AMC Clinical Deep Dive

Medistanding
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This platform serves as an independent educational initiative. All content is synthesised from various academic sources and is not a direct reproduction of any official material. It is NOT affiliated with, endorsed by, or sponsored by the AMC or any official body. All trademarks or original content belong to their respective owners. We provide personal learning insights and clinical interpretations to support IMGs in developing their clinical reasoning skills. It may contain errors and does NOT constitute medical advice. For further exploration, please visit the official website.

  1. 13 Jul

    S2E52 - Prescribing Walking Cane for Knee Osteoarthritis

    Welcome to Season 2 of AMC Clinical Deep Dive! This episode focuses on the walking cane for knee osteoarthritis (OA). Drawing on NHMRC Level 2 evidence, it explains how daily cane use significantly reduces knee load and improves function. Learn the essential "3-Point Check" for the OSCE: measuring the cane to the distal wrist fold for optimal elbow flexion, ensuring it's used on the contralateral side, and teaching the patient to plant the cane tip simultaneously with the symptomatic foot. It also covers critical safety contraindications, such as bilateral disease and upper limb pain. Pass your exam with evidence-based precision! #AMCClinicalExam #WalkingCane #KneeOsteoarthritis #IMGAustralia #ContralateralWalkingAid #MobilityTraining Pro Tip: In your OSCE, examiners look for specific technical precision. Don't just give the patient a cane; demonstrate the height adjustment (with the patient in low-heeled shoes) and explicitly correct the patient if they try to use it on the same side as the injury. Mentioning that patients often place weight through the cane too late in the stance phase—and correcting this—demonstrates the "expert" level clinical reasoning that secures a pass. Always offer the Arthritis Australia resource to complete your management plan! Also, listen to the osteoarthritis-related episodes: S2E37 - Patellar Taping for Knee Osteoarthritis Management S2E24 - Prescribing Safe Exercise for Knee Osteoarthritis S2E4 - Aquatic Exercise for Osteoarthritis Screening and Evidence 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

  2. 6 Jul

    S2E51 - Pulmonary Rehabilitation: "Move it or Lose it"

    Welcome to Season 2 of AMC Clinical Deep Dive! As an NHMRC Level 1 intervention for COPD, this non-drug strategy is an examiner favourite for assessing clinical reasoning. We break down the "Cycle of Inactivity," explaining how structured exercise—including walking and stationary cycling—actually reduces breathlessness, hospital admissions, and mortality. Learn to explain the 6–8 week program to your OSCE "patient," covering essential education from inhaler technique to the golden rule: "If you don’t move it, you lose it!". Master the referral criteria and patient-centred communication needed to pass today! # AMCClinicalExam #PulmonaryRehabilitation # COPDManagement #IMGAustralia #Non-drugInterventions Pro Tip: In your OSCE, emphasise that for patients recovering from an acute exacerbation, rehabilitation must commence within three weeks of starting treatment to be most effective. Explicitly mentioning "telerehabilitation" as an option for home-based support demonstrates your awareness of modern Australian healthcare delivery and safety-netting. Don't forget to mention that programs include assessment at both the start and end to measure real improvement—this shows the examiner you understand structured, evidence-based care. Also, listen to the related episodes: S1E150 - Postoperative Fever in a 45-Year-Old Woman 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

  3. 29 Jun

    S2E50 - Physiotherapy for Tennis Elbow

    Welcome to Season 2 of AMC Clinical Deep Dive! Affecting 1–3% of the population, this is a high-yield OSCE scenario where understanding the degenerative pathology—microtrauma rather than acute inflammation—is key. This episode explores NHMRC Level 1 evidence supporting physiotherapy over corticosteroid injections for superior long-term outcomes. Learn essential OSCE steps: explaining the "2/10 pain rule" for wrist extensor loading, advising against "palm-down" lifting, and structuring a 6–8 week supervised exercise plan. We cover how to transition from isometric to progressive resistance using rubber bands. Deliver a safe, evidence-based management plan that satisfies Australian standards today! #AMCClinicalExam #TennisElbow #OSCE #LateralEpicondylalgia #Physiotherapy #IMGAustralia #WristExtensorExercises Pro Tip: In your OSCE, specifically mention that while corticosteroid injections offer short-term relief, they are associated with worse long-term outcomes and higher recurrence compared to physiotherapy. Explicitly advising the patient not to lift objects in a "palm-down" (pronated) position and to maintain activity rather than immobilising the limb demonstrates the high-level safety awareness and practical clinical reasoning examiners look for in a passing candidate. Don't forget to offer the RACGP patient information sheet to finalise a high-scoring psycho-education plan! Also, listen to the related episodes: ⁠S2E36 - Digital Therapy Matery_iCBT for Depression⁠ ⁠S2E26 - Exercise Prescriptions for Mild to Moderate Depression⁠ ⁠S2E5 - Behavioural Sleep Interventions for Infants 6-12 Months⁠ ⁠S1E109 - Postnatal Depression and Exhaustion⁠ 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

  4. 22 Jun

    S2E49 - Non Drug Interventions for Postnatal Depression

    Welcome to Season 2 of AMC Clinical Deep Dive! Affecting 13% of mothers, Postnatal Depression (PND) is a high-yield OSCE scenario requiring empathy and evidence-based management. This episode explores NHMRC Level 1 psychological interventions like CBT and Interpersonal Therapy (IPT), proven to improve mood and mother-child bonding. Learn essential OSCE steps: using the EPDS (score >12) for screening, addressing "perfect mother" anxiety, and involving partners to screen for paternal depression. We cover critical safety checks for intimate partner abuse and the efficacy of group therapy. Deliver a safe, professional, and patient-centred plan today! #AMCClinicalExam #PostnatalDepression #PND #EPDSScale #IMGAustralia #InterpersonalTherapy #IPT #CBT #MaternalMentalHealth Pro Tip: In your OSCE, remember that group delivery of therapy is just as effective as one-on-one. Explicitly mentioning that you will screen the partner for depression and check for intimate partner abuse demonstrates the high-level safety awareness and holistic clinical reasoning that examiners are looking for. Don't forget to offer the patient reputable websites like Beyond Blue as part of a high-scoring psycho-education plan! Also, listen to the related episodes: S2E36 - Digital Therapy Matery_iCBT for Depression S2E26 - Exercise Prescriptions for Mild to Moderate Depression S2E5 - Behavioural Sleep Interventions for Infants 6-12 Months S1E109 - Postnatal Depression and Exhaustion 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

  5. 15 Jun

    S2E48 - Probiotics Mastery: AAD Prevention, Eczema Protection, and the Sepsis Safety Rule

    Welcome to Season 2 of AMC Clinical Deep Dive! Probiotics are a high-yield OSCE topic, from preventing antibiotic-associated diarrhoea (AAD) to reducing infant eczema risk by 80%. This episode explores NHMRC Level 1 evidence for Lactobacillus rhamnosus GG and Saccharomyces boulardii. We break down the optimal dose (5–40 billion CFU/day) and the critical safety red flag: always avoid probiotics in immunocompromised or critically ill patients due to sepsis risks. Master strain-specific prescribing and the "sprinkle" technique for infants to deliver the evidence-based management plan examiners demand! #AMCClinicalExam #Probiotics #AntibioticAssociatedDiarrhoea #InfantAtopicEczema #OSCE #IMGAustralia #LactobacillusrhamnosusGG #Saccharomycesboulardii Pro Tip: In the OSCE, safety is your top priority. While probiotics are generally safe, you must explicitly screen the patient for immunocompromised status or severe illness before recommending them. Additionally, when discussing infant use, mention that capsules can be "opened and sprinkled on food" to overcome the low doses found in many commercial infant drops. Demonstrating this practical, safety-first clinical reasoning will show the examiner you are ready for Australian practice! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

  6. 8 Jun

    S2E47 - Strengthening the Pelvic Floor Suspension Bridge

    Welcome to Season 2 of AMC Clinical Deep Dive! Pelvic Floor Muscle Training (PFMT) is a high-yield intervention with NHMRC Level 1 evidence for managing urinary incontinence and pelvic organ prolapse. This episode dives into the "gold standard" protocol: 8–12 repetitions of near-maximal, 6–8 second contractions performed 1–3 times daily. Master "The Knack"—consciously bracing the pelvic floor before coughing or lifting—and the critical importance of specialised physiotherapist referral for ultrasound-guided technique. We cover safety for post-prostatectomy patients and lifestyle hacks like caffeine reduction to ensure you deliver a professional, evidence-based management plan that examiners love. #AMCClinicalExam PelvicFloorMuscleTraining #PFMT #TheKnack #UrinaryIncontinence #OSCEManagement #IMGAustralia #ProstatectomyRecovery Pro Tip: In the OSCE, never just tell a patient to "do Kegels." Specifically mention "The Knack" by name and recommend a 3-month supervised program with a specialised physiotherapist. Citing NHMRC Level 1 evidence and suggesting a 1–2 week trial (or a 3-month review) demonstrates that you are following the latest Australian GP guidelines for integrated, evidence-based care. 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

  7. 1 Jun

    S2E46 - Clinical Reasoning for Ingrown Toenail Surgery

    Welcome to Season 2 of AMC Clinical Deep Dive! For Stage II and III cases, partial nail avulsion combined with chemical (phenol) matricectomy is the gold standard, backed by NHMRC Level 1 evidence for superior prevention of recurrence. This episode breaks down the essential surgical protocol: from performing a digital ring block to the critical alcohol-chlorhexidine flush used to neutralise phenol. We cover vital OSCE safety checks, including screening for diminished vascular supply and managing overt infections before surgery. Learn how to counsel patients on correct nail trimming to deliver a high-scoring, evidence-based management plan! #AMCClinicalExam #IngrownToenail #PartialNailAvulsion #ChemicalMatricectomy #Phenolablation #OSCE #IMGAustralia #Podiatry Pro Tip: In your OSCE, always screen for diminished vascular supply in the digit before suggesting surgery—this is a critical safety check. Furthermore, explicitly advise the patient to cut their nails straight across rather than in a curve; demonstrating this preventative education shows the examiner you are focused on long-term patient outcomes and safety! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

  8. 25 May

    S2E45 - Evidence Based Childhood Vaccine Pain Relief

    Welcome to Season 2 of AMC Clinical Deep Dive! Injections are the leading cause of iatrogenic pain in children, but NHMRC Level 1 evidence-based strategies can transform your OSCE performance. This episode breaks down essential protocols: why you must skip aspiration to reduce distress, the benefits of simultaneous injections for infants, and why the most painful vaccines (MMR and PCV) must always be administered last. We explore physical "comfort" positions like skin-to-skin contact and psychological distractors like blowing bubbles. Master these clinical techniques to demonstrate high-level safety and compassionate Australian practice! #AMCClinicalExam #ChildhoodImmunisation #PainManagement #OSCE #IMGAustralia #ProceduralPain #VaccineDistress Also, listen to the related episode: S1E75 - Immunisation Advice for New Parents Pro Tip: In your OSCE,, explicitly state that you will inject the most painful vaccines (M-M-R®II or PCV) last. This specific detail—combined with a strong recommendation against aspiration because injection sites lack major blood vessels—shows the examiner you have mastered the NHMRC Level 1 evidence for procedural safety and clinical reasoning! 🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

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About

This platform serves as an independent educational initiative. All content is synthesised from various academic sources and is not a direct reproduction of any official material. It is NOT affiliated with, endorsed by, or sponsored by the AMC or any official body. All trademarks or original content belong to their respective owners. We provide personal learning insights and clinical interpretations to support IMGs in developing their clinical reasoning skills. It may contain errors and does NOT constitute medical advice. For further exploration, please visit the official website.

Information

  • Creator
    Medistanding
  • Years Active
    2025 - 2026
  • Episodes
    217
  • Rating
    Clean
  • Copyright
    © Medistanding
  • Show Website
    AMC Clinical Deep Dive