1. Modified Essay Question Yousef Abdullah Al Turki MBBS,DPHC,ABFM Associate Professor and Consultant Family Medicine College of Medicine, King Saud University

2. Aims and Objective( General) To assess the candidate ’ s ability to conduct a good consultation and problem solving skills. To assess the candidate ’ s ability to conduct a good consultation and problem solving skills. To assess the candidate ability to identify the nature of a prevented problem and to propose a range of solutions To assess the candidate ability to identify the nature of a prevented problem and to propose a range of solutions To identify and evaluate the candidate attitude to the situation described. To identify and evaluate the candidate attitude to the situation described.

3. Aims and Objective (Specific) The Assessment of adequate consultation skills. The Assessment of adequate consultation skills. The comprehensive of history-taking. The comprehensive of history-taking. Explaining to the patient the nature of his problem's). Explaining to the patient the nature of his problem's). Selection of relevant health promotion and prevention. Selection of relevant health promotion and prevention.

4. continue Relevant clinical examination. Relevant clinical examination. Relevant laboratory investigation. Relevant laboratory investigation. Appropriate management strategy. Appropriate management strategy. Rational prescribing. Rational prescribing. Effective referral if needed. Effective referral if needed. Evidence of being a competent and safe doctor. Evidence of being a competent and safe doctor.

5. Common theme in M.E.Q All aspect of clinical and preventive family medicine. All aspect of clinical and preventive family medicine. Problem and difficult patients. Problem and difficult patients. Psychological problems in individuals and families. Psychological problems in individuals and families. Consultation process. Consultation process. Practice organization. Practice organization.

6. continue Relationships with colleagues and others. Relationships with colleagues and others. Controversial and new topics. Controversial and new topics. The doctor ’ s own feeling. The doctor ’ s own feeling. Ethics and attitudes. Ethics and attitudes.

7. How should you set about answering M.E.Q ? Read the scenario carefully. Read the scenario carefully. Every word has some significance. Every word has some significance. Think in broad terms about the whole of the case, not just about the superficial symptoms or diagnosis described. Think in broad terms about the whole of the case, not just about the superficial symptoms or diagnosis described. Think of the context in which the situation arises, and the resources you can command to deal with it. Think of the context in which the situation arises, and the resources you can command to deal with it.

8. continue Think of what you need to do to convey your ideas and implement them. Think of what you need to do to convey your ideas and implement them. Keep it brief - notes or statement. Keep it brief - notes or statement. Time – divide equally Time – divide equally Practice family medicine – justify your action and how? Who will help you and how? Practice family medicine – justify your action and how? Who will help you and how? Structure your answer to cover all aspects. Structure your answer to cover all aspects.

9. Marking schedule What are the contents of marking schedule of Modified Essay Question? What are the contents of marking schedule of Modified Essay Question?

10. Clinical competence Assess of physical state, relevant clinical examination, appropriate investigation, and evaluation of therapy. Assess of physical state, relevant clinical examination, appropriate investigation, and evaluation of therapy. Psychological, social, and environmental factors. Psychological, social, and environmental factors. Family situation and support. Family situation and support. Compliance. Compliance.

11. Practice management and organization Communication, team work. Communication, team work. Follow up. Follow up. Value of regular visits. Value of regular visits. Shared care. Shared care.

12. Patient autonomy and expectations What does the patient want or expect? What does the patient want or expect? What does the doctor think is possible? What does the doctor think is possible? What is realistic in the circumstances? What is realistic in the circumstances?

13. Attitudinal factors How does the candidate consider resources outside the practice? How does the candidate consider resources outside the practice? Implication of social class and doctor- patient relationship. Implication of social class and doctor- patient relationship.

14. R.A.P.R.I.O.P R- reassurance R- reassurance A- Advice A- Advice P- prescribe P- prescribe R- referral R- referral I- investigation I- investigation O- observe O- observe P- plan P- plan

15. Sttot and Davis Management of presenting problems. Management of presenting problems. Management of continuing problems. Management of continuing problems. Modification of help-seeking behaviors. Modification of help-seeking behaviors. Opportunistic health promotion. Opportunistic health promotion.

16. Thanks with my best regards