1
Phase III of medical curriculum
 Pre-clerkship
 Junior clerkship
 Senior clerkship
 Pre-internship
 FMD exam
2
Blueprint
Proposed Clinical Presentations, Causes, Disease list
 124 Core topics, alphabetical order
 Each topic has subtopics
 No 1 is: 001 Abdominal distension
I.
Ascites
a.
b.
Malignancy
Hypoproteinaemia
 124 Wheeze
3
Assessments
1. In-houses assessment
mCEX, OLC, CBD, KFQ
2. Final exam: end of rotation: written paper:
MCQs, SAQs, OSCE
3. FMD: written Paper, OSCE, clinical short cases.
4
OLC
5
In-House assessment
1. 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
6
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
7
nCEX
8
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
9
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
9
9
9
9
9
9
8
9
9
8
9
8
9
10
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
11
Written Paper
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
12