Russia Primary Medical Accreditation - General Medicine study plan

Build a one-page diagnostic algorithm for the five most common adult presenting complaints (chest pain, dyspnea, abdominal pain, fever, edema), listing first-line tests for each

Work through 40 Internal Medicine vignettes and write a one-line rationale for every wrong answer chosen

List the 15 highest-yield internal medicine differentials and, for each, state the single test that most changes management

Draft a personal error log template with columns for topic, error type, and re-test date

Recite and apply the criteria for acute coronary syndrome workup, including ECG timing and troponin interpretation, on 20 cardiology vignettes

Classify the four major valvular lesions by murmur timing, location, and maneuver that intensifies them

Differentiate heart failure with reduced versus preserved ejection fraction by diagnostic criteria and first-line drug classes

Complete 30 mixed internal medicine and cardiology questions under timed conditions

Apply antihypertensive drug selection to 15 case scenarios with comorbidities (diabetes, CKD, asthma, pregnancy)

Interpret spirometry patterns (obstructive vs restrictive) and match them to asthma and COPD management steps

Outline the diagnostic pathway for suspected pulmonary embolism and for community-acquired pneumonia severity scoring

Review and re-test every item missed in weeks 1-2

Map the diagnostic workup for the six most common hepatobiliary and gastrointestinal syndromes (jaundice, upper GI bleed, chronic diarrhea, dyspepsia, cirrhosis complications, pancreatitis)

Apply liver enzyme pattern interpretation (hepatocellular vs cholestatic) to 15 lab-based vignettes

Distinguish type 1 from type 2 diabetes and select initial therapy based on comorbidities and contraindications

Interpret thyroid function tests in 10 common patterns, including subclinical disease

Calculate and interpret anion gap, osmolal gap, and corrected sodium in 15 electrolyte vignettes

Classify acute kidney injury by prerenal, intrinsic, and postrenal causes using urinalysis and fractional excretion indices

Build an anemia classification tree (microcytic, normocytic, macrocytic) with the two best confirmatory tests for each branch

Explain the initial management of suspected coagulopathy and thrombocytopenia in 10 scenarios

Differentiate the four most common inflammatory arthritides by joint pattern, serology, and crystal analysis

Apply the diagnostic criteria for tuberculosis screening, latent infection, and drug-resistant disease in 15 vignettes

Select empiric antimicrobial therapy for the five highest-yield infectious syndromes and justify each choice

Review and re-test all missed items from weeks 3-5

Sequence the first five actions in adult cardiac arrest, anaphylaxis, and status epilepticus

Apply triage and screening recommendations (vaccination schedules, cancer screening intervals) to 15 primary care scenarios

Outline phases of medical rehabilitation and functional assessment after stroke and myocardial infarction

Complete 20 emergency and preventive medicine questions under timed conditions

Apply CYP450 interactions and pregnancy/lactation contraindications to 15 pharmacology vignettes

Distinguish informed consent, capacity, and confidentiality obligations across 10 ethics and legal scenarios

Complete two full-length timed mock exams and log every missed item by domain

Re-drill the 30 most frequently missed items from the entire study period