MY PACES

MY PACES A UK based service for professional courses/mock exams of of MRCP UK. The first orientation class for MRCP PACES was held in Feb 2015 followed by a mock exam.

"MY PACES" is a name entitled to a group of professionals who are dedicated to promote the guidance and awareness regarding the membership exam of Royal college of Physicians, United Kingdom. It was founded in early 2015, after which they started conducting orientation classes, revision courses and mock exams for different parts of MRCP. After which, MY PACES group caught attention of a large proportion of doctors who wanted to excel in their careers by appearing and clearing MRCP exam.Since then MY PACES has conducted more than six revison courses/mock exams and orientation classes. In April 2016 a private group of hospitals, Al-Razi hospital in Lahore asked us to conduct the course in their hospital for which special arrangements were made. This showed the popularity of the MY PACES group, which it gained after continuous hard work and motivation towards improving the medical education in Pakistan and also the results/feedback of candidates. With time MY PACES grew in size and included various new instructors who were done with their MRCP exam, many of them were the old students of the same group. With the ongoing guidance in person, MY PACES also pursued the way to guide online through social media. Now there are three groups/pages of this group with a lot of doctors being members, while the number of members is exceeding one hundred thousand almost. Our classes and courses ere attended not only from the local candidates but also many people coming from different countries including United Arab Emirates, Bangladesh, Nepal and Saudi Arabia

17/12/2023

๐—ฆ๐—ฝ๐—ฎ๐—ฐ๐—ฒ๐—ฑ ๐—น๐—ฒ๐—ฎ๐—ฟ๐—ป๐—ถ๐—ป๐—ด| ๐‘ณ๐’†๐’‚๐’“๐’๐’Š๐’๐’ˆ ๐’•๐’‰๐’‚๐’• ๐’Š๐’” ๐’”๐’‘๐’“๐’†๐’‚๐’… ๐’๐’–๐’• ๐’‚๐’๐’… ๐’“๐’†๐’‘๐’†๐’‚๐’•๐’†๐’… ๐’๐’—๐’†๐’“ ๐’•๐’Š๐’Ž๐’† ๐’Š๐’” ๐’“๐’†๐’ˆ๐’‚๐’“๐’…๐’†๐’… ๐’‚๐’” ๐’Ž๐’๐’“๐’† ๐’†๐’‡๐’‡๐’†๐’„๐’•๐’Š๐’—๐’† ๐’•๐’‰๐’‚๐’ ๐’Š๐’๐’•๐’†๐’๐’”๐’† ๐’๐’†๐’‚๐’“๐’๐’Š๐’๐’ˆ ๐’๐’—๐’†๐’“ ๐’‚ ๐’”๐’‰๐’๐’“๐’• ๐’‘๐’†๐’“๐’Š๐’๐’… ๐’๐’‡ ๐’•๐’Š๐’Ž๐’†.

๐—ง๐—ต๐—ถ๐˜€ โ€œ๐˜€๐—ฝ๐—ฎ๐—ฐ๐—ฒ๐—ฑ ๐—น๐—ฒ๐—ฎ๐—ฟ๐—ป๐—ถ๐—ป๐—ดโ€ ๐—ถ๐˜€ ๐—ฎ๐—น๐˜€๐—ผ ๐—ฏ๐—ฒ๐—น๐—ถ๐—ฒ๐˜ƒ๐—ฒ๐—ฑ ๐˜๐—ผ ๐—ฏ๐˜‚๐—ถ๐—น๐—ฑ ๐—บ๐—ผ๐—ฟ๐—ฒ ๐—ฒ๐—ป๐—ฑ๐˜‚๐—ฟ๐—ถ๐—ป๐—ด ๐—ธ๐—ป๐—ผ๐˜„๐—น๐—ฒ๐—ฑ๐—ด๐—ฒ ๐˜๐—ต๐—ฎ๐—ป ๐—ผ๐—ป๐—ฒ-๐˜๐—ถ๐—บ๐—ฒ ๐—บ๐—ฒ๐—บ๐—ผ๐—ฟ๐—ถ๐˜‡๐—ฎ๐˜๐—ถ๐—ผ๐—ป.

๐ผ๐‘ก ๐‘–๐‘  ๐‘๐‘’๐‘™๐‘–๐‘’๐‘ฃ๐‘’๐‘‘ ๐‘กโ„Ž๐‘Ž๐‘ก ๐‘Ÿ๐‘’๐‘๐‘’๐‘ก๐‘–๐‘ก๐‘–๐‘œ๐‘› ๐‘Ÿ๐‘’๐‘–๐‘›๐‘“๐‘œ๐‘Ÿ๐‘๐‘’๐‘  ๐‘คโ„Ž๐‘Ž๐‘ก ๐‘Ž๐‘™๐‘Ÿ๐‘’๐‘Ž๐‘‘๐‘ฆ ๐‘–๐‘  ๐‘˜๐‘›๐‘œ๐‘ค๐‘› ๐‘Ž๐‘›๐‘‘ ๐‘๐‘œ๐‘›๐‘ ๐‘œ๐‘™๐‘–๐‘‘๐‘Ž๐‘ก๐‘’๐‘  ๐‘›๐‘’๐‘ค ๐‘˜๐‘›๐‘œ๐‘ค๐‘™๐‘’๐‘‘๐‘”๐‘’ ๐‘ค๐‘–๐‘กโ„Ž ๐‘’๐‘ฅ๐‘–๐‘ ๐‘ก๐‘–๐‘›๐‘” ๐‘˜๐‘›๐‘œ๐‘ค๐‘™๐‘’๐‘‘๐‘”๐‘’!

12/12/2023

Never underestimate the importance of 'Clinical Reasoning' in PACES.

Unlike medical licensing exams, in PACES, which essentially is a higher level exam, you are not expected to just present the findings and a default list of diagnosis/Ix. Moreover, your clinical judgement/decision making (Mx plan) also comes into play.

Tip: Practice simulated case scenarios to improve your clinical thinking.

10/12/2023

A RENAL ABDOMEN IN PACES:

Commonly missed things:

1. Scars d/ previous central lines.

2. Scar of parathyroidectomy d/t secondary or tertiary hyperparathyroidism.

3. A scar in LIF with a mass underneath- d/t failure of a previous transplant (on the right side).

Complete your case presentation by mentioning that you would like to do a urine dipstick and check the blood pressure.

01/10/2023

In general, your performance declines a few days before your actual exam, owing to anxiety.

Your pre-exam mock PACES exams (no matter how well organized they are) do not truly reflect on your actual potential and the predictability of success,nevertheless, they are very much useful and are highly recommended.

Always remember that (despite having the same knowledge) you will be a totally different person on your exam day! The attitude on exam day is what matters the most!

It is usually the skills that decide a pass or fail (not the knowledge). You have to take this exam as your usual day in clinic in order to enhance your chances of success!
Just be logical and keep in mind the examiners' expectations!

You cannot simply be concerned about 100 things while performing a task; you have to be natural in order to set the flow of consultation.

10/09/2023

Management plan to be given for a patient who presented with Syncope/collapse:

1. General:

Patient education : explain the condition and advise not to drive (until medically allowed to do so).

2. Specific for the condition:

(i) Cardiac arrhythmia:

a) May require a permanent pacemaker if it is a symptomatic heart block.

b) May require an implantable cardiac defibrillator if it is a malignant arrhythmia.

c) May require electrophysiological studies / accessory pathway ablation.

(ii) Seizure:

a) No need to start on anti-epileptics if this is the first episode and no underlying cause is found.

b) May recur in the future.

c) Pregnancy counselling in women of child-bearing age.

(iii) Vasovagal:

a) Stay well hydrated.

b) Avoid rapid changes in position/posture.

(iv) Endocrine:

a) Adjust medication to avoid hypoglycaemia.

b) Patient education on symptoms of hypoglycaemia and how to avoid it.

09/09/2023

There are a no. of physical signs to be looked for in a case of Renal Transplant in PACES.

The commonly missed 2 signs are:

1. Pallor

2. Parathyroidectomy scar (tertiary hyperparathyroidism)

09/09/2023

'The Mental Capacity Act' defines the capacity to make decisions as:

- The ability to understand information related to a decision.
- The ability to retain that information.
- The ability to use that information as part of the decision-making process.
- The ability to communicate the decision (by any interpretable means).

03/09/2023

PACES TIP:

If a patient has a tracheal deviation, accompanied by a dull percussion note over the same side of chest (anteriorly) along with reduced breath sounds and vocal resonance over the same area, in the absence of a lateral thoracotomy scar, the most likely diagnosis should be a LOBAR COLLAPSE!

Possible D/Ds in such a case (dullness to percussion with a reduced air entry and tracheal deviation) include:

- Pleural plaques
- A loculated pleural effusion.

03/09/2023

PACES TIP:

While presenting your findings and the most likely diagnosis, always keep in mind the clues given in the written case scenario outside the room!

For example, if a patient has Peripheral Neuropathy on physical examination and the information in the case scenario outside is that the patient either has:

DM/ is taking statin/ has a Hx/O R.A. (MTX) etc, your most likely diagnosis should be accordingly and this will give a good impression.

You will always get full marks in any case if your DDs include the most likely diagnosis.

01/05/2023

In Station 5 (Brief Clinical Consultation/ Integrated Clinical Skills), the examiners will ask you to present the positive findings only and ask about only those things in viva which you haven't explained to the patient already because they have only 2 minutes for viva here unlike all other stations.

Keeping in view the above, when you are given a warning that only 2 minutes are remaining, please aim to mainly:
1. Explain the diagnosis (clinical communication skill) and give a very quick overview of the management plan to the patient.

2. Ask about and address the concerns (managing the patient's concerns skill)

Explain your better management plan to the examiner during viva (clinical judgement skill) rather than rushing it through during the very precious last 2 minutes with patient!

You will find it relatively easier to give a detailed management plan to the examiner rather than the patient because you need not to check the examiner's understanding/opinion in between, whereas, on the other hand, if you miss the opportunity to address the concerns of the patient, you will not be able to address them in viva!

PLAN YOU CONSULTATION WISELY!
PACES IS ALL ABOUT PRACTICE!

27/04/2023

Dear PACES aspirants as the results of diet 1 are releasing we want to thank to all our amazing course participants who made us proud all over the globe ๐ŸŒ .
We have candidates passed from Ireland ๐Ÿ‡ฎ๐Ÿ‡ช, UK ๐Ÿ‡ฌ๐Ÿ‡ง, Pakistan ๐Ÿ‡ต๐Ÿ‡ฐ, India ๐Ÿ‡ฎ๐Ÿ‡ณ and Oman ๐Ÿ‡ด๐Ÿ‡ฒ . Apologies if we have missed to notify any country .
We will share the lists soon .
To book our upcoming course this weekend email now at registrations@mypaces.co.uk
Or visit our website mypaces.co.uk

Heartiest congratulations to Dr. Hissan Saqib (Post Graduate Resident in Neurology) on passing PACES with a very high sc...
27/04/2023

Heartiest congratulations to Dr. Hissan Saqib (Post Graduate Resident in Neurology) on passing PACES with a very high score of 170/172 from Pakistan centre (Diet 2/2023)!
He took special guidance for Station 5 from team 'MY PACES'.

We are really glad to see your wonderful success and we wish you great luck ahead as well.

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Leeds

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