ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM Task A PROCEDURE SEMINAR (ONLINE) Learning Objective. Medical students need to learn and understand certain medical procedure performed on patients either as diagnostic or therapeutic or both. These medical procedures are the core and the routine medical procedures performed by medical officer on patients. It is part of their essential skill in order to be competent and to be able to practice as medical officer. Learning Outcome. 1) To recognized and familiarized with the procedures that were performed by medical officers. 2) To comprehend the indications and contraindications of the procedures. 3) To be able to identified the complications of the procedures. 4) To be acquainted with the technique of the procedures. 5) To be able to decide and employed the relevant procedure during specific clinical condition. Type of the medical procedures. Years 5. 1. 2. 3. 4. 5. 6. 7. 8. Arterial blood gas and venous blood gas. Exchange transfusion Central venous line insertion. Urine sampling for culture and sensitivity ECG Bone marrow aspiration and trephine biopsy. CPR in children CPR in infant 1|Page ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM Lesson Content The teaching consists of 3 parts. Part A: Slide Presentation by the student 1. 2. 3. 4. Each student will present one medical procedure. Each procedure presentation should be not more than 10 minutes. Each procedure presentation should be not more than 10 slides The component of the presentation: a) Introduction of the medical procedure presented. b) Indications – some discussion of indications. c) Complications – some discussion on how to recognize important complications d) List of equipment used –if possible, with picture of the equipment. e) Methodology – summary of the technique of the procedure. Part B: Video show 1. The second part will be a video show which showed a detail technique from the Utube. The student has to go through the options available in U-tube and selected the appropriate videos to be showed. The duration of the video should not more than 5 minutes. Part A and B will be conducted with the medical lecturer/paediatrician. Students will be divided to groups (8 per group for year 5 and 6 per group for year 5). After each presentation, lecturers will be commented and discussed on presentation especially the content and the technique of the procedure. Mark will be given after each presentation. Part C. 1. Student has to observe the medical procedure done by medical officer or specialist/paediatrician in the wards. 2. After the procedure being observed, the medical officer signature in the log book must be obtained to prove the procedure has been observed by the students. Assessment. 1. After each presentation, mark will be given after each presentation. The mark will be part of the continuous assessment. The marking guideline. Type Rubrics Weightage %Total Slides 1. The slides – attractiveness, clear, 10 % systematic 2. The content – completeness, precision, 60% 60% relevant 3. The presentation- logical, understandable. 30% Video 1. Relevant and appropriateness 20% show 2. Clear, precision and technically 40% 80% understandable. Total /100% Final Marks /10 2|Page ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM TASK B CASE BASED SEMINAR – YEAR 5 (ONLINE) Learning Objective: The aim of PBL is to train medical student the process of solving patient’s clinical problem based on the patient’s presentation and important complains. During the seminar Must on the video during online class & signed attendance. Those who didn’t turn on the video can be considered absent. Learning Outcome 1. 2. 3. 4. 5. 6. Able to recognise the common chief complain or common reasons to visit doctor. Ability to identify proper relevant history associated with the patient presentation. Able to elicit the important sign and symptom related to patient clinical condition. Able to understand the process of making diagnosis Able to relate specific investigation to specific cause. Able to understand basic management of important causes. List of Case Base (all the listed Case Base is a real-life scenario) 1. Child who is cyanosed. 2. Child who is jaundice 3. Child who is pale 4. Child who having shortness of breath. 5. Child who have has wheezing 6. Child who has stridor. 7. Child who is fitting. 8. Child who has headache 9. Children who has altered sensorium 10. Child with abnormal gait. 11. Child who has lower limb weakness. 12. Child who has diarrhoea. 13. Child who is constipated. 14. Child with generalised oedema. 15. Child with change of urine colour. 16. Infant who born inactive 17. Infant who is floppy 18. Infant who is jaundice. 19. Child who has multiple bruises. 20. Child who fail to thrive 21. Child who persistent vomiting. 22. Child with fever. 23. Child with rash. 24. Child with abdominal pain. 25. Child who is short. 26. Child loss conscious 27. Child who unable to walk 28. Child with joint pain 29. Child blood in the stool 3|Page ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM 30. Child is vomiting 31. Child with abnormal movement 32. Tumors and Tumor- Like Lesions of Infancy and Childhood 33. Sudden Infant Death Syndrome Guideline. 1. 2. 3. 4. Each student will present one CBL Each presentation shouldn’t be more than 20 minutes with 5-minute discussion. There shouldn’t be more than 15 slides No cut and paste except for picture or diagram. Cut and paste will result in mark being reduce. 4|Page ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM The flow of the presentation. The chief complain/situation Discuss the relevant and important HOPI, especially the associated symptoms that pointed the causes and severity. Always keep in the mind all the W…. When What Where How. List the important possible causes and summarize the essence of the causes (the possible diagnosis) (Student should read in detail the relevant disease before presenting) Other paediatric history Physical examination. What to look at or search in the patient physical. The associated sign that pointed the cause and severity. - Important general examination finding. - Anthropometric. - Vital sign Systems – start with the most relevant system according to the chief complain/presentation Discussed the investigation that should be performed in order to diagnosis or to assess the severity Outline management in term of cause and severity. (no need the detail such as the antibiotic dosage) 5|Page ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM Assessment. 1. The assessment will be given after each presentation and will be part of the continuous assessment. 2. The weightage and rubric. Type Slide preparation Slide content Presentation Communication Rubrics Clear, can be read, imaginative Originality, precise and correct Clear and logical Weightage Mark 10% 60% 30% Total Final Marks /100% /10 6|Page ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM PROBLEM BASED SEMINAR - YEAR 5 (FACE TO FACE) A group of students will be given a topic. They are expected to discuss among themselves about the topics and prepare a presentation of the topics. Learning outcome. 1. Able to work as a group and solve a problem given as a group. 2. Able to present the task in the most imaginative, creative and logical ways. Topics. 1. Autism 2. Speech delayed 3. Dyslexia 4. Down syndrome 5. Learning disability 6. Picky eater 7. Short stature 8. ADHD 9. Delayed Puberty 10. Child Abuse Guideline. 1. 2. 3. 4. Student will be divided to group of 4 or 5. They will be given a lecturer whom is most likely their mentor. A topic will be given to each group. The have to prepare a presentation and each person in the group must present. They are allowed to use any resources available. 5. The duration of presentation will be 45 minutes only. The presentation will be to the whole batch of pediatric posting. Assessment. Component Presentation material (i.e: slides, video) Content Discussion, question and answer Rubric Weightage Originality, clear, creativity 30% Appropriateness, adequate, logical Concise, ability to answer any question Total Final Marks 50% 20% /100% /10 7|Page ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM Assessment Case Presentation / BST Component HOPI and otherhistory Rubric Clear, concise, chronological PE Complete, concordance with history, relevant Able to make the diagnosis base on history chiefcomplain, history, symptoms and sign. Able to discussed the investigation finding logically. Diagnosis andDD Investigationand interpretation Progress anddiscussion Weightage 30% Able to discuss the case in practical manner, latestupdate of the condition, and no cut and paste. Total Final Marks 20% 20% 15% 15% /100% /10 Scoring rubric for student’s attitude/attendance Component Attendance • • • • Professionalism Dress appropriately Punctuality: Arrived on-time Participation:Engaged in thediscussion 3 2 1 0 >80% 60-79% 50-59% <50% 3/3 2/3 1/3 0/3 Total: 5 8|Page ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM CASE SUMMARY-YEAR 5 – MUST SUBMIT 2 WEEKS BEFORE EXAM Students are encouraged to select chronic and interesting cases. Simple and straight cases can result in loss of mark. Neonatal case is allowed but must with the permission of neonatologist Learning Outcome 1. Able to study the case and assess the case in holistic manner. 2. Able to write the case in concise and precise manner. Structure. Patient Particular Introduction of the illness – not more than 300 words. Summary of the history – When the problem started. When the diagnosis was made, How the diagnosis was made. Any previous admissions. Current admission. Relevant positive and negative history and relevant other relevant paediatric history. Summary of physical finding. Must include Anthropometry and growth chart Clinical diagnosis, investigations and discussion and final diagnosis Patient management including the progress in the war. This has to be integrated. Effect on the patient’s quality of life (QOL). In your opinion, after clerking the parent, how much the disease affects patient’s and parent’s QOL such as schooling, playing, and socially. Discussion of the illness including the update of the disease. Please mention your reference. – 500 words. 9|Page ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM Assessment Component Introduction Summary of History Summary of PE Diagnosis, Investigation, Management Rubric Weightage 5% 20% 15% 20% Clear, logical Clear, logical Clear, logical Clear, precise, logical QOL issues Able to understand and empathized patient QOL issue 10% Conclusion, discussion and references Clear, logical 30% Total Final Marks /100% /10 Example Case Summary. As attached. No need picture and please add quality of life section 10 | P a g e ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM 11 | P a g e ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM 12 | P a g e ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM 13 | P a g e ASSESSMENT MBBS 5407 DEPARTMENT OF PAEDIATRICS, IIUM 14 | P a g e