Welcome to Season 2 of AMC Clinical Deep Dive!

This episode explores exercise-based rehabilitation, an intervention with NHMRC Level I evidence that has been proven to improve functional capacity, quality of life, and reduce hospitalisations. We break down the "gold standard" prescription: low-impact aerobic modes (walking/cycling), a 3x/week frequency, and using the Borg RPE scale to safely set intensity (starting at 10). Learn to avoid critical safety errors by screening for absolute contraindications like recent MI, worsening dyspnoea, or a resting HR >120 bpm. Master the three-phase session structure to demonstrate safe, evidence-based care.

#AMCClinicalExam #HeartFailureExercisePrescription #CardiacRehabilitation #OSCE #IMGAustralia #BorgScale #HeartFailureManagement.

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100498

Welcome to Season 2 of AMC Clinical Deep Dive!

Exercise-based cardiac rehabilitation is supported by NHMRC Level I evidence and is essential for post-MI or CABG recovery. This episode breaks down the perfect OSCE prescription, covering low-impact aerobic modes like walking and the Borg RPE 11-13 intensity. Learn to counsel patients with the "start slow and progress gradually" mantra. Crucially, we detail critical safety errors, such as failing to screen for contraindications like unstable angina or uncontrolled hypertension (BP ≥180/110). Master frequency and progression to deliver safe, evidence-based management plans.

#AMCClinicalExam #CardiacRehabilitation #ExercisePrescription #CoronaryHeartDisease #OSCE #IMGAustralia #Post-MIRecovery #BorgScale

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100491

Welcome to Season 2 of AMC Clinical Deep Dive!

Symptomatic hand OA affects 20% of people over 55, often causing pain, stiffness, and loss of function. This episode breaks down the NHMRC Level 2 evidence for joint protection strategies—techniques that minimise joint strain to improve pain and functioning. Learn to counsel patients on "spreading the load," avoiding repetitive thumb strain, and using labour-saving gadgets, such as resting a kettle on the sink edge. We cover why referring to an Occupational Therapist (OT) is a high-yield OSCE step. Avoid the critical error of ignoring non-drug management before teaching these life-changing habit changes!

#AMCClinicalExam #HandOsteoarthritis #JointProtectionStrategies #OSCE #IMGAustralia #OccupationalTherapyReferral #HandPainRelief

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100480

Welcome to Season 2 of AMC Clinical Deep Dive!

Current ASCIA guidelines recommend introducing solids—including cooked egg—to all infants between 4–6 months to achieve a 40% relative risk reduction in allergy development. This episode explores the NHMRC Level II evidence that consumption, not avoidance, is key. We cover the OSCE-essential prerequisites: the infant must be ≥ 4 months and already tolerating other solids like cereals or fruits. Learn the step-by-step introduction—starting with a tiny taste and having oral antihistamines ready. Perfect for IMGs wanting to avoid critical errors with high-risk atopic infants.

#AMCClinicalExam #EggAllergyPrevention #EarlyIntroductionofSolids #ASCIAGuidelines #OSCEPaediatrics #IMGAustralia #FoodAllergyRiskManagement

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100474

Welcome to Season 2 of AMC Clinical Deep Dive!

While electrolyte solutions (ORS) are traditional, NHMRC Level II evidence suggests that dilute apple juice is a superior alternative for children aged 6 months to 5 years with mild dehydration. This episode breaks down why "taste matters"—the better flavour leads to higher intake and fewer IV failures compared to ORS.... Learn the exact 50:50 dilution mix and 5mL dosing protocol to impress examiners. Crucially, we cover critical safety errors: excluding children with moderate-to-severe dehydration (capillary refill >2s), bloody diarrhea, or acute abdomen....

#AMCClinicalExam #PediatricGastroenteritis #DiluteAppleJuiceRehydration #MildDehydration #OSCE #IMGAustralia #ORS

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100462

Welcome to Season 2 of AMC Clinical Deep Dive!

Ace the high-yield hypertension station with the DASH (Dietary Approaches to Stop Hypertension) diet. This episode breaks down the NHMRC Level 2 evidence behind this powerhouse "American Mediterranean diet". Learn how to counsel patients on reducing sodium and boosting potassium, calcium, and magnesium to lower blood pressure by up to 6/3 mmHg in just 2–4 weeks. We cover exact serving sizes for fruits, vegetables, and low-fat dairy, plus the crucial 13% CVD risk reduction statistics you need to impress examiners. Master the referral pathway to dietitians to demonstrate safe, multidisciplinary care.

#DASHDiet #HypertensionManagement #AMCClinicalExam #OSCE #BloodPressureControl #MediterraneanDietComparison #GPManagement #ChronicDiseaseTriage

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100459

Welcome to Season 2 of AMC Clinical Deep Dive!

When pain persists, Cognitive Behavioural Therapy (CBT) becomes a high-yield, mind-body intervention. This episode equips IMGs to explain how thoughts, moods, and behaviours interact with pain and how to identify fear-avoidance cycles—such as stopping lifting due to worry. Learn to structure a GP Management Plan to provide Medicare rebates for up to five allied health sessions. Master the evidence: CBT is a safe and effective treatment that typically involves 5–20 sessions, helping patients return to important activities by reframing unhelpful beliefs.

#AMCClinicalExam #ChronicLowBackPain #CBTforPain #OSCE #GPManagementPlan #FearAvoidance #IMGAustralia #MindBodyTreatment #MedicareRebates

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100437

Also visit: https://open.spotify.com/episode/5uHGbN0GHdVleH0Qtd7kM0?si=rrQKN3sDTiuTCWm3bln7QQ

Welcome to Season 2 of AMC Clinical Deep Dive!

Obstructive Sleep Apnoea is a high-yield topic linked to daytime sleepiness, impaired cognitive function, and motor vehicle crashes. This episode explores CPAP, the primary treatment for improving quality of life and lowering blood pressure. We break down the GP referral criteria for Medicare-funded sleep studies: an ESS score ≥ 8 plus OSA50 (≥5) or STOP-Bang (≥3). Learn to troubleshoot common side effects like nasal dryness and address the 4-hour adherence threshold. Mention alternatives like mandibular advancement devices to demonstrate a comprehensive, patient-centred plan.

#AMCClinicalExam #ObstructiveSleepApnoea #CPAPTherapy #ESSScore #OSCE #IMGAustralia #SleepStudyReferral #MandibularAdvancementDevice #STOP-Bang

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100436

Welcome to Season 2 of AMC Clinical Deep Dive!

Venous leg ulcer (VLU) is the most common skin ulcer, often presenting with varicose veins and brown haemosiderin staining. This episode explores the NHMRC Level 1 evidence supporting multicomponent compression systems, which significantly improve healing compared to single-component versions. We highlight the critical safety check: you must exclude peripheral artery disease before applying therapy to avoid serious complications. Discover why walking is essential for the "calf muscle pump" and how to address the 60-70% non-compliance rate through better patient education and therapeutic relationships.

#AMCClinicalExam #VenousLegUlcers #ABPIIndex #CompressionTherapy #MulticomponentBandages #OSCEManagement #ChronicVenousInsufficiency #IMGAustralia #HaemosiderinStaining

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100419

Welcome to Season 2 of AMC Clinical Deep Dive!

This episode explores CBT-i, a Level 1 evidence-based treatment for chronic insomnia, as recommended by the NHMRC. We break down the five essential components every IMG must know: Cognitive Therapy, Stimulus Control, Sleep Restriction, Sleep Hygiene, and Relaxation. Learn why CBT-i is as effective as hypnotics but offers better long-term results without the risk of tolerance. We explain how to teach patients to leave the bedroom if they have been awake for 20 minutes and recommend digital tools like CBT-I Coach.

#AMCClinicalExam #CBTforInsomnia #ChronicInsomniaTreatment #OSCEMentalHealth #StimulusControl #SleepRestriction #IMGAustralia

If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100418