Download Instructions for Clinical Fellowship Examination in Medicine and more Lecture notes Medicine in PDF only on Docsity! There are two components of this examination There are two components of this examination, with two subcomponents in first component. 1 CLINICAL FELLOWSHIP EXAMINATION IN MEDICINE INSTRUCTIONS TO CANDIDATES LONG CASE (10 marks ......... 60 minutes) Each candidate will be allotted one long case and allowed 30 minutes for history taking and clinical examination. Candidate should take a careful history from the patient ( or relative ) and after a thorough physical examination identify the problems which the patient presents. During this period the candidate will be observed by the examiners. Case presentation and discussion on the long case will be conducted jointly by the two examiners for 30 minutes. In this section the candidates will be assessed on the following areas: Interviewing and Clinical examinations skills l Introduces oneself, listens patiently, and is polite with the patient. l Is able to extract relevant information. l Takes informed consent. l Uses correct clinical methods systematically (including appropriate exposure and re-draping). Case Presentation/Discussion l Presents skillfully. l Gives correct findings. l Gives logical interpretation of findings and discusses differential diagnosis. l Enumerates and justifies relevant investigation(s). l Outlines and justifies treatment plan (including rehabilitation). l Discusses prevention and prognosis. l Has knowledge of recent advances relevant to the case. COMPONENTS TIME ALLOWED MAX. MIN. PASS MARKS MARKS 1. CLINICAL Long case 60 minutes 10 6 30 minutes for history taking and clinical examination 30 minutes for discussion Short cases 40 minutes 10 6 (four cases) (includes both examination and discussion) 2. TOACS 4-8 minutes per station 10 6 (15-18 Stations) AGGREGATE 30 18 (60%) ;GDD=?= G> H@QKA;A9FK 9F< KMJ?=GFK H9CAKL9F 2 During case discussion the candidates may ask the examiners for laboratory investigations which will be provided, if available. Even if they are not available and are relevant candidates will get the credit for the suggestion. SHORT CASES (10 marks.............40 minutes) Candidates will be examined on atleast four short cases for a total of 40 minutes jointly by the two examiners. Candidates will be given a specific task to perform on patients, one case at a time. During this part of the examination, the candidate will be evaluated on the areas given below: Clinical examination skills l Obtains informed consent. l Uses correct clinical methods, is systematic and examines the patient as a whole. (including appropriate exposure and re-draping). l Performs examination of the relevant system in detail. Discussion l Gives correct findings. l Gives logical interpretations of findings. l Justifies diagnosis/es. As the time for this section is short the answers given by the candidate should be precise and relevant to the patient under discussion. TOACS (10 marks) Task-Oriented Assessment of Clinical Skills (TOACS) will be held on the first day of the examination at the same time, at all centres, for all the candidates declared eligible for clinical part of the relevant examination. Candidates will be sent information regarding the schedule of TOACS by the Examination Department. In the TOACS the candidates will be evaluated on procedures, x-rays, laboratory findings, instruments, specimens etc. This component of examination will consist of 15 to 18 stations, 4-8 minutes per station arranged in the examination hall and the candidates will have to rotate through all of them in turn. The TOACS stations will be of two types: l Observed / Interactive l Unobserved / Static In addition to the detailed instructions enclosed, the candidates will also receive verbal instructions at the time of the examination. Instructions to Candidate Clinical Fellowship Examination Contd. MEDICINE
