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341 COURSE Powered By Docstoc
					  341 COURSE

Dr. Waleed Al-hamoudi
    Dr. Nahla Azzam
• Med Course 341 is the first clinical course for
  the medical students. It is a 10 credit hours .
• The main objective of the course is mastering
  history taking& learning the technique of
  how do physical exam and know the physical
  sings of patients.
• Composed of a theoretical part
  (lectures) and a clinical part (bed side
• There shall be three lectures per week covering
  all the general medicine aspect such as
  cardiology, rheumatology, pulmonology,
  endocrinology, nephrology, gastroenterology,
  hematology/oncology, infectious diseases and
• It will be given over 75lectures during 28 weeks.
There shall be two clinical sessions per week.
  The teaching consists mainly of basic history
  taking, basic technique of different system
  examinations and definition and identification
  of physical sings.
• Attendance is continuously monitored and kept
  to see whether students will meet the required
  percentage of attendance set by the University.
• Group leaders will be required to notify the
  course secretary ( Sultan) in case the tutor
  doesn’t show on the day of the session in order
  to avoid any compromise in bedside teaching.
• Students well be divided into groups (10
  students /group).
• Each group will be assigned to two tutors.
• Tutors will change every six weeks.
• Additional group sessions will be given during
  the course of the year covering neurology.

*Cecil Essentials of Medicine: Thomas E. Andreoli, Charles CJ Carpenter,
   Robert C. Griggs, Joseph Loscalzo(Highly recommended)

*Others1. Clinical Medicine – A textbook for Medical students and doctors. P.J
   Kumar and M.L. Clark “Latest Edition”
   2. Davidson’s Principles and Practices of Medicine – C.R. Edward and Ian,
   Bonchir – Latest Edition.

*Bed side teaching:
   Clinical Examination – latest Edition by Nicholas Talley and Simon

    CONTINUOUS ASSESSMENT EXAM is 40% from the total 100%
    - This is the first exam done after the students finished the first half
    of the course and it
    Consists of Written Exam (20%) and Clinical – Long Case Exam (20%)

    FINAL EXAMINATION is 60% from the total 100% marks.
    - This will be the second exam after the students finished the 28
    weeks of teaching and
    Just like the first exam it consists of written exam (30%) and clinical
• Written exam is composed of 60 questions of single
  best answers
• CLINICAL EXAM - Students will be marked on his/her
  ability to take history and perform a physical
  examination of all the systems taking into
  consideration that this is their first clinical exam. On
  both occasions, examiners do not expect the students
  to know the diagnosis or differential diagnosis of
  patients. Students are not expected yet to know the
  management approach.
               WHAT IS OSCE
• OSCE is objective structured clinical
• It is standards in clinical exam in Europe and
• The OSCE increase the fairness by:
• 1.Increase the range of skills that the students
  are tasted for
• 2. Increase the numbers of examiners by
  whom the students are assessed
• 3. asking the students the same questions
  over the same period of time
•   It consist of 6 stations over 60 minutes
•   Divided by 3 clinical stations
•   2 history taking
•   1 rest stations
•   All are patients oriented
• Most of exam will get the patients with
  abnormal finding
• But we can get normal ..
• We can get volunteers…
Examination     History

   Rest       examination

 History         examination
    What are examiners looking for ?
• 1. A confident approach
• 2. A good skill performance
• 3. Good applied knowledge
• 4. Clear answers
• 5. Level-headedness (say I don’t know rather
  than waffling)
• 6. Good communications
       Common mistakes in OSCE
•   Arrive late
•   Forget to introduce ur self to the patients
•   Suggest diagnosis of cancer loudly
•   Examine the patients in wrong positions
•   Jump to a particular interpretation of some
    data and ignore all examiners attempts to
    steer you away from it
    Example of OCSE station (History)
• Identify the main symptoms
• Obtain the relevant to the symptoms
• Think about the D.D of the symptoms
• Think about the risk factors
• Ask about the disease that may complicate or
  associate with the main problem
• Effect of this problem on the patients
  ..occupation ,social …
            Examples of OSCE stations
Examine this patients legs (Motor)
   1. Did the candidate explain the examinations to the patients       YES         NO
   2. Did the candidate give clear instruction to the patient         ------      -------
   3. Did the candidate inspect the legs                           -----        ------
   4. Did the candidate compare the 2 sides                         -----         ----
   5. Did the candidate elicit the quadricepes muscle                ------         -----
   6. . Did the candidate elicit the ankle reflexes                  ------          ----
   7. Did the candidate elicit the plantar reflexes                 ------         ---
   8. Did the candidate examine the tone adequately                  ------        ------
   9. Did the candidate examine the clonus                         ------     -----
   10. Did the candidate examine the power across all the legs         ------      ------
• During the course make sure to keep in touch
  with the course organizers through the
  secretary (Sultan 79887) in case of any
• If a tutor doesn’t show up report to Sultan the
  same day.
• GOOD LUCK and have an enjoyable

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