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Wednesday, March 16, 2011

usmle preparation: mrcpgp question

usmle preparation: mrcpgp question: "1. The following milk feeds are lactose free: True / FalseA. Formula SB. WysoyC. PregestemilD. SMA gold capE. Cow and Gate p..."

Tuesday, March 1, 2011

USMLE Medical Books Free: Training Videos for USMLE-Ste-1 Usmle-Step-2 USMLE...

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Postgraduate diploma in aesthetic surgery

Authors: Abhilash Jain, Adel Fattah

Publication date: 08 Jul 2009

Who is it for?
Aesthetic surgery forms an important part of the curriculum for training in plastic surgery; however, exposure to patients with cosmetic problems is limited in the NHS. Traditionally, training in cosmetic surgery has been obtained by doing fellowships near the end of training, which commonly last for three months. The Royal College of Surgeons has also started specialised courses in aesthetic surgery, including cadaveric dissection. To deal with the problem of limited training in aesthetic surgery the University of London has established a diploma course in aesthetic surgery to provide a core curriculum for surgeons. It targets established surgeons and surgical or medical trainees and leads to a postgraduate degree from the University of London—PGDipAesSurg. Qualification requirements for the course are MB BS and part 2 membership of the Royal College of Surgeons (MRCS) or equivalent.

How is the course structured?
The course is a two year, part time, web based distance learning programme starting in October. It consists of structured distance e-learning, DVD or theatre based clinical teaching, and a 10 000 word dissertation. The course is divided into four modules a year and covers basic science, anatomy, consent, anaesthesia, ethics, patient assessment, as well as surgical technique. Material for the course is provided as online text, clinical papers, self assessment exercises, a discussion forum, and DVDs.

Online text—Each week a core text based around the aims and principles of that section is supplied as a PDF. The e-learning format can be accessed at work or at home. With plans afoot to provide the medical curriculum in this manner, this format is here to stay.

Clinical papers—Each weekly section is accompanied by a number of papers related to the topic.

Self assessment exercises—These exercises are essay based in the first module and constitute a heavy workload. For the remaining modules, self assessment switches to online multiple choice questions, which can be completed in about 30 minutes. The time required is about one to two hours of study a week.

Discussion forum—The online discussion forum can be useful but seemed to be under used by candidates.

DVDs—The DVDs covering products and techniques were of variable quality. Some were recorded lectures by staff and some were essentially promotional material, but many were useful.

Hands-on clinical training—which includes video links to theatre and live discussion with consultants—is provided for up to four days. Candidates are also expected to gain experience by attending surgical centres locally. Ideally, the course would be supplemented by a dedicated cosmetic surgery fellowship, a few of which are advertised around the country. Essentially these are fellowships based in private hospitals in which you are able to assist established consultants doing private procedures. Exposure to cosmetic cases that are not undertaken on the NHS can be useful in consolidating knowledge, and consultants are generally eager to teach. The main disadvantage of these fellowships is that the salary can be low or non-existent.

How much did it cost?
The course costs £3000 a year for students from the United Kingdom and £6000 a year for overseas candidates.

How much effort does it entail?
The workload after the first module is reasonable and could be completed in an evening after work each week. Nearer the examination, revision and preparation of the dissertation leads to an increased workload, but deadlines are flexible.

How are candidates assessed?
Assessment is in the form of weekly assignments, 80% of which must be completed. All clinical teaching days must be attended, and study leave can be granted for these. A 10 000 word dissertation must be submitted and can be a literature review or based on case reports of patients undergoing aesthetic surgery. Finally, an examination must be passed at the end of the course, which comprises two 30 minute oral vivas taken by two examiners. The oral examination is to the standard expected of the FRCS(Plast), and this can be an advantage when doing the exit exam.

Top tips
The diploma provides exit exam practice and results in a formal qualification that can be used as part of your portfolio for revalidation. This qualification will help formalise cosmetic training, especially with impending regulation of the aesthetic sector by the Department of Health.

The course came with online access to the university journals from home, which is helpful.

Participating in this course needs to be supported by practical experience in the aesthetic sector, which is where a formal aesthetic fellowship is important. In the future, the aim is to integrate the diploma into a network of fellowships across the country, ultimately including centres in which the trainee operates under the supervision of a consultant.

Further information
The diploma is organised by the Centre for Cutaneous Research based at Bart’s and the London School of Medicine and Dentistry. Further details can be obtained from the course administrator, Ms Sam Matthew ( s.matthew@qmul.ac.uk) and from the university website (www.icms.qmul.ac.uk/courses/aesthetic%20surgery/index.html).

Competing interests: None declared.

Abhilash Jain cosmetic surgery fellow Wellington Hospital, London NW8 9LE
Adel Fattah specialist registrar in plastic surgery St Thomas’ Hospital, London SE1 7EH

A Jain Ajainuk@aol.com