By Naresh Kumar Background & Purpose Efforts to impart psychomotor skills through IVLE using McGill Videos have been tried since October 2007 at NUS. The post OSCE survey for year 3 and 4 students in academic year 2008-2009 revealed that it was difficult to use the videos in local context. A common observation arose that there was a need for – ‘standardization of clinical examination techniques’. This study was aimed towards developing a standardised clinical examination video for Orthopaedics and also to prove its effectiveness in standardizing the clinical examination techniques for students and examiners. Methodology The steps were as follows: Production of the standardized video Video workshop demonstrating clinical examination techniques Post workshop student feedback Analysis of feedback Analysis of workshop attendees vs. non attendees performance in the final phase 3 exam Results Out of 260 students, 128 students attended the pre-exam video workshop. The post workshop feedback questionnaire had 6 questions per joint/region. The positive response rate per question was: A-94.5%, B-85.5%, C-84.5%, D 90.9%, E- 95.5%, F- 91.8%. 216 students out of 260 students were examined in the Orthopaedic stations in OSCE. Workshop attendee students scored average 74.01% marks. Non-attendees scored 61.88% marks. Out of 128 workshop attendee students - 37.2% students received positive comments, and 9.1% non-attendees received positive examiner comments. Conclusions Psychomotor clinical examination skills in Orthopedics are acquired at the bedside and in the classroom. Clinical standardization can only be achieved by having a standardised video which is available over a common platform i.e. IVLE.

9. Bloom ’s Cognitive Ladder Knowledge Comprehension Application Analysis Synthesis Evaluation

10. Millers Triangle Performance Competence

12. Mc Gill Video CLip

15. Production of the Standardized Video Knee Spine Shoulder Hip Hand Foot & Ankle 11 Dec 2010 5 Feb 2011 Editing of rough cuts of video

16. Behind the scene Production of the Standardized Video

17. Production of the Standardized Video

18. Video workshop demonstrating clinical examination techniques

21. Analysis of feedback Analysis of workshop attendees vs. non attendees performance in the final phase 3 exam

23. Results Combined positive response rate per question Table 1: Positive response rate per joint/region per question (A) (B) (C ) (D) (E) (F) SPINE 94.5% 65.5% 76.4% 99.1% 97.3% 95.5% SHOULDER 95.5% 84.5% 84.5% 96.4% 96.4% 94.5% HIP 92.7% 70.9% 71.8% 94.5% 96.4% 92.7% KNEE 94.5% 79.1% 78.2% 92.7% 97.3% 92.7% HAND 95.5% 93.6% 91.8% 96.4% 87.3% 93.6% FOOT & ANKLE 94.5% 85.5% 84.5% 90.9% 95.5% 91.8% A B C D E F 94.5% 85.5% 84.5% 90.9% 95.5% 91.8%

27. Comparison

30. Thank You!!