Very good history taking and consultation, however, I think the GP was too quick to prescribe antibiotics considering patient is afebrile , normal BP, normal RR, not confused , not too old PLUS patient gave history of coughing from his work place (carpet factory dust allergy). I feel management should’ve focused towards that, or at the least mention provisional diagnosis and tell patient he needs to go for X Ray & other investigations to check if it’s a chest infection. But please correct me if I’m wrong.. I’m here to learn . Thanks
Thank you! As long as justification is given it is reasonable - unilateral lung creps, 3 week history, green phlegm etc. The other way can be justified as well however - key is to demonstrate safety and rationale behind actions. Remember also in GP setting x-ray, other same-day investigations may not be available 👍
The live teaching part is 10 days but you have all the materials in your account for 12 months. Full details here: aroramedicaleducation.co.uk/plab-2-academy/
Hii doc.. I’m honestly at crossroads, written the exam twice failed both times by less than 1mark. I feel my consultations are at least good enough to pass the exam.. I honestly don’t know what to do
Thank you! This can range significantly depending on style of learning, visas, exam dates, annual leave etc. we design the academy so you feel ready for the exam the next day! We see a range of attendees from a few days before their exam to 6 months before. In average we see between 2-4 weeks beforehand however.
It usually helps the patient feel heard. Sometimes in the middle of all the information exchange, little details can get lost out and patients do worry about this as well
For a model demo case I feel like it's actually spot on as it helps Drs of all levels of experience Juniors will learn what's expected of them and Seniors to remember its an exam
Thank you for your kind suggestion! I am not sure where you came up with the 4+2+2 part however - having timeframes like this leads to a scripted and non-patient centred approach. Sadly too many doctors are taught for PLAB 2 in this way and this actually is more likely to lead to lower scores. You also can't know where or what the focus is in the management part - 'time spent' is certainly not the key factor. Having been a previous PLAB 2 examiner, and then having now taught PLAB 2 for many years afterwards, we teach very similar to this style at the academy - thankfully with very good results and outcomes. Wish you all the best in your preparation!
I strongly agree with @dr_aman_arora. I absolutely loved this roleplay. I have got my PLAB 2 exam in March and I just hope and wish that I’ll able to talk as smoothly as done in the video. From what I’ve studied till now, the patient needs to be felt heard, comforted and informed. As long as you are doing all of that politely and professionally, you’re golden. This is just what I’ve learnt, I don’t know if I’m right 😅
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thanks for this video. I gotta say, you made it look smooth and easy , hope to see more full consultation examples .
Thank you! When you come to the Academy we’ll teach you all of this as well :)
man that was smoother than butter
Haha, thank you!
Smooth one brother keep them coming
🙏
Can we give the "patient" an Oscar? 😂 He seemed so earnest when he said he didn't want to be hospitalised during Christmas time 😭
👏👏
Wow so effortlessly done
🙏
Excellent demonstration
🙏
Great interpersonal skills as per british culture -- Smooth
Thank you :)
I love your IPS
You are too calm and smooth Dr
Is gestures good?
🙏🙏
Thank you for this
Happy to help :)
Thanks Dr.
@@lukwagonicholas1305 🙏
great work
🙏
Very good history taking and consultation, however, I think the GP was too quick to prescribe antibiotics considering patient is afebrile , normal BP, normal RR, not confused , not too old PLUS patient gave history of coughing from his work place (carpet factory dust allergy). I feel management should’ve focused towards that, or at the least mention provisional diagnosis and tell patient he needs to go for X Ray & other investigations to check if it’s a chest infection. But please correct me if I’m wrong.. I’m here to learn . Thanks
Thank you! As long as justification is given it is reasonable - unilateral lung creps, 3 week history, green phlegm etc. The other way can be justified as well however - key is to demonstrate safety and rationale behind actions. Remember also in GP setting x-ray, other same-day investigations may not be available 👍
@@dr_aman_aroraMakes sense. Thank you for replying 😊
Thanks, should we do physical exam , or they give the findings?
should we not first do a sputum culture before commencing antibiotics?
No , we can start with antibiotics for the time we have inbetween for sputum culture . Once the culture result is available we can treat accordingly.
How long is the academy for preparation
The live teaching part is 10 days but you have all the materials in your account for 12 months. Full details here: aroramedicaleducation.co.uk/plab-2-academy/
Hii doc.. I’m honestly at crossroads, written the exam twice failed both times by less than 1mark. I feel my consultations are at least good enough to pass the exam.. I honestly don’t know what to do
Happy to help. Please send an email to me - aman@aroramedicaleducation.co.uk - and I'll see how we can take things forward before your next attempt
@@dr_aman_arora Thank you sir I really appreciate
@@okunorenadebayo9803 🙏
Doctor,
If i want to exclude a DD is it ok to ask about 2 or 3 symptoms of it in one question to save the time?
This video covers this: ua-cam.com/video/vD8nO-aa_Z8/v-deo.htmlsi=Yw10t8fliuqqmqeV 👍
Thanks for the video.Which is right time to join academy for plab 2 exam??
Thank you! This can range significantly depending on style of learning, visas, exam dates, annual leave etc. we design the academy so you feel ready for the exam the next day! We see a range of attendees from a few days before their exam to 6 months before. In average we see between 2-4 weeks beforehand however.
Thanks sir
No problem! Hopefully we will meet soon :)@@dr.tajtamboli1229
I didn't like the way of repeating the patients words again and again, it doesn't look natural
Thanks for your feedback Mohamed. It feels perfectly natural to me 👍
It usually helps the patient feel heard. Sometimes in the middle of all the information exchange, little details can get lost out and patients do worry about this as well
For a model demo case I feel like it's actually spot on as it helps Drs of all levels of experience Juniors will learn what's expected of them and Seniors to remember its an exam
I think you'll get very low in management if you do like this in exam. Took too many times in data gathering. It should be 4+2+2 pattern.
Thank you for your kind suggestion! I am not sure where you came up with the 4+2+2 part however - having timeframes like this leads to a scripted and non-patient centred approach. Sadly too many doctors are taught for PLAB 2 in this way and this actually is more likely to lead to lower scores. You also can't know where or what the focus is in the management part - 'time spent' is certainly not the key factor. Having been a previous PLAB 2 examiner, and then having now taught PLAB 2 for many years afterwards, we teach very similar to this style at the academy - thankfully with very good results and outcomes. Wish you all the best in your preparation!
I strongly agree with @dr_aman_arora. I absolutely loved this roleplay. I have got my PLAB 2 exam in March and I just hope and wish that I’ll able to talk as smoothly as done in the video. From what I’ve studied till now, the patient needs to be felt heard, comforted and informed. As long as you are doing all of that politely and professionally, you’re golden. This is just what I’ve learnt, I don’t know if I’m right 😅
Hey! My exam is in March too! Can we do some stations? What do you say? @@nitya.nayakk
@@nitya.nayakkgood luck for the exam!