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seamus

La Nua Day Hospital, Galway

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GALWAY!

Any information gratefuly received.

The up-side of all this is that travel arrangement vagaries are stranding me in Galway for 36 hours after the exams...so win, lose or draw there's a large volume of guinness with my name on it. :D

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See you at the bar, Seamus! I've always wanted to go to Ireland- just not under these conditions!

Please- any info about La Nua gratefully received.

I don't think they could have sent me any further away!!!!

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not sure how to cross post or put the link...anyways, i replied about ireland in general under the addenbrookes hospital, cambridge thread

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not sure how to cross post or put the link...anyways, [highlight]i replied about ireland in general under the addenbrookes hospital, cambridge [/highlight]thread

:lol: :lol: :lol: Any particular reason for that, CNY? Thanks anyway. :)

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I've pasted Cny's bit from the Addenbrooke's thread...

don't panic...and that is a general rule to anyone going anywhere in Ireland for clinics...there really aren't any/many specialist centers so patients will be bog-standard stuff

the accents may be your biggest problem...so in your introduction to your patient, explain this is a BIG IMPORTANT exam for you and that you may have to ask them questions again to make sure you get the right info and perhaps have to slow them down so you can get everything down...do a lot of summarising in your history taking

drug, treatments are all pretty much the same...only main difference I can really think of is that patients may not be that clued in about their admission status...you are either usually there voluntarily or not

ALCOHOL is a big problem and way of life...so they may say they have no problem with drink but do ask for more detail

Galway is a lovely place...try and make a weekend out of it if your clinic is on friday...good seafood

the only other thing is try and stay close to the center...traffic is ireland is generally pretty bad

good luck...the luck of the Irish will be with you

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good practice for the exam...making you guys work for it...no, that's where the question was first asked so that's where it got answered

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I've been trying to find it on t'internet, and it seems to be in the building with the public library??? :-?

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just please note patients in Ireland may use the term TEMPORARY as to mean INVOLUNTARY going by the term used in the old MHA(new term is involuntary) but using the old term is pretty common by veteran patients.asking about forensic Hx they call police there GARDA,but of course pt will understand(police).

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This is a good centre to give clinicals , i'll post more info abt this place by this evening.

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Thanks ABDO and Uwnwa- any info that lessens the anxiety is good!!! Are there any hideous specialist units we should know about? I gather the local prof is into imaging :'( :'( :'(

I'm considering watching back to back Father Ted episodes as exam prep ;)

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La Nua Day Hospital, Galway .

As the name suggests this is a day hospital. The staff are very supportive to candidates and they make them feel comfortable . It is very unlikely to get acute cases ie patients in disturbed mental state.As far as i'm aware , candidates have not had any problems with patients in this centre.You can get eating disorder patients.

Some people can have difficulty in understanding the Irish accent.In the begining of the interview , explain to the patient that you are being examined and they will be very cooperative.

Usually examiners are not from the same hospital or region.

GENERAL TIPS TO IPA:

1.Exam practice and structured presentation is the key to pass clinicals.

2.Present as many cases as possiable .Present cases to consultants and Spr's who can give constructive feedback rather than appriciation.

3.Try to finish the history and physical exam in 40 mins.10 mins for formulation .This gives you another 10 mins to clarify with patient. With good exam practice this is possiable.

4.While you are writing the case formulation , tell the patient to think of anything which you should know Re his/her health.Encourage questions from patient,this can be helpful if you are not sure of diagnosis.Ask the patient if he or she would liked to be called by a particular name ...improves the rapport,makes your life easy.

5.Always take a detailed alcohol history [this is a must in Ireland]and quantify the alcohol consumption ie the quantity of particular drink, percentage of Alc and the Units per day or week.

6.Never forget to calculate BMI in eating disorder cases.

7.Physical examination is a must ,never cook up any findings .

8.Do not argue with the patient.

9.Before getting the patient for the observed interview , make sure that both the chairs are facing the examiners.Introduce your patient to the examiners.

10.Ask yourself this q.'Why is this pt presenting with these symptoms ,at this particular time?'if you start your presentation with the answer to the above q ...the presentation looks really neat.

11.Dont be put off ,if you get a difficult patient.Use this to your advantage.Examiners tend to be helpful in these situations.During your presentation ,make it very clear to the examiner that pt was not very good historian.Never complain abt the pt to the examiners.ITS BETTER TO HAVE A DIFFICULT PATIENT AND 2 ,GOOD EXAMINERS RATHER THAN THE OTHER WAY ROUND!!!

12.Give DD'S based on ICD10 .

Travel arrangements to Galway:

1.Shannon is the nearest airport to Galway.

2.There bus service every hour from Shannon to Galway, you can book online.

3.Corrib hotel is closeby to this centre, its an excellent hotel but a bit expensive...still worth it.

4.There is a B&B right next to Corrib hotel , this is a nice place to stay as well.

MOYTURA,BALLYBANE ROAD GALWAY, TEL 091 757755,Email:moyturarc@eircom.net

Its 5 min drive or 15 min by walk to La Nua from this place.

5.Galway city centre is quite far from La Nua .

IMPORTANT:

Make sure you spend a couple of days in Galway,its a fantastic place to relax.There are excellent pubs in the city centre.The Quays is a famous pub in the city centre.

All the best for your preparation and exam .Have fun!! :)

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Thank you Cny, ABDO and uwnwa (who I suspect of having part ownership of a B&B near a certain Irish day hospital). All of your comments help, as Ros says, to reduce the anxiety level and with this exam in particular seemingly a test of nerve as much as anything else i am very grateful to you.

At this stage in our careers we can all assess a patient, manage problems etc. This exam tests our ability to do those things with a warm consultanty glow so stock up on the readybrek and valium and good luck to us all.

Regards

seamus

ps go on, pass your part 2, go on, go on, go on, go on, go on, go on, go on, go on....GO ON

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This exam tests our ability to do this with a warm consultanty glow [highlight]so stock up on the readybrek and valium[/highlight] and good luck to us all.

Regards

seamus

ps go on, pass your part 2, go on, go on, go on, go on, go on, go on, go on, go on....GO ON

:lol: :lol: :lol: :lol: :lol:

Indeed-Good luck to all!

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Hey Seamus,

I would'nt mind owning a B&B mate...Just let me know if there is one for sale!!!!

All the best for the exams

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Just like to say a big thank you to all the organisers in Galway (I don't know if any use the cafe), for their huge efforts in putting us all at ease! The friendliness and informality was much appreciated. Sorry none of us Thursday lot could face all the lovely carbohydrates laid on- I was seriously worried I would choke on danish pastry, my mouth was so dry!

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