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SAMP OVERVIEW SAMP OVERVIEW

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					 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!

				
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