Escolar Documentos
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1 !he examination
1 1 Scope of the examination 111 Clinical "nowledge and s"ills
Resources: i. ii. iii. i*. *. *i. A Dhai and D McQuoid-Mason. Bioethics, Human Rights and Health Law Principles and Practice, !""# B Mash, and $ Blit%-Linde&ue, 'A (amil) Practice Manual, nd Re*ised +d# , !"!B Mash, Hand.oo/ o0 (amil) Medicine ,120ord Hand.oo/-, nd +d# , !!3'tandard 4reatment 5uidelines and +ssential Drugs List 'outh A0rican Department o0 Health guidelines Merc/ Manual o0 Medical Li.rar)
4he written and practical e2amination co*ers the common .asic science, general signs, s)mptoms, management and s/ills related to the 0ollowing conditions as is appropriate in the 'outh A0rican District Health ')stem: #$hat follows ser%es onl& as a guideline and 'uestions outside
H78 A7D'
+mergenc) and trauma: Basic 6PR +ndo-tracheal 7ntu.ation Assessment and earl) management o0 in:uries and 0ractures 'e2ual a.use 6hronic 7llnesses: H)pertension Dia.etes +pileps) Asthma 6oronar) Heart Disease A7D' Mental Health: Assessment o0 mental health 'u.stance a.use Acute ps)chosis Depression 1ther acute mental illnesses (amil) Health: D)s0unctional 0amilies: pre*ention and management 1ther acute illnesses: Appendicitis Acute a.domen Acute mental illness Pneumonia 6oma +94: +)es: ;pper Respirator) 4ract 7n0ection 1titis Media 4onsillitis 'inusitis +pista2is 6ommon in0ections and allergies Red e)e +)e in:uries Re0raction pro.lems 5laucoma
Dermatolog) 6ommon s/in conditions 1ther issues: 6onsultation and communication s/ills
3 October 2012
1+
Basic counselling s/ills such as 0or rape or other serious trauma, .ad news, domestic *iolence, pre and post H78 testing, etc Primar) health care approach District health s)stem 4eamwor/ (unctional Re0errals Management o0 resources Promotion, Pre*ention, 6urati*e, Reha.ilitation and Palliati*e 6are
4he 0ollowing are re&uired to .e /nown 0or the purposes o0 e2amination: Boo/lets in the 'eries <5uidelines 0or good and ethical practice in medicine, dentistr) and the medical sciences=. Medical and Dental Pro0essions Board o0 the Health Pro0essions 6ouncil o0 'outh A0rica. Pretoria. Boo/let ": Boo/let : Boo/let >: Boo/let ?: Boo/let @: Boo/let 3: Boo/let A: Boo/let B: Boo/let C: Boo/let "!: Boo/let "": Boo/let " : Boo/let ">:
Boo/let "?:
5eneral ethical guidelines 0or doctors, dentists and medical scientists. 5eneral ethical guidelines 0or health researchers. +thical and pro0essional rules o0 the Medical and Dental Pro0essions Board. Pro0essional sel0-de*elopment. 5uidelines 0or ma/ing pro0essional ser*ices /nown. 5uidelines 0or the management o0 health care waste. Polic) statements on per*erse incenti*es. 5uidelines 0or the management o0 patients with H78 in0ection or A7D'. 5uidelines on research and clinical trials in*ol*ing human su.:ects. Research, de*elopment and use o0 the chemical, .iological and nuclear capa.ilities o0 the 'tate. 5uidelines on /eeping patient records. 6an*assing o0 patients a.road. 9ational Patients= Rights 6harter.
6on0identialit): Protecting and pro*iding in0ormation.
'ee/ing patients= consent: 4he ethical considerations. 5uidelines 0or the withholding and withdrawing o0 treatment
4he Dorld Medical Association Medical +thics Manual 7'B9 C -CC!! B-"-C Health Pro0essions Act: 9o @3 o0 "CA? 'ection >: 1.:ects o0 6ouncil 'ection ?: 5eneral Powers o0 6ouncil 'ection >3: 100ences .) unregistered persons
4 October 2012
'ection @3: Death under anaesthetic +thical Rules 0or the 6onduct o0 Practitioners Registered ;nder the Health Pro0essions Act E 9o R.A"A ,5o*ernment 5a%ette E ? August !!3Mental Health 6are Act 9o "A o0 !! : 6hapter @: 8oluntar), Assisted and 7n*oluntar) Mental Health 6are 6hoice o0 4ermination o0 Pregnanc) Act Pream.le 'ection @: 6onsent 'ection "!: 100ences and penalties 6ompensation 0or 1ccupational 7n:uries and Diseases Act: 9o ">! o0 "CC>: Purpose o0 Act ,Bold t)ping in the middle o0 0irst page.1ccupational Health and 'a0et) Act: 9o B@ o0 "CC> Purpose o0 the act ,Bold on 0irst page.6hildrens Act !!@ 9ational Health Act 9o 3" o0 !!>: Bill o0 Rights o0 the 6onstitution o0 'outh A0rica E Act 9o "!B o0 "CC3. 1,
1,1
4he written e2amination is a Multiple 6hoice e2amination. ,'ingle .est answer- 4here is no negati*e mar/ing. 7t has two components. 4he 0irst component consists o0 A@ items assessing clinical /nowledge, and the second component consists o0 @ items testing ethical and legal /nowledge. 4he test is set in +nglish. +2amination time is two hours. 1.3.1.2 Making the results known
4he results should .e o.tained one wee/ 0ollowing the e2am either .) phoning HP6'A, or .) re0erring to the we. page http://www.hpcsa.co.za/hpcsa/medical and dental professions board 4he candidates will .e in0ormed o0 the outcome o0 the written as deciles. 'peci0ic mar/s will not .e a*aila.le. 'uccess0ul candidates will need to phone the practical e2am co-ordinator on the same da), in order to arrange the da) and time o0 attending the practical e2am.
1,+ Practical examination 1.3.2.1 Length and format
6linical /nowledge, application, practice and s/ills are assessed using a practical e2amination, which consists o0 stations which 0ollow the commonl) used 0ormats o0 an 1.:ecti*e 'tructured 6linical +2amination ,1'6+-F 1.:ecti*e 'tructured Practical +2amination ,1'P+-. 7t consists o0 a minimum o0 "> stations o0 at least @ minutes each. 4he stations assess a sample o0 clinical s/ills needed to 0unction as a medical practitioner in the pu.lic ser*ice in 'outh A0rica. 4his e2cludes one station e2amining a.ilit) in the use o0 the +nglish language. 'ome stations are done with the e2aminer present ,GmannedH-, while others ma) .e answered on paper ,GunmannedH-. +2amples o0 manned stations include .ut are not limited to:
5 October 2012
6onducting consultations, co*ering common acute complaints such as sore throat, earache, headache, and common chronic illnesses such as dia.etes, asthma, h)pertension, epileps), ps)chiatric illness etc# 6onducting an ante-natal consultation, counselling a patient regarding issues such as H78FA7D', assault, .ad news# per0orming certain e2amination andFor procedural s/ills such as e2amination o0 particular :oints, e2amination o0 the e)e, ta/ing the .lood pressure, instructing a patient in the use o0 a meter dose inhaler, assessing pea/ e2pirator) 0low rate# per0orming mental health status assessment, per0orming cardio-pulmonar) resuscitation, endo-tracheal intu.ation, or other emergenc) procedures, etc.
+2amples o0 unmanned stations include, .ut are not limited to: writing a prescription, disco*ering errors in a specimen prescription, reading an I-ra), +65 or other la.orator) in*estigation assessing Road-to-health charts, answering &uestions on immunisation, (illing a partogram identi0)ing s/in or genital lesions e2amining a urine specimen with some related &uestions, etc.
Making the results known
4he results should .e o.tained appro2. wee/s 0ollowing the e2am either .) phoning HP6'A, or .) re0erring to the we. page http://www.hpcsa.co.za/hpcsa/medical and dental professions board 4he candidates will .e in0ormed o0 the outcome o0 the written as deciles. 'peci0ic mar/s will not .e a*aila.le. 70 the) ha*e .een unsuccess0ul, the) are also gi*en their status in regard to 0uture attempts. Dhere a candidate wants to /now in which areas sFhe needs to concentrate in the 0uture, the HP6'A=s +2ams 6ommittee 6o-ordinator ma) re0er them to the practical e2am co-ordinator, who will tell them which Practical stations the) did not pass.
-ote* !he HPCSA.s Exams Committee Co/ordinator is not sent the detailed mar" sheets of the Practical examination showing the details of the mar"s for each station
101
An) irregularities, or conduct construed as dishonest, is dealt with .) the in*igilators during the e2am ,according to the standard uni*ersit) regulations-, and reported to the authorities 0or action.
1.4.1.2
Practical exam
An) irregularities or conduct construed as dishonest during the practical e2amination that is noticed .) an) e2aminer, moderator or administrati*e assistant will .e reported immediatel) to the authorities 0or action. 111 2eta"es
6 October 2012
7n April !"! the Board R+'1L8+D that candidates .e allowed not more than three ,>- attempts within two , - )ears to complete writing the Board e2amination# a0ter three ,>- attempts within two , - )ears and the) ha*e still not passed, candidates will not .e allowed to sit 0or more e2aminations.
7 October 2012