Welcome to Season 2 of AMC Clinical Deep Dive!

Affecting 10% of GP patients1, this high-yield topic requires an NHMRC Level 1 evidence-based approach. This episode breaks down Cognitive Behavioural Therapy (CBT), the recommended first-line therapy. Learn to explain symptoms like racing hearts and "jelly legs" via the "fight or flight" adrenaline response. We dive into interoceptive exposure (inducing symptoms via hyperventilation to teach mastery) and in vivo exposure. With a powerful NNT of 3, learn how to guide patients toward clinician-supported online tools like MindSpot to demonstrate safe, structured care.

#AMCClinicalExam #PanicDisorderCBT #FightorFlightResponse #OSCEMentalHealth #IMGAustralia #InteroceptiveExposure

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100382

Welcome to Season 2 of AMC Clinical Deep Dive!

This episode breaks down Brief Behavioural Therapy for Insomnia (BBTI)—the high-yield, NHMRC Level 2 evidence-based approach examiners prioritise. Learn to counsel patients on sleep hygiene, stimulus control (bed is for sleep and sex only!), and the essential 2-week sleep diary. We explain the "Sleep Restriction" formula: average sleep time plus 30 minutes. Crucially, master the safety screening to avoid critical errors: ruling out bipolar disorder (to prevent mania), OSA, and advising drivers about initial sleep deprivation.

#AMCClinicalExam #InsomniaBBTI #SleepRestrictionTechnique #StimulusControl #MentalHealth #IMGAustralia #RACGP #Non-DrugSleepTherapy

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100362

Welcome to Season 2 of AMC Clinical Deep Dive!

Bibliotherapy (guided self-help) is an NHMRC Level 1 evidence-based option for mild-to-moderate depression. This episode provides the consultation blueprint: from performing a mandatory suicide risk assessment to prevent critical errors, to explaining CBT-based books as "physiotherapy for the mind"... Learn to set a planned 2-week review, use the PHQ-9 for monitoring, and avoid the "rejection trap" through shared decision-making... Master these high-impact strategies to demonstrate the safe, stepped-care approach examiners love.

#AMCClinicalExam #BibliotherapyforDepression #OSCEMentalHealth #IMGAustralia #RACGPGuidelines #GuidedSelf-HelpCBT #PHQ-9 #Stepped-CareModel

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100356

Welcome to Season 2 of AMC Clinical Deep Dive!

Nocturnal enuresis (bedwetting) is a classic, high-stress AMC clinical scenario affecting many children. This episode guides IMGs through the essential bio-psycho-social approach. We emphasise enuresis alarm therapy as the most effective long-term treatment for motivated children aged ≥6−7 years. Learn the evidence (two-thirds achieve dryness) and the non-punitive, collaborative counselling framework. Crucially, master the safety domain: screen meticulously for red flags (daytime wetting, constipation, diabetes symptoms, UTI). Missing these or prescribing drugs first-line without discussing alarms constitutes a critical error. Normalise the condition and set realistic expectations to ace this station.

Keywords: #AMCClinicalExam #NocturnalEnuresis #BedwettingAlarm # RedFlags #OSCEPaediatrics #IMGAustralia # AlarmTherapyEvidence # Non-PunitiveManagement

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100285

Welcome to Season 2 of AMC Clinical Deep Dive!

Infant sleep problems are common (30–50% of Australian parents) and strongly linked to maternal depression and anxiety. This crucial AMC Clinical episode guides IMGs through the primary care approach for babies aged 6–12 months. We break down the evidence-based options: controlled comforting (graduated extinction) and camping out. Learn to validate distress, explain learned sleep associations, and offer techniques proven to improve sleep and maternal mood. Crucially, master the safety screening: exclude medical red flags (illness, growth issues) and confidently state that follow-up studies show no long-term harm to attachment. Avoid the critical error of minimising parental distress.

Keywords: #AMCClinicalExam #InfantSleep #ControlledCrying #CampingOut #MaternalDepression #OSCE #IMGAustralia #BehaviouralSleepIntervention

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100282

Welcome to Season 2 of AMC Clinical Deep Dive!

Osteoarthritis (OA) counselling is a high-yield AMC station where exercise is the core treatment regardless of age or pain level. This episode equips IMGs to discuss aquatic exercise/hydrotherapy—an excellent, low-impact option when pain or obesity limits land-based activity. We break down the Level 1 evidence showing it delivers small but meaningful short-term improvements in pain and function over about 3 months. Master the crucial counselling framework to emphasise staying active in a supportive, warm environment. Crucially, learn how to safely screen for and avoid critical errors like suggesting hydrotherapy without checking for contraindications (e.g., open wounds, unstable heart disease). Ace this station by providing a safe, patient-centred option.

#AMCClinicalExam #OsteoarthritisCoreTreatment #AquaticExercise #Hydrotherapy #OSCECounselling #RACGPGuidelines #ChronicPainManagement #IMGAustralia

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: ⁠⁠https://apwix.com/100273

Welcome to Season 2 of AMC Clinical Deep Dive!

Antenatal perineal massage is a sensitive topic in the clinical scenario, demanding evidence-based, woman-centred care. This episode equips IMGs with the Level 1 evidence needed: studies show regular gentle massage reduces the chance of episiotomy and perineal pain for nulliparous women. Learn the crucial counselling framework (What–Why–How–Safety–Choice) and the appropriate, non-graphic technique to teach women starting around 34 weeks. Most importantly, we detail how to screen for and avoid critical errors like ignoring contraindications (placenta praevia, active infection) or overselling the benefits. Master this low-risk option to ace your station!

#AMC Clinical Exam, #Antenatal Perineal Massage, #OSCE, #Perineal Trauma Reduction, #Nulliparous Women, #Episiotomy Prevention, #IMGs, #Woman-Centred Care

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: ⁠https://apwix.com/100252

Welcome to Season 2 of AMC Clinical Deep Dive!

Acute low back pain (LBP) is a common condition, demanding safe triage and guideline-consistent care. Most acute LBP is non-specific and resolves spontaneously. This episode breaks down the critical exam message: Australian guidelines strongly advise against prolonged bed rest and routine imaging, emphasising advice to stay active instead. We review the evidence that active management improves recovery and function. Learn the exact What-Why-How counselling structure and, crucially, how to screen for and avoid the critical error of missing red flags (e.g., Cauda Equina or malignancy) before recommending activity.... Pass your station by applying the low-risk, evidence-based primary care approach.

Keywords:

#AMC Clinical Exam, #Acute Low Back Pain, #Stay Active Advice, #OSCE Critical Errors, #Guideline-Consistent Care, #IMG Australia, #Non-Specific Back Pain, #Avoiding Bed Rest

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100249

Welcome to Season 2 of AMC Clinical Deep Dive!

Otitis Media with Effusion (OME), or glue ear, is a frequent presentation in Australian General Practice. Parents often seek low-cost, non-surgical options during the standard 3-month watchful waiting period. This must-listen episode for IMGs and AMC Clinical candidates tackles nasal balloon autoinflation. We reveal the evidence — it may slightly reduce persistent OME — and provide the plain English explanation required for the OSCE. Learn the practical, step-by-step teaching technique and, crucially, how to avoid critical errors like ignoring contraindications (acute otitis media, perforation) and over-promising results. Pass your station with confidence!

Keywords: AMC Clinical Exam, Glue Ear Treatment, Autoinflation Technique, OSCE, IMG Australia, Otitis Media with Effusion, Low-Cost Home Remedy, Watchful Waiting.

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100236

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a clinical scenario involving a 45-year-old woman presenting with a postoperative fever after a laparoscopic cholecystectomy. It functions as an instructional case for surgical interns, requiring them to assess the patient's condition and develop a diagnostic and management plan. The case emphasises that pulmonary atelectasis is the most common cause of early postoperative fever, although other serious complications like sepsis and deep vein thrombosis must be considered and ruled out. Ultimately, it highlights the importance of thorough patient evaluation and focused interventions like breathing exercises and chest physiotherapy for common postoperative issues, leading to an uneventful recovery.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #PostoperativeFever #PulmonaryAtelectasis #LaparoscopicCholecystectomy #ChestPhysiotherapy #SurgicalRecovery #Gallstones

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a clinical scenario involving a 50-year-old man who developed confusion and delirium two days after knee surgery. The candidate's immediate task is to assess the situation, formulate a management plan, and counsel the patient's wife regarding the cause of the problem. The case guides the candidate through a structured approach, emphasising the importance of ensuring patient safety, gathering a comprehensive history, performing a thorough physical examination, and considering various potential causes for the delirium, such as sepsis, metabolic abnormalities, or alcohol withdrawal. Ultimately, it reveals the patient's delirium was initially attributed to alcohol withdrawal but was later found to be caused by intra-abdominal sepsis and acute diverticulitis with peritonitis, highlighting the complexity of diagnosing postoperative confusion.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #PostOperativeDelirium #KneeReplacementRecovery #SurgicalComplications #AbdominalSepsis #MedicalDiagnosis #AlcoholWithdrawal #AgitatedPatient

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a clinical assessment scenario for a 38-year-old woman presenting with prominent leg veins and symptoms like aching and heaviness, consistent with varicose veins. The purpose is to evaluate a candidate's ability to perform a focused physical examination and assess the venous circulatory status of the lower limb, specifically identifying issues with the superficial and deep venous systems, including valvular incompetence and chronic venous insufficiency. The case provides detailed instructions for the examination, expectations for candidate performance, and background information on predisposing factors and diagnostic approaches, including the use of tourniquets and Doppler probes.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #VaricoseVeins #VenousInsufficiency #SaphenofemoralJunction #ProminentLegVeins #VeinHealth #DopplerProbe #PregnancyVaricoseVeins #PalpableVaricosities #GaiterAreaUlceration

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a medical case study concerning a 25-year-old man presenting with jaundice and symptoms like general malaise, fever, dark urine, and pale stools. It details the candidate's tasks as a medical professional, including gathering further history, arranging investigations, explaining the illness to the patient, and advising on immediate management. The case also provides expectations for candidate performance, emphasising the need to consider Hepatitis A as the most likely diagnosis given the symptoms, travel history to Thailand, and the importance of specific liver function tests and serology. Finally, it elaborates on Hepatitis A as a public health concern, its faecal-oral transmission, symptoms, and the necessary diagnostic and management approaches.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #JaundiceAwareness #HepatitisA #LiverHealth #TravelSickness #InfectionPrevention #PublicHealth

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a cognitive state assessment for a 50-year-old barman with a history of significant alcohol consumption and recent issues with forgetfulness and unreliability. The primary goal is to assess the candidate's ability to administer and interpret the Folstein Mini-Mental State Examination (MMSE), a screening tool for cognitive impairment. The case emphasises identifying a focal impairment of short-term memory, likely attributable to chronic alcohol abuse, and differentiating this from more diffuse brain conditions. Ultimately, the candidate must explain the findings, their significance, and the probable cause to the patient and the examiner.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #CognitiveAssessment #MemoryLoss #AlcoholAbuse #BrainHealth #MMSE #ShortTermMemory #WernickeKorsakoff #Neurology #CognitiveDecline #HazardousDrinking #PatientCare

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a medical case study involving a 50-year-old man experiencing visual difficulties, specifically trouble seeing approaching cars from the sides and bumping into objects. It details the candidate's tasks to assess the patient's vision, including acuity, eye movements, and visual fields, and to determine the most likely cause of any abnormality. The case emphasises the expectation of identifying bitemporal hemianopia, a specific visual field defect, and suspecting a pituitary origin, likely a tumour, as indicated by an X-ray showing an expanded pituitary fossa and an MRI confirming a pituitary tumour. The purpose is to evaluate a candidate's ability to diagnose and investigate such a visual impairment.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #BitemporalHemianopia #VisualDifficulties #PituitaryTumor #OpticChiasmaCompression #PeripheralVisionLoss #NeuroOphthalmology #EyeHealth #VisionChanges

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a simulated medical case for a 38-year-old woman, a primigravida or first-time pregnant individual, experiencing severe nausea and vomiting in her first trimester, specifically eight weeks into her pregnancy. The primary purpose of this case is to assess a medical candidate's ability to diagnose and manage hyperemesis gravidarum, a severe form of morning sickness, while also considering other important factors. The scenario emphasises the importance of a comprehensive patient history, clinical examination, and further investigations to rule out complications like Down syndrome, given the patient's age. It ultimately serves as a guide for evaluating a clinician's diagnostic accuracy, their proposed care plan, and their awareness of potential risks and counselling needs in such a complex obstetrical case.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #HyperemesisGravidarum #SevereMorningSickness #EarlyPregnancyNausea #FirstTrimesterVomiting #PregnancyComplications #AdvancedMaternalAge #GeneticCounseling #DownSyndromeRisk #MaternalHealth #Primigravida38+

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a medical case study concerning a 3-year-old boy, Robert, presenting with spontaneous bruising and nosebleeds following a recent cold. The primary goal is to assess a candidate intern's ability to diagnose and manage acute thrombocytopenia, a condition characterised by a critically low platelet count. The provided information includes Robert's symptoms, a physical examination revealing widespread bruising and petechiae, and a full blood examination report highlighting his severely reduced platelet count of 15 x 10^9/L. The case emphasises the importance of accurately interpreting blood test results and reassuring parents while considering the possibility of spontaneous remission and the need to rule out more serious underlying conditions.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #AcuteThrombocytopenia #ChildhoodBruising #NosebleedsKids #LowPlatelets #PediatricHealth #ViralInfection #SpontaneousRemission #ParentalConcerns

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a clinical case study focused on a 35-year-old man experiencing persistent heartburn, providing a framework for medical professionals to assess and manage the condition. It details the patient's symptoms, medical history, lifestyle factors, and initial diagnostic findings, including a hiatus hernia and reflux oesophagitis. The case emphasises the importance of understanding the causes and management of gastro-oesophageal reflux, particularly stressing lifestyle modifications like weight loss, reduced alcohol intake, and smoking cessation. It also explores potential complications, diagnostic procedures like endoscopy, and various treatment approaches, including proton pump inhibitors, while offering guidance on patient counselling and future management strategies.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #Heartburn #GERD #RefluxOesophagitis #HiatusHernia #WaterBrash #DryCough #LifestyleChanges #DietTips #WeightManagement #SmokingCessation #AlcoholReduction #ProtonPumpInhibitors #PPIs #DigestiveHealth

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a simulated clinical scenario for a medical candidate involving the insertion of an intravenous cannula for antibiotic prophylaxis. The patient requires this procedure due to a prosthetic heart valve and an upcoming dental procedure, necessitating antibiotics to prevent endocarditis. Candidates are tasked with obtaining informed consent, selecting appropriate equipment, and demonstrating the technique of cannula insertion without actually puncturing the skin, emphasising proper procedure and patient safety. It also details the expectations for the candidate's performance, including knowledge of equipment, technique, and the ability to explain the procedure effectively, along with common critical errors to avoid.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #IVCannulation #AntibioticProphylaxis #EndocarditisPrevention #ProstheticHeartValve #DentalCare #HealthcareSkills #PatientSafety #MedicalTraining #Venipuncture

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This case outlines a simulated medical scenario involving a 30-year-old woman presenting with symptoms strongly suggestive of acute appendicitis. The primary purpose of this exercise is to assess an intern's ability to manage this patient, specifically focusing on their skills in patient communication and preparation for surgery. The scenario provides detailed patient history and examination findings, along with a list of tasks for the intern, emphasising the importance of explaining the diagnosis, the need for surgery, its implications, and answering patient questions. It also highlights key expectations for the candidate's performance and potential critical errors, underscoring the necessity of clear, reassuring communication about the condition and proposed treatment.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #Appendicitis #AcuteAbdominalPain #Surgery #Appendicectomy #LaparoscopicSurgery #KeyholeSurgery #EmergencyMedicine #PatientCommunication #SurgicalRisks #Perforation #WomenHealth #HealthCrisis