Types of Clinical Years Examinations

[dr_Lord]

السلام عليكم ورحمة الله وبركاته

Well, I was thinking about new thread that gives some idea about the type of Final Examinations the students can face in their clinical years. I can write them with some examples and how to deal with them.

There are 2 main types of exams which are 1) Written and 2) Clinical exams. The written one might be in the form of Multiple Choice Questions (MCQs), Short Answer Questions, and Short Assays. I think every single medical student faced it in his academic years and got some experiences in answering them.

The Clinical Exams: they are further divided into 1) Short Cases, 2) Long Cases, and 3) Objective Structured Clinical Examination (OSCE).

1) Short Cases:
A series of patients (usually tow) are seen with the examiners who give you specific instructions like; “Look at this patient, what is the diagnosis?!” or “listen to this women’s heart”
-You well then be expected to introduce yourself, carry out the appropriate examination, and present your findings and give a diagnosis (Dx), differential diagnosis (DDx) and management plan (all depends on what the examiner asks you).

2) Long Cases:
A prolonged period with a patient (usually 1 hour) prior to presenting the case to an examiner. You may be taken back to the patient in order to assess a specific part of the examination technique.
-Take a detailed history (Hx).
-Perform a thorough clinical examination.
-Keep an eye on the time and make legible notes, divide your time into history taking, examination, reviewing your findings, and going back to ask further questions.
-Give the positive and important negative findings.
-Outline a Dx and a DDx.
-Outline the investigations that are appropriate, and treatment options including long-term care needs if appropriate.

3) Objective Structured Clinical Examination (OSCE):
This is a “round robin” of test stations, the examiners remain in their stations and the students come to them one after another. Each station lasts 4-5 minutes.
Stations may be paired, e.g. clinical examination at one station and questions about the examination and the diagnosis at the next. You can be asked to take a specific part of Hx or Ex or do quick full examination, all depends on the question. This type of examination is fairer to the students since all students will go in the same stations.

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Done, with my best regards;
Dr.Lord

[Dr. MacabrE]

Salam

thanx dr_Lord for these info's

i always woundered what OSCE ment....

thanx again

[H@SSOOM]

Salam


Thanx my dear for providing us with those helpful information


A series of patients (usually tow) are seen with the examiners who give you specific instructions like; “Look at this patient, what is the diagnosis?!”

do u mean that it is expected from me to tell the diagnosis immedeatly" as if the pateint face is clear to be one of the common faces such as mitral faces??" or I will introduce myself first then I will do a physical examination??????

A prolonged period with a patient (usually 1 hour) prior to presenting the case to an examiner


here , the physical exam will last a long time.. I want to ask if the examinar will be on my head while I am performing the examination or not????????

I think it is better f he will leave me alone with the patient then I will present the case to him





final question
which one of those 3 types do u think it is better?????????






thanx aloooooooooooot

:12: :wooow: :to:

[dr_Lord]

Salam all

thanx Dr. MacabrE for your attendence, Hope now you got it :o:

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H@SSOOM, regarding your questions:

1-do u mean that it is expected from me to tell the diagnosis immedeatly" as if the pateint face is clear to be one of the common faces such as mitral faces??" or I will introduce myself first then I will do a physical examination??????
Actually that was just an example, but probably he might ask you about a DDx "differential diagnosis". for example, the question in one of the short cases asked to me that : "this patient came to the hospital complaning of left hemeplasia, sickle cell an. take the associated Hx from him"
see, the examiner wants to see your performance in taking a quick Hx in 5 minutes but with concentrating on his main question.

2-here , the physical exam will last a long time.. I want to ask if the examinar will be on my head while I am performing the examination or not????????
No, the examiner will leave ya with the patient for one hour, then he will come back to you to present the Hx for him, do the Ex, and finally answer his questions about the case or the entire subject.

3-which one of those 3 types do u think it is better?????????
most of us prefare OSCE exams. Why??? coz it's more fair to all the students. In long cases you don't know what is the case or who is examining you so the marks will vary. But in 6th year you will be examined on 1 long case and 2 short cases.

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Hope I answered your questions brother.

with my best wishes;
Dr.Lord
:12:

[NOOORI]

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[suzana]

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