Brief chart on time allotted, competencies tested and marks allocated for university PG summative assessment exam

PG DEGREE EXPRACTICALS & VIVA VOC

DEPARTMENT OF GENERAL MEDICINE

Table of Competences tested along with break up of total 60 minute time allotted per candidate and per examiner (of total four) :

Link to google Doc formatted table : 

https://docs.google.com/document/d/1aQxCC1ExlApAEZNznShwayll7wFdGgymZd_Q-bMSXOE/edit?usp=drivesdk

Preferred :

One of the short cases be the examinee's thesis case which can be further leveraged by him her to present his thesis in the viva. 

Also the critical appraisal paper should be an RCT in PICO format around the diagnostic sensitivity specificity or therapeutic efficacy of one of the cases presented. 

S. No	Regd. No	Practical Max. Marks (200)				VIVA – VOCE (100)
		Long Case (100) Presentation of individual patient data:  Competences tested :  competency to collect , document, recall and analyze individual patient data to reach at diagnosis differentials and therapeutic plan  Time alloted: Total 20 minutes  Presentation: 10 minutes  Examiner questions: 2 minutes each  (8 minutes)  Total time for long case ( 10+8+2 minutes )	Short Case (100)		Total Marks (200)	Pedagogy Microteaching  Competences tested : Topic recall and conceptualization  Delivery of topic to a learning audience  Marks (25) Time alloted: Total 5 minutes  Presentation: 1 minute Examiner questions: 1 minutes each  (total 4minutes)  Total time for long case ( 1+4 minutes )	Thesis/Dissertation Competences tested: Research data collection, documentation analysis and impact  Marks (25) Time alloted: Total 5 minutes  Presentation: 1 minute Examiner questions: 1 minutes each  (total 4minutes)  Total time for long case ( 1+4 minutes )	Log Book /Learning Portfolio Competences tested Individual clinical experiences documentation, reflection, sharing and analysis of past 3 years self work impact  Marks (25) Time alloted: Total 5 minutes  Presentation: 1 minute Examiner questions: 1 minutes each  (total 4minutes)  Total time for long case ( 1+4 minutes )	Evidence based Medicine and critical appraisal of published data in PICO format Tests competency to read, comprehend and analyze scientific literature toward optimizing individual patient outcomes Marks (25) Time alloted: Total 5 minutes  Presentation: 1 minute Examiner questions: 1 minutes each  (total 4minutes)  Total time for long case ( 1+4 minutes )	Total Marks (100)
			Case 1 Marks (50) Presentation of  individual patient data: Competences tested:  Competency to capture and analyze visual data in the form of clinical, radiological, electrophysiological and instrumental images to quickly reach at diagnosis differentials and therapeutic plan Time alloted: Total 10 minutes Presentation: 5 minutes  Examiner questions: 1 minute each   (4 minutes)  Total time for each short case  (5+4+1 minutes)	Case 2 Marks  (50) Presentation of  individual patient data: Competences tested: Competency to capture and analyze visual data in the form of clinical, radiological, electrophysiological and instrumental images to quickly reach at diagnosis differentials and therapeutic plan Time alloted: Total 10 minutes  Presentation: 5 minutes  Examiner questions: 1 minute each   (4 minutes)  Total time for each short case  (5+4+1 minutes)
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The chart above is an updated version of what is available in the links below :

Link to NMC and KNR guidelines for PG summative exam :

https://medicinedepartment.blogspot.com/2020/05/re-final-university-md-medicine.html?m=0

Link to more strategies for the PG summative assessments exams :

https://medicinedepartment.blogspot.com/2020/07/post-covid-transformation-of-medicine.html?m=0

Link to the recordings of our Medicine PG exams 👇

https://medicinedepartment.blogspot.com/2022/05/links-to-ug-and-pg-university-exam.html?

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PG DEGREE EXAMINATION

PRACTICALS & VIVA VOCE

DEPARTMENT OF GENERAL MEDICINE

Table of Competences tested along with break up of total 60 minute time allotted per candidate and per examiner (of total four) :

S. No	Regd. No	Practical Max. Marks (200)				VIVA – VOCE (100)
		Long Case (100) Presentation of individual patient data:  Competences tested :  competency to collect , document, recall and analyze individual patient data to reach at diagnosis differentials and therapeutic plan  Time alloted: Total 20 minutes  Presentation: 10 minutes  Examiner questions: 2 minutes each  (8 minutes)  Total time for long case ( 10+8+2 minutes )	Short Case (100)		Total Marks (200)	Pedagogy Microteaching  Competences tested : Topic recall and conceptualization  Delivery of topic to a learning audience  Marks (25) Time alloted: Total 5 minutes  Presentation: 1 minute Examiner questions: 1 minutes each  (total 4minutes)  Total time for long case ( 1+4 minutes )	Thesis/Dissertation Competences tested: Research data collection, documentation analysis and impact  Marks (25) Time alloted: Total 5 minutes  Presentation: 1 minute Examiner questions: 1 minutes each  (total 4minutes)  Total time for long case ( 1+4 minutes )	Log Book /Learning Portfolio Competences tested Individual clinical experiences documentation, reflection, sharing and analysis of past 3 years self work impact  Marks (25) Time alloted: Total 5 minutes  Presentation: 1 minute Examiner questions: 1 minutes each  (total 4minutes)  Total time for long case ( 1+4 minutes )	Evidence based Medicine and critical appraisal of published data in PICO format Tests competency to read, comprehend and analyze scientific literature toward optimizing individual patient outcomes Marks (25) Time alloted: Total 5 minutes  Presentation: 1 minute Examiner questions: 1 minutes each  (total 4minutes)  Total time for long case ( 1+4 minutes )	Total Marks (100)
			Case 1 Marks (50) Presentation of  individual patient data: Competences tested:  Competency to capture and analyze visual data in the form of clinical, radiological, electrophysiological and instrumental images to quickly reach at diagnosis differentials and therapeutic plan Time alloted: Total 10 minutes Presentation: 5 minutes  Examiner questions: 1 minute each   (4 minutes)  Total time for each short case  (5+4+1 minutes)	Case 2 Marks  (50) Presentation of  individual patient data: Competences tested: Competency to capture and analyze visual data in the form of clinical, radiological, electrophysiological and instrumental images to quickly reach at diagnosis differentials and therapeutic plan Time alloted: Total 10 minutes  Presentation: 5 minutes  Examiner questions: 1 minute each   (4 minutes)  Total time for each short case  (5+4+1 minutes)
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Links to UG and PG university exam presentations (more than 500 video links)

MD 2019 batch university exams :

https://gmpgpracticals2k19.blogspot.com/2022/06/gm-pg-final-year-2k19-22-batch.html

MD 2018 batch university exams :

https://2018-21batchpgy3gmpracticals.blogspot.com/2021/08/pg-final-year-2k18-21-batchuniversity.html?m=1

MBBS 2017 batch university exams :

https://finalmbbspart2gmpracticals.blogspot.com/2022/06/2k17-batch-final-mbbs-part-ii-gm_55.html?m=1

MBBS 2016 batch university exams :

https://mbbs2k16batchgmpracticals.blogspot.com/2021/05/2k16-batch-gm-university-practical.html?m=1

BDS 2017 batch university exams :

https://bdsgmpracticals.blogspot.com/2021/09/bds-gm-university-practical-exams.html?m=1

BDS 2018 batch university exam :

https://generalmedicinedepartment.blogspot.com/2022/02/2018-bds-batch-iii-bds-knr-uhs.html?m=1

Life style and nutrition management through integrative medicine practice and education

 

This project will be illustrated through patient centered case studies. 

Our prior similar projects are published here :

http://userdrivenhealthcare.blogspot.com/2016/01/project-detail-achieving-swa-astha-by.html?m=0

https://pubmed.ncbi.nlm.nih.gov/19811603/

Two case studies of today 5/4/2022

Case 1 :

https://caseopinionsbyrollno156.blogspot.com/2022/03/36-year-old-with-pain-in-left-lower-rib.html?m=1

Case 2:

https://12avirnenivaishnavi.blogspot.com/2022/04/70-year-old-female-with-uncontrolled.html?m=1

Integrative medical education and practice twist :

Life style choices 1:

Psychosocial component :

Even as we started trying to change Case 1's life style and nutrition, we also got Case 1 to look after Case 2 as part of our life style modification program related to deaddiction and other life style changes toward giving our patients a better psycho social and metabolic profile enhancing their individual leadership and scholarship driving better collective societal gains. Above mentioned medical education project has been conceptualized earlier in this book chapter here : https://medicinedepartment.blogspot.com/2021/06/draft-3a-scholarship-of-integration-and.html?m=0

We made Case 1 present the problem based requirements of Case 2 in our 11AM to 1PM morning academic session also attended by 100s of our graduate medical students. One of the medical students was already presenting one of her patients of alcoholic cirrhosis and following her presentation once our Case 1 finished his presentation around Case 2, we had a fruitful discussion around Case 2 as well as Case 1 where we tried to discuss the similarities between the alcohol addiction of Case 1 and the previously medical student presented Alcoholic cirrhosis patient in a non judgemental manner highlighting the complications the first patient suffered from alcohol addiction. 

Our objectives and expectations from this patient driven learning exercise was manifold :

1) Demonstrate harms of a particular life style 

2) Demonstrate the positive outcome possibilities of a changed lifestyle 

3) Build confidence in the patient currently experiencing the harmful lifestyle that s/he can change for the better 

Current life style challenges identified in Case 1 from the case report linked above :

1) Psychological debility due to tragic life events leading to attempted acute (organo phosphorus poisoning) self harm as well as chronic self harm (alcohol addiction) 

2) Medical complications of psychological self harm manifesting in metabolic syndrome (type 2 diabetes) as well as recurrent pancreatitis and possibly type 3 diabetes. 

Life style interventions instituted and ongoing along with expected outcomes:

1) Patient empowerment through practical hands on knowledge and learning of clinical problem solving that would enable scholarship and leadership and not only help to solve the patient's own life style challenges but also benefit many others facing similar challenges as demonstrated by Case 1 learning to help Case 2. 

2) "Guided patient driven learning by patients under supervision of their academic institutional caregivers" can generate participant empathy and collaboration toward mutual well being.

Above is a work in progress and we need to watch this space. 

Lifestyle choices 2:

Nutrition and physical exercise :

Current challenges identified in both the patients:

Lack of information : 

What has been their diet and exercise levels till date and what has changed since pharmacological interventions began? 

If their diet and exercise is suboptimal what are the factors responsible for it? 

Definitive lifestyle interventions instituted :

Positive psychosocial gainful workflow along with proper nutrition and exercise with adequate monitoring of metabolic parameters and regular positive feedback. 

Image based monitoring of patient nutrition where patient is asked to share an image of the pre and post meal plate regularly and offered feedback on the nutritional value of the plate consumed and suggested changes based on the nutrition image of the plate intake shared. 

Case 1 plate image of lunch at hospital today:

Case 1 dinner today :

Case 2 dinner today :

Self recorded blood sugar values on full dose sulfonylurea Glimeperide 4 mg twice daily :

Please watch their data grow in the mirror image case report blog that is likely to be located in our elective student's learning portfolio here :

https://classworkdecjan.blogspot.com/2022/02/udhc-cases-mirror-2.html