Friday, June 25, 2021

Medicine department paper for June 2021 bimonthly blended assessment

25/06/2021 9:00 PM


Answer all questions:                                                      

Max Marks: 100 (5 questions in total and 20 marks for each  answer) 

Submit by:   31/06/2021               


Below is an online formal question paper to be answered online using all available resources at your online disposal over a period of days and E logged in a manner demonstrated by one of the past examinees in the link here:https://caseopinionsbyrollno156.blogspot.com/2020/10/medicine-blended-assignment-october.html?m=1


And this was in response to one of the past assignments here:  medicinedepartment.blogspot.com/2020/09/medicine-paper-for-october-2020-first.html?m=1

Feel free to be creative and not necessarily be restricted by the above format. Please be original and refrain from plagiarism. Please note that every logged answer paper should contain the link to this current "assignment/question paper" page and the patient context for each answer. Also share the detailed online links to every quote or reference cited in your answer. 

Questions plan and context:

All questions are around student driven patient centered case reports prepared by our students (including 2019 batch students in 3rd semester) over last one month. For the same students taking this exam, separate marks will be provided for their contribution to the questions. 

We are also utilizing this online assessment platform for a participatory action research strategy in "developing student driven patient centered research projects and your online answers will be analyzed and interpreted with that intent for example in the May assignment link here: https://medicinedepartment.blogspot.com/2021/05/?m=0
the question around covid is linked to our ongoing covid project and the question around heart failure is linked to our heart failure project detailed here: https://vamsikrishna1996.blogspot.com/2020/10/thesis.html

More here on current medicine department projects: medicinedepartment.blogspot.com/2021/02/medicine-department-projects.html?m=0


As noted in the May assignment link, the questions cover the entire spectrum from anatomy, physiology to diagnostic, therapeutic uncertainty to resolve one disease theme and predictably move from symptoms to diagnosis and treatment challenges. 

Most questions in the April and May assessments, test the reading comprehension skills of the examinee and some prior familiarity with medical terms and strategies and also more importantly assesses their ability to use online search tools toward better expression of their learning points in the form of answers that are again made available open access for post publication peer review.

In summary the answers to the questions in the prior online question papers assess the examinee's competencies in empathically dealing with:

Clinical problem solving 

Medical terminologies familiarity including areas of anatomy, physiology, pathology 

Current EBM strategies for managing diagnostic and therapeutic uncertainty 

While the April 2021 assignment linked here :
was themed around a single disease, inflammatory bowel disease IBD, the May 2021 assignment was themed around multiple organ systems to encourage and enable examinees to make connections between various organ systems. 

The theme for this question paper is "scholarship of integration in medical education and research"  which is a tool to facilitate connections between different systems or disciplines of "knowledge" or learning in healthcare (in the context of medical education and research). 

In keeping with the above theme, in this assignment we shall evaluate the examinees aptitude for 

a) scholarship, which is reflected in their ability to read comprehend, analyze, reflect upon and discuss captured patient centered data as in their 'original' answers to the assignment for May 2021. 

b) scholarship of integration, which is reflected in 

1) their ability to connect with and capture patient centered data (as already demonstrated by many of the 2019, 2017, 2016 batch students who have captured it in their E logs as a part of their formative assessment) 

2) their ability to connect with and engage in shared learning with their peers through peer review feedback. 

Question 1: Competency tested for Peer to peer review and assessment : 

Please go through one particular answer of ten students in this link:
and share your peer review of each answer with your quantitative marking input as well as qualitative insights into what was good or bad about the answer. 

Question 2-4: 

Patient centered data 
captured by students from 2016 batch in the link below:

MULTISYSTEM:


CNS :


Renal :


Captured by one student from 2017 batch in the link below :

CVS :


Captured by one student from 2019 batch in the link below :

Abdominal : 




Q2) Share the link to your own case report of a patient that you connected with and engaged while capturing his her sequential life events before and after the illness and clinical and investigational images along with your discussion of that case. 

Q3) (Testing peer review competency of the examinees) :

Please go through the cases in the links shared above and provide your critical appraisal of the captured data in terms of completeness, correctness and ability to provide useful leads to analyze the diagnostic and therapeutic uncertainties around the cases shared.

Q4: Testing scholarship competency of the examinees ( ability to read comprehend, analyze, reflect upon and discuss captured patient centered data as in their 'original' answers to the assignment for May 2021):

Please analyze the above linked patient data by first preparing a problem list for each patient (based on the shared data) and then discuss the diagnostic and therapeutic uncertainty around solving those problems. Also include the review of literature around sensitivity and specificity of the diagnostic interventions mentioned and same around efficacy of the therapeutic interventions mentioned for each patient. 

Q 5) Testing scholarship competency in  
logging reflective observations on your concrete experiences of this last month : (10 marks) 

Reflective logging  of one's own experiences is a vital tool toward competency development in medical education and research. 

A sample answer to this last assignment around sharing your experience log of the month can be seen in one student's  answer to Q10 in the  May 2021 assignment in the link below:


Please reflect on and share  your telemedical learning experiences from the  hospital as well as community  patients over the last month particularly while you were E logging their case report while even in the hospital or perhaps when locked down at home.

Further reading :

An evolving book chapter on the theme of this question paper linked here using a layered information approach: 

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