SAMP OVERVIEW Dr. Laura Bennion MD CCFP Today‟s goals • Learn about examinship, not accrue medical knowledge • Common slip-ups • Familiarize yourself with format • Practice cases CCFP exam • Process important • Is it another hurdle, but is very helpful for consolidating knowledge upon entry to practice • R2 exit interviews reinforce this • More confident at graduation SAMPs • Short Answer Management Problems • Replaced multiple choice questions in 1993 • Answers in the form of a few words or phrases SAMPs • Patient-centered case • Questions are based on this patient case and relate directly to it • Questions are based on the basics of family medicine • Emphasis on consensus guidelines and general knowledge SAMPs • Four booklets • Total of 42 cases – each case equally weighted • Some cases longer than others • Two booklets in the morning, two in the afternoon • Each half day is 3 1/2 hours long • Time management SAMPs Keys • Avoid abbreviations • Use generic names for drugs • Be specific – ie no “CBC”, “lytes”, “LFTs”, “lipid panel” • Often more right answers than responses required • WRITE LEGIBLY • Only answers on lines will be marked; only one answer per line will be marked SAMPs keys • Points not deducted for blank spaces or wrong answers SAMPs • Committee writing the exam is made up of family medicine practitioners from across the country • Resources used by the committee are found in your candidate guide SAMPs - Suggested Resources • Clinical practice guidelines • Family Practice: Specialty Board Review by E.Y. Yen; Swanson‟s • Textbook of Family Practice by R.E. Rakel • Journals e.g. Canadian Family Physician, CMAJ – review articles • Websites e.g. cma.ca, ama cpgs • Mosby‟s • Practice cases Suggested Resources • CCFP Self learning modules: avoid MCQ, SAMPs helpful but are not necessarily consensus information • PBSG learning modules (McMaster) – available at program office; are usually consensus information – good resource Suggested Resources • Canadian Hypertension Education Program • Canadian Diabetes Association • Canadian Thoracic Society (COPD) • CFPC learning objectives for family medicine (CFPC website) Most Common Family Medicine Diagnoses • Outpatient – Hypertension – Hypercholesterolemia – Diabetes mellitus – Post-menopausal bleeding – Pregnancy – Urinary tract infection – Depression – Routine medical examination – Abdominal pain – Sinusitis, pharyngitis – Well baby check – ie milestones Most Common Family Medicine Diagnoses • Parkinsons • Rabies • PMR • Temporal arteritis • Lithium • Hemochromatosis • Celiac disease Common FM diagnoses • Migraine • STDs – know treatment • Thyroid disease • Basic palliative care • Basic infectious diseases, including HIV, Hep C, TB, PID Most Common Family Medicine Diagnoses • Inpatient – Chest pain – Pneumonia – Congestive heart failure – Asthma – Cellulitis – Disorders of fluid, electrolytes and acid/base – Stroke – Cardiac dysrrhythmias – Diabetes mellitus – Coronary artery disease – Compartment syndrome Other possible exam material • Ethical questions • Canada Food Guide • Immunization schedule What is fair game? • Material up to Jan 1 of exam year What Next? • Results in 4-6 weeks • Must pass both SAMP and SOO • Marking is on bell curve The Bad News • Vast majority of CCFP exam failures are due to SAMPs not SOOs • A few every year • Anyone can fail • Entering practice: may work on provisional license with letter from PD and mentor in community • Re-write exam in fall: must re-do both SAMPs and SOOs Who is at risk? • Residents with busy families • Over-confident • Fast exam writers/slow exam writers • Those who have trained out of country Study Tips • Make a plan, stick to it • Look at CCFP learning objectives • Study group • Study with cases in mind • Practice SAMPs SAMPs – Bottom Line • READ THE QUESTION!! • Remember: the questions are patient specific • Make your writing legible • One answer per line • Use individual blood tests – no „CBC‟, no “elytes”, no “LFTs”, no “lipid panel” SAMP Club? • One evening session per month in March, April and May • Small group • R2s only • Dr. W-J to enquire about interest GOOD LUCK!