ALSANGEDY

BULLETS
FOR PACES
FOR EASY PASSING PACES FROM THR FIRST ATTEMPT

PACES approach for beginners

Dr. Ibrahim Alsangedy

MRCP-UK
MRCPE

isangedy@gmail.com
tel:- 00965 69691034
Facebook group: - MRCP PACES from the 1st attempt
ARE YOUR READY?

As a candidate already passed MRCP part 1 and part 2 written exams, you should
be mature enough now to know that no achievement will be reached if you do not
know your target

You can use this score to know are you ready for PACES exam or you are only ready
to lose your money and disturb your mental health

ALSANGEDY SCORE FOR PACES READINESS

Question Yes No
A: Are you self-confident? 2 0
L: Laziness avoidant? 1 0
S: Smart studier? 2 0
A: Achievements fascinator? 1 0
N: No Failure strategy ready? 1 0
G: Guided thinker? 1 0
E: Exam lover? 1 0
D: Direct target shooter? 2 0
Y: Yawning fighter? 1 0
Score 0 - 3 Never try now
Score 4 - 8 Need more work
Score 9 - 12 Congratulations in advance

isangedy@gmail.com
tel:- 00965 69691034
Facebook group: - MRCP PACES from the 1st attempt
PHYSICAL EXAMINATION

Physical Examination skills (as a spinal reflex to be finished in a matter of few

minutes) is a must before you ever thinking about entering PACES exam

This include ALL physical examinations known ever in the medical field

 CVS examination
 CNS examination (with all its varieties)
 Abdominal examination
 Respiratory examination
 Focused examinations (thyroid examination, eye examination, peripheral
vascular examination, ……)
 Special testes (phalen test, tinel test, Schober's test, …..)

isangedy@gmail.com
tel:- 00965 69691034
Facebook group: - MRCP PACES from the 1st attempt
IDENTIFYING PHYSICAL SIGNS

It is great that you are excellent in physical examination

BUT
It is useless if you cannot identify the physical signs by your examination

If we teach a non-medical person how to do abdominal examination, he will be a

professional in doing that examination after some practice BUT he will never know
how to identify the physical signs

SO
You will never pass the PACES exam if you and the non-medical person are the
same

ALSO
If you invent physical signs that are not present in your patient, think about a next
PACES trial

isangedy@gmail.com
tel:- 00965 69691034
Facebook group: - MRCP PACES from the 1st attempt
CLINICAL COMMUNICATION

The art of history taking from the patient with excellent communication skills
where you are mixing your knowledge as a physician with a suitable emotion as a
human is a practice gained skill which will be monitored in the exam

You should elicit a clinical history relevant to the patient’s complaints, in a

systematic, thorough, fluent and professional manner.

ALSO

You should explain relevant clinical information in an accurate, clear, structured,

comprehensive, fluent and professional manner

isangedy@gmail.com
tel:- 00965 69691034
Facebook group: - MRCP PACES from the 1st attempt
DIFFERENTIAL DIAGNOSIS

Putting suitable and sensible differential diagnosis for your patient according to
the patient complaint, patient medical history and/or your physical examination
findings will be assessed by the examiners

ALSO

How you put your differential diagnosis in an order from the most probable till the
least probable will be assessed by the examiners

SO

Your mind should be organized from the most common, common, rare and
extremely rare

isangedy@gmail.com
tel:- 00965 69691034
Facebook group: - MRCP PACES from the 1st attempt
CLINICAL JUDGEMENT

It is a matter of SELECTION or NEGOTIATION of a sensible and appropriate

management plan for your patient.

Your will be assessed on

 Selection of appropriate investigations

 Selection of appropriate treatments
 Applying clinical knowledge
 knowledge of law and ethics

isangedy@gmail.com
tel:- 00965 69691034
Facebook group: - MRCP PACES from the 1st attempt
MANAGING PATIENTS' CONCERNS

Addressing patient concerns are PASSING or FAILING points in PACES exam

You must never miss to

 SEEK
 DETECT
 ACKNOWLEDGE
 ADDRESS

Patients’ or relatives’ concerns

ALSO

You must never miss to

 Be good LISTENER
 Confirm UNDERSTANDING
 Demonstrate EMPATH and SYMPATHY

isangedy@gmail.com
tel:- 00965 69691034
Facebook group: - MRCP PACES from the 1st attempt
MAINTAINING PATIENT WELFARE

You only need to be HUMAN to pass this skill

Confirm that your patient treated with

 RESPECT
 COMFORT
 SAFETY
 DIGNITY

If you do not know how to do that so, please review your HUMANITY

isangedy@gmail.com
tel:- 00965 69691034
Facebook group: - MRCP PACES from the 1st attempt