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Subject: Medicine Centre: Case No. Systems covered in discussion Candidates Roll #: Date: Diagnosis of the case:
Instructions to examiners:
Please enter your award on the performance against each item according to the rating scale. Total time allocated for all short cases is 40 minutes (including both examination and discussion).
Each examiner to complete his/her own form without conferring with fellow examiner. All awards must be made in ink. Each examiner must rate all items of the form. Use separate form for each short case.
EXCELL ENT GOOD ADEQ UATE INADEQ UATE POOR COMMENTS
30
24
18
12
Instructions to examiners:
Please enter your award on the performance against each item according to the rating scale Total time allocated for all short cases is 40 minutes (including both examination and discussion).
Each examiner to complete his/her own form without conferring with fellow examiner. All awards must be made in ink. Each examiner must rate all items of the form. Use separate form for each short case.
EXCELL ENT GOOD ADEQ UATE INADE QUATE PO OR COMMENTS
Time allowed (30 Minutes): Interviewing & Clinical Examination Skills (20 Marks)
Introduces self to patient, listens patiently and attentively, is polite, obtains informed consent. Asks necessary and relevant questions. Uses connect clinical methods, is systemic and examines the patient as a whole. (including appropriate exposure and re-draping) Performs examinations of relevant system in detail.
Marks:
Suggests and justifies relevant investigations (10) Management plan including rehabilitation (15) Prognosis & counseling (10) Relevant recent advances (05)