Mansoura-Manchester Programme for Medical Education Adel Bondok, PhD Phase 1 Director

Transcription

1 Mansoura-Manchester Programme for Medical Education Adel Bondok, PhD Phase 1 Director Dr Adel Bondok

2 Mansoura Manchester New Curriculum Semester Plan: cases and ILOs Working Week Methods of Assessment

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5 Each Semester teaching weeks cases: 1 case/week 5 working days: 2 days off to collect data 1 week study break b4 the midterm exam 3 weeks study break before the final exam

6 ILOs of each case are covered by: 1. Academic aspects (about 80%) 2. Clinical aspects (about 20%) Dr Adel Bondok Digitally signed by Dr Adel Bondok DN: cn=dr Adel Bondok gn=dr Adel Bondok c=egypt l=eg o=mansoura University ou=faculty of Medicine otmail.com Reason: I am the author of this document Location: Egypt Date: :35+02:00 Clinical Academic

7 6-7 Lectures Hospital Experience 2 PBL 1-2 Practicals Student Presentation

8 Each Week (One Case) 2 PBL classes: 3 hours (1.5 hrs each) PBL 1: open the case & find out the ILOs PBL 2: close the case & discuss the ILOs 6 7 Lectures: 1 hour each 1-2 Practicals: 2 hours each Early experience: in the hospital Students presentations: 1 hour cover the ILOs not covered in lectures / practicals

9 11 students in the group Each has a role in the presentation

10 Team work, group training, not one man show Each student has a role Some prepare the material Others prepare the PowerPoint Others present the presentation Tutor Coordinate Revise And Validate

11 penalty of cheating in Bangaladish, prison Methods of Assessment

12 Methods of Assessment Ongoing (assessment) Exams (20%) Final Semester Exams (80%)

13 20% of the total mark: 120/ Midterm Exam: MCQ/EMQ Exam: 50 marks. 2. Student Activities: 20 marks for: Attendance, PBL activity & Student s presentation. 3. Review Article (Essay): 25 marks for Semester 2 4. Poster Presentation: 25 marks for Sem 3 & 4 5. Practical skills: 25 marks

14 Poster Presentation

15 80% of the total mark. Divided into 3 exams: 1.MCQ / EMQ: 200 marks (200 Qs). 2.Short Essay: 140 marks (14 Qs) (50-75 Qs) 3.OSCE/OSPE: 140 marks (14 Stations / 70 Q)

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17 200 questions 200 marks 200 minutes

18 The heading statement (STEM) should be as short as possible The Stem should be followed by 5 responses a - e not 4, one of them is the best answer. Avoid using: All of the above None of the above Except

19 Three cases of nerve lesion: Match each case with the appropriate nerve affected: a. Trochlear nerve. b. Oculomotor nerve. c. Facial nerve. d. Abducent nerve. e. Sympathetic fibers to the head 1. Case 1: Ptosis and miosis. 2. Case 2: Ptosis and mydriasis. 3. Case 3: Loss of corneal reflex & inability to close the eye.

20 Computer Based Exam

21 OSCE and OSPE OSCE: Objective Structured Clinical Examination OSPE: Objective Structured Practical Examination 4 3

22 Objective Structured Practical Examination. It is a computer based exam It is a practical examination with clinical skills The exam is formed of 14 stations Each station consists of 5 questions, 2 marks each The allowed time is 60 minutes

23 Sem 1, Station 1 Urine Analysis Q1 & 2: List two components that can be detected in urine by this method? Q1.. Q2..

24 Name two conditions causing urine sample to appear like this sample: Q3.... Q4....

25 Sem 1: ECG Q1. Name the wave at the tip of the arrow:.. Q2. Give 2 ECG findings in case of myocardial ischemia (infarction): a.... b......

26 Sem 1: Spirogram Q4. a. Normal value of TV is about: ml b. Normal value of VC is about: ml Q5. RV is defined as:.

27 Sem 2: Qs 1 & 2 1. Name 2 structures inside this joint: a: b:.. 2. Name the muscle performing this movement & its nerve supply:

28 Sem 2: OSCE A case of nerve injury: 5. A case of nerve injury: A: Name this hand deformity: A: Name this deformity: B: Name the nerve affected: B: Name the nerve affected:

29 Sem 2: OSCE 4 Regarding the elbow joint: 1: What is its type?.. 2: A: Name one flexor:.... B: Give its nerve supply:. 3: A: The main extensor is:... B: Give its nerve supply:

30 Sem 4: Q 1 A Case of a Cranial Nerve Paralysis 1. Identify the nerve affected and the side of the paralysis: 1a: Nerve: 1b: Side of paralysis:

31 Station 6 : ABP Measurement 1. a. The method used by this doctor for measuring ABP is called:... b. The stethoscope is located over the artery 2. Normally, if he raises the pressure in the cuff to 150 mm Hg, he will hear 3. Normally, when he starts hearing sounds, this indicates. 4. The reason he hears sounds is 5. Mean ABP =..

32 OSCE 5: Parasitology of Bilharziasis Identify the labeled structures:

33 Station 4: Q 3 Blood Film Q3. a: Identify the cell at the tip of the arrows:. b: These cells increase in number in:.

34 STRUCTURED SHORT ESSAY EXAM How to Beat Exam Stress!

35 Short Essay: 140 Marks 3 clinical scenarios. Each one is followed by 3 5 short questions. Each question is divided into 3-5 ultra-short Qs Examine the knowledge, skills, understanding and clinical application or integration. Avoid: discuss or give short notes. Specific action verbs (words) are used

36 Planned Objective Targeted Focused

37 Objective Reliable and eliminates guessing Justifiable fair scoring criteria

38 Give few minutes for revision Set up a time for each question A plan for the whole exam Before you write the Exam How many Qs What are the ILOs to be tested A plan for each question Write model answer Assign marks for each one How you will answer the question What is the ILO How many ultrashort Qs (3-5) Action verbs

39 Less Effective Identify Enumerate Recall Describe Classify Define Recognize More Effective Apply Defend Justify Illustrate Demonstrate How, What, Why Strong Verbs Explain Analyze Integrate Compare Contrast Create Evaluate

40 Explain give reasons why or how something happened Justify give reasons how or why something is the truth Evaluate state your opinion good, bad with examples & reasons

41 Description of Some Effective Verbs Analyze why something is important Argue Integrate take a side and defend it (with proof) against the other side describe the connections between things

42 Compare & Contrast Contrast Contrast Compare = Similarities Contrast = Differences

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45 Q: Regarding anatomy of the thyroid gland: (4 marks): 1. Describe the shape of the gland and its relation to the trachea? (2 marks) 1. Shape:.. 2. Relation to the trachea:.. 2. Name 2 nerves related to the thyroid gland? (1 mark) What is the origin of the 2 major arteries supplying the gland? (1 mark) 1. 2.

46 Q: Regarding blood sample: (4 marks): 1. Name 2 usual sites for taking a venous blood sample? (1 mark) Name 2 usual sites for taking an arterial blood sample? (1 mark) Give one indication (use) of arterial blood sample (1 mark) 4. How can you obtain a blood sample from a newborn (1 mark) Q: Regarding histology of the thyroid and parathyroid gland: (4 marks): 1. What are 2 main cells in the thyroid gland & their functions? (2 marks) What are the 2 cell types present in the parathyroid gland? (1 mark) Which one of the above cell types is essential for life and why? (1 mark)

47 Angelina Jolie, 39-year-old Hollywood star, was tested positive for breast cancer antigen gene (BRCA1). Her mother died from ovarian cancer. She had elective bilateral mastectomy to reduce the high risk of developing breast cancer. Her decision was "absolutely heroic.

48 Q: Regarding Surgical Anatomy of the Breast: (10 marks): Name 2 muscles forming the breast bed (deep to the breast): 1... (1 mark) 2. (1 mark) Name the nerve that may be injured in mastectomy operations: 1. Nerve:.. (0.5 mark) 2. Deformity caused by its injury:.. (0.5 mark) What is the location of each of the following? 1. Tail of the breast: (0.5 mark) 2. Nipple in the male: (0.5 mark) Name 2 arteries supplying the breast: (0.5 mark) (0.5 mark) Describe the lymph drainage of the breast: (5 marks)

49 Q: Regarding Breast Cancer: (10 marks): List 3 risk factors for the development of breast cancer: 3 marks 1... (1 mark) 2. (1 mark) 3... (1 mark) Describe the role of each radiological method in diagnosis of breast cancer: 1. Mammography: (2 marks) 2. CT Scan:. (1 mark) 3. Positron Emission Tomography:. (1 mark) List 4 etiological factors for phobia: (2 marks) (0.5 mark) (0.5 mark) (0.5 mark) (0.5 mark) List 2 psychopharmacological drugs for phobia: (1 mark) (0.5 mark) (0.5 mark)

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51 Q: Regarding anatomy of the bronchial tree: (10 marks): 1. List 4 differences between the left and right main bronchi? (5 marks) 2. What is the carina? (1 mark) 3. What is the vertebral and sternal level of the carina? (2 marks) 1. Vertebral level: 2. Sternal level: 4. What is the major lymphatic duct draining the right and left lung? (2 marks) 1. Right lung: 2. Left lung:.. Left main bronchus Right main bronchus Length... ½... ½ Width... ½... ½ Angle with the trachea... ½... ½ Arterial supply: Number:.... ½ Origin:.... ½ Number:... ½ Origin:.. ½

52 Q: Regarding histopathology of the bronchial tree: (10 marks): 1. Draw a histological diagram of TS section of the bronchus? (5 marks) 2. Describe the MP of bronchogenic carcinoma? (5 marks) Q: Regarding Smoking: (10 marks): 1. What are the hazards of smoking? (6 marks) Explain why it is difficult to quit smoking: (4 marks)...

53 Q: Regarding Pulmonary Blood Flow: (10 marks): 1. Define autoregulation of blood flow: (1 mark) Explain the intrinsic mechanism regulating pulmonary BF: (2 marks) Explain why the pulmonary circulation is a low pressure system: (1 mark) Enumerate reasons why it is low pressure system: (3 marks) Describe and explain mechanism keeping the lungs dry: (3 marks)...

54 Regarding Liver Functions: (10 marks) A. Enumerate 4 synthetic functions of the liver: (2 marks) B. Mention & explain types and causes of jaundice: (3 marks) C. What are the laboratory tests done to diagnose liver disease? (4 marks) D. What is the most definitive test to confirm diagnosis of FL? (1 marks) Regarding Fatty Liver: (10 marks) A. Describe histopathological changes in fatty liver: (3 marks) B. Mention 3 complications of fatty liver: (3 marks) C. What are the lines of treatment of fatty liver (4 marks)

55 Teacher student relationship