How to Excel in the FRCR 2B Short Cases

Structured Approach to Reporting

To excel in the new format, you must adopt a structured, methodical approach to each case. Here are a few strategies to help you succeed:

• Focus on Clinical History: Always start by reviewing the clinical history. This will guide your differential diagnosis and highlight which findings are most relevant.
• Write a Clear Report: Ensure your report is structured. List all major/essential findings first, then include any pertinent negatives or minor findings. Provide a diagnosis and relevant differential when appropriate. Recommend reasonable management plans, including further imaging or MDT referral if needed.
• Look for Edge-of-Film Findings: Pay attention to findings on the periphery of the image, such as fractures at the edge of an X-ray. Also, be mindful of common pathologies in unusual locations.
• Satisfaction of Search: Ensure you systematically review the entire image, even if you've identified a pathology. This prevents missing additional findings and ensures that you cover all potential abnormalities.
• Review All Available Images: Be sure to examine all images available for each case, as there may be multiple projections. Some pathologies may only be visible on a single view, and missing them could impact your diagnosis.
• Sensible Management Plans: Include a reasonable management plan, recommending further imaging or specialist referrals when appropriate. Make sure to include follow-up actions if necessary.
• Escalating Critical Findings: Urgent findings, like a tension pneumothorax, must be immediately escalated to prevent patient harm. Prompt recognition and communication are essential for patient safety.