Speaker 1: Hello, I'm Tania Rivard. I've been asked to share some tips that will help you when taking the clinical decision-making component of the Medical Council of Canada's Qualifying Examination Part 1. The first thing you will want to focus on is how you manage your time. If you find yourself spending more than three minutes on a question, you should flag it and move on. You can return to these flagged questions at any time or wait until you've completed all the remaining questions or cases when you will know how much time you have left. The next thing to pay attention to are the instructions related to each question of a specific case. Whether it's a multiple-choice menu question or one requiring a written answer, there will be specific instructions on how to answer each individual question. These instructions must be followed exactly. Your final score will reflect both tested knowledge and how well you followed the question instructions. There are different types of instructions. Question type number one listing a specified number of answers. Now, for example, you may be asked to list only one or list up to two. You must limit your answers to the specified number. It is also important to only list one answer per line. Listing two answers on one line consists of two answers. You'll score zero for the question if you exceed the number of responses requested, even if you listed the correct answer. Question type number two selecting up to a specified number of answers. For example, you might be asked to select up to six responses. These responses should be based on what you would do in the actual clinical situation, but shouldn't exceed the number indicated in the question. You may submit any number up to six, but no more. Going over the specified number will result in a score of zero. Question type number three, select as many answers as are appropriate. For these questions, you should use your judgment as to what an appropriate answer would be based on what you would do in an actual clinical situation. Don't provide an excessive number of responses. For example, think of ordering laboratory tests in a real life situation. You would not order a large catch-all spectrum of tests, only those required for the problem at hand. It is also very important to understand how the examination will be scored. Negative marks are not given. You either get one point for being correct or zero if you're not. Partial marks are also sometimes awarded when more than one answer is being scored. There are two other situations where you might score a zero for a question. If you exceed the number of responses specified in the question, as I previously mentioned, you will score a zero. You will also score a zero if you select or list an item that could harm or injure a patient, even if your list contains the correct answer, including an option in your answer that could be harmful to the patient. It will result in a score of zero. Finally, remember that everything presented in the clinical scenario is relevant and you should pay attention to the details. For example, knowing that a patient is a long-haul truck driver, a letter carrier, a production line worker, or anything else is likely relevant to the case. Please review these examination tips again. The information will help you navigate successfully through the exam. Best of luck.