AMC Clinical Deep Dive

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 #SexualHealthPro 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 #ContactTracingPro 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 #NAATPro 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 #CondylomataLataPro 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 #NAATTestingPro 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 #LetThemKnowPro 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 #InclusiveMedicinePro 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 #MobilityTrainingPro 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 ManagementS2E24 - Prescribing Safe Exercise for Knee OsteoarthritisS2E4 - 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-drugInterventionsPro 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 #WristExtensorExercisesPro 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 Depression⁠⁠S2E26 - Exercise Prescriptions for Mild to Moderate Depression⁠⁠S2E5 - Behavioural Sleep Interventions for Infants 6-12 Months⁠⁠S1E109 - 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 #MaternalMentalHealthPro 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 DepressionS2E26 - Exercise Prescriptions for Mild to Moderate DepressionS2E5 - Behavioural Sleep Interventions for Infants 6-12 MonthsS1E109 - 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 #SaccharomycesboulardiiPro 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 #ProstatectomyRecoveryPro 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 #PodiatryPro 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.

Welcome to Season 2 of AMC Clinical Deep Dive! Injections are the leading cause of iatrogenic pain in children, but NHMRC Level 1 evidence-based strategies can transform your OSCE performance. This episode breaks down essential protocols: why you must skip aspiration to reduce distress, the benefits of simultaneous injections for infants, and why the most painful vaccines (MMR and PCV) must always be administered last. We explore physical "comfort" positions like skin-to-skin contact and psychological distractors like blowing bubbles. Master these clinical techniques to demonstrate high-level safety and compassionate Australian practice!#AMCClinicalExam #ChildhoodImmunisation #PainManagement #OSCE #IMGAustralia #ProceduralPain #VaccineDistressAlso, listen to the related episode:S1E75 - Immunisation Advice for New ParentsPro Tip: In your OSCE,, explicitly state that you will inject the most painful vaccines (M-M-R®II or PCV) last. This specific detail—combined with a strong recommendation against aspiration because injection sites lack major blood vessels—shows the examiner you have mastered the NHMRC Level 1 evidence for procedural safety and clinical reasoning!🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 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! Music therapy is a powerhouse non-drug intervention backed by NHMRC Level I evidence for improving subjective sleep quality. This episode reveals the "golden prescription": 45 minutes of familiar, slow-tempo music (60–80 BPM) at bedtime. We dive into the science of how music decreases sympathetic arousal and acts as a distraction from stressful thoughts. Learn the crucial OSCE nuance: why music improves sleep quality even without reducing sleep latency or increasing total sleep time. Perfect your management plan by combining music with CBT-I to ace this high-yield mental health station!#AMCClinicalExam #AdultInsomnia #MusicTherapyforSleep #OSCEManagement #IMGAustralia #SleepQualityAlso, listen to the Sleep series:S2E40 Mandibular Advancement Devices for Sleep ApnoeaS2E13 CPAP Evidence and Adherence for Sleep ApnoeaS2E11 CBT-I Five-Step Insomnia Treatment PlanS2E8 Brief Behavioural Therapy for Insomnia in AdultsS2E6 Bedwetting Assessment Red Flags and Alarm TherapyS2E5 Behavioural Sleep Interventions for Infants 6-12 MonthsS1E106 Insomnia After Bereavement - A Clinical Case StudyPro Tip: In your OSCE, explicitly state that you are recommending "familiar music" to the patient. Sources indicate that familiarity is a key driver of efficacy. Furthermore, mentioning the 60–80 BPM range and recommending it as a 45-minute bedtime routine demonstrates the specific, evidence-based detail that separates a "pass" from a "superior" management 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! Common in children aged 2–5, removing beads or food items is a high-yield OSCE scenario. This episode explores the "Mother’s Kiss" technique, a safe non-drug intervention backed by NHMRC Level 1 evidence with a 60% success rate. Learn the exact protocol: forming a firm mouth-to-mouth seal, occluding the unaffected nostril, and delivering a "sharp exhalation" to expel the object. We cover critical safety checks, including the mandatory need for medical supervision and why disk batteries are absolute red flags requiring immediate Emergency Department referral.#AMCClinicalExam NasalForeignBody #Mother 'sKiss #OSCEPediatrics #IMGAustralia #Parent'sKiss #EmergencyMedicinePro Tip: In your OSCE, if you suspect a disk battery, do NOT attempt any removal; state clearly that the child must go to the Emergency Department due to the risk of tissue necrosis. For other objects, recommending the "Mother's Kiss" and citing its NHMRC Level 1 evidence shows the examiner you are a safe, evidence-based practitioner.🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 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! Backed by NHMRC Level 1 evidence, this dietary pattern reduces cardiovascular event risk by 30% compared to traditional low-fat diets. This episode explores the PREDIMED trial findings and the 14-item adherence questionnaire essential for OSCE management. We break down the "2:1 fat ratio" rule, the importance of legumes 3x/week, and oily fish consumption. Learn how to counsel patients on swapping butter for olive oil and the vital role of Dietitian referrals to ensure long-term compliance and safety in the Australian healthcare system.#AMCClinicalExam #MediterraneanDiet CVDPrevention #PREDIMEDQuestionnaire #OSCE #IMGAustralia #HealthyEatingPro Tip: In your OSCE, don't just recommend "healthy eating." Specifically mention the PREDIMED 14-item Questionnaire as your assessment tool and cite the NHMRC Level 1 evidence showing a 30% reduction in cardiovascular events. Emphasising that patients find this diet "tastier and more filling" demonstrates your understanding of patient-centred care and long-term compliance!🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 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! Common in children aged 1–4, this subluxation of the radial head is a high-yield OSCE scenario. This episode breaks down the NHMRC Level 1 evidence favouring the pronation manoeuvre—proven to be more effective and less painful than traditional supination. Learn to identify the classic presentation (elbow in extension, forearm in pronation, and no swelling) and master the stepwise reduction: attempt pronation twice before switching to supination. We cover critical safety checks to rule out fractures and the essential parental warning regarding recurrence risks. Transform a distressed toddler into a happy, active child in just 5 minutes with this evidence-based guide!#AMCClinicalExam #PulledElbow #Nursemaid’sElbow #RadialHeadSubluxation #PronationManoeuvre #OSCE #IMGAustralia #PediatricEmergencyPro Tip: In your OSCE, always start with the pronation manoeuvre rather than supination. Explicitly mention that you are following NHMRC Level 1 evidence and tell the examiner you will review the child in 10 minutes. Don't forget the "Safety Net": warn the parents that the injury is common and has a high risk of recurring within a month. This shows you are a safe and clinically informed practitioner!Also, listen to:S1E61 - The Girl with the Fractured Elbow🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 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! While CPAP is the gold standard, Mandibular Advancement Devices (MADs) are a high-yield alternative with NHMRC Level 1 evidence for mild-to-moderate OSA. This episode breaks down how these devices maintain airway patency by holding the mandible forward. Learn to identify ideal candidates—like those with a receding jaw—and navigate the types of devices, from "boil and bite" to cost-effective semi-tailored options. We cover critical safety checks, including screening for poor dental structure and TMJ pain, to ensure you deliver a professional, evidence-based management plan.#AMCClinicalExam #SleepApnoea #MandibularAdvancementDevice #CPAPAlternative #OSCEManagement #IMGAustralia #TMJPain #OSATreatmentPro Tip: In the OSCE, if a patient is struggling with CPAP, don't just say "try a mouthguard." Specifically mention a "Mandibular Advancement Device" and its NHMRC Level 1 evidence. Demonstrate safety by checking their dental status and TMJ history before recommending one. Mentioning that semi-tailored devices are a cost-effective first step shows the examiner you understand practical Australian GP management!If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Sleep Apnoea GuideAlso, listen to the OSA series:S2E13 - CPAP Evidence and Adherence for Sleep Apnoea🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 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 50% of men over 65, lower urinary tract symptoms are a high-yield OSCE topic. This episode breaks down self-management interventions, which are supported by moderate-quality evidence and proven to be as effective as drug treatment. Learn the stepwise approach: from fluid management (restricting evening intake for nocturia) and reducing caffeine/alcohol to the "OSCE gold" of toileting practices like double voiding and urethral milking. We cover bladder retraining (aiming for 3-hour intervals) and the critical safety precaution of ruling out infection. Deliver a superior, evidence-based management plan today!#AMCClinicalExam LowerUrinaryTractSymptoms #LUTS #BenignProstaticHyperplasia #BladderRetraining #OSCE #IMGAustralia #UrethralMilking #Non-drugInterventions #Men'sHealthPro Tip: In your OSCE, don't just recommend "drinking less." Specifically suggest "evening fluid restriction" for nocturia and "timing medication" (like diuretics) to minimise symptoms during travel. Explicitly mentioning "urethral milking" and "double voiding" demonstrates the specific, high-level clinical advice that examiners look for in a passing management plan.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: LUTS Essentials: Your Clinical Exam CompanionAlso, listen to the Urinary series:S1E128 - Cracking mixed urinary incontinence in a 50-year-old womanS1E95 - Managing male urinary tract infectionS1E73 - Urinary frequency and mature-onset diabetes mellitusS1E67 - Muscle weakness and urinary symptoms in a 60-year-old man🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 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 breaks down the NHMRC Level 2 evidence for using a low-FODMAP diet to manage abdominal pain and bloating. We cover the Rome III diagnostic criteria: recurrent pain for at least 3 days a month over the last 3 months, associated with changes in stool frequency or form. Learn the essential 4–8 week trial protocol and the importance of the reintroduction phase to identify "culprit" foods. We also highlight critical safety checks: why the diet shouldn't be long-term and why supervision by an Accredited Practising Dietitian is vital to avoid nutritional deficiencies.#AMCClinicalExam #IBSManagement #Low-FODMAPDiet #RomeIIICriteria #OSCE #IMGAustralia MonashUniversityApp #DietitianReferralPro Tip: In your OSCE, never suggest a strict low-FODMAP diet as a permanent lifestyle change. Explicitly state that you are recommending a 4–8 week trial followed by a reintroduction phase. Mentioning the Monash University app and a referral to a dietitian for supervision demonstrates that you understand the Australian standard of integrated, evidence-based care.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: IBS Exam PrepAlso, listen to the GI series:S1E142 - Heartburn in a 35-year-old manS1E135 - Cracking chronic diarrhoea in an adultS1E112 - Decoding IBD_mastering colonoscopy findingsS1E16 - Duodenal ulcer management and pathogenesis🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 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! Patellar taping is a powerhouse intervention with NHMRC Level 1 evidence for immediate pain relief. This episode breaks down the "2-3 step method" used to realign the patella and unload painful soft tissues, enabling patients to engage in essential cardiovascular and resistance exercises. We cover critical safety protocols: using hypoallergenic underlay to prevent skin irritation, and why taping must never be a sole therapy. Learn to counsel patients on self-management and physiotherapist coordination to deliver a high-scoring, evidence-based management plan.#AMCClinicalExam #KneeOsteoarthritis #PatellarTaping #OSCEManagement #IMGAustralia #Physiotherapy #KneePainReliefPro Tip: In your OSCE, never suggest taping as a standalone treatment. Explicitly state that it is used to "unload painful tissues" to help the patient participate in "strongly recommended exercise programs". Demonstrating safety by mentioning hypoallergenic underlay tape to protect the skin will show the examiner you prioritise patient safety and evidence-based practice.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Knee OA TapingAlso, listen to the Osteoarthritis series:S2E24 - Prescribing Safe Exercise for Knee OsteoarthritisS2E18 - Joint Protection Strategies for OsteoarthritisS2E4 - Aquatic Exercise for Osteoarthritis Screening and EvidenceS1E130 - Hip Disclocation and Arthritis in a Middle-Aged Man🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠ 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! Discover the power of Internet-based Cognitive Behavioural Therapy (iCBT), a high-yield intervention backed by NHMRC Level 1 evidence for depression and anxiety. These structured programs are game-changers for patients in rural or remote locations or those with mobility issues. In this episode, we break down essential OSCE safety steps: always assess suicide and self-harm risk before recommending iCBT and identify contraindications like substance dependence or personality disorders. We explore top Australian resources like MoodGYM and THIS WAY UP to help you deliver a professional, evidence-based management plan.#AMCClinicalExam #iCBT #DigitalMentalHealth #DepressionManagement #OSCE #IMGAustralia #MoodGYM #Mental HealthPro Tip: In your OSCE, always explicitly state that you have assessed the patient's risk of self-harm before suggesting a digital program. Recommending a specific, reputable Australian tool like MoodGYM (developed by ANU) while citing NHMRC Level 1 evidence will demonstrate the high-level safety and evidence-based knowledge examiners demand.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Also, listen to the Mental Health series:S2E26 - Exercise Prescriptions for Mild to Moderate DepressionS2E7 - Mastering Bibliotherapy for DepressionSpecial08 - The Psychiatric ConsultationS1E131 - Unpacking Depression and Alcohol Abuse in a 45-Year-Old ManS1E116 - Mastering Acute Psychosis in a Uni StudentS1E109 - 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! Inspiratory Muscle Training (IMT) is a high-yield intervention backed by NHMRC Level I evidence. This episode explores how 2–4 weeks of pre-operative training reduces postoperative pneumonia (NNT ≈4) and shortens hospital stays. Learn the protocol: high-intensity loading (60–80% MIP) using hand-held threshold devices. We cover critical safety contraindications, including spontaneous pneumothorax and unstable asthma. Master identifying high-risk patients (age >65, COPD, smokers) to deliver a safe, evidence-based management plan that examiners expect.#AMCClinicalExam #InspiratoryMuscleTraining #IMT #PostoperativePulmonaryComplications #OSCEManagement #IMGAustralia #SurgicalPre-rehabilitationPro Tip: In your OSCE, explicitly state that IMT has NHMRC Level I evidence for reducing pneumonia. Mentioning that the goal is to prevent atelectasis and bronchitis while specifying the contraindication of spontaneous pneumothorax will demonstrate the high-level safety and clinical knowledge required to pass the management domain.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: IMG Respiratory Prep: Inspiratory Muscle TrainingAlso, listen to the Pulmonary series:S1E62 - Pneunothrax_Diagnosis and Management for a 20-Year-Old WomanS1E101 - Emergency Resuscitation After Head and Chest TraumaS1E150 - 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! Tackle the Lower Back Pain (LBP) station with confidence! While most patients recover within 4–6 weeks, applying heat via wheat bags, wraps, or pads is a high-yield intervention to reduce short-term pain and improve daily functioning. This episode breaks down how heat increases blood flow and relaxes muscles to facilitate the "stay active" recovery gold standard. We cover essential OSCE safety protocols, including screening for poor sensation and preventing burns by avoiding boiling water and direct skin contact. Learn to counsel patients on 30-minute applications versus 8-hour continuous heat wraps to ace your management plan!Keywords: #AMCClinicalExam #LowerBackPain #HeatTherapy #OSCEManagement #IMGAustralia #WheatBagSafety #HotWaterBottleBurns #LBPGuidelinesPro Tip: In your OSCE, never suggest heat therapy in isolation. Explicitly state that "staying active is the best thing for recovery", and you are recommending heat specifically to "reduce pain and help the patient move more freely". Demonstrating safety by warning against boiling water and advising a towel wrap for wheat bags will show the examiner you prioritise patient safety.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Mastering Low Back Pain for AMC ClinicalsAlso, listen to the Lower Back Pain series:S2E21 - Managing Low Back Pain Without Drugs⁠S2E14 - CBT for Chronic Low Back Pain_How It Works⁠⁠S2E2 - Low Back Pain Triage: How to Counsel Patients to 'Stay Active'⁠S1E47 - Acute Sciatica_A Landscape Gardener's Low Back Pain🎧 ⁠⁠⁠⁠⁠⁠⁠ 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! When paediatric cough interferes with sleep, honey is a powerhouse non-drug intervention backed by NHMRC Level 1 evidence. This episode explores why honey is preferred over OTC medications for children older than 12 months, as it reduces cough frequency more effectively than no treatment or placebos. Learn the exact bedtime dose (0.5–2 teaspoons) and the critical safety contraindication: never give honey to infants younger than 12 months due to the fatal risk of botulism. We cover how to counsel parents on mucus clearance and protecting dental health from prolonged use.Keywords: #AMCClinicalExam #PaediatricURTI #HoneyforCough #OSCEManagement #IMGAustralia #BotulismPrevention #PaediatricNocturnalCough----------------------------------------------------------------------Pro Tip: In your OSCE, if a parent asks for a cough suppressant for a toddler, always check the child's age first. Explicitly stating that you are recommending honey because it is "less risky than OTC medications" and has "NHMRC Level 1 evidence" demonstrates the high-level safety and evidence-based knowledge examiners expect.Also, visit the Sore Throat topic below: S1E77 - Paediatric Fever and Sore Throat👀 If this clinical topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: URTI Clinical Skills Navigator🎧 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 explores incremental physical activity, an intervention with moderate-grade evidence designed to reverse deconditioning and improve functional quality of life. Learn the OSCE-essential protocol: establishing a sustainable baseline and increasing duration by 10–20% every 1–2 weeks, provided symptoms remain transient. We dive into critical safety checks, specifically Post-Exertional Malaise (PEM), which can be delayed for up to 3 days. Discover why a collaborative, trusting approach and supervision by an accredited exercise physiologist are vital for a safe, high-scoring management plan.Keywords: #AMCClinicalExam #ChronicFatigueSyndrome #CFS/ME #GradedExerciseTherapy(GET) #OSCE #IMGAustralia #Post-ExertionalMalaise(PEM) #IncrementalPhysicalActivity #Exercise Physiologist----------------------------------------------------------------------Pro Tip: In the OSCE, explicitly warn the patient that Post-Exertional Malaise (PEM) can be delayed for up to 3 days. This specific safety detail—along with mentioning that you will only increase activity by 10–20% every 1–2 weeks—demonstrates the high-level clinical caution and evidence-based knowledge required to pass the management domain.👀 If this clinical topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Chronic Fatigue Syndrome Exam Pre: Your Australian Guide🎧 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! With 85% of pregnant patients affected, morning sickness is a high-yield OSCE topic. This episode reveals why ginger (with or without Vitamin B6) is the gold standard of non-drug interventions, offering efficacy similar to metoclopramide. We cover the SOMANZ-recommended 250mg TDS-QID ginger dose and the critical safety signs of Vitamin B6-induced peripheral neuropathy you must mention. Master the "bedside cracker" strategy and fluid management to show you are a safe, evidence-based clinician ready for Australian practice. Perfect your management plan today!Keywords: #AMCClinicalExam #NauseaandVomitinginPregnancy(NVP) #GingerandVitaminB6 #OSCEManagement #IMGAustralia #MorningSicknessRemedy #PeripheralNeuropathy----------------------------------------------------------------------Pro Tip: In your OSCE, it is essential to include a safety check for Vitamin B6. Advise the patient that if they experience symptoms such as "tingling, numbness, or walking difficulties," they must immediately stop taking the supplement and seek medical advice, as these can be signs of peripheral neuropathy. This demonstrates a high level of safety awareness to the examiner. Furthermore, explicitly citing the SOMANZ guidelines and their recommended maximum dose of 1000 mg per day of standardised ginger extract (delivered as 250 mg TDS-QID) will ensure your management plan appears highly professional and evidence-based.Also, visit the Pregnancy Nausea topic below: S1E144 - Hyperemesis Gravidarum in Early Pregnancy👀 If this clinical topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: NVP & HG Clinical Exam Guide🎧 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! While mild regurgitation is common, serious reflux can cause pain and poor growth. This episode breaks down the NHMRC Level 1 stepped-care approach: start with smaller, frequent feeds before trialling feed thickeners (rice/corn starch) or alginates (Gaviscon Infant). Learn how alginates can reduce daily vomiting episodes from 8.5 to 3. We cover critical safety protocols: avoid thickeners in premature babies due to the risk of necrotising enterocolitis, and recognise that onset after 6 months suggests a different diagnosis. Perfect your management plan for this high-yield pediatric OSCE!Keywords: #AMCClinicalExam #InfantReflux #GORDManagement #FeedThickeners #GavisconInfant #OSCEPaediatrics #IMGAustralia #SteppedCare----------------------------------------------------------------------Pro Tip: In your OSCE, emphasise the 1–2-week trial for alginates and suggest stopping it monthly to see if the problem has resolved. Mentioning that "silent reflux" is an unlikely cause of crying demonstrates the high-level diagnostic nuance examiners look for in the "Management" domain.Also, visit the Infant topic below: S1Special06 - The Paediatric Consultation_Chanllenges and ConsiderationsS1E127 - Vigorous Vomiting in a BabyS1E5 - Counselling After Sudden Infant Death SyndromeS1E2 - Infant Feeding Guidance for Expectant Mothers👀 If this clinical topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Infant Reflux: Your Australian Exam Companion🎧 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! Exercise isn’t just an "add-on"—it is as powerful as medication for improving motor symptoms, functional mobility, and quality of life in Parkinson's Disease. This episode reveals Cochrane-backed strategies for the OSCE, from dance and balance training to aqua-based training, which have a significant beneficial effect on Quality of Life. We break down the "gold standard" dose: 30–60 minutes, 3 times per week in supervised group settings. Learn to navigate safety concerns, prevent falls, and tailor plans to patient preferences for a high-scoring, evidence-based management plan!Keywords: #AMCClinicalExam #Parkinson’sDisease #ExerciseforParkinson’s #OSCEManagement #IMGAustralia #Aqua-basedtraining #Motorsymptoms #UPDRS----------------------------------------------------------------------Pro Tip: In your OSCE, emphasise that exercise is equivalent to medication in its effect size for motor symptoms. Specifically mentioning aqua-based training for quality of life and supervised group settings for safety will show the examiner you are applying the latest Cochrane evidence!Also visit,S1E33 - Tremor in a 40-Year-Old Man👀 If this clinical topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Mastering Parkinson's for the Australian Clinical Exam🎧 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! Exercise is a powerhouse intervention, improving glycaemic control even without weight loss. This episode explores the NHMRC Level 1 evidence showing that aerobic exercise can reduce HbA1C by 0.73%—a result comparable to Metformin. We break down the gold-standard prescription: 150 minutes of supervised, structured exercise per week. Crucially, we cover safety checks for silent macrovascular disease, proliferative retinopathy, and delayed hypoglycemia risks. Learn to utilise Medicare’s EPC plan for 13 funded sessions to demonstrate expert Australian management!Keywords: #AMCClinicalExam #Type2Diabetes #ExercisePrescription #HbA1C #OSCE #IMGAustralia #MedicareEPC #FootCare----------------------------------------------------------------------Pro Tip: In your OSCE, explicitly mention that you are prescribing supervised, structured training rather than just "walking more." Highlighting the EPC Medicare rebates and the 150-minute weekly target signals to the examiner that you understand both the clinical evidence and the practical Australian healthcare framework.Also visit the 'Diabetes' topic below:S1E14 - Diabetes and Pregnancy: Pre-Pregnancy AdviceS1E20 - Alex's Type 1 Diabetes CareS1E73 - Urinary Frequency and Mature-Onset Diabetes MellitusS1E97 - Gestational Diabetes ManagementS1E110 - Fundus Greater Than Dates in Pregnancy👀 If this clinical-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: IMG's Guide to Type 2 Diabetes🎧 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! Exercise programs are a core intervention for increasing walking time and distance in patients with intermittent claudication. This episode explores the NHMRC Level I evidence behind the specific walk–rest cycle: walking at an intensity that elicits severe pain (4/5 level) before resting to resume. Learn the progression from 30 to 60 minutes, 3–5 days per week. Crucially, we cover critical safety checks, including mandatory cardiovascular risk screening and the importance of proper footwear to prevent ulcers and infections. Master the patient reassurance strategy: "ischaemic pain does not damage muscles".Keywords: #AMCClinicalExam #PeripheralArterialDisease #IntermittentClaudication #OSCEManagement #IMGAustralia #WalkingProgram----------------------------------------------------------------------Pro Tip: In your OSCE, specifically mention that the patient should walk until the claudication pain is severe (level 4 out of 5) before resting. This specific detail, along with the mention of CV risk screening, demonstrates the high-level safety and clinical knowledge examiners are seeking.Also visit S2E12 - Compression Therapy for Venous Leg UlcersS1E148 - Varicose Vein Assessment👀 If this Clinical-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Mastering PAD🎧 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! Exercise for depression is a high-yield non-drug intervention backed by NHMRC Level 1 evidence. This episode breaks down the OSCE-ready prescription: 30-40 minutes of supervised group exercise, 3x/week for at least 9 weeks. Discover why a mix of aerobic and resistance training is superior to solo activity. We cover critical safety checks, like mandatory cardiovascular risk assessments, and why exercise is not a sole treatment for severe depression. Learn to navigate Medicare rebates for exercise physiologists and overcome motivation hurdles with a graded approach!Keywords: #AMCClinicalExam #DepressionManagement #ExercisePrescription #OSCE #IMGAustralia #MentalHealth.----------------------------------------------------------------------Pro Tip: In the OSCE, explicitly state that you are recommending supervised group exercise of moderate intensity (where the patient is breathless but can still talk). This level of detail shows the examiner you are applying specific evidence-based guidelines from RACGP HANDI!Also visit the 'Depression' topic below:S2E7 - Mastering Bibliotherapy for DepressionS1E109 - Postnatal Depression and ExhaustionS1E131 - Unpacking Depression and Alcohol Abuse in A 45-Year-Old Man👀 If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: Depression: IMG Exam Guide🎧 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! Ankle injuries account for 25% of all sporting injuries; stop the recurrence cycle with proprioception and neuromuscular training. This episode dives into the NHMRC Level 2 evidence-based 8-week home program. Learn to counsel patients (ages 12–70) on performing these 30-minute sessions three times weekly to re-establish protective reflexes. We cover the "Ankle" app for adherence and why finishing 75% of the program is the "magic number" for clinical success. Master the transition from acute pain to sport-ready stability to ace your management plan!Keywords: #AMCClinicalExam #RecurrentAnkleSprain #ProprioceptionTraining #NeuromuscularExercise #OSCEManagement #IMGAustralia #AnkleApp----------------------------------------------------------------------Pro Tip: In your OSCE, specifically mention "proprioception training" and the "8-week program". Recommending a balance board or the Ankle app demonstrates that you are familiar with current Australian intervention tools, which is a major scoring booster for the management domain!If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100533👉 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.🎧 ⁠⁠⁠⁠Access the library⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! Exercise is recommended as a core treatment in knee OA management regardless of patient age or disease severity. This episode breaks down the NHMRC Level 1 evidence supporting a combination of strength, aerobic, and flexibility training to improve pain and physical function. Learn the specific FITT prescription: 30 minutes of moderate-intensity aerobic exercise (working "somewhat hard") on most days and resistance training ≥ 3 times weekly. We cover critical safety checks: confirming footwear, using chair support, and advising patients to revise their regimen if pain remains elevated for more than 2 hours post-exercise1.... Mention EPC Medicare referrals to deliver a perfect, professional management plan!Keywords: #AMCClinicalExam #KneeOsteoarthritis #OSCEManagement #IMGAustralia #EPCProgram #ExercisePrescription #KneeOASafetyPro Tip: In the OSCE, never just suggest "walking." Specifically mention the NHMRC Level 1 triad of strength, aerobic, and flexibility exercises, and demonstrate safety by asking the patient about their footwear. These specific details are what separate a "pass" from a "superior" performance!Also visit: S2E4 - Aquatic Exercise for Osteoarthritis Screening and EvidenceIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100530👉 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.🎧 ⁠⁠⁠Access the library⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! Falls and fractures affect 1 in 3 older adults, making this an essential OSCE topic. This episode breaks down the NHMRC Level I evidence for multimodal exercise: combining progressive resistance training (Borg 14–16), multidirectional weightbearing (e.g., jumps), and Tai Chi to significantly reduce fall rates and improve bone density. Learn the specific "dose"—resistance 2x/week and balance 3x/week. Crucially, avoid critical safety errors: screen for contraindications like severe osteoporosis where trunk flexion or twisting must be avoided to prevent spontaneous vertebral fractures.Keywords: #ClinicalExam #FallsPrevention #OsteoporosisExercise #BoneDensity #OSCE #IMGAustralia #GeriatricManagement #TaiChiforFallsIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100516👉 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.🎧 ⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! Affecting 70–100% of patients, cancer-related fatigue is a high-yield topic. This episode presents NHMRC Level 1 evidence that exercise—whether aerobic, strength, or both—is the gold standard for reducing fatigue before, during, or after treatment. Learn to prescribe the "active recovery" mix (2–5 sessions/week) and why the old advice to "just rest" leads to harmful deconditioning. We detail how to lead a multidisciplinary team involving exercise physiologists and how to explain that exercise improves sleep and pain without worsening GI symptoms. Master these COSA-recommended strategies to sharpen your skills!#Cancer-RelatedFatigue #ExerciseOncology #OSCEManagement #IMGAustralia #AerobicExercise #ResistanceTraining #COSAGuidelines #ExercisePhysiologistIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100507👉 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.🎧 ⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! This episode differentiates the high-yield management for acute vs. chronic pain. For acute LBP (<6 weeks), the key is staying active (NHMRC Level 1)—advise against bed rest and reassure patients that movement won't cause damage. For chronic LBP (>12 weeks), recommend evidence-based options such as Pilates, Yoga, or Tai Chi, based on patient preference, to improve function. Crucially, master the safety screening: exclude "Red Flags" like Cauda Equina, malignancy, and infection to avoid critical errors. Ace your OSCE with this evidence-based, safe approach!#AMCClinicalExam #LowerBackPain #StayActiveAdvice #ChronicLBPExercise #OSCE #IMGAustralia #PilatesforLBPPro Tip: In the OSCE, the most common trap is forgetting to tell an acute LBP patient to avoid bed rest explicitly. Stating "Staying active is NHMRC Level 1 evidence" immediately signals to the examiner that you are a safe, evidence-based clinician.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100506Also visit:S2E14 - CBT for Chronic Low Back Pain_How It WorksS2E2 - Low Back Pain Triage: How to Counsel Patients to 'Stay Active'👉 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.🎧 ⁠⁠⁠⁠Access the library⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! This episode explores exercise-based rehabilitation, an intervention with NHMRC Level I evidence that has been proven to improve functional capacity, quality of life, and reduce hospitalisations. We break down the "gold standard" prescription: low-impact aerobic modes (walking/cycling), a 3x/week frequency, and using the Borg RPE scale to safely set intensity (starting at 10). Learn to avoid critical safety errors by screening for absolute contraindications like recent MI, worsening dyspnoea, or a resting HR >120 bpm. Master the three-phase session structure to demonstrate safe, evidence-based care.#AMCClinicalExam #HeartFailureExercisePrescription #CardiacRehabilitation #OSCE #IMGAustralia #BorgScale #HeartFailureManagement.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100498👉 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.🎧 ⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! Exercise-based cardiac rehabilitation is supported by NHMRC Level I evidence and is essential for post-MI or CABG recovery. This episode breaks down the perfect OSCE prescription, covering low-impact aerobic modes like walking and the Borg RPE 11-13 intensity. Learn to counsel patients with the "start slow and progress gradually" mantra. Crucially, we detail critical safety errors, such as failing to screen for contraindications like unstable angina or uncontrolled hypertension (BP ≥180/110). Master frequency and progression to deliver safe, evidence-based management plans.#AMCClinicalExam #CardiacRehabilitation #ExercisePrescription #CoronaryHeartDisease #OSCE #IMGAustralia #Post-MIRecovery #BorgScaleIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100491👉 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.🎧 ⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! Symptomatic hand OA affects 20% of people over 55, often causing pain, stiffness, and loss of function. This episode breaks down the NHMRC Level 2 evidence for joint protection strategies—techniques that minimise joint strain to improve pain and functioning. Learn to counsel patients on "spreading the load," avoiding repetitive thumb strain, and using labour-saving gadgets, such as resting a kettle on the sink edge. We cover why referring to an Occupational Therapist (OT) is a high-yield OSCE step. Avoid the critical error of ignoring non-drug management before teaching these life-changing habit changes!#AMCClinicalExam #HandOsteoarthritis #JointProtectionStrategies #OSCE #IMGAustralia #OccupationalTherapyReferral #HandPainReliefPro Tip: In the OSCE, use a "workbook" approach. Suggesting a home program or activity diary demonstrates that you are following the structured self-management model used in successful clinical trials.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100480👉 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.🎧 ⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! Current ASCIA guidelines recommend introducing solids—including cooked egg—to all infants between 4–6 months to achieve a 40% relative risk reduction in allergy development. This episode explores the NHMRC Level II evidence that consumption, not avoidance, is key. We cover the OSCE-essential prerequisites: the infant must be ≥ 4 months and already tolerating other solids like cereals or fruits. Learn the step-by-step introduction—starting with a tiny taste and having oral antihistamines ready. Perfect for IMGs wanting to avoid critical errors with high-risk atopic infants.#AMCClinicalExam #EggAllergyPrevention #EarlyIntroductionofSolids #ASCIAGuidelines #OSCEPaediatrics #IMGAustralia #FoodAllergyRiskManagementPro Tip: In your OSCE, always confirm the child is tolerating other solids before recommending egg. This shows the examiner you prioritise the infant’s developmental readiness and safety.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100474👉 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.🎧 ⁠⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! While electrolyte solutions (ORS) are traditional, NHMRC Level II evidence suggests that dilute apple juice is a superior alternative for children aged 6 months to 5 years with mild dehydration. This episode breaks down why "taste matters"—the better flavour leads to higher intake and fewer IV failures compared to ORS.... Learn the exact 50:50 dilution mix and 5mL dosing protocol to impress examiners. Crucially, we cover critical safety errors: excluding children with moderate-to-severe dehydration (capillary refill >2s), bloody diarrhea, or acute abdomen....#AMCClinicalExam #PediatricGastroenteritis #DiluteAppleJuiceRehydration #MildDehydration #OSCE #IMGAustralia #ORSPro Tip: In your OSCE, explicitly state that you are choosing dilute apple juice to increase oral intake and improve palatability, thereby directly reducing the risk that the child will need hospital-based IV fluids.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100462👉 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.🎧 ⁠⁠⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! Ace the high-yield hypertension station with the DASH (Dietary Approaches to Stop Hypertension) diet. This episode breaks down the NHMRC Level 2 evidence behind this powerhouse "American Mediterranean diet". Learn how to counsel patients on reducing sodium and boosting potassium, calcium, and magnesium to lower blood pressure by up to 6/3 mmHg in just 2–4 weeks. We cover exact serving sizes for fruits, vegetables, and low-fat dairy, plus the crucial 13% CVD risk reduction statistics you need to impress examiners. Master the referral pathway to dietitians to demonstrate safe, multidisciplinary care.#DASHDiet #HypertensionManagement #AMCClinicalExam #OSCE #BloodPressureControl #MediterraneanDietComparison #GPManagement #ChronicDiseaseTriagePro Tip: In the Clinical Exam, use the "6/3 mmHg in 2–4 weeks" statistic. It demonstrates to the examiner that you are familiar with the NHMRC Level 2 evidence and provides the patient with a clear, motivating timeframe for results.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100459👉 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.🎧 ⁠⁠⁠⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! When pain persists, Cognitive Behavioural Therapy (CBT) becomes a high-yield, mind-body intervention. This episode equips IMGs to explain how thoughts, moods, and behaviours interact with pain and how to identify fear-avoidance cycles—such as stopping lifting due to worry. Learn to structure a GP Management Plan to provide Medicare rebates for up to five allied health sessions. Master the evidence: CBT is a safe and effective treatment that typically involves 5–20 sessions, helping patients return to important activities by reframing unhelpful beliefs. #AMCClinicalExam #ChronicLowBackPain #CBTforPain #OSCE #GPManagementPlan #FearAvoidance #IMGAustralia #MindBodyTreatment #MedicareRebatesPro Tip: To ace the Clinical station, don't just "recommend" CBT. Explain why it works by using the "fear-avoidance" example (e.g., stopping lifting) to show the examiner you understand the biopsychosocial model.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100437Also visit: S2E2 - Low Back Pain Triage: How to Counsel Patients to 'Stay Active'👉 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.🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! Obstructive Sleep Apnoea is a high-yield topic linked to daytime sleepiness, impaired cognitive function, and motor vehicle crashes. This episode explores CPAP, the primary treatment for improving quality of life and lowering blood pressure. We break down the GP referral criteria for Medicare-funded sleep studies: an ESS score ≥ 8 plus OSA50 (≥5) or STOP-Bang (≥3). Learn to troubleshoot common side effects like nasal dryness and address the 4-hour adherence threshold. Mention alternatives like mandibular advancement devices to demonstrate a comprehensive, patient-centred plan.#AMCClinicalExam #ObstructiveSleepApnoea #CPAPTherapy #ESSScore #OSCE #IMGAustralia #SleepStudyReferral #MandibularAdvancementDevice #STOP-BangPro Tip: In the OSCE, don't just recommend CPAP. Mention the specific screening scores (ESS/OSA50) required for a referral to show you understand the Australian healthcare system's pathways!If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100436👉 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.🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! Venous leg ulcer (VLU) is the most common skin ulcer, often presenting with varicose veins and brown haemosiderin staining. This episode explores the NHMRC Level 1 evidence supporting multicomponent compression systems, which significantly improve healing compared to single-component versions. We highlight the critical safety check: you must exclude peripheral artery disease before applying therapy to avoid serious complications. Discover why walking is essential for the "calf muscle pump" and how to address the 60-70% non-compliance rate through better patient education and therapeutic relationships.#AMCClinicalExam #VenousLegUlcers #ABPIIndex #CompressionTherapy #MulticomponentBandages #OSCEManagement #ChronicVenousInsufficiency #IMGAustralia #HaemosiderinStainingPro Tip: In your OSCE, don't just mention "bandages." Specifically state you would use a multicomponent system and emphasise that you will check the ABPI first to ensure the patient's safety!If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100419👉 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.🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! This episode explores CBT-i, a Level 1 evidence-based treatment for chronic insomnia, as recommended by the NHMRC. We break down the five essential components every IMG must know: Cognitive Therapy, Stimulus Control, Sleep Restriction, Sleep Hygiene, and Relaxation. Learn why CBT-i is as effective as hypnotics but offers better long-term results without the risk of tolerance. We explain how to teach patients to leave the bedroom if they have been awake for 20 minutes and recommend digital tools like CBT-I Coach. #AMCClinicalExam #CBTforInsomnia #ChronicInsomniaTreatment #OSCEMentalHealth #StimulusControl #SleepRestriction #IMGAustraliaPro Tip: In the Clinical Exam, clearly naming the components like "Stimulus Control" and explaining the "15-20 minute rule" demonstrates the high-level clinical knowledge examiners are looking for!If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100418👉 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.🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

Welcome to Season 2 of AMC Clinical Deep Dive! Kidney stones are common, especially in men aged 40–60, and have high recurrence rates. This episode reveals the NHMRC Level 1 evidence for citrate salts, which can prevent approximately three-quarters of new stones from forming. We discuss the practicalities of potassium citrate dosing and the popular "real lemonade" alternative (30mL lemon juice/190mL water). Most importantly, we cover the critical safety domain: screening for contraindications like kidney impairment (GFR <45), active UTIs, or pregnancy to avoid exam-failing errors.#AMCClinicalExam #KidneyStonePrevention #CitrateSalts #PotassiumCitrate #OSCE #IMGAustralia #RealLemonadeRemedy #HypocitraturiaPro Tip: To make this information "viral" among your study groups, remember that citrate salts are the "secret weapon" for stone-formers, offering a non-surgical way to stop 75% of new stones!If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100384👉 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.🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Access the library⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.