System of Medical Examination

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System of Medical ExaminationSystem of Medical Examination .

BY

Dr. Mohammad Aslam BalochF.R.C.S

Prof. of Surgery B.M.C


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IntroductionIntroduction

Motive of passing examination is to achievethe result of your struggle, It is the nature

It is the nature for every struggle peopleexpect some fruit

So you study full time naturally expectingsuccess and the success depends onworking in a set framework.


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C omponents of C linical Exam are

(A)1. M. C .Q

2. Theory Long essay 60% Short essay.

(B) C linical Short C ases Long cases 60% Table Viva


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M.C.Q

Negative MarkingNo Negative Marking

Different Responses

1. True or False2. Tick C orrect one3. Yes or No


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Normally in countries where the Medical

Education Departments are advanced inMedical colleges, there is negative marking.e.g.

C orrect response--------------80Incorrect response------------10Not Attempted------------------10

Total Marks would be--------70


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Th eoryTh eory

In most of postgraduate centers + Advanced countries it is short essayquestions, long essays are absolute.

Suppose: there are different words weStress.1. Define2. Discuss

3. Describe4. Enumerate5. Give detail account & so on


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You start your answers with- Heading &- Sub Headings

start with most common problems/symptoms/conditions & with highest to lowestfrequency of occurrence.

- Minor or Foot notes or rare are not needed & donot carry any markings in fact.In our college it is the long question we rely

upon.Benefits are

1. You cover most of topics2. there is better assessment of candidates


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L ong EssayL ong Essay

We expect that candidate may be able tofollow what the examiner wants.

He/ She knows the basic principles.Understands the Basic principles andstresses on safety.

Proves He/She is safe for him/herself aswell as for the patients.


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A lways at the end define in the form of conclusion/ Result what was your question about & what do you think

of that in the end ( any improvements,changes, future trained at the back of your mind.)


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ClinicalClinical

Three parts,

1. Short cases2. Long cases3. Table Viva


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S h ort casesS h ort cases

You are shown2---5 cases.

Basic Idea is to test your clinical skills.e.g.

you may be asked to exam Groin, Neck,abdomen etc.


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Please make sure you are followingfundamental clinical principles1. Not to ask any questions2. Examiner is asking Examine3. Make sure you are asking permission from

patient to examine after your introduction topatient.4. Proper exposure of the part5. Systemic examination following the Routine

6. At the end of the examination give your diagnosis.7. Arguments in favour of Diagnosis


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You may be asked about the investigations& treatment of that patient in brief.

The different approaches/ options in

management.

The differential diagnosis.


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L ong casesL ong cases

Ample timeOnly one caseIt makes up

- C lerking of patients- Examination- Sensible investigations

- Differential diagnosis- Final probable diagnosis- Options for management


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C ontinued

Here examiners is testing your allcapabilities as well as your confidence,decision making.

He is also looking at your approach for management and safety of patient and whether you are safe or not


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He is always keen to look whether you arewell organized & you have a systemicapproach or you are just guessing & havegot some hints/feedback from the houseofficer who is working in the ward

Continued


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D o not forgetD o not forget

That your examiner is observing your dressing, apron, the stethoscope & the

Other necessary tools you are carrying.


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T able VivaT able VivaIn Table Viva you may be shown different

X-rays, U/sounds, M.R.I/ C .T Scan/Instruments.

The idea is to have a starting point thesewe call appetizers.)Then you go on to different topics for discussion.


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All examiners who understand their subject &

have been examiners. Agreement is

The student has to pass all the components or at

least two components of clinical examination.

They have to pass written as well as clinical part.

Failures in clinical/written examination is fail.

Continued


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Can t h e examiners be fair?Can t h e examiners be fair?

Most of examiners are fair & follow thefollowing criteria of examination.1. It is aggregation of all components of

examination.2. There is not a single examiner involved

but 34 examiners.

3. There are observers who give examiner some feedback.


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Biast Examiner

1. If the asking question in language whichis not acceptable (Harsh, agree looking &Tenting etc.)

2. Has a bad repute being partial or Harsh.3. Has been threating the students before

examination or giving them an

impression that they have to face themon other side of table with badconsciquences!!


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I Have failed t h oug h I h avebeen a good student?

C ategories of Questions1. Basic Questions

This is regarging basic Basic Principles,Decision Making, approach of students &regarging safety.

you have to have these questions

answered with confidence. These questions decide whether you pass

or Fail?


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2. Marks obtaining questionsThese are slightly Advanced questionsexaminer has made a decision that youhave passed & wants to give you moremarks.

If you reply them you get more marks if notyou will not fail.


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3. Position obtaining questions

If you have been good & have confidently& nicely attempted your first twocomponents you are a different category

of student & you qualify for some position.If they would be Advanced questions &may have controversies which you have togive your opinion & discuss them.


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In ConclusionIn Conclusion

I believe if you are a regular student.You understand your responsibilities

imparted by your family.You are doing justice to the job give

( off course only study ) according to your

conscious.You study 34 Hours daily.There is no way you may be unsuccessful.


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System of Medical Examination

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