Day 4 of Thirty - Days Intensive ADC Part 1 Practice Program

Before You Start: Day-4 Student Guidance (Click to Read)

What Day-4 is designed to train
Day-4 focuses on escalation thresholds — knowing exactly when action is mandatory and when restraint is safer.

Many errors in ADC occur not because candidates miss danger, but because they escalate too early or fail to recognise true red flags.

How to read Day-4 clinical scenarios

Is there a clear red flag, or only discomfort/anxiety?
Is the situation stable, borderline, or deteriorating?
What happens if I act now — does risk increase or decrease?
What happens if I wait — does risk increase or decrease?

Common Day-4 traps

Escalating “to be safe” when safety actually lies in waiting
Confusing patient concern with clinical urgency
Overreacting to one abnormal finding
Assuming referral or intervention is always the safest choice

Decision discipline for Day-4
ADC rewards candidates who can identify the exact moment escalation becomes necessary — not those who escalate early.

Time management advice
Read each scenario once carefully. Identify the single feature that changes management. Avoid re-reading long narratives searching for rare diagnoses.

How to review Day-4 after submission

Note where you escalated but the correct answer was restraint
Note where you waited but escalation was required
Identify patterns of fear-driven or reassurance-driven decisions

Day-4 improvement comes from learning to sit comfortably in clinical grey zones without rushing decisions.

Remember:
Escalation is a decision — not a reflex.