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AMC Clinical Deep Dive

AMC Clinical Deep Dive

Medistanding 206 Episodes Oct 12, 2026

This podcast is an independent educational initiative for international medical graduates (IMGs) preparing for the AMC Clinical exam. It synthesizes content from various academic sources to help develop clinical reasoning skills. The podcast is not affiliated with or endorsed by the AMC or any official body. It may contain errors and does not constitute medical advice.

Episodes

S3E13 - Resistance Guided Mycoplasma Genitalium Treatment
S3E13 - Resistance Guided Mycoplasma Genitalium Treatment Oct 12, 2026 00:21:07 Welcome to Season 3 of AMC Clinical Deep Dive! Driven by alarming macrolide resistance (>60% in Australia), Mycoplasma genitalium (M. gen.) management requires resistance-guided sequential therapy. This episode deconstructs the ASHM guidelines for OSCE success. Learn why routine asymptomatic screening is contraindicated and why Doxycycline (100mg BD for 7 days) must precede targeted treatment—e
S3E12 - LGV Management in Australian Clinical Exams
S3E12 - LGV Management in Australian Clinical Exams Oct 5, 2026 00:23:13 Welcome to Season 3 of AMC Clinical Deep Dive! Caused by Chlamydia trachomatis serovars L1–L3, Lymphogranuloma Venereum (LGV) presents as proctitis, genital ulcers, or painful inguinal buboes. This episode deconstructs the ASHM guidelines for acing this complex OSCE scenario. Learn key diagnostic steps: ordering rectal Chlamydia NAAT with mandatory LGV genotyping, and empirically treating for gono
S3E11 - Australian HIV Management in Primary Care
S3E11 - Australian HIV Management in Primary Care Sep 28, 2026 00:22:08 Welcome to Season 3 of AMC Clinical Deep Dive! From acute seroconversion illness to long-term primary care, managing HIV requires both clinical precision and compassionate communication. This episode breaks down the ASHM guidelines for acing this scenario. Learn the non-negotiable rule: immediate ART initiation regardless of CD4 count, and counselling patients on U=U (Undetectable = Untransmissibl
S3E10 - Hepatitis Management for Australian Clinical Exams
S3E10 - Hepatitis Management for Australian Clinical Exams Sep 21, 2026 00:12:36 Welcome to Season 3 of AMC Clinical Deep Dive! This episode deconstructs the ASHM guidelines for Hepatitis A, B, and C. Learn key diagnostic rules: why "no healthy carrier" exists in Hepatitis B, and why Hepatitis C antibody tests should never be repeated once positive (use HCV PCR instead). We cover high-yield protocols: Hepatitis A contact tracing across a 50-day window, 6-monthly hepa
S3E9 - Stopping the Silent Gonorrhoea
S3E9 - Stopping the Silent Gonorrhoea Sep 14, 2026 00:11:17 Welcome to Season 3 of AMC Clinical Deep Dive! Caused by Neisseria gonorrhoeae, gonorrhoea is often asymptomatic at the pharyngeal, anorectal, and vaginal sites. This episode breaks down the ASHM guidelines for acing this OSCE scenario. Learn the non-negotiable diagnostic rule: always collect samples for gonococcal culture before starting antibiotics to monitor antimicrobial resistance. Master the
S3E8 - Australian HSV Clinical Management
S3E8 - Australian HSV Clinical Management Sep 7, 2026 00:24:52 Welcome to Season 3 of AMC Clinical Deep Dive! Often highly stigmatised, genital herpes (HSV) requires both clinical and compassionate psychosocial management. This episode deconstructs the ASHM guidelines to elevate your OSCE performance. Learn key diagnostic rules (why we use ulcer NAAT and avoid asymptomatic serology) and master first-line treatment protocols (Valaciclovir for initial, episodic
S3E7 - Australian Scabies and Pubic Lice Management
S3E7 - Australian Scabies and Pubic Lice Management Aug 31, 2026 00:16:01 Welcome to Season 3 of AMC Clinical Deep Dive! This episode deconstructs the ASHM guidelines for managing scabies and pubic lice (crabs). Learn critical diagnostic signs, from nocturnal itching to identifying interdigital burrows. We cover first-line treatment protocols: topical permethrin 5% (overnight, repeated in one week) for scabies and pyrethrin foam for pubic lice. Master crucial OSCE couns
S3E6 - Donovanosis Traps for Medical Exams
S3E6 - Donovanosis Traps for Medical Exams Aug 24, 2026 00:23:52 Welcome to Season 3 of AMC Clinical Deep Dive! Caused by Klebsiella granulomatis, this chronic infection presents as painless, "beefy" genital ulcers. This episode deconstructs the ASHM guidelines, preparing IMGs for key diagnostic and management decisions. Learn why treatment with Azithromycin or Doxycycline must continue until lesions completely resolve—not just for a fixed duration. W
S3E5 - Australian Chlamydia Guidelines for Exams
S3E5 - Australian Chlamydia Guidelines for Exams Aug 17, 2026 00:19:17 Welcome to Season 3 of AMC Clinical Deep Dive! As Australia’s most reported communicable disease, chlamydia is frequently asymptomatic (85%–90%), making screening protocols a favourite examiner target. This episode breaks down the latest guidelines: prioritising doxycycline (100mg BD for 7 days) over azithromycin, selecting highly sensitive self-collected vaginal swabs over urine, and managing pre
S3E4 - Anogenital Warts Management Brief
S3E4 - Anogenital Warts Management Brief Aug 10, 2026 00:05:03 Welcome to Season 3 of AMC Clinical Deep Dive! Caused primarily by HPV types 6 and 11, genital warts are diagnosed visually and often cause significant psychological distress. This episode deconstructs the ASHM guidelines, comparing patient-applied treatments like topically applied podophyllotoxin paint and imiquimod cream with clinician-initiated cryotherapy. Learn critical counselling pearls: ex
S3E3 - Asymptomatic STI Screening
S3E3 - Asymptomatic STI Screening Aug 3, 2026 00:05:19 Welcome to Season 3 of AMC Clinical Deep Dive! This episode deconstructs the ASHM Standard Asymptomatic Check-up guidelines, essential for any IMG's OSCE toolkit. We explore how to identify at-risk populations—from new sexual partners to specific subpopulations like MSM and sex workers. Learn the mandatory "Big Four" testing battery: HIV and Syphilis serology for everyone, plus Chlam
S3E2 - STI Contact Tracing in General Practice
S3E2 - STI Contact Tracing in General Practice Jul 27, 2026 00:20:48 Welcome to Season 3 of AMC Clinical Deep Dive! Contact tracing is a critical process for breaking the chain of infection, preventing re-infection, and avoiding long-term health complications. This episode breaks down the ASHM Guidelines for identifying at-risk sexual and injecting partners. Learn essential OSCE steps: calculating the tracing window, offering a choice between patient-led or provide

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