Saturday, January 20, 2024

NMC reg CBME 2019 MBBS UG university exam papers and build up to practicals

The CBME 2019 batch General medicine university final theory question papers are released and finished today:










More about the Competency Based Assessment Module for Undergraduate Medical Education 2019 can be downloaded from the 8th document in their website here : https://www.nmc.org.in/information-desk/for-colleges/ug-curriculum/


To quote from the  "Excerpts from proposed GMER 2019
University Examinations"


"11.2.1 University examinations are to be designed with a view to ascertain whether the candidate has acquired the necessary knowledge, minimal level of skills, ethical and professional values with clear concepts of the fundamentals which are necessary for him/her to function effectively and appropriately as a physician of first contact. Assessment shall be carried out on an objective 
basis to the extent possible.

11.2.2 Nature of questions will include different types such as 
structured essays 
(Long Answer Questions - LAQ), 
Short Answers Questions (SAQ) and 
objective type questions (e.g. Multiple Choice Questions - MCQ). 

Marks for each part should be indicated separately. MCQs shall be accorded a 
weightage of not more than 20% of the total theory marks. In subjects that 
have two papers, the learner must secure at least 40% marks in each of the 
papers with minimum 50% of marks in aggregate (both papers together) to 
pass.

Also check "Annexure 2" :

Examples of theory questions
Sl. No.
Type Explanation Examples
1
Long essay 
question

The question should pose a clinical/practical 
problem to the students and require them to apply knowledge and integrate it with disciplines. 
Avoid giving one liners as 
questions. The question stem should be 
structured and marking distribution should be provided. 

Use action verbs from higher domains 
as given in this document.

Please avoid simple recall based questions. 

What is asked in the examination generally sets the agenda of what and how the students learn. 

A 6 days old term neonate has presented with jaundice noted at 3 days of age. He is born out of normal delivery 
at home. 

On examination, he looks pale, has a liver of 5cms and spleen of 2 cms. Other systemic examination is 
normal. 

a. What is your provisional diagnosis?
b. Which other conditions need to be considered?
c. Enumerate the lab tests that you will order and 
their likely reports in each of the diagnosis that you 
considered.

d. Explain the physical findings in the light of 
underlying derangements.
- Describe the clinical features, complications and 
management of type 2 diabetes mellitus. (3+3+4=10)

The current above papers don't appear to conform? 

Check out more examples of competence based assessment questions in various flavors shared here earlier in the links below :




Quoting again from the NMC document linked earlier and downloadable from the 8th document in their website here : https://www.nmc.org.in/information-desk/for-colleges/ug-curriculum/


"Practical/Clinical examination:

This part should include assessment in psychomotor and affective domain.
Assessment of clinical and procedural skills should be based on direct observations 
by the examiners. 

Avoid making this assessment mainly targeted to knowledge 
domain only. e.g. by asking a learner in a room away from actual patient, “how 
history was taken”. Instead, learner should be observed while he/she is taking history. 

The competencies dealing mainly with skills and affective domains in each 
subject must be included. Many of the tools mentioned for formative assessment may not be usable / feasible at the University examinations e.g. mini-CEX. 

However, multiple tools like case presentations, OSCE and/or OSPE should be 
employed.11,14,18-22."

Past formulations and IA (internal assessment) pilots of the practical exams as per the above NMC as well as KNRUHS guidelines archived here :



More about osce as a "medical cognition tool :



Wednesday, January 17, 2024

Medical cognition CPD, OSCE, Thesis learning objectives and aim (Blooms levels and kolbs cycle)

Aim :


To collect, document and share patient illness (insert your illness here) event data followed by thematic analysis and evaluation to achieve a synthesis toward correlating improved learning outcomes with patient illness outcomes. 

Objectives :

1) To collect and document patient illness (morbidities and comorbidities) data in their historical timeline (Bloom's level 1 memory feed and Kolb's concrete experiences)

2) To match the collected individual particular patient event data with past  generalizable data around similar illnesses (Bloom's and Kolb's conceptual understanding)

3) To apply available knowledge based on one's experiences and past general knowledge concepts (level 1 and 2 above) through communicating (declarative knowledge) and performing (procedural knowledge) necessary procedures to improve diagnostic or therapeutic  outcomes in the particular illness under study (Blooms level 3 and Kolb's team based reflective observations and active experimentation)

4) To analyze particular patient event data by extracting them into thematic categories for further evaluation (Blooms level 4) 

5) To evaluate each thematic category of patient event data into diagnostically labeled morbidities as well as comorbidities and establish a relation between their intervention outcomes over time (Blooms level 5)

6) To synthesise new learning outcomes over what was available globally prior to the above (level 1-5) learning exercises with relevance to the particular illness under study and establish a relationship between the newly synthesized learning outcomes with that of the study patient's healing outcomes.(Blooms level 6)


More about the CPD :

The aim is to improve medical cognition in health profession students. 

Participants of our CPD and our case based blended learning ecosystem CBBLE learn to utilize medical cognition tools to integrate medical education and practice and eventually improve

global learning  toward local caring.

This year's theme is "Blooming real patient OSCEs."


More about the OSCE:

The apparently new OSCE we are trying to promote is hands on professional skill development in objectively structuring (OS) real patient centered subjectivity toward optimal clinical evaluation (CE) in improving real patient outcomes in real time!

There's nothing new to it as it's an age old routine real clinical workflow for every physician that often goes unsung and we are probably trying to add a song here! 

More WIP about the real patient osce project here:

https://medicinedepartment.blogspot.com/2023/12/ongoing-project-draft-optimizing.html?m=1



More about the Thesis:

Ongoing projects in medicine other than the departmental post graduate thesis are all centred around "medical cognition" and optimizing clinical complexity using medical cognition tools. 


 



Thursday, January 11, 2024

Medical cognition CPD Jan 25, 2024 Theme : Blooming real patient OSCEs

Medical cognition CPD 2024 focuses on the idea of ‘patient centered medical cognition’ and features fascinating and inspiring content from speakers supported by global experts, covering key areas in medicine.  

Our aim is to improve medical cognition in health profession students. 


Participants of our CPD and our case based blended learning ecosystem CBBLE learn to utilize medical cognition tools to integrate medical education and practice and eventually improve

global learning  toward local caring.

More learning objectives : https://medicinedepartment.blogspot.com/2024/01/medical-cognition-cpd-osce-thesis.html?m=1

This year's theme is "Blooming real patient OSCEs."

The theme builds on decades long medical education journey right from our first reading of this article :

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC65539/


We have learned after countless editing journeys of long case reports that real OSCEs bloom in the "discussion" section of the long case report and that discussion is Blooms level 4-6 that analyzes (level 4) the applied (level 3) case data and provides an evaluation (level 5) of the overall patient's predicament synthesizing (level 6) data collected from collective memory (level 1) of the patient's life events and outcomes comparing it with a conceptual understanding (level 2) of collective memories of other similar and dissimilar patients that insinuate our collective consciousness.  


Building on this year's theme to also develop our thesis program :


If one can get the osce right in each and every real thesis patient participant, one can easily attain the Bloom's level 6 goal of one's thesis

The apparently new OSCE we are trying to promote is hands on professional skill development in objectively structuring (OS) real patient centered subjectivity toward optimal clinical evaluation (CE) in improving real patient outcomes in real time!

There's nothing new to it as it's an age old routine real clinical workflow for every physician that often goes unsung and we are probably trying to add a song here! 

More WIP about the real patient osce project here:

https://medicinedepartment.blogspot.com/2023/12/ongoing-project-draft-optimizing.html?m=1

More here : http://userdrivenhealthcare.blogspot.com/2022/10/medical-cognition-tools-to-resolve.html?m=1


For details on previous year's conference CPD  on Jan 25, 2023, please click here :

http://medicinedepartment.blogspot.com/2022/12/medicine-conference-with-cme-credit.html?m=0

On

Jan 25, 2022 please click here: https://ashiness92.blogspot.com/2022/01/clinical-problem-solving-2022.html


The conference is aimed to  serve as a platform for the medicine community to share best practices, acquire knowledge, and debate innovative approaches for "optimizing medical cognition" together.
Speakers will not only present original cases as last year but this year they will also share data driven insights from their own two year project work on similar patients around their chosen topic.

For quick online registration for Online Only participants please click here: https://forms.gle/5DSB6EJ9NUC5QyuKA


Thursday, January 25 · 8:00am – 5:00pm
Time zone: Asia/Kolkata
Google Meet joining info
Or dial: ‪(US) +1 470-485-0729‬ PIN: ‪340 035 092‬#
More phone numbers: https://tel.meet/gzp-teuv-fef?pin=4599090346058

For blended learning participants of this medical cognition CPD with offline lecture hall and hands on bedside medical cognition sessions other than the online interaction, there's a separate registration form that can be shared on request for those who may want to visit our campus 

Hall:
Main Auditorium


KAMINENI INSTITUTE OF MEDICAL SCIENCES

SREEPURAM, NARKETPALLY, NALGONDA (DIST) – 508254

Hosted by the DEPARTMENT OF GENERAL MEDICINE

00 am to 9 .00 am

Registration and login

9:00 am to 10:00 am

Welcome address and inaugural session with the pioneers of medical meta cognition


More here : https://medicinedepartment.blogspot.com/2024/01/medical-cognition-pioneers-session-cpd.html?m=1




10:10 am to  11.10 am


Blooming real patient OSCEs in rheumatology  

Blooming real patient OSCEs in rheumatology presentation details 


Speakers :


Dr Navya



Real patient OSCEs blooming in the link below: :



https://asjad24.blogspot.com/2023/10/a-case-of-25f-presented-with-fever-and.html


Dr. Lohith


Dr. Haripriya (altered sensorium in rheumatology and iatrogenic issues in rheumatology)


Real patient OSCEs blooming in the link below:


http://drsaicharankulkarni.blogspot.com/2022/12/20f-sle.html


https://manisharanga132.blogspot.com/2023/01/status-epilepticus-in-female-with.html?m=1


https://deepikaraga97.blogspot.com/2022/06/45-yo-female-with-rash.html?m=1


Dr Deepika :


https://vignatha45.blogspot.com/2023/02/40-year-female-with-hypokalemia.html


Moderator and mentor : Dr. ASK Manoj and Dr Sai Charan, Senior residents


Global experts :


Dr Aditya Samitinjay, Consultant Medicine, AIG, Hyderabad


https://adityasamitinjay.blogspot.com/?m=1


Komal Patel, Rheumatologist and Tutor, John Hopkins, Baltimore, Currently practicing IN
Miami, Florida affiliated with Parkland Health-Dallas.


https://health.usnews.com/doctors/komal-patel-1188377


Blooming real patient OSCEs in rheumatology Key Note address:

Dr Aditya Samitinjay



11.10 am to 12:10 am


Blooming real patient OSCEs in Cardiology

Blooming real patient OSCEs in cardiology presentation details 

Speakers:


Dr Sreeteja


Dr Ajay



Real patient OSCEs blooming in the link below: :


https://chat.whatsapp.com/DHs0e7ogFxjBQspjX4aCVX



Mentor and Moderator:

Dr.Vamsi, Dr Chandana Senior residents



Global Expert :


Dr Aashita, Cardiology Senior Resident, Kamineni hospital, Hyderabad


Blooming real patient OSCEs in

cardiology Key Note address :


Dr Aashita


12:10 PM to 1:10 PM

Blooming real patient OSCEs in General Medicine presentation details 

Speakers:


Dr Keerthi


Real patient OSCEs blooming in the link below:


https://shivapalreddyrollno15.blogspot.com/2023/12/56f-abdominal-pain-5-years-ileal_28.html


https://chat.whatsapp.com/FkKqT66S5fA16ssLIuB7PI


Dr Nitin


https://chat.whatsapp.com/JJ3z73YIW7f3mSskIEMUcy


https://drbnr.blogspot.com/2022/07/65-y-female.html


https://chat.whatsapp.com/IrcLPYVftrvFzrpB0TvjxE



Moderator : Dr Pradeep, Dr Raveen

(Senior Residents)


Global Expert:


Dr Aditya, Consultant Medicine,

AIG, Hyderabad


Dr Viswak, Associate Prof

Psychiatry 



1:10 AM to 2.30PM

Lunch break

Parallel sessions in the lecture hall


2:30 am to 3:30 pm

Blooming real patient OSCEs in 

General Medicine presentation details 

Speakers:


Dr Bharat 

Real patient OSCEs blooming

in the links below:


https://karnatitejaswinirollno31.blogspot.com/2023/03/case-case-scenario-march-1-hi-i-am.html?m=1


https://shashikalachegurimedicine.blogspot.com/2023/03/unusual-case-of-pancreatitis-secondary.html


Moderator : Dr. Manasa and Dr Shashikala

(Senior Resident )


Global Expert: Dr Aashita


Parallel hands on sessions in the hospital wards with real patients in real time 

Real patient OSCEs blooming by the bedside 

Hands on procedural medical cognition with non invasive imaging diagnostic methods and clinical problem solving at the bedside 









3:30 pm to 4:00 pm

Awards and felicitations of best performing students in Medicine

Nominees list here :

https://medicinedepartment.blogspot.com/2023/01/nominees-for-2023-optimizing-clinical.html?m=1















All videos of the above presentations are available here:

Wednesday, January 10, 2024

Medical cognition pioneers session CPD flyer

Medical Cognition CPD Jan 25, 2024 


9:00 AM IST 

Inaugural session with the pioneers 

Prof Vimla Patel is a Senior Research Scientist, Cognitive Studies in Medicine and Public Health at the New York Academy of Medicine and has immense pioneering contributions to the field through her work in clinical complexity, medical education and recently AI healthcare.  More about her in the links below : 


Prof Carmel Martin's is a general physician and teacher in three continents and her research in Australia, Canada and Ireland focuses on reforms related to chronic care using complex adaptive systems theory and constructionist perspectives. More here:  : https://www.globallisteningcentre.org/member/carmel-martin/

Dr Amy Price is a researcher, clinician, citizen scientist development expert, and research editor (Patient and Public Partnership) for BMJ and has worked extensively to build bridges for sustainable public and patient involvement in co-production, evidence-based methodology, guideline and policy development, and research reporting. More here: 

Dr Asoke Talukdar is a polymath, a Physicist by training, Computer Scientist by choice, and in AI healthcare, he is integrating unstructured Big-data to ensure "medical appropriateness toward better health outcomes."

More about medical cognition in the linK below :



10:00 AM Lecture hall sessions:

Blooming Real patient OSCEs 

By presenters, chairpersons and guest speakers in :

Rheumatology, General Medicine, Cardiology, Gastroenterology, Nephrology 

2-4 PM Parallel sessions of Bedside Medical Cognition and blooming real patient OSCEs in the hospital wards 

Detailed link to entire session :