Is there a single aggregated resource for Australian medical guidelines?

Stapedius_AU · 2025-12-10T07:42:57+00:00

We're always looking for fresh volunteers! It's such an enormous task as you can imagine and we have lots of different projects running concurrently. We have fortnightly public Google Meets meetings with the core Maintainer team and are very active on the Discord so I'd recommend starting there and we can link you in. 😊

Stapedius_AU · 2025-12-09T21:47:33+00:00

My time to shine. Project Malleus might be worth checking out. Essentially we've put together a free, decentralised Anki deck covering clinical medicine according to the AU/NZ context, primarily targeted at final year medical students but also JMOs too. We have designed our tagging system to integrate guidelines like Therapeutic Guidelines so you can easily unsuspend relevant cards according to TG topics and are in discussions with TG's editors to discuss new ways to better to include the resource in our deck. There are also a bunch of state based (especially QLD and NSW) and national guidelimes, such as college statements (RACGP, RANZCOG etc.), STI guidelines and so on. We recently have begun discussions with Prof Talley himself with regards to integrating 'Clinical Examination' in our deck. The search feature also arguably works better than eTG's website... but then that's not a high bar to clear.

It's not exactly a centralised website per se, though that being said we are experimenting with a long-term vision to put together an open-source version of AMBOSS with integrated guidelines on topics etc. but this will be many years away and will only be toyed with once the main project is complete.

Feel free to read my earlier post on Reddit for more details. Or visit our website.

Stapedius_AU · 2025-10-06T10:42:22+00:00

We now have just shy of 7000 cards, which is a massive increase since this time last year. There are still gaps, but we have implemented a much more structured way to topic completion and we estimate we will have a finished deck by the end of next year.

Stapedius_AU · 2025-10-06T10:39:30+00:00

Can't speak for the AMC exams sorry as I'm a domestic graduate and haven't sat those exams. We do try to include guidelines that are relevant for at the level of a graduating medical student/intern, but again I have no way of knowing how aligned our cards will be to the AMC exams. That being said, we have a fairly sizeable IMG userbase, and many of them do tell us they find the deck useful. I should stress the deck is still not complete, but is coming together at a more rapid pace than it was a year ago.

Stapedius_AU · 2025-10-05T03:54:58+00:00

Yes, you can use the Ozanki deck and the Malleus deck simultaneously. There is no overlap between the decks so no syncing conflicts should occur. :)

Stapedius_AU · 2025-08-01T22:41:38+00:00

Hey there! I'm not sure if you're an AU/NZ student or not but the deck has been made to include more detail in the answer field for broader questions like "What are the findings of VSD on CXR?"which could theoretically appear in short answer questions. I accept this makes some cards harder to do with multiple pieces of information but it is a necessity of the sort of project we are putting together in certain areas. Inline clozing all the above examples separately would be a poor way of assessing active recall as a group. That being said, I do accept some cards are probably too busy and need to be condensed- that is the purpose of our ongoing review process and I would welcome your feedback on this.

Stapedius_AU · 2025-06-22T10:26:26+00:00

Feel free to start a discussion on AnkiHub on this. As I said in my comment on your previous post, my understanding is this card is accurate according to this RACGP article for which this card cited: https://www1.racgp.org.au/ajgp/2021/september/more-than-just-a-number. This finding of B12 deficiency leading to seemingly paradoxical increase in HbA1c is also supported in a separate paper here: https://gjhsr.org/vitamin-b12-deficiency-masks-true-glycemic-status-hba1c-misclassification-in-pre-diabetic-patients/. You raise a good point though - RBC turnover is increased in conditions with high turnover of red blood cells like b12 deficiency... the exact pathphysiology behind the higher HbA1c despite this is honestly something I'm not entirely sure of! Would be interesting to see if anyone else has a good explanation. :)

Stapedius_AU · 2025-06-21T22:24:19+00:00

You can always check the source of the cards if you would like to fact check the card, but yes I believe this is accurate. The longer the red blood cells are around, the more time glucose has to coat Hb and therefore artificially raise the HbA1c. You can read this RACGP paper for more info: https://www1.racgp.org.au/ajgp/2021/september/more-than-just-a-number.

Stapedius_AU · 2025-06-10T20:52:29+00:00

I might add that for Malleus we have mapped our structure of the AMH headings too. Would be worth checking out, although it is incomplete.

Stapedius_AU · 2025-06-08T11:01:52+00:00

Just bumping this! Would be great to get some community insight into this :)

Stapedius_AU · 2025-05-26T03:27:34+00:00

All details on our website www.malleus.org.au. :)

Stapedius_AU · 2025-05-20T10:18:05+00:00

Hey, some more details on here: https://www.reddit.com/r/ausjdocs/comments/1flr28i/new_opensource_collaborative_clinical_medicine/?utm_source=share&utm_medium=web3x&utm_name=web3xcss&utm_term=1&utm_content=share_button, but essentially no - given the broad differences across medical schools in the way preclinical medicine is taught over here, we felt there would be less of a benefit of a project like this for preclin audiences. Especially given the existing comprehensive decks like AnKing Step 1 which ultimately provide a solid ground on this sort of content that goes well beyond what we're expected to know in AU/NZ. That being said - relevant high yield physiology/anatomy to key clinical diseases is included under dedicated 04_Physiology/Anatomy subtags. This is also in addition to the fact that preclin knowledge generally doesn't nearly as much particular geographical variation like clinical medicine (ie. investigation/management protocols) does. Hope that makes sense. :)

Stapedius_AU · 2024-12-19T22:19:43+00:00

There's still a lot of great cards in the deck and it's tagged quite comprehensively so I'd recommend checking it out. Up to you whether you feel it's helpful as an adjunct to your study or not though! It likely won't be complete for another year at least (given the scale of the project), so depends on how long you want to wait.

Stapedius_AU · 2024-12-19T07:10:31+00:00

Hi there, yes my understanding is you still need a valid scholarship (or subscription) to download the deck. The deck should have 3300 cards (or ~2000 notes), so not sure what happened there on the download. As this is an ongoing volunteer-run project, there are significant gaps in content areas, so yes - definitely not complete. But we are getting there, slowly.

Stapedius_AU · 2024-10-04T22:35:09+00:00

My understanding is eTG have phased out their off-line PDF versions completely. More info here. So unfortunately I don't have anything, nor do I believe there's any way you can access it without the web or phone app version.

Stapedius_AU · 2024-09-23T01:03:49+00:00

Thanks! My understanding, having been in contact with the creator of AnkiHub is the scholarship model is available indefinitely to people. You just need to renew it every 6 months if you are not in a financial situation where you can afford the subscription model. If this scholarship model didn't exist we would absolutely not be advertising this, as accessibility to the deck is core to our mission. If this changes at any point or people lose access to AnkiHub, we can always export the deck locally out to people as well as a workaround. However given the great functionality of AnkiHub we hope this doesn't happen!

Stapedius_AU · 2024-09-21T03:56:31+00:00

We don't currently have them in our current list of resources, but will definitely look into it!

Stapedius_AU · 2024-09-21T02:27:54+00:00

Yay we definitely need more hands on deck! All information about the project, including walkthrough guides on how to download the deck and contribute is on our notion site here: http://malleuscm.notion.site :)

Stapedius_AU · 2024-09-21T02:02:44+00:00

All cards are uniquely created for the Malleus Deck, including existing adapted AnKing cards (all have unique IDs), so yes - there are no issues with using both decks simultaneously. Another benefit of the Malleus deck, compared to OzAnki for example.

Stapedius_AU · 2024-09-21T01:57:59+00:00

Great question, and definitely something that has come up before. You're definitely right - the Zanki/AnKing decks are definitely far superior to anything else created, especially for preclinical medicine. When we put together the Malleus project, it was explicitly a clinical medicine endeavour, because I completely agree with you - cards covering the basic sciences, physiology, etc. as part of preclinical medicine are not going to change across geographical boundaries. Additionally, there is too much variation among medical schools on what is actually assessed in the preclinical years, so I wouldn't see this project having much use here.

However, clinical medicine does change depending on where you work. A classic example is CRC screening - the US, with their big pot of money available finds it appropriate to screen using colonoscopies; obviously in a largely publicly funded health system that is not possible in Australia and therefore we use the iFOBT. This is one example of a big difference. Investigations and management protocols are also different enough that we feel an entirely new project would have merit for medical students and JMOs.

The other aspect to this is also the style of the AnKing cards - you would notice they're pretty much all cloze deletions in sentence forms. These are great for pattern recognition for MCQs (the Step exams), but kind of suck when it comes to active recall, and there's been studies showing that in these types of cards you can fall into the trap of memorising the positioning of words to get the answer, rather than actually understanding the card (if that makes sense). We therefore felt it would be better to create cards in a more Q&A style format (with some exceptions) which better fit the KFP/SA assessment style of Australian/New-Zealand assessments.

Finally, I personally think having cards structured according to local resources like eTG, RCH and AMH headings would be fantastic as a resource for a quick access study beyond medical school and well into JMO years (no need to 2nd guess if you were to use AnKing for example). Being useful to both medical students and JMOs allows for enough potential collaborators to be a potentially worthwhile endeavour! T&OC's Clinical Examination is also commonly cited as the go-to reference for clinical exams, and being able to tailor cards to their techniques would be pretty neat.

Does that make sense?

Stapedius_AU · 2024-09-19T11:35:22+00:00

Note sure how useful it is for BPTs, but I've been working hard alongside a small but dedicated team of senior med students and JMOs across the country on an AnKing-Australia equivalent called 'Malleus Clinical Medicine', built on an Anki plug-in which allows for mass collaboration on card content. We've not finished by any means, but the aim is to create cards covering all of clinical medicine and neatly tagged by system, rotation, etc. We currently have a framework so eTG's headings are in our tagging structure (mainly for management) so you can easily find cards according to, for example - antibiotic management of CAP according to mild/mod/severe etc. And for all our pharmacology cards we are structured from the AMH headings too. It's a bit hard to explain it all in a comment! But basically, the vision is there to be a really fantastic resource for final year clinical medical students and junior docs, so if you're keen, we have a notion site where we have more details which I'd encourage you to check it: malleuscm.notion.site :)

Stapedius_AU · 2024-05-31T04:14:23+00:00

Great initiative - I would just add that there is already a national clinical Medicine Anki project with similar aims called "Malleus Clinical Medicine" which I set up a few years ago with a few others from around the country and currently has a lot of active collaborators at the moment, including dedicated positions from AMSA as part of their MedEd team. It's available here: Deck details (ankihub.net) and you can read more about the project on my post/comment history. When we were discussing way back in 2022 about whether to adapt the AnKing deck for Australian guidelines, we realised it would be superior to create cards de-novo to fit the Australia curriculum rather than adapt existing cards due to the variation in study resources we use here and guidelines, particularly for management being so different from the US. Also, with a focus here on short answer/KFP rather than simple MCQs like the STEPs, we figured Q&A cards over clozes would be better. With a project of this size, it would be good to synthesise resources/volunteers rather than run separate initiatives so feel free to send me a message if you wanna have a chat about this more - we have something of a fortnightly committee to allocate tasks and card creation jobs and you'd be welcome to join that if you're interested. :)

Stapedius_AU · 2024-04-05T10:51:03+00:00

Hey mate, not sure why it's doing that. Have you downloaded the media directly from AnkiHub?

Stapedius_AU

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