#3 The Marking Scheme 🧮

Welcome back to MRCPI Bedside, hosted by Dr. Christine Condon and Dr. Harry Economos. Get in touch at [email protected] or on Twitter @MRCPIBedside

In our third episode we do our best to explain the confusing marking scheme. We highlight how a bit of an understanding of what is necessary to achieve a 'satisfactory' score can assist your preparation and maximise the points you earn yourself on the day. The 7 different examinable skills and what indicates a 'satisfactory' (full points) and 'unsatisfactory' (fail/zero points) are: 1. Clinical communication skills Satisfactory = History is relevant/ Fluent/ Focused Unsatisfactory = Omits crucial areas/ Unpractised/ Unprofessional 2. Managing relationships with patients Satisfactory = Listens to patient's concerns/ Empathetic Unsatisfactory = Dismisses patient's concern's/ Not empathetic 3. Physical examination Satisfactory = Accurate/ appropriate/ practised/ professional Unsatisfactory = Poor technique/ Omits important tests/ Hesitant / Lacks Confidence 4. Identifying physical signs Satisfactory = Identifies correct physical signs Unsatisfactory= Misses important clinical signs / Reports signs that are not present 5. Differential diagnosis Satisfactory = Presents a sensible and comprehensive differential diagnosis Unsatisfactory = Inappropriate, incomplete differential diagnosis 6. Clinical judgement Satisfactory = Evidence of reflective problem solving / Suggests appropriate investigations and management Unsatisfactory = Poor evidence of problem solving / Selects unsuitable investigations and treatments 7. Maintaining patient safety and quality of care Satisfactory = Treats patient respectfully and sensitively, and ensures comfort, safety, and dignity Unsatisfactory = Jeopardises patient safety / Causes physical or emotional pain to the patient We feel this episode is best accompanied by reading through the points allocation table and have having a look at the examiners' marking card. Available in the link below (direct from RCPI website) - scroll to pages 5-9. https://rcpi-live-cdn.s3.amazonaws.com/wp-content/uploads/2021/06/MRCPI-Part-II-GM-Clinical-Examination-Candidate-Information-COVID-Updated-June-2021.pdf

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