Anaesthesia Coffee Break

Failed the primary exam? What do you now?

Jul 21, 2024
James Maloney, an Anaesthesia trainee with a multi-attempt history on the ANZCA primary exam, shares his journey of overcoming failure. He discusses the emotional turmoil after his initial setback and outlines a pragmatic rebound plan, emphasizing structured study and effective feedback. Key strategies include contrasting study techniques, the importance of viva practice, and targeting weaknesses with past resources. He opens up about his psychological recovery, including hypnotherapy and self-care. James stresses the need for honest mentorship and normalizing failure in medical training.
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ANECDOTE

Immediate Action After Failure

  • James Maloney described failing the exam multiple times before finally passing and feeling enormous relief when he succeeded.
  • He immediately re-enrolled and created a structured plan to regain momentum after his first fail.
ADVICE

Shift To Concept-Based Study

  • Do switch from pure memorisation to concept-based study if short-answer practice isn’t working for you.
  • Get SAQs marked by examiners or experienced colleagues to learn how to answer differently.
ANECDOTE

Emotional Impact Of Narrow Fail

  • Maloney recounted failing by less than half a percent and having intense immediate emotional reactions.
  • He experienced panic attacks, cried frequently, and described feeling utterly broken for weeks.
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