فعاليات اليوم الأول 1434-1435هـ فريق المحتوى العلمي فعاليات اليوم الأول 1434-1435هـ Original presentation done by: Sara Mahasin.

What is going to happen? Learn about different subspecialties. Divided into two groups. Year is divided into 3 cycles: First: OBGYN, Anesthesia. Second: ENT, Ophthalmology, Orthopedics. Third: Primary Health Care, Psychiatry, Dermatology. One month mandatory elective.

General Format Lectures. Clinical rotations. Other activities: PBL. CBL. Clinical Skills. Presentations. DxR. Exams: MCQ. OSCE. Written: SAQ. MEQ.

General Tips Lectures and sessions: Be punctual. Prepare before hand. Not imp *-* Lectures and sessions: Be punctual. Prepare before hand. Communicate effectively. Patient confidentiality: Don’t tweet, instagram, or share anything on a social media that would identify the patient. Don’t share anything without the patient’s consent. Exams Study as soon as possible, don’t cram. Practice history and physical examination of every specialty. Uniform: Surgery scrubs, white scarf.

General Tips In the Clinics: You are expected to: Observe. Not imp *-* In the Clinics: You are expected to: Observe. Take patient’s history. Perform a physical examination. Answer questions: differential diagnosis, treatment, medications, etc. Each specialty has its own evaluation sheet and log book. Carry around a pocket book or your tablet with one of the books you’re reading to look up any information. Ask previous years about the doctors you will be attending with as its important to know what to expect. You won’t rotate with all the doctors and subspecialties.

The following information is accumulated from the class of 430 The following information is accumulated from the class of 430. The information might be different for your year. Disclaimer

First Cycle

OBGYN Credit hours: 8 First Three Weeks: including the patient safety lectures. Theory lectures. Tutorials. Skills Four weeks: (logbook+ writing cases) Clinical rotation: history, physical examination. Sessions with doctors. Attending clinics. Attending surgeries. On call: delivery room, ER. (2 days only) Clinics: everyday the doctors have a meeting from 8-9 you can attend (optional) or ditch and sleep in check which days the doctor has clinics (some don't give sessions unless its the same day as the clinic ex. two days a week so make sure when they're there), OR, rounds if you are interested in attending or if the doctor wants you to attend go to the clinics prepared, at least read a few lectures before meeting the doctor so you can discuss something in the session your experience in the clinic depends on the doctors so it's better to ask around always take a note pad with you because some doctors hint at the exams or OSCE (ex. Dr. Abdlwahab and Dr.Saed When I took a session with them, they mentioned things like "this comes frequently in the osce" or "you will be asked in the exam". They are amazing tutors btw and will show or discuss interesting cases.) We had a logbook to fill out (we had to attend 2 normal deliveries, 1 cesarean, a laparoscopy, a laparotomy, dilatation and curettage, case presentation, write down 2 cases) heard that you don't have one after we complained about it. If you don't have a logbook then your life will be so much easier.

OBGYN

OBGYN Groupings: Course organizer: Dr. Ahmed Abdulwahab Tutorials: 4 groups Skills: 8 groups Clinics: Depends.. (For B, twice. for A Once) On-call: 2-3 students per group Course organizer: Dr. Ahmed Abdulwahab Location: Lecture theatre D How many lectures: nearly 90

OBGYN Grades: Midterm (fibroid) MCQs. (20%) Final MCQs. (30%) “changed to 25%” OSCE: (30%) “changes to 35%” : Oral stations (3-4). Written stations (11-12). DXR. (10%) Clinical assessment: (10%) Logbook. Attendance. What to expect in the exam: I'm not sure what the department has told you in orientation or what they have in mind for your batch so I don't know if you're going to get the same thing or there are some changes but just for a heads up to let you know 1.Midterm: in the midterm the questions were mostly case based (in the attachment in our mid MCQs) I didn't read the previous MCQs but from what I heard is there weren't any questions from them, and only a few were repeated mostly focused on gynecology (amenorrhea, fibroids..) and bit of obstetrics (diabetes, hypertension,managing different fetal presentations, RH isoimmunization ..) Diagnosis of a case is based on what is written in the lecture and what the doctor's mentioned knowing the diagnostic tests and type of management is important: Gyn: for example you'll have a case of bleeding: post partum hemorrhage/post menopausal bleeding/menorrhagia so you should differentiate from medical what type of medications or surgical such as hysterectomy with or without oophorectomy, dilatation, curettage, etc  Obs: for example presentation of fetus and how to manage, normal delivery or c-section. Diagnostic tests: blood sugar, glucose challenge test, ultrasound: fetal  Tutorials were included no oncology in midterm, but there were questions about fibroids 2. Final: oncology was added to the things we had to study in the midterm the questions were more direct and based on memorization and there were less case based questions I don't know if the MCQ team have a file for the question but from what I remember: there were less case based questions and more direct ones that rely on pure memorization  an example: "You are in a session and a colleague asked you this question: what is the length of the (something to do with the pelvic inlet: one of the conjugates not sure which one) and the answers were in centimeters.  tutorials were included (even the patient safety one). Patient safety question: you are in a clinic treating  a child. The patient was seen by a doctor the day before and was sent home. You felt that the doctor made a mistake and the patient should have been admitted immediately. Should you: tell the parents the doctor was wrong, keep quiet ... Patient safety: I don't know about you guys, but we had some patient safety lectures that we were examined on separately after the final. They were 10 questions but they weren't included and they don't know what to do with the grades.  3. DXR: I don't know if you are required to it but this is what happened with us: I suggest you get all the green stars in each case because it's supposed to be out of 10 and only one person I believe got a full mark. Everyone else got a random grade. They told us that they'll give out the grade depending on the average but they didn't tell us what the average is and 9ara7a 4alamona bil 3alamat.  There are some girls who screen saved the answers somewhere. So my advice is stay on the safe side, forget about being an honest person and just copy all the answers and get them all right.

OBGYN Sources MCQ 428 + 429 + 430. Kaplan videos + kaplan book. Lectures’ slides. Sakala book. (high yield) 428 team booklet. OSCE: (quick copy gyneo B OSCE notes + instrument booklet + 430 OSCE team for HX and EX + YouTube PV EX) Crash course obgyne. Clinical Sessions. Optional: Toronto notes. Sakala BRS or high yield. Essentials of Obstetrics and Gynecology (Hacker and Moore’s) Fundamentals. All GYNE MCQ. TEAM 429.

Anesthesia Credit hours: 4 Two weeks: Morning lectures Afternoon clinical skills: Applying theoretical concepts. Attending OR, recovery room, pro/post op sessions, ER. Observing procedures. History taking. Physical examination.

Anesthesia

Anesthesia Groupings: Course organizer: Dr. Essam Manna Location: 3106 Skills: 5 groups Course organizer: Dr. Essam Manna Location: 3106 How many lectures: Nearly 10

Anesthesia Grades Sources Final: MCQ (40%) OSCE (40%) Clinical Sessions: (20%) Logbook MCQ 429 + 430. Revision Session. Anesthesia 430 notes. (lecture recording notes) OSCE: (our logbook + YouTube videos for EX) Anesthesia booklet and hand out: (IMP) KwikKopy

Patient Safety Lectures are within (gyne lectures weeks) Included in OBGYN cycle in the final MCQ exam. (about 6 to 8 questions)

Second Cycle

Orthopedics Credit hours: 6 Lectures. Clinical sessions: History taking. Physical examination. Clinical skills: Casting. Splinting. Reduction. Knee aspiration. Case based learning.

Orthopedics Groupings: Groups should be prepared very soon Skills: 3 groups CBL: 3 groups within the 3 groups Course organizer: Dr. Abdulaziz Al-Omar (supervisor) Location: 3106 How many lectures: 17

Orthopedics Grades Sources Final MCQ (40%) (pictures on a laptop + questions on a paper) OSCE (40%) History Taking Physical examination Clinical skills Continuous Assessment Case based learning (10%) (attendance 5% + presentation 5%) Skills (10%) (different for group A) Lecture notes. (most IMP) Ortho 430 team notes + 429 team notes in some lectures. OSCE: (department OSCE checklist + YouTube videos for EX + know who to DX from the lectures) ) Optional: Apley’s. Netter’s. - MCQs: 80 questions, the questions are straight forward but really long and you just have 1.5 minute for each question. So to save time, read the question first so you can sort out what is the important information that will help you answer the question. The question is style is similar to the USMLE. A few are short straight forward ones. - Important lectures: Red flags and fractures, study them very well, especially the management (for all lectures): what is the initial, most important, diagnostic investigation for each case.  They contain the most questions and are the longest cases, so you should know them by heart and you'll do well.  - OSCE: physical examination, knee aspiration, trauma, history Know the proper technique and order for everything. 

Orthopedics

ENT Credit hours: 4 Lectures: First two weeks along with Optha (3 days ENT + 2 days optha) (hard copy schedule, ends around 2 o’clock) Clinical sessions: Attending clinics: History taking. Physical examination. Rounds. (pre/post op) OR. Audiology lab. Communication/Speech disorder clinic. Study lectures from doctor’s handouts

ENT Groupings: Course organizer: Dr. Moh’d Arafat Two big groups Clinics: 6 groups within the two groups Course organizer: Dr. Moh’d Arafat Location: Building 4, 2nd floor How many lectures: 25

ENT Grades Sources Exams MCQ (30%) SAQ (40%) OSCE (20%) Clinical evaluation (10%) Lecture. 430 and 429 team notes. Toronto notes. Department objectives handout. Lecture notes book. 2 stations OSCE: (checklists for Hx and EX + Dr. Manal notes) SAQ: (Previous SAQs + go back to lectures) Evaluation: (Toronto notes Or lectures + OSCE resources) What to expect:  1) Clinics evaluation: - optha: complete eye examination (check attachment), you can study from anywhere or check out youtube ENT: post/pre-op case, history+physical examination, grades vary on tutor 2) MCQs: each question has 1 mark study from the previous groups, if you have time check the old MCQs from previous years - optha: important lectures:  anatomy (any kind of anatomy not the first lec only ex. cranial nerve supply etc.), systemic diseases, pharma those you should know very well (doesn't mean you should ignore the rest of the lectures) - ENT: previous groups are important some of the questions are repeated the questions focused on the ear diseases and the speech lecture carcinoma not very important, for our group they just mentioned the nasopharyngeal 3) SAQ: expect anything really, but previous SAQs from previous years (the old OSCE) are very important You should not go into the exam unless you've read them 4) OSCE: - optha: 2 stations, eye exam no history. One of the doctors did something to "trick" the students The station was pupillary eye reflex and the only device you need is a torch for the examination. He put on the table extra stuff such as a prism and a pinhole which you don't need to use specifically for this examination. You loose marks if you used the "extra" equipment - ENT: 2 stations, history AND physical in one station. Unfortunately some doctors didn't tell the students when half of the time was up so they didn't have time to cover everything completely. Bring a watch to keep track and don't depend on the doctor to manage your time

Ophthalmology Credit hours: 4 Lectures: Clinical Rounds: First two weeks along with ENT. Clinical Rounds: Clinics. OR. ER. Clinical Skills.

Ophthalmology Groupings: Course organizer: Dr. Marwan Abuammouh Two big groups Clinics: 4 groups within the two groups Course organizer: Dr. Marwan Abuammouh Location: Same as ENT How many lectures: 10

Ophthalmology Grades Sources Toronto notes. Lecture Notes (430 & 429). Exams : MCQ (30%) SAQ (20%) OSCE (40%) Fundoscopy Complete eye examination Clinical evaluation (10%) Sources MCQs: each question has 1 mark study from the previous groups, if you have time check the old MCQs from previous years - optha: important lectures:  anatomy (any kind of anatomy not the first lec only ex. cranial nerve supply etc.), systemic diseases, pharma those you should know very well (doesn't mean you should ignore the rest of the lectures) OSCE: - optha: 2 stations, eye exam no history. One of the doctors did something to "trick" the students The station was pupillary eye reflex and the only device you need is a torch for the examination. He put on the table extra stuff such as a prism and a pinhole which you don't need to use specifically for this examination. You loose marks if you used the "extra" equipment Toronto notes. Lecture Notes (430 & 429). Basic Ophthalmology. Essentials of Ophthalmology.

Third cycle

Primary Health Care Credit hours: 6 Lectures. Presentations: Student led seminars. Case presentation skills. Evidence based presentation. Clinical Attendance (PHCC).

Primary Health Care

Primary Health Care Groupings: Course organizer: Dr. Hussein Saad Two big groups SLS: 17 groups (might change) CPS: 9 groups within the two groups EBM: 4 groups (2 groups within the two groups) PHCC: depends on the center Course organizer: Dr. Hussein Saad Location: 3118 How many lectures: 11 + 17

Read from the guidelines Questions are similar to medicine Primary Health Care Grades: Important Lectures: Exam MCQ (30%) Data interpretation (10%) OSCE (25%) Continuous Assessment SLS (10%) EBM report and presentation 5/5 (10%) CBL 5/5 (10%) Clinics, log book (5%) Data interpretation. Diabetes. Hypertension. CHD. Asthma. Read from the guidelines Questions are similar to medicine

Psychiatry Credit hours: 4 Lectures: Clinical Sessions: 4-5 weeks along with dermatology. Clinical Sessions: Observation. Fill out logbook. Clinical Activities Assignment: History taking. Physical examination.

Psychiatry

Psychiatry Groupings: Course organizer: Dr. Ahmed Al-Hadi Clinic: 6 groups Course organizer: Dr. Ahmed Al-Hadi Location: Psychiatry Hall How many lectures: 6 chapters

Psychiatry Grades Sources Exams: MEQ (40%) Final (60%) MCQ (30%) OSCE (30%) 1 Video Station. Simulated patient. Sources “Basic Psychiatry” Prof. M.A. SughairManual, Textbook First Aid for Psychiatry Clerkship. Prof. Alsughayer’s handout

Psychiatry Tips Avoid psychoanalysing or stereotyping patients, family, friends, or yourself. People with mental illness are not dangerous. Anyone can have mental illness. A diagnosis is not an adjective: “I keep forgetting, it’s like I have Alzheimer’s” “You must have ADHD, you can’t concentrate” Be empathetic not sympathetic. To understand what a patient is going through, listen to their stories and perspectives: Eleanor Longden: The voices in my head: http://youtu.be/syjEN3peCJw A Little bit OCD: http://youtu.be/VszpoKZJO5E Neil Hilborn - "OCD”: http://youtu.be/vnKZ4pdSU-s

Dermatology Credit hours: 2 Lectures: 4-5 weeks along with psychiatry. Morning lectures (Thursday). PBL: Afternoon session (Thursday). Always related to morning lectures. Clinical rotation: Wednesday: morning/afternoon. Morphology clinic.

Dermatology Groupings: Course organizer: Dr. Saleh Al-Rasheed Clinic: 12 groups PBL: 4 groups Course organizer: Dr. Saleh Al-Rasheed Location: Psychiatry Hall How many lectures: 12

Dermatology Grades Sources Midterm MCQ (20%) Final MCQ (30%) SAQ (30%) PBL (10%) Clinical Rotation (10%) “last two” Lectures. Toronto notes. Clinical Dermatology Fitzpatrick Color Atlas

Mandatory elective Duration: one month. Credit hours: 3 (supposedly) A department/specialty/research of your choosing. Local or abroad. Advice: Narrow down your choices to 3 max. Prepare as soon as possible. Have a plan B. If you change your mind, it’s ok.

Writing a Report Report feedback for the courses to medical education. Report can include: Opinions on what you didn’t like about the course and how to change them. Opinions on what you liked but would like to improve them. Opinions on what you liked and how you want to keep things the way they are . Delegate a person to collect comments and feedback to write the report.

Thanks and good luck!