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Thread: NAC Questions Answered

  1. #1
    crackthenac is offline Newbie 513 points
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    NAC Questions Answered

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    Hi Guys,

    Took the NAC (National Assessment Collaboration) Osce in the fall. Had and 88% overall.

    Quite happy with that. As well I have 10 years experience as simulated patient and have worked with Mark Swartz teaching physical exam.

    I'd be happy to answer any questions without breaking my confidentiality agreement.

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    tokyoace is offline Newbie 511 points
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    how can I train for this exam? do I need to do electives in a Canadian hospital to get the proper experience?

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    crackthenac is offline Newbie 513 points
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    Quote Originally Posted by tokyoace View Post
    how can I train for this exam? do I need to do electives in a Canadian hospital to get the proper experience?
    Electives in Canada would be beneficial as this exam is on par with the final OSCE that most 4th year Canadian students will take.

    Practicing physical exam skills is essential for this OSCE, geekymedics on youtube.com have a great resource for physical exams. Practice verbalizing what you are doing and why. Finally most stations have a component in which the examiner will ask you a question based on your exam.

    I.e. you perform an abdominal exam and you suspect appendicitis...

    "What is your preferred diagnosis?"
    "List 2 other differential diagnoses"
    "What is the next step in management in this patient"

    So it is important to people to suggest the next level of management, such as a surgical consult, diagnostic imaging, etc.

    Practice, practice, practice, as well as read cases. This exam is more complex than the USMLE Step 2 OSCE and the marking is more subjective.
    tokyoace likes this.

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    don1 is offline Moderator 547 points
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    I completely agree with you. very good advice.

    Quote Originally Posted by crackthenac View Post
    Electives in Canada would be beneficial as this exam is on par with the final OSCE that most 4th year Canadian students will take.

    Practicing physical exam skills is essential for this OSCE, geekymedics on youtube.com have a great resource for physical exams. Practice verbalizing what you are doing and why. Finally most stations have a component in which the examiner will ask you a question based on your exam.

    I.e. you perform an abdominal exam and you suspect appendicitis...

    "What is your preferred diagnosis?"
    "List 2 other differential diagnoses"
    "What is the next step in management in this patient"

    So it is important to people to suggest the next level of management, such as a surgical consult, diagnostic imaging, etc.

    Practice, practice, practice, as well as read cases. This exam is more complex than the USMLE Step 2 OSCE and the marking is more subjective.

  5. #5
    crackthenac is offline Newbie 513 points
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    Quote Originally Posted by don1 View Post
    I completely agree with you. very good advice.
    I conducted rotations in the UK, the US, and Canada. I found the level of required knowledge in Canada was much higher than the others. While you may be grilled in the US on specifics of genetics or other Step 1/2 style information, I found I had a lot of autonomy in Canada to fully take charge of patient care. The UK was very similar to Canada but where they have rotating internships in residency (HO and SHO) the med students didn't have the same level of independence.

    I read through the comprehensive review for the NAC and I found that on top of the many grammatical, spelling, and clinical mistakes the book doesn't provide a huge amount of help for the exam. It's definitely worth reading but everyone at exam day showed up with it in hand frantically reading it. It's a decent resource, but by no means a sub for what you will learn in electives/rotations in Canada.

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