Examination Emergency Medicine 2009

A guide to the ACEM Fellowship Examination

[rate4]

Associate Professor Garry Wilkes
MBBS, FACEM, MstJ, MACAP

Associate Professor Bronwyn Peirce

MBBS, FACEM

Carole Foot
MBBS(Hons), FACEM, FJFICM, MSc International Health Management

Joseph Ting
MBBS, FACEM, M Med Sci, PG Dip Epidem, PG Dip Clin Trials

Churchill Livingstone Elsevier 2009
Sydney
ISBN: 978-0-7295-3896 1(pbk.)

Type and scope of book
This is the must have book for all ED registrars attempting fellowship examinations through the Australian College of Emergency Medicine. The book is the standard of excellence in Emergency Department practice in Australia. The book focuses on the passing of the FACEM examination.

Contents
Chapter 1
Preparing for Examination
Fellowship Training Requirements

Chapter 2
Multiple Choice Questions

Chapter 3
Short-answer questions

Chapter 4
Visual-aid questions

Chapter 5
<The long case

Chapter 6
The short cases

Chapter 7
The structured clinical examination

Chapter 8
Publication/presentation requirement regulation 4.10

Chapter 9
The medical literature

Strengths
The book follows the examination pathway structure closely. This represents a snapshot of what is the expected level of knowledge required to pass the fellowship examination. The book achieves its goal on hints, skills, knowledge, focuses and environment of the exam process.

The book has an excellent section in chapter 6 on a general and neurological examination. This was this reviewers favourite chapter of the whole book. On reading this chapter it left the reader in no doubt to the thorough diagnostic structure needed for the exam and in clinical practice.

This is very practical to clinical assessment . It provides details on examination of the cranial nerve testing. The structure to examination of the fundi is useful to novice and candidate alike. I like to way it breaks the testing of the eye and pupils examination skills down to the essential components that’s allow for skills development.

The book indicates clearly that the book is designed to assist the candidate prepare for the exams but does not substitute from thorough preparation that involves many other sources of information and preparation. It gives many clues to finding this information for the FACEM exam.

Deficiencies
It is very hard to fault this focused book. It is written for purpose and has expert writers and reviewers.

Chapter 1 could have has more information on the functions of the graduate and the candidate. The book asks the student to role model themselves on a FACEM that impresses them with their behaviour without actual saying what those good professional behaviours are. Interestingly there is not much information to what happens after you pass this exam.

The book could have included more MCQ questions. The book could also have put the answers to the MCQ away from the questions. Conversely the answers to the short answers visual could have been closer to the visual aid questions.

The long case is covered in less detail than the short cases that appears odd to this reviewer.

Recommended Readership
All ACEM Fellowship candidates. Emergency Nurses wishing to gain structure to their clinical examinations. Transient Emergency Nurse Practitioners and Emergency Nurse Practitioner would be recommended to have to obtain and maintain registration.

Its sole focus on the FACEM examination process may limit its appeal to many emergency nurses. The solid examination techniques shown that can be applied to all patient assessment may reverse this.

Overall rating
A well written and great read for all emergency practitioners. The style of writing explains points of knowledge easily to the reader. The structured approach to diagnosis and treatment is excellent. It is a must have book form any department that currently has FACEM candidates training for fellowship exams.

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