Page 1 of 2: Truth about NZREX candidates

TWINKLE · Credits: 295 My Scrapbook

From my observation , few people are willing to help others know and pass this exam. If this continues , we will have fewer forum posts than any other exam.
My point if you have any infor give without reservation even if you failed!!
For the PLAB exam we had people post stations soon after exam and we all benefited. So guys stop being selfish and help. Remember someone helped you to be where you're. No one is an island.
After the rant, am prep for March 08 exam. Serious candidates contact me.
Am in welington.
My email is

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satty · Credits: 436 My Scrapbook

I am in Wellington too,please send me a text 0210670012.

alam2033 · Credits: 1906 My Scrapbook

Well put.Isnt the next NZREX on April 8th,2008? I am starting a clinical attachment sometime in Jan 2008 in NZ. I have been given a list of books by the hospital to help prepare for the exam. I do have preparatory materials that I am ready to share as long as we can help each other. There is more than enough time to prepare but individual inputs are necessary as well. I am not in NZ at the moment and every single doc from Pak or India(who I have contacted) working in NZ have not been of any help.,apart from being discouraging. I am working as a rural gp and preparing for the NZREX too. I have preparatory DVDs and clinical clips as well as notes relevant to the exam. My email add is in my profile ,lets stop depending on others and start moving our rear hides

haitham · Credits: 944 My Scrapbook

hi alam

u said u r working as a rural gp before nzrexclincal.how did u get this job?

wat is the situation for otds in newzealand right now?

alam2033 · Credits: 1906 My Scrapbook

Not In NZ at the moment. and i dont think you can get a job unless you have 36 months of accredited western experience.

alam2033 · Credits: 1906 My Scrapbook

Things you need to bear in mind through out your encounter with the patient: (A quick glance)
• Always knock the door before entering the room.
• Once you enter the room first introduce yourself by name and greet the patient warmly.
• Always use the patients name to address him/her.
• Maintain good eye contact. This demonstrates your self-confidence and creates a sense of trust and credibility. For example during abdominal palpation, observe the patient’s face for any signs of pain or discomfort. During most of the encounter, you should maintain eye contact.
• Before you ask any specific question always ask few open-ended questions. This is the best way to elicit history from the patient. You may ask 3-4 open-ended questions on the whole for each case. You can start off with your case like this: “ What caused you to come in today" “ Could you please tell me more about what's going on.” And so on.
• Ask non leading questions.
• Ask only one question at a time. Donot ask too many questions at a time. Ask a question, pause and wait for the answer then proceed to the next one. Example: “ Does anyone in the family have high blood pressure…(pause and wait for the answer). …diabetes…(pause and wait for the answer).
• Always pay attention and listen to patient patiently with out interrupting them in between.
• Try to acknowledge their emotions.
• Use layman’s language. Try not to use medical terms like hypertension for high blood pressure.
• Use appropriate transition sentences.
• Wash your hands before starting physical examination.
• Tell the patient what you are going to do (one at a time).
• Do not examine through the gown.
• Take patient permission before untying the gown. Help him/her undo the buttons..
• Use appropriate draping techniques. The rule of thumb is: "As little of the body should be exposed as necessary for a set of maneuvers to be performed. For instance, to auscultate the heart or lungs, you should NOT raise the gown up from the waist, exposing the entire torso. Rather, she/he should lower the gown from the top, exposing only the upper chest and shoulders".
• Offer help to patient during examination. (On and off the table).
• Never repeat painful maneuvers and always apologize immediately for the slightest pain caused.
• Summarize the history and explain physical findings.
• Express empathy; make appropriate reassurances (do not give false reassurance). You can convey empathy in a number of ways, including attending to the patient's physical comfort. You should extend the leg rest when the patient lies back and push it back in when the S.P sits back up. If the patient is in pain, ask if there is anything you can do to help to feel more comfortable.
• Ask whether he/she has any concerns/ questions (Do you any questions or concerns?). This is the most important thing that you should never forget to ask.

alam2033 · Credits: 1906 My Scrapbook

Things you need to bear in mind through out your encounter with the patient: (A quick glance)
• Always knock the door before entering the room.
• Once you enter the room first introduce yourself by name and greet the patient warmly.
• Always use the patients name to address him/her.
• Maintain good eye contact. This demonstrates your self-confidence and creates a sense of trust and credibility. For example during abdominal palpation, observe the patient’s face for any signs of pain or discomfort. During most of the encounter, you should maintain eye contact.
• Before you ask any specific question always ask few open-ended questions. This is the best way to elicit history from the patient. You may ask 3-4 open-ended questions on the whole for each case. You can start off with your case like this: “ What caused you to come in today" “ Could you please tell me more about what's going on.” And so on.
• Ask non leading questions.
• Ask only one question at a time. Donot ask too many questions at a time. Ask a question, pause and wait for the answer then proceed to the next one. Example: “ Does anyone in the family have high blood pressure…(pause and wait for the answer). …diabetes…(pause and wait for the answer).
• Always pay attention and listen to patient patiently with out interrupting them in between.
• Try to acknowledge their emotions.
• Use layman’s language. Try not to use medical terms like hypertension for high blood pressure.
• Use appropriate transition sentences.
• Wash your hands before starting physical examination.
• Tell the patient what you are going to do (one at a time).
• Do not examine through the gown.
• Take patient permission before untying the gown. Help him/her undo the buttons..
• Use appropriate draping techniques. The rule of thumb is: "As little of the body should be exposed as necessary for a set of maneuvers to be performed. For instance, to auscultate the heart or lungs, you should NOT raise the gown up from the waist, exposing the entire torso. Rather, she/he should lower the gown from the top, exposing only the upper chest and shoulders".
• Offer help to patient during examination. (On and off the table).
• Never repeat painful maneuvers and always apologize immediately for the slightest pain caused.
• Summarize the history and explain physical findings.
• Express empathy; make appropriate reassurances (do not give false reassurance). You can convey empathy in a number of ways, including attending to the patient's physical comfort. You should extend the leg rest when the patient lies back and push it back in when the S.P sits back up. If the patient is in pain, ask if there is anything you can do to help to feel more comfortable.
• Ask whether he/she has any concerns/ questions (Do you any questions or concerns?). This is the most important thing that you should never forget to ask.

wtmedical · Credits: 160 My Scrapbook

Thank you so much for sharing

elissa · Credits: 579 My Scrapbook

hi haitham could you please tell me where are you from and r u in nz now

adsy22 · Credits: 2116 My Scrapbook

thanks a lot for that information.. is there any disadvantage in writing nzrex after writing PLAB , not USMLE ?? pls help.....

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