LMCC Part I
March 22, 2010
Christopher Kirby
PGY1 – Family Medicine
(Montfort)
Basic Information
Morning component: 3½ hrs
– 196 multiple choice questions
7 sections x 28 questions, submitted immediately
following completion
5 options/questions – only 1 correct answer
May include results from diagnostic test (e.g.
ECGs, X-rays, photos, etc.)
No deduction for wrong answers, so GUESS!
Basic Information
Afternoon component: 4 hrs
– Clinical decision-making (CDM)
Short-menu and short-answer case-based
questions
About 60 cases; 1-4 questions per case
15-20 non-validated “test cases” – do not count
May need to ask for more info, order diagnostics,
make diagnoses, or prescribe therapy
Be specific with diagnoses, doses, etc.
READ carefully!
– Not following instructions will result in a score of ‘0’
Components
Pediatrics
Obs/Gyne
Psychiatry
Internal Medicine
Surgery
Cultural-Communication, Ethical, Legal,
and Organizational medicine (C2LEO)
Basic epidemiology (PPV, NPV, RR, OR)
Studying Tips
Study the way you always study
Budget your time
Take breaks
Focus on “Sure Things”
– Pediatrics
– Psychiatry
– Obs/Gyn
– Legislation, ethics, epidemiology
Focus on things you haven’t done much of
during electives.
Study Tips
Internal medicine, surgery: common
illnesses, things emphasized over med
school (e.g., pathology in IBD, DKA, ddx of
red, painful joint), basics every physician
should know (treatment of AOM, approach
to lytes, acid-base, acute abdo pain, etc.)
Do lots of sample tests!! (USMLE, LMCC)
Find .torrents, share with colleagues
Exam Tips
Read carefully
Guess where you can
Move on
Watch your time
Sleep well – especially the night before
Take questions as they are – not tricks
Don’t overanalyze adaptive questionning
On the 2009 exam…
Pediatric febrile illnesses
Dysfunctional uterine bleeding
Abdo pain / GI
Psych meds S/E
Hypertensive disorders of pregnancy
Ethics (consent, competence)
Disclaimer: I’ve successfully repressed
most memory of the exam.
Resources
Medical Council of Canada
– http://www.mcc.ca/en/exams/ee/MCCEE/inde
x.htm
– http://mcc.ca/en/video/qei-cdm/qei-democdm.htm
GOOD LUCK!!!!!!
We look forward to working
with you as residents in the
year to come