MCQs, short practical answers, synthetic cases, finding errors and qualitative ordering use the existing MICA assessment formats. Sessions, history, progress and optional timing stay within Mon MICA.
FICTIONAL SITUATION · REFLECTION WITHOUT A SCORE
Fictional situation: a previously independent patient becomes confused and breathes faster. Blood pressure remains close to the previous reading and no score has yet been calculated.
Can assessment wait until the next observation round?
No. Clinical change warrants prompt assessment and escalation despite preserved blood pressure. Stay with the patient, begin ABCDE, communicate new confusion and respiratory change, and obtain a reassessment plan. Complete observations without making completion a prerequisite for calling for help.