Authors: Nicholas J. Talley,Simon O’connor
Tags: #Medical, #Internal Medicine, #Diagnosis
A guide to physician training
Nicholas J. Talley, MB BS (Hons), MMedSc (Clin Epi) (Newc), MD (NSW), PhD (Syd), FRACP, FAFPHM, FRCP (Lond), FRCP (Edin), FACP
Deputy Vice-Chancellor Research (Acting); Pro Vice-Chancellor and Dean (Health and Medicine), and Professor, University of Newcastle, Callaghan, NSW, Australia
Senior Staff Specialist, John Hunter Hospital, Newcastle, Australia
Simon O’Connor, FRACP, DDU, FCSANZ
Cardiologist, The Canberra Hospital; Clinical Senior Lecturer, Australian National, University Medical School, Canberra, ACT, Australia
Table of Contents
Churchill Livingstone is an imprint of Elsevier
Elsevier Australia. ACN 001 002 357 (a division of Reed International Books Australia Pty Ltd)
Tower 1, 475 Victoria Avenue, Chatswood, NSW 2067
This edition © 2014 Elsevier Australia.
6th edn 2010; 5th edn 2006; 4th edn 2001; 3rd edn 1996; 2nd edn 1991; 1st edn 1986
This publication is copyright. Except as expressly provided in the Copyright Act 1968 and the Copyright Amendment (Digital Agenda) Act 2000, no part of this publication may be reproduced, stored in any retrieval system or transmitted by any means (including electronic, mechanical, microcopying, photocopying, recording or otherwise) without prior written permission from the publisher.
Every attempt has been made to trace and acknowledge copyright, but in some cases this may not have been possible. The publisher apologises for any accidental infringement and would welcome any information to redress the situation.
This publication has been carefully reviewed and checked to ensure that the content is as accurate and current as possible at time of publication. We would recommend, however, that the reader verify any procedures, treatments, drug dosages or legal content described in this book. Neither the author, the contributors, nor the publisher assume any liability for injury and/or damage to persons or property arising from any error in or omission from this publication.
National Library of Australia Cataloguing-in-Publication Data
Talley, Nicholas Joseph, author.
Examination medicine : a guide to physician training / Nicholas J. Talley, Simon O’Connor.
Medical history taking.
O’Connor, Simon, author.
Content Strategist: Larissa Norrie
Senior Content Development Specialist: Neli Bryant
Senior Project Manager: Natalie Hamad
Edited by Margaret Trudgeon
Proofread by Forsyth Publishing Services
Picture research and permissions by Jonas Creative
Cover and internal design by Stan Lamond
Index by Robert Swanson
Typeset by Midland Typesetters
Printed by China Translation & Printing Services Ltd
The business of becoming a specialist physician requires many years of intensive training, but beyond that there is, in Australia and New Zealand, a major hurdle – the examination set by the Royal Australasian College of Physicians. This hurdle is encountered at the end of basic training, and must be passed before the trainee can begin advanced training.
The College of Physicians exam was undoubtedly the most stressful event that many of us practising physicians had experienced to that point in our lives. Those of us who sat the exam in the years before 1986 (in my case, 1964), when the first edition of
appeared, had no authoritative guidance about how best to approach this ordeal. And an ordeal it certainly was. We can still vividly remember details of the written exam and of our long and short cases. We remember well which examiners were terrifying and which were of a gentler disposition.
immediately found its niche. It was unapologetically written to help those about to sit the College exam. It was not a textbook of internal medicine, systematically trawling through every known disease of every system. Rather, the knowledge it imparted was particularly directed towards helping the examinee give their best possible performance in the clinical exam, where clinical skills were to be tested, in addition to medical knowledge. One chapter was devoted to requirements for basic training and one to a discussion of the written exam, but the remainder of the book was focused on the approach to the clinical examination, with many examples of the long and short cases likely to be encountered.