Scenario
A 5 yo boy has been allocated a triage category 4 after falling from playground equipment on a busy Saturday afternoon. He presents with his mother. After a 1-hour wait he is wheeled into ED treatment area crying.
Question 1
Outline the key features of your history and examination
Question 2
These are his x-rays. (AP + lateral views).
Describe and interpret these films.
Question 3
There is no Orthopaedic service at your hospital and the nearest is 3 hours away. The boy’s skin around the fracture site appears white.
Outline your management now.
Question 4
What issues would you highlight in a departmental review of this case?
Examiners Report
- Overall pass rate for this question was 33/43 (76.7%)
- Examiners found this SCE to be discriminatory among candidates, despite the relatively basic nature of its topic.
- Candidates rated poorly if they failed to adequately describe the x-ray prop and/or appropriately manage the patient.
ACEM Fellowship Structured Clinical Examination (SCE)
About Mike Cadogan
