The fastest way to stop running out of time in exams

Candidates often believe time management means speaking faster or reading faster. Most time loss is caused by poor sequencing. When candidates do things in the wrong order, they create rework, hesitation and drift.

“Time loss is rarely about speed. It is usually about poor sequencing.” - A/Prof George Eskander

Where candidates lose time

Common time-wasters include:

• taking a long unfocused history
• delaying red flag screening
• over-explaining instead of acting
• revisiting the same issue repeatedly
• adding low-yield details while missing key actions

These behaviours increase cognitive load and reduce scoring efficiency.

What good sequencing looks like

High-performing candidates typically:

• clarify the task and agenda early
• screen for red flags quickly
• summarise and commit to a working diagnosis
• deliver management in clear steps
• safety-net in specific terms

This reduces rework and keeps the station moving forward.

Conclusion

You do not need to be faster. You need to be more structured. Strong sequencing protects both safety and time.

Reference
Norman G. Research in clinical reasoning: past history and current trends. Medical Education. 2005.