Phase III Batool Hassan

Phase III of medical curriculum Pre-clerkship Junior clerkship Senior clerkship Pre-internship FMD exam

Proposed Clinical Presentations, Causes, Disease list Blueprint Proposed Clinical Presentations, Causes, Disease list 124 Core topics, alphabetical order Each topic has subtopics No 1 is: 001 Abdominal distension Ascites Malignancy Hypoproteinaemia 124 Wheeze

Assessments In-houses assessment mCEX, OLC, CBD, KFQ Final exam: end of rotation: written paper: MCQs, SAQs, OSCE FMD: written Paper, OSCE, clinical short cases.

OLC

In-House assessment OLC: Duration 30 minutes: 20/10 Methodology: Tutor observes student taking history and performs examination One patient one student at a time. Feedback at the end of assessment Assessment sheet to be handed to Coordinator

Problems: Treated as LC. Student is not OBSERVED More than one student taken to a single patient. Time Inflated marks No feedback Assessment sheet handed to student, marks given

nCEX

mCEX Duration : 15 minutes Methodology: Very focused clinical skill assessment of student. One student one tutor one patient As per schedule: timing of the test and the tutor Feedback Assessment sheets

Problems: Student hunts for “lenient” tutor. Repeats if did not like the marks More than one student examined at same time on single patient. Marks/ sheet handed to student to take to the coordinator. Many times the assessment sheets are lost Marks inflated Not discriminatory Vast majority of students have similar final IHM 8 9

Identified coordinator responsible for collecting/ keeping IHA Identified coordinator responsible for collecting/ keeping Secure organised filing system Pre-assigned tutor and time Log: details Name od student, name of examiner, date the assessment handed, signature of department coordinator Add on log book the instructions “ubmitt the sheet department coordinator” Verbal constructive feed back at the end DO NOT tell the students the marks

Written Paper MCQ: A & R type MCQ and SAQ According the blueprint H&P, PP, DD, Mx MCQ: A & R type Scenario and one best option Reasoning, options reasonable Avoid: negative, T/F, pure knowledge, all/non above. SAQ: Scenario plus image/ date