341 COURSE

OrganizersDr. Waleed Al-hamoudi

Dr. Nahla Azzam

Introduction

• Med Course 341 is the first clinical course for the medical students. It is a 10 credit hours .

• The main objective of the course is mastering history taking& learning the technique of how do physical exam and know the physical sings of patients.

• Composed of a theoretical part (lectures) and a clinical part (bed side teaching).

Introduction

• THEORETICAL PART: • There shall be three lectures per week covering

all the general medicine aspect such as cardiology, rheumatology, pulmonology, endocrinology, nephrology, gastroenterology, hematology/oncology, infectious diseases and neurology

• It will be given over 75lectures during 28 weeks.

Introduction

• CLINICAL BEDSIDE TEACHING: There shall be two clinical sessions per week.

The teaching consists mainly of basic history taking, basic technique of different system examinations and definition and identification of physical sings.

Attendance

• Attendance is continuously monitored and kept to see whether students will meet the required percentage of attendance set by the University.

• Group leaders will be required to notify the course secretary ( Sultan) in case the tutor doesn’t show on the day of the session in order to avoid any compromise in bedside teaching.

Introduction

• Students well be divided into groups (10 students /group).

• Each group will be assigned to two tutors.• Tutors will change every six weeks.• Additional group sessions will be given during

the course of the year covering neurology.

RECOMMENDED REFERENCES

RECOMMENDED REFERENCES *Cecil Essentials of Medicine: Thomas E. Andreoli, Charles CJ Carpenter,

Robert C. Griggs, Joseph Loscalzo(Highly recommended)

*Others1. Clinical Medicine – A textbook for Medical students and doctors. P.J Kumar and M.L. Clark “Latest Edition” 2. Davidson’s Principles and Practices of Medicine – C.R. Edward and Ian, A.D Bonchir – Latest Edition.

*Bed side teaching: Clinical Examination – latest Edition by Nicholas Talley and Simon O’Connor.

EXAMINATIONS

•CONTINUOUS ASSESSMENT EXAM is 40% from the total 100% marks. - This is the first exam done after the students finished the first half of the course and it Consists of Written Exam (20%) and Clinical – Long Case Exam (20%)

FINAL EXAMINATION is 60% from the total 100% marks. - This will be the second exam after the students finished the 28 weeks of teaching and Just like the first exam it consists of written exam (30%) and clinical (30%).

• Written exam is composed of 60 questions of single best answers

• CLINICAL EXAM - Students will be marked on his/her ability to take history and perform a physical examination of all the systems taking into consideration that this is their first clinical exam. On both occasions, examiners do not expect the students to know the diagnosis or differential diagnosis of patients. Students are not expected yet to know the management approach.

OSCE EXAM

• OSCE is objective structured clinical examinations

• It is standards in clinical exam in Europe and states

WHAT IS OSCE

• The OSCE increase the fairness by:• 1.Increase the range of skills that the students

are tasted for• 2. Increase the numbers of examiners by

whom the students are assessed• 3. asking the students the same questions

over the same period of time

• It consist of 6 stations over 60 minutes • Divided by 3 clinical stations • 2 history taking• 1 rest stations • All are patients oriented

• Most of exam will get the patients with abnormal finding

• But we can get normal ..• We can get volunteers…

examination

Examination History

History examination

Rest

• 1. A confident approach • 2. A good skill performance • 3. Good applied knowledge • 4. Clear answers• 5. Level-headedness (say I don’t know rather

than waffling)• 6. Good communications

What are examiners looking for ?

• Arrive late• Forget to introduce ur self to the patients • Suggest diagnosis of cancer loudly • Examine the patients in wrong positions • Jump to a particular interpretation of some

data and ignore all examiners attempts to steer you away from it

Common mistakes in OSCE

• Identify the main symptoms• Obtain the relevant to the symptoms• Think about the D.D of the symptoms• Think about the risk factors • Ask about the disease that may complicate or

associate with the main problem • Effect of this problem on the

patients ..occupation ,social …

Example of OCSE station (History)

Examine this patients legs (Motor) 1. Did the candidate explain the examinations to the patients YES NO 2. Did the candidate give clear instruction to the patient ------ ------- 3. Did the candidate inspect the legs ----- ------ 4. Did the candidate compare the 2 sides ----- ---- 5. Did the candidate elicit the quadricepes muscle ------ ----- 6. . Did the candidate elicit the ankle reflexes ------ ---- 7. Did the candidate elicit the plantar reflexes ------ --- 8. Did the candidate examine the tone adequately ------ ------ 9. Did the candidate examine the clonus ------ ----- 10. Did the candidate examine the power across all the legs ------ ------

Examples of OSCE stations

Inquiry

• During the course make sure to keep in touch with the course organizers through the secretary (Sultan 79887) in case of any problems.

• If a tutor doesn’t show up report to Sultan the same day.

• GOOD LUCK and have an enjoyable course.

Questions??