The key components assessed in the ACRRM Case Based Discussion exam
- Communication Skills and Rapport:
- Patient-centered approach
- Adapting communication style to patient needs
- Exploring patient perceptions and expectations
- Understanding cultural beliefs and values
- History Taking:
- Using focused and relevant questions
- Obtaining comprehensive history of presenting problems
- Considering past medical history, medications, allergies, family and social history
- Examination Skills:
- Conducting relevant, organized, and thorough physical examinations
- Considering patient safety, comfort, and dignity
- Clinical Reasoning:
- Formulating accurate diagnoses or plausible differential diagnoses
- Considering red flags and important diagnoses to rule out
- Justifying relevant investigations
- Management Plan:
- Developing appropriate, evidence-based, and patient-centered management plans
- Explaining diagnosis and plan to the patient
- Considering preventive screening and health promotion
- Addressing short and long-term goals
- Follow-up:
- Arranging appropriate follow-up
- Providing safety netting advice
- Explaining follow-up for investigations and referrals
- Professionalism:
- Maintaining professional boundaries
- Communicating with healthcare team members
- Adhering to relevant protocols and legislation
- Ensuring adequate medical records and referral letters
- Overall Performance:
- Demonstrating a comprehensive approach across all categories
- Prioritizing patient comfort and safety
- Showing sound clinical reasoning and medical management
The CBD exam assesses these components across 6 cases, with candidates needing to achieve ‘at expected standard’ in 5 out of 6 cases to pas
- Case Based Discussion (CBD) Pre-Assessment Briefing
- https://curriculum.acrrm.org.au/fellowship-assessment/assessment-modalities
- https://www.acrrm.org.au/docs/default-source/all-files/cbd-formative-scoring-form.docx?sfvrsn=5da4de7d_3
- Fellowship of the Australian College of Rural & Remote Medicine Overview
- ACRRM Case Based Discussion – Case Note Summary
- ACRRM CBD Public Report 2023
- Aspects to Consider During Case Based Discussion – ACRRM