There has been a recent change of exam conduct plan and marks for MBBS General Medicine
Previously the marks allotted for practicals were 100 only for 1 long case and 2 short cases and the candidate had to obtain more than 50 marks to pass the exam.
In the revised November 2023 plan, the total marks has increased to 200 and there is separate formally assessable slots not only for long cases and short cases (which contains the same 100 marks as previous with just another addition of 10 marks as long case is now 60 marks and two short cases amount to 50 at 25 each) but also there is currently marks for testing student's competences on OSCEs (25 marks), AETCOM (5 marks) and logbook (20 marks).
Previously viva used to be 20 marks and added to theory marks and currently the viva has been made 40 and we presume will be taken into the practical total marks.
The long, short case and viva are traditionally established practice and we shall go with the established tradition but we need to introduce a few points about osce, AETCOM and log book as they haven't been commonly assessed traditionally.
OSCE (25 marks) :
Introduction:
Most learning is a process of objectively structuring subjective complex multidimensional real life data (blooms level 3-5) into a two dimensional space (blooms level 1 aka knowledge) that can be stored forwarded asynchronously and modeled conceptually to gain understanding (blooms level 2) through further analysis ( level 4) and evaluation (level 5) and then relooped into the learning ecosystem as creative communication/publication (level 6). This learning is cyclic and one can keep moving in and out of these levels at any entry or exit point regardless of level numbers.
More about bloom levels in a past lecture here :
Problem statement :
Objectively structured clinical evaluations OSCEs have been regarded as a medical educational assessment tool for many decades and at some point threatened the long case into extinction. (1-2)
However gradually people may have realized that traditional OSCEs are simplified simulations that disregard real world complexities and create an illusion of certainty for learners and assessors alike. (1-2)
Solution: Modification of traditional format preserving realism and clinical complexity developed through candidate's ability toward Socratic questioning also leading to further analysis and evaluation of the long case leading to Bloom level 6 learning insights on the case not just as a one time summative assessment over a short period of hours but over days of the patients stay in the hospital and subsequent follow up at home all the while continuing the student's evaluation through direct 360 degree observation by multiple evaluators and their feedback inputs around the patient serving as valuable assessment indicators during thematic analysis. (2)
Methods :
We have developed a modification of traditional format preserving realism and clinical complexity developed through candidate's ability toward Socratic questioning also leading to further analysis and evaluation of the long case leading to Bloom level 6 learning insights on the case
More here : https://medicinedepartment.blogspot.com/2023/12/ongoing-project-draft-optimizing.html?m=1
AETCOM (5 marks) :
The attitude, ethical sensibilities and communication skills of a student can be evaluated based on their reflections of their past patient experiences as illustrated here :
https://alavaramyatulasitejasri11.blogspot.com/2023/05/as-keen-learner-i-want-to-share-some.html?m=1
And for the entire batch here :
LOG BOOK (paper based offline as well as online learning portfolios) 20 marks
We have encouraged all our students to maintain their regular learning logs in online learning portfolios and in the link below to our CBBLE dashboard here : https://medicinedepartment.
CBBLE stands for case based blended learning ecosystem first described here : https://www.ncbi.nlm.nih.
Long case and short case (60+25+25 marks )
For more about the university and NMC (regulators body) guidelines for conducting the final MBBS practical viva exams click here
: https://medicinedepartment.
Quoting from the above link :
Long and short cases (60+25+25 marks)
"Emphasis should be on candidate’s capability to elicit history, demonstrate physical signs, write a case record, analyze the case and develop a management plan.
Viva (40 marks)
Viva/oral examination should assess approach to patient management, emergencies, attitudinal, ethical and professional values. Candidate’s skill in interpretation of common investigative data, X-rays, identification of specimens, ECG, etc. is to be also assessed."
Please find the details of the previous exam and marks from 2022-21 here: https://medicinedepartment.blogspot.com/2022/06/brief-chart-on-time-allotted.html?m=1
MCI examination guidelines PDF linked below:
Finally we come to how exactly we wish to conduct the examination here locally so that
1) There is minimal intrusion in the local patient centered workflow thus not harming patients
2) There is maximal utilization of this additional learning in the regular workflow thus actually benefiting patients."
Link to the recordings of our Medicine MBBS and MD university exams 👇
Link to our CBBLE dashboard here : https://medicinedepartment.
CBBLE stands for case based blended learning ecosystem first described here : https://www.ncbi.nlm.nih.
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