1. Phase III
Batool Hassan

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

3. 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

4. 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.

5. OLC

6. 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

7. 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

8. nCEX

9. 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

10. 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

11. 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

12. 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