way?
It saves a lot of time, energy and makes your life much easier.
When we start reading any article we still tend to repeatedly focus on what we already know.
And by the time the points not yet registered well in our
memories arrive, we are already exhausted.
But if you
extract the points you already know, now you just need to focus on what is new
for you.
Buzz words:
(most important for the non-UK candidates)
I used to
make my notes after these two steps.
Don’t write down the whole subject.
I covered every topic only in bullet points, but under the specific pattern of headings as mentioned above.
And using not more than two
sides of A4 paper.
Dr Tom suggests a card system and Elaine Church describes using a large book, with one page per topic.
The important thing is to decide on
the system that suits you and use it from the start.
After completing the topic, I go back to it with a new view.
And this time concentrate
on what are the buzz words and managerial issues in that topic.
And make a
prominent note of these at the end of each topic.
e.g. in
OHSS, buzz words are
I think this part is the most important one for non UK candidates as this is what we do not do in practice.
This is where it makes a difference between a pass and fail.
And when you do it like this with each topic, by the end you are not left with any confusion what is needful and where.
This covers the most important CNST and
audit issues too.
Go to the bottom of the page and other links
When you make your notes highlight the points which you missed initially so when you revise, your focus is on what you tend to miss.
Trust me, you will be able to revise at least twice in the last two weeks if you follow this.
I did so successfully.
When you revise for the first time, follow the same steps a and b.
I.e. quickly put up somewhere that you already and this time it would be certainly more than the initial one.
And there would be even less points to re mark and to focus
further.
I have found that studying in compartments is beneficial because all you need to do is to follow the entire group under a basic format.
By doing so, when you have done all the disorders, you’d be able to clearly spot the differences in the history, examination, investigation and management among them.
This
basic format would help you to answer
even the most unknown question.
And never
forget the buzz words and managerial issues in each and every topic that you do.
Go to the bottom of the page and other links
EMQs become the main bulk of examination from March 2011.
It will be very helpful to follow the above mentioned plan of study because answering EMQs needs a very clear concept of the things and an in-depth knowledge.
EMQs need practice.
There are lots of books published by college which can help in time management and practice.
Most of the NICE guidelines are covered in the EMQs.
So while reading the NICE guidelines, do concentrate on different scenarios and how they should be managed according to the guidelines.
Overseas candidates need to concentrate on the antenatal, intrapartum and post partum NICE guidelines.
The clinical practice in these areas varies a lot from country to country.
To stay on track with the British system, memorize these by heart.
For MCQs read past paper book of mcqs published by college and all the mcqs from TOG and OGRM.
In my opinion it would be perfectly fine if you don't not waste money, time and energy on any more mcq books as most of them are oudated.
Also, I have never seen or heard of anything coming in the exam from these books.
Go to the bottom of the page and other links
And I strongly recommend you to do this because it gives an insight to the overseas candidates how the British think.
I am sure while composing all this Dr McFarlane was not aware of this and he didn’t plan it.
But at least I found my way of thinking changed grossly after reading the answers of those MCQs.
It
helps you to enjoy what you read and to think a bit more rationally on a topic
than just trying to memorize what is written.
Additional to this, there’s nothing more valuable than Dr Tom’s tutorials.
Because no matter how many courses you attend, no one gives you a continuing teaching and so much focused.
My pattern of study and approach towards this exam was entirely changed after listening to Dr McFarlane.
This is much more important for the non-UK candidates because it really gives you an insight to the UK system.
I cannot emphasize it more.
Go to the bottom of the page and other links
The OSCE is
totally different to the written but you need a thorough knowledge and good
techniques.
Without
basic facts you cannot proceed on any station,
but you don’t need more than basic facts for it.
Communication skills are most important part.
The trick I followed
was to let the role player lead me through the marking scheme.
On viva
stations, if you have done your theory in a systematic way, then you would
automatically proceed smoothly. That’s why I said in the beginning that well
begun is half done.
The main
issue of bother for non UK candidates is the risk management stuff.
The articles
in OGRM and the MCQs on website are of great help. The best way for learning the
communication skills and the risk management is to attend regularly the
tutorials.
Practice is
all that you need and again Dr McFarlane is the best guide for
communication skills and clinical risk management.
B
Return to "All you need to know about the exam" |
Return to Home Page |