Ministry of Health Kingdom of Bahrain Office of Licensing - PDF
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Ministry of Health Kingdom of Bahrain Office of Licensing and Registration Bahrain Medical Licensure Exam (BMLE) Rules and Regulations Revised in August 2006 Introduction The Bahrain Medical Licensure Examination (BMLE) is considered to be the first step for licensing of the graduated Bahraini physicians to practice medical specialty in the Ministry of Health and other governmental and non-governmental health services in the Kingdom of Bahrain. The exam consists of written and clinical parts. The BMLE is conducted by the office of Licensing and Registration of the Ministry of Health in coordination with the Departments of Secondary and Primary Medical Education. Purpose of BMLE The BMLE is process aims at evaluating the medical graduates' ability to apply knowledge, concepts and principles and to demonstrate essential skills of patient care that is important for safe medical practice. It is an essential part but not alone as requirement to practice medicine in the Kingdom and it is the responsibility of the Office of Licensing and Registration to utilize the result of this examination for licensing. Examination committee The Examination committee consists of Consultants from the Ministry of Health specialized in medical education and representing major disciplines in primary and secondary healthcare. Examination content: The BMLE consists of two components: 1. Written component: The written component constitute of two papers: Paper 1 Multiple Choice Questions (MCQs): It consists of 100 questions. It is an objective-based evaluation and it is designed to assess width of knowledge. It is also used to assess recall of factual knowledge and solving clinical problems in medical practice. Each MCQ question starts with a stem which is followed by 4-5 responses only one of which is correct. Paper 2 Patient Management Problems (PMPs) Consists of 10–15 PMPs in the form of multiple choice question. This paper is used to assess clinical reasoning skills and ability to solve clinical problems encountered in clinical practice. Each problem is presented with a clinical scenario; each scenario includes the patient presenting symptoms, some background data and information about the patient. Each scenario is followed by 3 – 5 questions. The approximate distribution of score in written examinations for both papers is: Internal medicine 25 % Surgery 20 % Pediatrics 20 % Obs&Gyn 15 % Family Medicine 10 % Miscellaneous 10 % (Eye, ENT, Skin, Psychiatry) 2. Objective Structured Clinical Examination (OSCE) This exam constituted of 20 various clinical stations including simulated patients, ECG, dummies, slides, photos, laboratory reports, radiographs, etc… Domains tested in the OSCE: Application of knowledge Ability in history taking Efficiency in conducting physical examination Problem solving Ability in data and lab interpretations Management skills Dealing with medical emergencies. Dates of BMLE BMLE is held twice a year and candidates are instructed to contact BMLE office to inquire about exact date and time of BMLE. Day of the exam: Candidates are expected to arrive to the exam hall at least 30 minutes before the exam time. Candidates arrive to the exam hall after 30 minutes will not be allowed to sit the exam. An I.D card must be presented before admission to exam hall. Place of the exam: Written and OSCE exams are usually held in the AGU or Ministry of Health premises and that will be announced to the candidates prior to the exam date. Eligibility: The candidate must fulfill the following criteria: 1. Bahraini nationality and those exempted by the rules of the Ministry of Health and Civil Service Bureau of the Kingdom of Bahrain. 2. Original certificate of graduation from medical school, which is accredited and approved by Ministry of Education in the Kingdom, a copy will be taken at the office. 3. Certificate of internship completion or a written letter stating that the candidate completed 12 months internship. Registration: The registration process is as follow: 1. Applicant must fill the application form and submit it to the office of registration and licensing. 2. Attach a copy of the receipt of the payment of the required fees. The registration deadline is one week before the exam date. Exam Fees The exam fee is BD 20 and should be paid at SMC cashier or at the Directorate of Finance in the Ministry of Health. The fees are non- referable and are subject to change without prior under the guideline of the Ministry of Health. Preparation for BMLE: There are no specific books for BMLE and the candidate is instructed to read from standard textbooks and examination preparation books which are available in medical libraries, and to concentrate on clinical practice. No specific books are recommended. Candidates are also encouraged to attend the BMLE workshop which is conducted by the Bahrain Medical Society in co-ordination with the medical education in the Ministry of Health. Exam conduct: Candidates must follow the below instructions: 1. Arrive to the exam hall 30 minutes prior to the exam. 2. Candidate will not be allowed to sit the exam after 30 minutes of the start time. 3. Textbooks, notes, mobile telephones, PDA, cameras, pagers are not allowed in the exam. 4. Candidates must carry with them CPR or other identification. 5. Side talk is not allowed between the candidates during the exam. 6. Upon completion of the test, candidate must return answer sheet and question papers to the exam observers. 7. Any violation of above regulation, may lead to candidate withdrawal from the exam and the behavior will be reported to licensure office for necessary action. Scoring and Result Notification: The scoring of written paper (MCQs) is done by the computer and all questions are given equivalent credit point. The OSCE marking is done by a panel of examiners. The written exam carries 60% of the total and the OSCE is 40 %. Candidates should score 50 % or above in the written exam to be eligible to sit for the OSCE. The final passing score is the cumulative of 60 % or above from both written and OSCE examinations. The final result of exam is usually notified on the notice board of BMLE office. Score recheck guidelines: when a candidate wish to appeal in the written exam or OSCE or the final result, he/she should submit a written letter and attach it with a copy of the receipt of the required fee (BD 20) to the Office of Licensing and Registration within 3 days of the result of each part the written or the OSCE or the final score.