Module objectives
By the end of this module, you should be able to gather focused information, identify the most likely and most dangerous diagnoses, choose appropriate investigations, begin safe management and communicate the plan clearly.
Core presentations
Chest pain and acute coronary syndrome
Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.
Open guide →Complete topic guideDyspnea, asthma, COPD and pneumonia
Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.
Open guide →Complete topic guidePalpitations, syncope and heart failure
Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.
Open guide →Complete topic guideAbdominal pain, GI bleeding and jaundice
Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.
Open guide →Complete topic guideDiabetes, thyroid and adrenal disorders
Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.
Open guide →Complete topic guideHeadache, seizure, stroke and weakness
Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.
Open guide →Complete topic guideAKI, CKD, hematuria and electrolytes
Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.
Open guide →Complete topic guideFever, sepsis and antimicrobial decisions
Open the focused 11-minute framework with red flags, targeted assessment, investigations, management, related stations and safety-netting.
Open guide →Expected station skills
- Focused history with relevant negatives
- Targeted cardiovascular, respiratory, abdominal and neurologic examination
- Prioritized differential diagnosis
- Initial investigations and interpretation
- Immediate stabilization plus disposition
Red flags and escalation
- Hemodynamic instability
- Hypoxia or respiratory fatigue
- Acute focal neurologic deficit
- Sepsis or meningism
- Major bleeding
- Severe electrolyte disturbance
Station rehearsal template
- Read the task and identify the required output.
- Open professionally and establish the agenda.
- Gather focused positive and negative findings.
- Summarize and prioritize the differential.
- State investigations and management in a safe sequence.
- Address the patient’s concerns and understanding.
- Close with disposition, follow-up and safety-netting.
Suggested complete 11-minute stations
Chest pain in a 58-year-old
Recognize acute coronary syndrome, examine efficiently for instability and dangerous alternatives, and begin urgent care without delaying the ECG.
Acute dyspnea with wheeze
Assess asthma severity and start time-critical treatment.
Palpitations followed by syncope
Distinguish high-risk cardiac syncope from benign causes.
Upper gastrointestinal bleeding
Recognize hemorrhagic shock and prioritize resuscitation and source control.