For the second fellowshipexam.com microblog we thought we’d have a look at a recent question published by the college from the first new exam paper.
A 55 year old female patient is brought by ambulance to the emergency department after being involved in a high speed MVA. The pelvic x-ray from her trauma series is reproduced (in the previous question, showing an open pelvis).
Massive transfusion has been administered while waiting for the retrieval team to provide transfer to the local level 1 trauma centre. An arterial blood gas has been performed.
In the context of the case we are asked two specific questions:
"The most important thing is to have a consistent, well drilled approach to questions such as these, so that the number of marks garnered (and therefore the candidate’s chance of passing) is maximized."
ACEM has now released a copy of the new written fellowship exam. It's available at:
https://www.acem.org.au/getmedia/0384ec35-94b5-4787-b71d-55de6c7b369c/Item-Writing-Handbookv2-compressed2.pdf.aspx (ACEM members will need to login).
Looking through the paper, our first impressions are that it was what we were expecting. There are a lot of knowledge focussed questions, with a large number of "props" to support them. Gone are the old nebulous "describe and interpret" type pictures - now a specific number of findings are requested of each prop, and directed questions about the implications of these findings have replaced the interpretation phase.
The fellowship faculty
We work as emergency physicians, and teach, blog and write at resus.com.au