Dr. Cameron Grant FRACP PhD Associate Professor, Paediatrics, University of Auckland Paediatrician, Starship Children’s Hospital, Auckland On behalf of Ralph Pinnock, Simon Hayden, Michael Sullivan and Innes Asher Starship Children’s Hospital, Telepaediatrics and University of Auckland

1. Living in the country and studying in the city: The art of passing exams and remaining sane Dr. Cameron Grant FRACP PhD Associate Professor, Paediatrics, University of Auckland Paediatrician, Starship Children’s Hospital, Auckland On behalf of Ralph Pinnock, Simon Hayden, Michael Sullivan and Innes Asher Starship Children’s Hospital, Telepaediatrics and University of Auckland

2. Paediatrics is a clinically demanding specialty

3. Until you pass the exams You cannot proceed Completion of medical degree 6 years 2 or more years post registration experience Paediatric registrar Sit and pass FRACP examinations Complete 3 years of advanced paediatric training Paediatrician

4. The circle to be avoided Only available once a year Sit exam Fail exam Prepare for exam Feel sad

10. F R A C P PA R T 1 T R I A L E X A M I N A T I O N August 2007 32 QUESTIONS Department of Paediatrics University of Auckland Format Paper 1 – Medical Sciences: 12 questions; time allowed: 20 minutes Paper 2 – Clinical Applications: 20 questions; time allowed: 36 minutes Compiled by: Cameron Grant Andrea Evans

11. 2 9/10 5 2/10 4 7/10 10 5/10 9 9/10 8 3/10 7 5/10 14 4/10 15 8/10 17 3/10 16 6/10 12 6/10 19 3/10 20 7/10 21 3/10 26 6/10 25 0/10 24 6/10 Feedback of MCQ results 22 5/10 29 7/10 1 6/10 6 8/10 Q 1-12 Medical Sciences 11 8/10 13 6/10 18 7/10 23 5/10 28 4/10 27 4/10 30 8/10 31 4/10 32 8/10 Q 13-32 Clinical Applications 3 5/10 Range 13 – 23 Median 18

12. Question 21: 3/10

13. Question 21 cont: A nine-year-old boy presents with a two-week history of cough, tachypnoea, recession and increasing cyanosis. The chest X-ray and a lung biopsy (stained with methenamine silver nitrate) are shown above. The underlying immune deficiency is most likely to be primarily affecting his: A. B lymphocytes. B. macrophages. C. natural killer cells. D. neutrophils. E. T lymphocytes.

15. 2 9/10 5 2/10 4 7/10 10 5/10 9 9/10 8 3/10 7 5/10 14 4/10 15 8/10 17 3/10 16 6/10 12 6/10 19 3/10 20 7/10 21 3/10 26 6/10 25 0/10 24 6/10 Feedback of MCQ results 22 5/10 29 7/10 1 6/10 6 8/10 Q 1-12 Medical Sciences 11 8/10 13 6/10 18 7/10 23 5/10 28 4/10 27 4/10 30 8/10 31 4/10 32 8/10 Q 13-32 Clinical Applications 3 5/10 Range 13 – 23 Median 18

16. Hey, can we join in? Us to please Me to! Me to! Me to! Can I play??? Don’t forget us Yo! From ‘naki, we’re in to I want, I want, I want Sign us up now! Telepaediatrics

18. How do you stop people hiding behind the technology? If I point the camera at my navel they won’t know who I am

20. 2 9/10 5 2/10 4 7/10 10 5/10 9 9/10 8 3/10 7 5/10 14 4/10 15 8/10 17 3/10 16 6/10 12 6/10 19 3/10 20 7/10 21 3/10 26 6/10 25 0/10 24 6/10 Feedback of MCQ results 22 5/10 29 7/10 1 6/10 6 8/10 Q 1-12 Medical Sciences 11 8/10 13 6/10 18 7/10 23 5/10 28 4/10 27 4/10 30 8/10 31 4/10 32 8/10 Q 13-32 Clinical Applications 3 5/10 Range 13 – 23 Median 18 Ok Christchurch, its your turn to chose a question

21. Another Week Ends :- All targets met Completely up to date with reading timetable Full and comprehensive notes all done Scoring > 90% in the practice MCQ exams And I am being so nice to everyone at work All pigs fed and ready to fly No plan is perfect, everything takes longer than you think

23. Place left hand here Place right hand here

24. FRACP exam pass rate by year  6 2 = 2.41, p = 0.88 66 to 69%  1 2 = 1.29, p = 0.25 69% vs. 80%  1 2 = 4.28, p = 0.04 60% vs. 82% Teaching improved Teaching available