The document discusses changes in medical student assessments over the past 50 years. It notes the shift from traditional written exams to more comprehensive evaluations of students' knowledge, attitudes, skills, and behaviors. Specifically, it describes the increasing adoption of objective structured clinical exams (OSCEs) which evaluate clinical and communication skills through rotations at short stations with standardized patients or simulations. OSCEs are now commonly used internationally and are seen as an improvement over traditional exams in providing standardized, fair assessments of complex clinical competencies. However, successful implementation requires significant planning and resources from medical institutions.
Evidence based dentistry strategies for new diagnostic and treatment methodol...devicharan11
If you think that you are facing difficulties covering your course on oral pathology, then it is high time to opt for lectures offered by Professor Dr. Devi Charan Shetty at ITS Dental College. He can help you understand the toughest concepts with his interactive approach.
Evidence based dentistry strategies for new diagnostic and treatment methodol...devicharan11
If you think that you are facing difficulties covering your course on oral pathology, then it is high time to opt for lectures offered by Professor Dr. Devi Charan Shetty at ITS Dental College. He can help you understand the toughest concepts with his interactive approach.
Mentorship for Medical and Healthcare Careers: obstetrics & gynecologyVandna Jerath, MD
Vandna Jerath, MD discusses how to obtain a mentor in medicine to optimize your chances of getting into medical or osteopathic school, physician assistant school, or nursing school.
Learning Objectives:
Learn why it is a privilege to be a physician and a general overview of obstetrics & gynecology.
Learn the pros and cons of a career in medicine and obstetrics & gynecology.
Learn the education and training required for a career in medicine.
Learn how to cultivate a passion and purpose that will begin a career path in medicine and healthcare.
Learn how to pick ideal mentors, shadowing experiences, develop essential skills, and maximize mentorships.
Learn the basic medical career options, appropriate healthcare questions to ask, current healthcare hot topics, benefits of research, how to engage with helpful medical mentors, and importance of building relationships.
Learn how to share your authentic selves in the application and interview process to optimize chances of acceptance to medical school, osteopathic school, physician assistant school, dental school, or nursing school.
A presentation created and delivered by me in the weekly meeting of our unit in the orthopedic surgery department in National Ribat Teaching Hospital (Khartoum, Sudan) on the 12th of June 2018. It is composed of the following parts:
- Why should I care?
- Basic Background.
- Novices vs Experts.
- Effectiveness and Efficiency.
- Knowledge acquisition and organization.
- Compare and Contrast Thinking (CCT)
- Illness Scripts.
- Reading to create strong illness scripts.
- Clinical Problem Solving Strategies.
- Problem Representation.
- Establishing and prioritizing a differential diagnosis.
Mentorship for Medical and Healthcare Careers: obstetrics & gynecologyVandna Jerath, MD
Vandna Jerath, MD discusses how to obtain a mentor in medicine to optimize your chances of getting into medical or osteopathic school, physician assistant school, or nursing school.
Learning Objectives:
Learn why it is a privilege to be a physician and a general overview of obstetrics & gynecology.
Learn the pros and cons of a career in medicine and obstetrics & gynecology.
Learn the education and training required for a career in medicine.
Learn how to cultivate a passion and purpose that will begin a career path in medicine and healthcare.
Learn how to pick ideal mentors, shadowing experiences, develop essential skills, and maximize mentorships.
Learn the basic medical career options, appropriate healthcare questions to ask, current healthcare hot topics, benefits of research, how to engage with helpful medical mentors, and importance of building relationships.
Learn how to share your authentic selves in the application and interview process to optimize chances of acceptance to medical school, osteopathic school, physician assistant school, dental school, or nursing school.
A presentation created and delivered by me in the weekly meeting of our unit in the orthopedic surgery department in National Ribat Teaching Hospital (Khartoum, Sudan) on the 12th of June 2018. It is composed of the following parts:
- Why should I care?
- Basic Background.
- Novices vs Experts.
- Effectiveness and Efficiency.
- Knowledge acquisition and organization.
- Compare and Contrast Thinking (CCT)
- Illness Scripts.
- Reading to create strong illness scripts.
- Clinical Problem Solving Strategies.
- Problem Representation.
- Establishing and prioritizing a differential diagnosis.
1) I am Dr Md Anisur Rahman Anjum passed MBBS from Dhaka Medical College in 1987. Diploma in Ophthalmology (DO) from the then IPGM&R (now it is Bangabandhu Sheikh Mujib Medical University BSMMU) in 1993. Felllowship in Ophthalmology FCPS from Bangladesh College of Physician and surgeon in 1997. I am now working as associate professor in General Ophthalmology in National Institute of Ophthalmology Dhaka Bangladesh which is the tertiary centre in eye care in Bangladesh.
These OSPE are dedicated to the postgraduate student who are decided to builds their carrier in ophthalmology. I hope that they will be benefited if they solve these OSPE
Regenerative medicine is now an recognized specialty which has evolved from degerative diseases of Orthopaedic Surgery.Orthobiologics is a current terminology for the application of various cells, cytokines, growth factors.Busy people find it to update and this is an update.
Introduction of Objective Structured Clinical Examination as assessment tool ...iosrjce
IOSR Journal of Research & Method in Education (IOSRJRME) is an open access journal that publishes articles which contribute new results in all areas of research & method in education. The goal of this journal is to bring together researchers and practitioners from academia and industry to focus on advanced research & method in education concepts and establishing new collaborations in these areas.
Resident Performance from the Patient's View: Richard Wardrop, MD, PhD, FAAPPicker Institute, Inc.
Principal investigator: Richard M. Wardrop III, MD, PhD, FAAP, FACP, WakeMed Faculty Physicians, Internal Medicine and Pediatrics, Assistant Professor at Virginia Tech Cailion School of Medicine and the University of North Carolina School of Medicine
The Resident Performance project intended to adapt an existing attendant-based evaluation into a patient-centered prototype tool that is concise, valid and reliable, and that enables patients to accurately assess resident performance on 4/6 ACGME competencies. Performance with regard to ACGME core competencies of residents who receive feedback and coaching using the patient-centered tool was compared to that of those who received attending-only feedback.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
1. CHANGING TRENDS IN THE MEDICAL EXAMINATIONS
DR.T.V.RAO MD
Methods for student assessment in medical education has changed over the past 50 years. We have
moved from a standard of pen-and-paper tests of knowledge and facts toward a more complex
system of evaluation. Medical students today are tested on knowledge, attitudes, and skills across
multiple settings and methods, which are often triangulated to reach summative decisions. Current
educational and assessment strategies include problem-based learning, computer simulations, and
checklists, standardized patients, and team-based learning that we call as seminars. When we
started our life in Medicine; we were few students in a Unit for training, my teachers who were
always willing to spend the time in training us. Patients were poor in many Government hospitals,
helpful to cooperate, and willing to answer many questions put many times with our ignorance.
Medical council of India wishes that graduates should have the knowledge, skills, professional
behaviours and attitudes necessary to enter the unsupervised practice of medicine in India, as
Graduates must be able to diagnose and manage health problems and provide comprehensive,
compassionate care to their patients. Today we teach the students on comprehensive and
integrated care of the patients, as it is desired to be a competent physician as Prospective
candidates should be aware that, cognitive, physical examination, management skills,
communication skills, and professional behaviours are all evaluated in timed simulations of patient
encounters. Doctors should be able communicators both in good and as well in critical times and
student must be able to speak, to hear and to observe patients in order to effectively and efficiently
elicit information, describe mood, activity and posture and perceive non-verbal communication. A
student must be able to communicate effectively and sensitively with patients, families and any
member of the health care team. A student must also be able to summarize coherently a patient’s
condition and management plan verbally and in writing. To the students, we should teach to be
effectually to use motor functions. A student must demonstrate sufficient motor functions to safely
perform a physical examination on a patient, including palpation, auscultation and percussion. The
examination must be done independently and in a timely fashion. A student must be able to use
common diagnostic aids or instruments either directly or in an adaptive form (e.g.
sphygmomanometer, stethoscope, otoscope and ophthalmoscope). A student must be able to
execute motor movements reasonably required to provide general and emergency medical care to
patients. Compassion, integrity, concern for others, interpersonal skills, interest and motivation are
all personal qualities that physicians must demonstrate and are expected qualities of students.
efficient motor function to safely perform a physical examination on a patient, including palpation,
auscultation and percussion ability to use common diagnostic aids or instruments either directly or
in an adaptive form (e.g., sphygmomanometer, stethoscope and needles)ability to execute motor
movements that are reasonably required to provide general and emergency medical care to
patients. Many Medical assessment examinations in India and abroad are changing to the new
educational assessment for the new generation of students to eliminate the older examination
system fraught with poor assessment criteria, designated as Objective Structured Clinical
Examinations (OSCEs). An Objectively Structured Clinical Examination (OSCE) is a modern type of
examination often used in health sciences (e.g. Midwifery, orthopaedics, optometry, medicine,
chiropractic, physical therapy, radiography, nursing, pharmacy, dentistry, naturopathic medicine,
Para medicine, podiatry, veterinary medicine). It is designed to test clinical skill performance and
competence in skills such as communication, clinical examination, medical procedures / prescription,
exercise prescription, joint mobilisation / manipulation techniques, radiographic positioning,
radiographic image evaluation and interpretation of results. An OSCE usually comprises a circuit of
short (the usual is 5–10 minutes although some use up to 15 minute) stations, in which each
2. candidate is examined on a one-to-one basis with one or two impartial examiner(s) and either real
or simulated patients (actors or electronic dummies). Each station has a different examiner, as
opposed to the traditional method of clinical examinations where a candidate would be assigned to
an examiner for the entire examination. Candidates rotate through the stations, completing all the
stations on their circuit. In this way, all candidates take the same stations. It is considered to be an
improvement over traditional examination methods because the stations can be standardised
enabling fairer peer comparison and complex procedures can be assessed without endangering
patient’s health. Medical schools in many developed countries are increasingly relying on Objective
Structured Clinical Exams as a method to evaluate their medical students' clinical skills and
communications skills. As OSCE exams are now the method of the licensure examination in the USA,
Canada, UK, Australia, and New Zealand and many other countries, most schools are now
implementing these clinical skills assessment exams right from the first year for their medical
students.OSCEs for Medical Student tend to be system oriented as you move from placement to
another, like while they do their surgery clerkship, the topics will be around surgical topics, and so
on. However, medical students have to keep their minds open to all possible diagnoses and explore
the relevant ones as time permits. Differential diagnosis is still needed to be covered in all medical
student OSCEs. The best way for a medical student to prepare for an Objective Structured Clinical
Exams (OSCE Exam) is repetitive practicing following a well prepared systematic approach model.
Acquire a systematic organized approach that covers clinical skills, communication skills, and
differentials. Start as early as possible in your medical education and keep repeating and practicing
your approach over and over for months and all through your medical school years. Make it a habit
in order to master patient encounters. It will be one practicing for all your coming medical OSCE
exams. Does it make sense, The OSCE is an assessment format in which the candidates rotate
sequentially around a series of structured cases located in ‘stations’, at each of which specific tasks
have to be performed, usually involving a clinical skill, such as history taking, examination of a
patient or a practical skill. The marking scheme for each station is structured and determined in
advance. There is a different examiner and a time limit for each station. The basic structure of an
OSCE may be varied in timing for each station, use of checklist or rating scale for scoring, use of
clinician or standardised patient as examiner, use of real patients or manikins, but the fundamental
principle is that every candidate has to complete the same assignments in the same amount of time
and is marked according to a structured marking schedule. Many Medical Institutions and some
deemed universities are planning for a change. The DNB courses have successfully implemented
many aspects of OSCE. My little experience with OSCE in a Medical College, it is far more confusing
than the traditional system, for the undergraduates, I think who are implanting the system should be
sound in doing the procedures or else it is confusing to the Teacher as well as taught. However
Successful OSCEs are often the result of significant planning, coordination of multiple resources,
commitment to large-scale testing, and judicious use of assessment data. More research is needed
about the best uses of the OSCE method and how to maximize reliability and validity. Advocates of
the OSCE method should continue to produce and disseminate evidence of the far-reaching impact
that is seen by students and educators.
Dr.T.V.Rao MD. Professor of Microbiology, Creator and Designer of e-learning resources in
Microbiology and Medicine - a Freelance writer. Travancore Medical College, Kollam. Kerala
the article published in the souvenir Golden Jubilee celebrations of J. N Medical College Belgaum
Karnataka