AMC Clinical Deep Dive

Welcome to Season 3 of AMC Clinical Deep Dive! Driven by alarming macrolide resistance (>60% in Australia), Mycoplasma genitalium (M. gen.) management requires resistance-guided sequential therapy. This episode deconstructs the ASHM guidelines for OSCE success. Learn why routine asymptomatic screening is contraindicated and why Doxycycline (100mg BD for 7 days) must precede targeted treatment—either Azithromycin for susceptible strains or Moxifloxacin for resistant infections. We cover 14-day Moxifloxacin PID protocols, pregnancy safety traps, contact tracing for ongoing partners, and timing the mandatory 14–21 day Test of Cure. #AMCClinicalExam #MycoplasmaGenitalium #OSCE #ResistanceGuidedTherapy #MoxifloxacinProtocol #MacrolideResistance #TestofCure #IMGAustralia #ASHMGuidelines #DoxycyclineSequentialTherapy Pro Tip: In your OSCE, never prescribe single-dose Azithromycin or immediate Moxifloxacin alone! High-scoring candidates demonstrate safety by explicitly using resistance-guided sequential therapy: initiating Doxycycline 100mg BD for 7 days to reduce bacterial load before stepping up to Azithromycin (if susceptible) or Moxifloxacin 400mg daily (if resistant). Highlight key exam traps: routine asymptomatic screening is NOT recommended, Moxifloxacin is Category B3 and avoided in pregnancy (requiring specialist input/Pristinamycin), and a Test of Cure (TOC) by NAAT must be delayed until 14–21 days post-treatment to avoid false positives! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 3 of AMC Clinical Deep Dive! Caused by Chlamydia trachomatis serovars L1–L3, Lymphogranuloma Venereum (LGV) presents as proctitis, genital ulcers, or painful inguinal buboes. This episode deconstructs the ASHM guidelines for acing this complex OSCE scenario. Learn key diagnostic steps: ordering rectal Chlamydia NAAT with mandatory LGV genotyping, and empirically treating for gonorrhoea and HSV while awaiting typing results. We cover the non-negotiable 21-day Doxycycline regimen, 21 days of strict sexual abstinence, 3-to-6-month contact tracing, and a mandatory 6-week Test of Cure. Deliver a safe, high-scoring management plan today! #AMCClinicalExam #LGV #LymphogranulomaVenereum #ChlamydiaSerovarsL1-L3 #Doxycycline21Days #ProctitisTreatment #IMGAustralia #ASHMGuidelines #TestofCure #ContactTracing Pro Tip: In your OSCE, do not prescribe a standard 7-day chlamydia course for suspected LGV! High-scoring candidates win top safety marks by prescribing Doxycycline 100mg BD for a full 21 days, explaining that chlamydial DNA persists in rectal tissue for up to 16 days. Remember two crucial exam facts: first, perform a Test of Cure (TOC) at 6 weeks (3 weeks after finishing treatment); second, primary care clinicians do NOT need to notify health departments for LGV in Australia, but contact tracing is a high priority (tracing back 3 months for symptomatic cases)! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 3 of AMC Clinical Deep Dive! From acute seroconversion illness to long-term primary care, managing HIV requires both clinical precision and compassionate communication. This episode breaks down the ASHM guidelines for acing this scenario. Learn the non-negotiable rule: immediate ART initiation regardless of CD4 count, and counselling patients on U=U (Undetectable = Untransmissible). We cover critical OSCE safety steps: screening HLA-B*5701 before Abacavir, offering PEP within 72 hours of potential exposure, navigating PrEP, executing mandatory contact tracing, and arranging s100 prescriber or specialist referral. Deliver a holistic, patient-centred plan today! #AMCClinicalExam #HIVOSCE #U=UCounselling #ASHMGuidelines #Post-ExposureProphylaxis(PEP) #PrEPAustralia #IMGAustralia #HLA-B5701Screening #s100Prescriber #AntiretroviralTherapy Pro Tip: In your OSCE, examiners closely assess your safety awareness and U=U counselling! Always emphasise that ART should be offered immediately regardless of CD4 count, and clearly explain U=U (Undetectable = Untransmissible) to empower the patient and reduce stigma. Remember the key safety check: never start Abacavir without testing for HLA-B*5701 to prevent life-threatening hypersensitivity reactions. Finally, if exposure occurred within 72 hours, explicitly offer PEP for contacts and document 100% commitment to contact tracing—this guarantees top marks for clinical safety! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 3 of AMC Clinical Deep Dive! This episode deconstructs the ASHM guidelines for Hepatitis A, B, and C. Learn key diagnostic rules: why "no healthy carrier" exists in Hepatitis B, and why Hepatitis C antibody tests should never be repeated once positive (use HCV PCR instead). We cover high-yield protocols: Hepatitis A contact tracing across a 50-day window, 6-monthly hepatocellular carcinoma screening for chronic Hep B, and Direct-Acting Antiviral (DAA) cure pathways for Hep C. Differentiate acute versus chronic management, Australian vaccination rules, and essential post-exposure prophylaxis to ace your OSCE consult! #AMCClinicalExam #ViralHepatitis #OSCE #HepatitisB #HepatitisC #HepAContactTracing #IMGAustralia #HCCScreening #HCVPCR #HBsAgManagement Pro Tip: In your OSCE, examiners closely monitor your understanding of long-term safety and serology interpretation! Remember that no "healthy carrier" exists for Hepatitis B; all HBsAg-positive patients require ongoing monitoring and 6-monthly HCC screening if indicated. For Hepatitis C, never order a repeat antibody test if previously positive—always use HCV PCR to detect active infection or re-infection. Finally, emphasise that DAA therapy can cure Hep C, but past clearance provides zero immunity against future re-infection! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 3 of AMC Clinical Deep Dive! Caused by Neisseria gonorrhoeae, gonorrhoea is often asymptomatic at the pharyngeal, anorectal, and vaginal sites. This episode breaks down the ASHM guidelines for acing this OSCE scenario. Learn the non-negotiable diagnostic rule: always collect samples for gonococcal culture before starting antibiotics to monitor antimicrobial resistance. Master the first-line dual treatment protocol (Ceftriaxone 500 mg IM plus Azithromycin 1g PO) and higher dosing for pharyngeal sites. We cover essential OSCE safety steps: tracing partners back 2 months, enforcing 7 days of sexual abstinence, mandatory state health notification, conducting a 2-week Test of Cure, and scheduling a 3-month re-infection test. #AMCClinicalExam #Gonorrhoea #ASHMGuidelines #Ceftriaxone #Azithromycin #GonococcalCulture #TestofCure #IMGAustralia #STIContactTracing #AntimicrobialResistance Pro Tip: In your OSCE, the biggest trap candidates fall into is forgetting to collect a gonococcal culture before administering antibiotics! Even though NAAT is the primary diagnostic tool, collecting a culture swab before treatment is non-negotiable for antimicrobial susceptibility testing. Additionally, score top safety marks by explaining dual therapy (Ceftriaxone + Azithromycin) to combat emerging resistance, enforcing a 2-week Test of Cure (TOC) by NAAT, and booking a 3-month re-infection test. Mentioning these exact follow-up intervals demonstrates the rigorous, safety-focused clinical reasoning that examiners reward! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 3 of AMC Clinical Deep Dive! Often highly stigmatised, genital herpes (HSV) requires both clinical and compassionate psychosocial management. This episode deconstructs the ASHM guidelines to elevate your OSCE performance. Learn key diagnostic rules (why we use ulcer NAAT and avoid asymptomatic serology) and master first-line treatment protocols (Valaciclovir for initial, episodic, and suppressive therapy). We cover critical pregnancy suppression starting from 36 weeks to prevent neonatal transmission, outline essential symptomatic relief advice, and highlight vital safety-netting for neuropathic bladder. Best of all: learn how to counsel patients confidently without recommending contact tracing. #AMCClinicalExam #GenitalHerpes #OSCE #HSV #ValaciclovirProtocol #PregnancyHSVSuppression #IMGAustralia #ASHMGuidelines #PsychosocialCounselling #NeonatalHerpes #UrinaryRetention Pro Tip: In your OSCE, the path to an "Excellent" grade lies in high-level clinical safety and empathy! First, never forget to screen for the rare but dangerous complication of neuropathic bladder—explicitly warning the patient that if they cannot pass urine, they must go to the emergency department for urgent catheterisation. Second, score major communication marks by using the "days or years" rule to reassure patients that a new outbreak does not automatically mean partner infidelity. Finally, clearly state that contact tracing is not recommended and HSV is not a notifiable disease in Australia, but offer the excellent patient resource website www.herpes.org.nz as part of your management plan! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 3 of AMC Clinical Deep Dive! This episode deconstructs the ASHM guidelines for managing scabies and pubic lice (crabs). Learn critical diagnostic signs, from nocturnal itching to identifying interdigital burrows. We cover first-line treatment protocols: topical permethrin 5% (overnight, repeated in one week) for scabies and pyrethrin foam for pubic lice. Master crucial OSCE counselling points: explaining why shaving pubic hair is not required for crabs, enforcing the 7-day sexual abstinence rule, and coordinating simultaneous treatment for all household contacts and sexual partners to prevent re-infestation. #AMCClinicalExam #ScabiesTreatment #PubicLice #Crabs #OSCE #Permethrin #IMGAustralia #ASHMGuidelines #CrustedScabies #PartnerTreatment #SexualHealth Pro Tip: In your OSCE, the absolute gold standard for safety is demonstrating simultaneous treatment! If you treat the patient but don't explicitly state that all household members (for the past month in scabies) and recent sexual partners must be treated at the same time, you risk failing the station due to re-infestation risk. Also, score major communication marks by reassuring the patient that shaving pubic hair is NOT required for pubic lice, and confirming that permethrin is fully safe in pregnancy and breastfeeding! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 3 of AMC Clinical Deep Dive! Caused by Klebsiella granulomatis, this chronic infection presents as painless, "beefy" genital ulcers. This episode deconstructs the ASHM guidelines, preparing IMGs for key diagnostic and management decisions. Learn why treatment with Azithromycin or Doxycycline must continue until lesions completely resolve—not just for a fixed duration. We unpack essential OSCE safety points: seeking specialist advice, enforcing 100% mandatory public health notification, conducting a 6-month contact-tracing window, and using biopsies to rule out neoplastic transformation in recurring lesions. #AMCClinicalExam #Donovanosis #OSCE #Klebsiellagranulomatis #GenitalUlcer #AzithromycinProtocol #DonovanBodies #IMGAustralia #ASHMGuidelines #ContactTracing Pro Tip: In your OSCE, do not treat Donovanosis like other common STIs! High-scoring candidates win major points by emphasising that first-line therapy (Azithromycin 500mg daily for 7 days OR 1g weekly for 4 weeks) must be continued until complete resolution of the lesions. Demonstrating safety awareness is key: explicitly state that you would seek specialist advice before starting treatment, notify the state/territory health department (100% mandatory), and order a punch biopsy if lesions recur to exclude neoplastic transformation. Mentioning these specific clinical safeguards is exactly what examiners look for to award a pass with distinction! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 3 of AMC Clinical Deep Dive! As Australia’s most reported communicable disease, chlamydia is frequently asymptomatic (85%–90%), making screening protocols a favourite examiner target. This episode breaks down the latest guidelines: prioritising doxycycline (100mg BD for 7 days) over azithromycin, selecting highly sensitive self-collected vaginal swabs over urine, and managing pregnant patients (who require azithromycin and a mandatory 4-week test of cure). We dive into tracing partners back 6 months, implementing Patient-Delivered Partner Therapy (PDPT), and scheduling the mandatory 3-month retest. Deliver a flawless, high-scoring clinical plan today! #AMCClinicalExam #Chlamydia #OSCE #Doxycycline #Patient-DeliveredPartnerTherapy(PDPT) #TestofCure #IMGAustralia #ASHMGuidelines #SexualHealthHistory #NAAT Pro Tip: In your OSCE, do not default to Azithromycin for everyone! Doxycycline (100 mg BD for 7 days) is now the first-line recommendation for uncomplicated chlamydia. If your patient is pregnant, remember two non-negotiable rules: first, treat with Azithromycin 1g stat; second, a Test of Cure (TOC) is mandatory and must be done by NAAT no earlier than 4 weeks after treatment is completed to avoid false-positive DNA results. Additionally, discussing Patient-Delivered Partner Therapy (PDPT) for eligible heterosexual partners demonstrates the state-of-the-art public health integration examiners love to reward! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 3 of AMC Clinical Deep Dive! Caused primarily by HPV types 6 and 11, genital warts are diagnosed visually and often cause significant psychological distress. This episode deconstructs the ASHM guidelines, comparing patient-applied treatments like topically applied podophyllotoxin paint and imiquimod cream with clinician-initiated cryotherapy. Learn critical counselling pearls: explaining that treatment is cosmetic, not curative, recommending HPV vaccination, and advising patients to avoid shaving or waxing to prevent autoinoculation. We also demystify exam traps, including why contact tracing is not recommended and why normal vaginal delivery is safe during pregnancy. AMCClinicalExam #GenitalWarts #ASHMGuidelines #Podophyllotoxin #Imiquimod #HPVVaccine #IMGAustralia #ContactTracingWarts #Cryotherapy #CondylomataLata Pro Tip: In your OSCE, the two biggest traps are contact tracing and shaving! Remember to explicitly tell the examiner that contact tracing is not recommended for genital warts because most partners already have subclinical infection. Also, score major safety points by advising the patient to avoid shaving or waxing the pubic area to prevent autoinoculation of the virus. Reassure pregnant patients that vaginal delivery is perfectly safe as transmission risk to the baby is extremely low. Finally, always keep syphilis on your differential—mentioning the need to exclude condylomata lata demonstrates the stellar clinical reasoning examiners love to see! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 3 of AMC Clinical Deep Dive! This episode deconstructs the ASHM Standard Asymptomatic Check-up guidelines, essential for any IMG's OSCE toolkit. We explore how to identify at-risk populations—from new sexual partners to specific subpopulations like MSM and sex workers. Learn the mandatory "Big Four" testing battery: HIV and Syphilis serology for everyone, plus Chlamydia and Gonorrhoea NAAT. We compare specimen sensitivity—explaining why self-collected vaginal swabs are the "specimen of choice" over urine—and when to include extragenital swabs. Master window periods, Hep B status checks, and PrEP discussions to deliver a high-scoring, patient-centred plan! #AMCClinicalExam #AsymptomaticSTICheck #ChlamydiaNAAT #IMGAustralia #OSCE #HIVTesting #SyphilisSerology #SexualHealthHistory #NAATTesting Pro Tip: In your OSCE, never forget that all STI testing must include HIV and syphilis. A common mistake is only testing for "the drips" (Chlamydia/Gonorrhoea). Furthermore, explicitly stating that a self-collected vaginal swab is more sensitive than a urine sample demonstrates the high-level clinical knowledge examiners expect. Don't forget to offer condoms and discuss PrEP at the end of the consult to secure those final prevention marks! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 3 of AMC Clinical Deep Dive! Contact tracing is a critical process for breaking the chain of infection, preventing re-infection, and avoiding long-term health complications. This episode breaks down the ASHM Guidelines for identifying at-risk sexual and injecting partners. Learn essential OSCE steps: calculating the tracing window, offering a choice between patient-led or provider-initiated referral, and utilising anonymous notification tools like Let Them Know. We also address complex scenarios involving domestic violence and pregnancy where clinician-led anonymous tracing is the "best option" for safety. Deliver a professional and collaborative management plan today! #AMCClinicalExam #STIContactTracing #OSCE #IMGAustralia #ASHMGuidelines #SexualHealth #PatientCenteredCare #Sexual#History #LetThemKnow Pro Tip: In your OSCE, never just tell the patient to "tell their partners." High-scoring candidates demonstrate shared decision-making by offering a choice of methods and explicitly mentioning anonymous provider-initiated referral. Mentioning that you would seek specialist advice for complex situations like domestic violence or syphilis in pregnancy demonstrates the high-level safety awareness and clinical reasoning examiners are looking for! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 3 of AMC Clinical Deep Dive! This high-yield episode breaks down the ASHM framework, moving beyond rote questions to normalisation and inclusivity. Learn how to "hook" a consultation by citing syphilis outbreaks and how to ask about preferred genital terms to respect LGBTQ+ patients. It covers essential questions regarding window periods, partner gender, and site-specific testing (throat, bottom, or genitals). Master risk stratification for high-risk groups—including travel and injecting drug use—while maintaining a non-judgmental, safe, and professional consultation that satisfies Australian standards today! #AMCClinicalExam #SexualHistory #OSCE #STITesting #ASHMGuidelines #LGBTQ+Health #RiskStratification #IMGAustralia #InclusiveMedicine Pro Tip: In your OSCE, examiners prize cultural safety and inclusivity. Specifically asking, "Do you have any terms for your genitals that you would prefer we use?" demonstrates a level of sophistication that distinguishes a passing candidate. Furthermore, if a patient is hesitant or vulnerable to "sexual shame," prioritise building rapport by offering basic testing first rather than forcing an invasive history—this demonstrates the patient-centred flexibility required for a high score. 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive! This episode focuses on the walking cane for knee osteoarthritis (OA). Drawing on NHMRC Level 2 evidence, it explains how daily cane use significantly reduces knee load and improves function. Learn the essential "3-Point Check" for the OSCE: measuring the cane to the distal wrist fold for optimal elbow flexion, ensuring it's used on the contralateral side, and teaching the patient to plant the cane tip simultaneously with the symptomatic foot. It also covers critical safety contraindications, such as bilateral disease and upper limb pain. Pass your exam with evidence-based precision! #AMCClinicalExam #WalkingCane #KneeOsteoarthritis #IMGAustralia #ContralateralWalkingAid #MobilityTraining Pro Tip: In your OSCE, examiners look for specific technical precision. Don't just give the patient a cane; demonstrate the height adjustment (with the patient in low-heeled shoes) and explicitly correct the patient if they try to use it on the same side as the injury. Mentioning that patients often place weight through the cane too late in the stance phase—and correcting this—demonstrates the "expert" level clinical reasoning that secures a pass. Always offer the Arthritis Australia resource to complete your management plan! Also, listen to the osteoarthritis-related episodes: S2E37 - Patellar Taping for Knee Osteoarthritis Management S2E24 - Prescribing Safe Exercise for Knee Osteoarthritis S2E4 - Aquatic Exercise for Osteoarthritis Screening and Evidence 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive! As an NHMRC Level 1 intervention for COPD, this non-drug strategy is an examiner favourite for assessing clinical reasoning. We break down the "Cycle of Inactivity," explaining how structured exercise—including walking and stationary cycling—actually reduces breathlessness, hospital admissions, and mortality. Learn to explain the 6–8 week program to your OSCE "patient," covering essential education from inhaler technique to the golden rule: "If you don’t move it, you lose it!". Master the referral criteria and patient-centred communication needed to pass today! # AMCClinicalExam #PulmonaryRehabilitation # COPDManagement #IMGAustralia #Non-drugInterventions Pro Tip: In your OSCE, emphasise that for patients recovering from an acute exacerbation, rehabilitation must commence within three weeks of starting treatment to be most effective. Explicitly mentioning "telerehabilitation" as an option for home-based support demonstrates your awareness of modern Australian healthcare delivery and safety-netting. Don't forget to mention that programs include assessment at both the start and end to measure real improvement—this shows the examiner you understand structured, evidence-based care. Also, listen to the related episodes: S1E150 - Postoperative Fever in a 45-Year-Old Woman 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive! Affecting 1–3% of the population, this is a high-yield OSCE scenario where understanding the degenerative pathology—microtrauma rather than acute inflammation—is key. This episode explores NHMRC Level 1 evidence supporting physiotherapy over corticosteroid injections for superior long-term outcomes. Learn essential OSCE steps: explaining the "2/10 pain rule" for wrist extensor loading, advising against "palm-down" lifting, and structuring a 6–8 week supervised exercise plan. We cover how to transition from isometric to progressive resistance using rubber bands. Deliver a safe, evidence-based management plan that satisfies Australian standards today! #AMCClinicalExam #TennisElbow #OSCE #LateralEpicondylalgia #Physiotherapy #IMGAustralia #WristExtensorExercises Pro Tip: In your OSCE, specifically mention that while corticosteroid injections offer short-term relief, they are associated with worse long-term outcomes and higher recurrence compared to physiotherapy. Explicitly advising the patient not to lift objects in a "palm-down" (pronated) position and to maintain activity rather than immobilising the limb demonstrates the high-level safety awareness and practical clinical reasoning examiners look for in a passing candidate. Don't forget to offer the RACGP patient information sheet to finalise a high-scoring psycho-education plan! Also, listen to the related episodes: ⁠S2E36 - Digital Therapy Matery_iCBT for Depression⁠ ⁠S2E26 - Exercise Prescriptions for Mild to Moderate Depression⁠ ⁠S2E5 - Behavioural Sleep Interventions for Infants 6-12 Months⁠ ⁠S1E109 - Postnatal Depression and Exhaustion⁠ 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive! Affecting 13% of mothers, Postnatal Depression (PND) is a high-yield OSCE scenario requiring empathy and evidence-based management. This episode explores NHMRC Level 1 psychological interventions like CBT and Interpersonal Therapy (IPT), proven to improve mood and mother-child bonding. Learn essential OSCE steps: using the EPDS (score >12) for screening, addressing "perfect mother" anxiety, and involving partners to screen for paternal depression. We cover critical safety checks for intimate partner abuse and the efficacy of group therapy. Deliver a safe, professional, and patient-centred plan today! #AMCClinicalExam #PostnatalDepression #PND #EPDSScale #IMGAustralia #InterpersonalTherapy #IPT #CBT #MaternalMentalHealth Pro Tip: In your OSCE, remember that group delivery of therapy is just as effective as one-on-one. Explicitly mentioning that you will screen the partner for depression and check for intimate partner abuse demonstrates the high-level safety awareness and holistic clinical reasoning that examiners are looking for. Don't forget to offer the patient reputable websites like Beyond Blue as part of a high-scoring psycho-education plan! Also, listen to the related episodes: S2E36 - Digital Therapy Matery_iCBT for Depression S2E26 - Exercise Prescriptions for Mild to Moderate Depression S2E5 - Behavioural Sleep Interventions for Infants 6-12 Months S1E109 - Postnatal Depression and Exhaustion 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive! Probiotics are a high-yield OSCE topic, from preventing antibiotic-associated diarrhoea (AAD) to reducing infant eczema risk by 80%. This episode explores NHMRC Level 1 evidence for Lactobacillus rhamnosus GG and Saccharomyces boulardii. We break down the optimal dose (5–40 billion CFU/day) and the critical safety red flag: always avoid probiotics in immunocompromised or critically ill patients due to sepsis risks. Master strain-specific prescribing and the "sprinkle" technique for infants to deliver the evidence-based management plan examiners demand! #AMCClinicalExam #Probiotics #AntibioticAssociatedDiarrhoea #InfantAtopicEczema #OSCE #IMGAustralia #LactobacillusrhamnosusGG #Saccharomycesboulardii Pro Tip: In the OSCE, safety is your top priority. While probiotics are generally safe, you must explicitly screen the patient for immunocompromised status or severe illness before recommending them. Additionally, when discussing infant use, mention that capsules can be "opened and sprinkled on food" to overcome the low doses found in many commercial infant drops. Demonstrating this practical, safety-first clinical reasoning will show the examiner you are ready for Australian practice! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive! Pelvic Floor Muscle Training (PFMT) is a high-yield intervention with NHMRC Level 1 evidence for managing urinary incontinence and pelvic organ prolapse. This episode dives into the "gold standard" protocol: 8–12 repetitions of near-maximal, 6–8 second contractions performed 1–3 times daily. Master "The Knack"—consciously bracing the pelvic floor before coughing or lifting—and the critical importance of specialised physiotherapist referral for ultrasound-guided technique. We cover safety for post-prostatectomy patients and lifestyle hacks like caffeine reduction to ensure you deliver a professional, evidence-based management plan that examiners love. #AMCClinicalExam PelvicFloorMuscleTraining #PFMT #TheKnack #UrinaryIncontinence #OSCEManagement #IMGAustralia #ProstatectomyRecovery Pro Tip: In the OSCE, never just tell a patient to "do Kegels." Specifically mention "The Knack" by name and recommend a 3-month supervised program with a specialised physiotherapist. Citing NHMRC Level 1 evidence and suggesting a 1–2 week trial (or a 3-month review) demonstrates that you are following the latest Australian GP guidelines for integrated, evidence-based care. 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

Welcome to Season 2 of AMC Clinical Deep Dive! For Stage II and III cases, partial nail avulsion combined with chemical (phenol) matricectomy is the gold standard, backed by NHMRC Level 1 evidence for superior prevention of recurrence. This episode breaks down the essential surgical protocol: from performing a digital ring block to the critical alcohol-chlorhexidine flush used to neutralise phenol. We cover vital OSCE safety checks, including screening for diminished vascular supply and managing overt infections before surgery. Learn how to counsel patients on correct nail trimming to deliver a high-scoring, evidence-based management plan! #AMCClinicalExam #IngrownToenail #PartialNailAvulsion #ChemicalMatricectomy #Phenolablation #OSCE #IMGAustralia #Podiatry Pro Tip: In your OSCE, always screen for diminished vascular supply in the digit before suggesting surgery—this is a critical safety check. Furthermore, explicitly advise the patient to cut their nails straight across rather than in a curve; demonstrating this preventative education shows the examiner you are focused on long-term patient outcomes and safety! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.