The Australian Medical Council (AMC) Clinical Examination is an integrated multidisciplinary structured clinical assessment consisting of a 16 component multi-station assessment, including three obstetrics / gynaecology stations and three paediatrics stations. Candidates are scheduled for the structured clinical assessment examination in a single morning or afternoon, and are required to wait at the venue of the examination at the direction of the AMC Secretariat in attendance. Candidates will rotate through a series of 20 stations, of which 16 will be marked, and will undertake a variety of clinical tasks. All candidates in a clinical examination session will be assessed against the same stations.

Rest stations will not be scored, but will provide candidates with an opportunity to have a break between the scored stations. There are 4 rest stations in addition to the 16 marked stations.

Each station will be of 10 minutes duration (8 minutes for the actual assessment and 2 minutes for change over and reading of the written information for the next station). Stations may utilise actual patients, standardised patients or examiners role-playing patients. Where possible, appropriately aged individuals are used for these tasks. Candidates should regard the standardised patients or role-playing examiners as patients and treat them as they would treat real patients. There will be registered nurses available to assist the real patients, if required.

Stations assess clinical skills in medicine, surgery, paediatrics, obstetrics, gynaecology, general practice and psychiatry. Scoring will be structured, with individual aspects of each station specified under the following broad headings:

* history
* physical examination
* investigations
* diagnosis/differential diagnosis
* therapeutics/management
* counselling/patient education
* clinical procedures.

The structured clinical assessments will make use of examiners from all disciplines.


Performance requirements
The overall result for each of the 16 marked stations will be recorded as a Pass or Fail only. Candidates will be globally graded as Clear Pass/Marginal Performance/Clear Fail, as follows:

Clear Pass:

* A pass score in 12 or more of the 16 stations, including:
o at least 1 obstetrics/gynaecological station scored as a Pass, AND
o at least 1 paediatrics stations as a Pass.


Marginal Performance:

* A pass score in 10 or 11 of the 16 stations.


Clear Fail:

* A pass score in 9 or less of the 16 stations OR
* Fails in all 3 obstetric/gynaecological stations, irrespective of the total number of stations passed OR
* Fails in all 3 paediatric stations, irrespective of the total number of stations passed.


A candidate who obatins a Marginal Performance grade will be eligible to present for a Pass/Fail Re-test to confirm their result as a pass or fail.

Candidates will be globally graded as Clear Pass/Clear Fail in the Re-test, as follows:

* Clear Pass:
o a pass score in at least 6 of the 8 stations.

* Clear Fail:
o a pass score in 5 or less of the 8 stations.

A candidate who obtains a Clear Fail at the main examination or the re-test will be required to re-sit the clinical examination.


source:
http://www.amc.org.au/index.php/img/exam/clin

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