OMSB Family Medicine (OEFM) study materials
OMSB Family Medicine (OEFM) study resources

OMSB Family Medicine (OEFM) study plan

OMSB Family Medicine (OEFM) · Give each week a clear focus.

8 weeks · About 8 hours per week

Week 1

Adult Medicine (Internal Medicine in the ambulatory setting)

  • Diagnose and stage hypertension, type 2 diabetes and dyslipidaemia using current guideline thresholds, then select first-line and add-on therapy for a patient with no comorbidity versus one with chronic kidney disease or heart failure.

  • Interpret 12-lead and rhythm-strip ECGs for atrial fibrillation, ST-elevation, left ventricular hypertrophy and first-degree versus complete heart block without depending on a machine read.

  • Apply a stepwise inhaler strategy for asthma and COPD, and grade exacerbation severity to decide between clinic management and same-day emergency referral.

  • Calculate 10-year cardiovascular risk with a validated tool and state precisely when a statin, an antiplatelet or a tighter glycaemic target is indicated.

  • Rank the common causes of fatigue, weight loss and anaemia in ambulatory adults, and construct a cost-conscious three-step workup for each.

Your checkpoint

Complete 80 timed cardiometabolic vignette questions with at least 70% correct, and file a one-page error log listing every missed concept with the corrected fact.

Week 2

Adult Medicine (Internal Medicine in the ambulatory setting) & Emergency Medicine and Acute Care

  • Differentiate cardiac, aortic, pulmonary and musculoskeletal chest pain at the first visit, and justify who can be sent home with follow-up versus who needs immediate transfer.

  • Construct a stepwise management sequence for hypoglycaemia, diabetic ketoacidosis, anaphylaxis, acute severe asthma and status epilepticus in a clinic with limited resources.

  • Apply a sepsis screening tool to febrile adults and children, and list the first-hour actions and antibiotics before transfer.

  • Distinguish surgical from medical causes of the acute abdomen using history, examination and focused bedside testing, and identify the six presentations that must never be observed at home.

  • Demonstrate the current basic and advanced life support algorithms, including defibrillation timing, drug doses and reversible-cause checklist.

Your checkpoint

Write a two-page laminated clinic emergency card covering adrenaline, glucose, salbutamol, aspirin, naloxone and antibiotic doses, then self-test to 100% recall of every number.

Week 3

Child and Adolescent Health (Pediatrics)

  • Construct the routine childhood immunisation schedule used in Oman and apply catch-up rules for a child who has missed two or more doses.

  • Plot growth on the correct chart for age and interpret crossing of centile lines to identify failure to thrive, obesity and short stature, naming the first three investigations for each.

  • Distinguish viral upper respiratory infection, acute otitis media, bronchiolitis, croup and pneumonia using age-specific criteria, and justify the decision to prescribe or withhold antibiotics.

  • Recognise red-flag developmental milestones at 9, 18 and 30 months and select the screening tool and referral pathway for suspected delay.

  • Manage childhood asthma and atopic dermatitis with stepwise therapy, and calculate weight-based doses for paracetamol, ibuprofen, amoxicillin and salbutamol.

Your checkpoint

Build a one-page weight-based paediatric dosing table for 10 common drugs, verified against a current formulary, and pass a 30-question paediatric set at 80% or higher.

Week 4

Women's Health (Obstetrics and Gynecology, including antenatal care)

  • Construct the full antenatal visit schedule, listing the tests, screening and counselling due in each trimester, including folic acid, dating and anomaly scans, and gestational diabetes screening.

  • Diagnose and classify hypertensive disorders of pregnancy, and decide the gestational age at which each category must be delivered or referred.

  • Apply medical eligibility criteria to contraception counselling for women with hypertension, migraine, smoking and breastfeeding.

  • Interpret abnormal uterine bleeding and an abnormal cervical screening result, and select the correct next test or referral interval.

  • Recognise the red flags of postpartum sepsis, haemorrhage and depression, and state the timeframe for each to become an emergency.

Your checkpoint

Produce a one-page antenatal checklist suitable for clinic use plus a 40-question women's health set scored at 75% or higher, with a written note on three missed items.

Week 5

Surgery and Musculoskeletal Medicine & Geriatrics and Palliative Care

  • Classify common fractures and dislocations on plain radiographs, and select immobilisation, weight-bearing status and referral urgency for each.

  • Assess low back pain, shoulder pain and knee pain by applying red-flag screening and an evidence-based stepwise plan including physiotherapy timing.

  • Apply the Ottawa ankle and knee rules to decide when imaging is unnecessary.

  • Conduct a structured falls and polypharmacy review, deprescribing at least one drug per case using an explicit criteria set.

  • Plan palliative symptom control across the analgesic ladder, including opioid conversion, dyspnoea management and a documented end-of-life discussion.

Your checkpoint

Compile a 10-case musculoskeletal and radiograph interpretation log with final diagnosis and management for each, plus a single-page opioid equianalgesic conversion table.

Week 6

Mental Health and Behavioral Science & Community Medicine, Public Health and Preventive Care

  • Screen and stage depression, generalised anxiety, bipolar disorder and alcohol misuse using validated instruments, and interpret the score bands correctly.

  • Deliver a brief motivational interviewing sequence and a documented safety plan for a patient with suicidal ideation, distinguishing ideation, plan and intent.

  • Select the notifiable disease actions, isolation period and contact tracing steps for suspected measles, tuberculosis and food-borne illness.

  • Design an age- and sex-specific screening and vaccination plan for a healthy 45-year-old, separating primary, secondary and tertiary prevention.

  • Describe the components of a community health needs assessment and translate one local health indicator into a targeted clinic intervention.

Your checkpoint

Write out two complete mental health consultations in SOAP format, including risk assessment and safety plan, plus a one-page suicide risk assessment template.

Week 7

Dermatology, Otolaryngology and Ophthalmology

  • Describe skin lesions using standard morphology, configuration and distribution, then generate a three-item differential for eczema, psoriasis, tinea, cellulitis and melanoma.

  • Distinguish the otoscopic findings of acute otitis media, otitis media with effusion and otitis externa, and select the correct management for each.

  • Evaluate the red eye and identify the sight-threatening emergencies that require same-day ophthalmology referral.

  • Classify dizziness by type and perform the Dix-Hallpike and Epley manoeuvre sequence in the correct order.

  • Identify the referral triggers for suspected melanoma, head and neck cancer and sudden sensorineural hearing loss, including the time window that defines sudden.

Your checkpoint

Create a 25-card morphology-to-diagnosis deck without images and score at least 80% on a 40-question dermatology, ENT and ophthalmology set.

Week 8

Professionalism, Ethics, Evidence-Based Medicine and Research

  • Apply the four principles of biomedical ethics to consent, capacity, confidentiality, disclosure to relatives and refusal of treatment scenarios.

  • Interpret p-values, confidence intervals, likelihood ratios and number needed to treat, and calculate each from a 2x2 table.

  • Appraise a clinical guideline for evidence grading, applicability to your population and conflicts of interest, and state whether you would adopt it.

  • Complete a small audit cycle in your own practice against a single evidence-based standard, documenting criterion, sample, result and one change.

  • Rehearse the full blueprint by sitting timed mixed-domain papers and reviewing every error against a primary guideline rather than a question bank explanation.

Your checkpoint

Sit two timed 100-question mock exams under exam conditions, then write a one-page remediation plan for each identifying the three weakest domains and the specific revision action for each.

Milestones

Week 2: Recall 100% of emergency drug doses on the clinic card unaided, and score at least 70% on a 40-question acute care set; if below, add one extra emergency block before moving on.

Week 4: Score at least 75% on a 60-question mixed paper covering domains 1, 2 and 3, and confirm that the cardiometabolic, emergency and antenatal summary sheets are complete and usable at a glance.

Week 6: Confirm coverage of domains 1 to 7 and 9 with at least one summary sheet each, and score at least 70% on a 40-question mixed set drawn from domains 5, 6, 7 and 9.

Week 8: Achieve a rising trend across the two mock exams (second score at least 5 percentage points higher), with no domain below 60%; book the exam only once this is met.