FRCS clinical: the 6-minute hand case is shorter than you think

In my clinicals, the examiner stopped me after what felt like 90 seconds of my hand examination and said 'you've made your diagnosis — tell me what you've found.' I'd wasted time on a full routine screen before demonstrating the specific provocative test I actually needed. The lesson: for hand cases, lead with a focused exam toward your clinical suspicion, then broaden if needed. Don't save the money-shot test for last.