Congratulations on entering your final year at Imperial College School of Medicine! Endeavouring to “help” the final years is a daunting and highly questionable task, but as out of my depth as I feel writing anything on this web page, I hope you’ll find this site useful in terms of information and resources too.
Year 6 is supposed to be an exciting year on the wards and in the lecture theatre where students have a chance to really direct their own learning to achieve everything they want to in their exams and in the very near future as doctors. Like Year 5, there are set clinical attachments that all students will rotate on, and students in general have always felt that the firms are well structured with clear learning outcomes, even though at times the firms certainly seem very short!
Please never hesitate to get in touch with me at firstname.lastname@example.org if you have any questions, feedback or suggestions, I am always happy to be contacted. Having said that, I would also strongly recommend the fantastic team of Year Reps you’ve elected this year as your first port of call. See the ‘Representation’ tab for more details.
I wish you all the very best for the year, your exams, an enjoyable elective, and a bright future.
ICSMSU Academic Officer Clinical Years
Final Year begins with the Integrated Course in Medicine, Surgery and CPT during the summer after Year 5. This is revision of clinical subjects covered in previous years (medicine, surgery, clinical pharmacology and therapeutics) so that you can take it forward in practice as a pre-registration doctor.
Between the beginning of August and the end of February, all students attend a total of 7 clinical rotations at Imperial College’s clinical sites:
– Emergency Medicine
– Senior Medicine
– Senior Surgery
– Specialty Choice Module
During the rotations, students also have a two-week ‘e-Learning’ study period, and everyone attends a Medicine and Surgery PACES course after the Christmas vacation in January.
Formal teaching ends in late February and Finals Examinations take place around mid-March. From April to June, all final year students have an Elective period, and the Transition to F1 course takes place over two weeks at the end of June and beginning of July.
Examinations have shifted to an earlier time of March so that all final year students have the opportunity (should they need it) to re-sit exams and start working the same year they graduate. Please do confirm all your exact dates and times of examinations on the Year 6 intranet page https://education.med.imperial.ac.uk/.
There are three written papers in Year 6:
1) Single Best Answers (SBAs) – 3 hours to answer 150 questions. Roughly 40% of the content is medicine (including GP and Public Health), 30% is surgery and 30% is CPT.
2) Extended Matching Questions (EMQs) – 3 hours to answer 200 questions. Again, roughly 40% of the content is medicine (including GP and Public Health), 30% is surgery and 30% is CPT.
3) Practical Prescribing – 1½ hours to answer to answer Short Answer Questions, including prescribing for clinical scenarios, commenting on existing prescriptions, and calculations. A copy of the BNF and a calculator are provided.
There are also the practical exams you’ll be familiar with – PACES:
– History Taking
– Nervous system
– Short Cases (Could include: Skin, Eyes, Rheumatology and Endocrinology)
– History Taking
– Short Cases – which may be bed cases or sitting cases
History Taking Stations (22 minutes):
About 14 minutes will be given to take a focused history in front of the examiners. At approximately 15 minutes the examiners will ask you to present a summary of the case. You will then be asked questions relating to the case which may include management.
System Stations (10 minutes):
You will required to examine the patient and the Examiner will ask you questions. You’ll be guided by the Examiner.
For each station, examiners use grade descriptors to judge your performance in the 4 domains:
– Clinical skills
– Formulation of clinical issues
– Discussion of management
– Professionalism and patient centred approach
Year 6 Reps
The Year 6 Reps
Your year reps are your first port of call. They were elected by the year group to represent students in matters relating to all aspects of education. Together with Saniya (your Academic Officer), they voice the needs and opinions of final year students to Student Staff Liaison Groups and Education Sub Committees to see that real positive changes are made for now and the future.
They are always contactable at the email address above, and furthermore they are always approachable and would be glad to have a chat with you about anything you’d like to talk about. Don’t let your voice go unheard, if there is ever anything you need or want to ask about, talk to your year reps!
For full agendas and minutes of SSLG meetings, please visit the “Staff-student liaison group” link on the Year 6 intranet page.
As with all clinical years, the hospital is truly the best learning resource you have in Year 6. Seeing cases and professionals in action is the best way to achieve most of your learning objectives, but in addition to this and the various books you might be reading there are a couple more resources you can use to complement your time on your clinical attachments…
Student Notes – Year 6 Notebank
The ICSMSU Notebank has been updated with student made notes for Year 6! Go to the ‘Education’ tab at the top of this page and click on ‘Notebank’ to access the notes. You know what the password is…
It should be noted that all the resources in the Notebank are student-made and so may contain errors and discrepancies from textbooks and lecture materials. The Faculty certainly does not endorse the notes and so you are advised to follow Imperial College course materials and published texts if in doubt!
The Intranet Year 6 Page and the ICSM Clinical Skills Page
There are various online resources on the intranet for general medicine and surgery provided by the School of Medicine. There are lots of materials for learning and revision applicable to all clinical years, such as run-throughs of examinations, surgical short cases and practice for interpreting investigation results.