National Board of Examinations
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NATIONAL BOARD OF EXAMINATIONS Module for Continuing Medical Education For DNB candidates NATIONAL BOARD OF EXAMINATIONS (Ministry of Health & Family Welfare) Ansari Nagar, New Delhi-110029 Contents Introduction ....................................................................................................................................... 4 Objectives ......................................................................................................................................... 4 Main content areas ........................................................................................................................... 4 Duration ............................................................................................................................................ 4 Methodology ..................................................................................................................................... 4 Category of participants ................................................................................................................... 4 Evaluation ......................................................................................................................................... 4 Tentative programme and guidelines for organization of CME ....................................................... 5 Sample cases for presentation and discussion Guidelines for the case presentation ............................................................................................... 8 Feedback form for participants NBE CME programme for DNB candidates Introduction The National Board of Examination was established in 1975 with the primary objective of improving the quality of the Medical Education by elevating the level and establishing standards of post graduate examinations in modern medicine, on an all India basis. There are more than 650 accredited hospitals/ institutions, imparting DNB courses in 58 medical specialties. In order to improve the competencies of DNB candidates in medical research (as envisaged in the requirement of thesis submission by them) it has been suggested to conduct short term workshops on regional basis. The present CME programme module has been designed to prepare the candidates for DNB practical examination. General Objective To enhance the basic clinical and communication skills of the candidates so that they are able to make better presentation of long and short cases etc. and are well prepared for their practical examinations Specific Objectives The candidates should be able to ¾ Discuss the relevance of history taking, eliciting clinical signs for the selected short and long cases ¾ Discuss with the resource persons interpretation of relevant investigations, x-rays, ECG,CT scans, equipments and drugs etc. ¾ Discuss the important issues related to OSCE in selected specialties Main Content Areas History, clinical signs and symptoms, differential diagnosis, investigation and management of common cases; Interpretation of common investigations, spots, specimen, equipments, case scenario in ward setting etc. Duration 3 days Methodology Demonstration and return demonstration of basic clinical and communication skills for presentation of common short and long surgical cases. Discussion on the key issues related to anaesthetic administration and management of common cases. Category & Number of participants The DNB candidates who are in final year and are preparing for their examination, those who have cleared their theory examination and are due for their practical examination and the candidates who have failed in their practical examination from NBE accredited hospitals/ institutions. The number of the participants per workshop will be 35-40. Evaluation of Workshop i. Feed back to the participants on their clinical and communication skills by the resource persons during the case presentations. ii. Feed back from the participants on given format. 4 NBE CME programme for DNB candidates Tentative programme and guidelines for organization of CME Day-I, 8.00 to 9.00 AM -Allocation of long clinical cases to students ( Please ensure that each case is allotted to two candidates, one from final year and one from first or second year. Please ask one of them to work out history and the other to do clinical examination). In each batch there would be 25 to 30 candidates thus there would be 12 to 15 groups of two students each for case allocation. The list of important cases is given in the CME module you may shortlist the cases from the list and may also add more in case you desire so. 9.00 to 9.30 AM- Tea/ snacks/ inauguration 9.30 to 1.30 PM - Long case discussions-All the 25-30 students will sit in one room and all the experts would sit as one panel. The students would present cases and the entire faculty/consultants would discuss these highlighting important points in history or clinical signs, investigations, differential diagnosis, management etc. from clinical and examination point of view. The faculty should ensure that it becomes a learning session for all the students some important point be summarized frequently and some important signs be demonstrated to all the students. Nearly 10 minutes should be spent on case presentation and more time should be spent on case discussions. Thus nearly 30-40 minutes would be available for each case. 1.30 to 2.00 PM -Lunch 2.00 to 5.00 PM, Long case discussions continue Day-II, 8.00 to 8.30 AM, Allocation of short clinical cases to students ( Please ensure that each case is allotted to two candidates, one from final year and one from first or second year. Please ask one of them to work out history and the other to do clinical examination). In each batch there would be 25 to 30 candidates thus there would be 12 to 15 groups of two students each for case allocation. The list of important cases is given in the CME module you may shortlist the cases from the list and may also add more in case you desire so. 8.30 to 9.00 AM, Tea/ snacks 9.00 to 1.30 PM, Short case discussions-All the 25-30 students will sit in one room and all the experts would sit as one panel. The students would present cases and the entire faculty/consultants would discuss these highlighting important points in history or clinical signs, investigations, differential diagnosis, management etc. from clinical and examination point of view. The faculty should ensure that it becomes a learning session for all the students some important point be summarized frequently and some important signs be demonstrated to all the students. Nearly 5 minutes should be spent on case presentation and more time should be spent on case discussions. Thus nearly 15 to 20 minutes would be available for each case. 1.30 PM to 2.00 PM, Lunch 2.00 to 5.00 PM, Ward Rounds-The candidates in smaller groups of 6-8 will be taken for the ward rounds in the specialty where they would be shown cases and discussions would be done about prognosis, treatment modalities, dietary, electrolyte and fluid requirements, clinical and diagnostic procedures etc. Day-III, 8.00 to 11.30 AM, Instruments for clinical/surgical procedures-The students would be seated in one room and the facilitators would sit in a panel and carry out discussions on common instruments for various clinical and surgical procedures, about their use, precautions, complications of procedures 11.30 to 1.30 PM, Investigation modalities-All the 25-30 students will sit in one room and all the experts would sit as one panel. And carry out discussions on common investigation modalities as X-rays, CT scans, MRI, Ultra sounds etc. ECG, EEG, biochemical and pathological reports, slides, specimens etc. with focus on their interpretation and drawing meaningful clinical conclusions for treatment and follow up. 5 NBE CME programme for DNB candidates 1.30 PM to 2.00 PM, Lunch 2.00 to 5.00 PM, OSCE/ Preparing for theory examination-In the specialties of ENT, Ophthalmology and Pediatrics the students would also be given exposure to OSCE stations and mock OSCE with 10-15 stations be planned and later the response of the students be discussed with them. In other specialties where there is no OSCE the students be given instructions how to plan a theory question in the final examination and how to score more by properly attempting the question in the allocated time. Tentative programme and guidelines for organization of for CME in Family Medicine Day-I, Placement in Medicine Department 8.00 to 9.00 AM, Allocation of clinical cases in Medicine to students ( Please ensure that each case is allotted to three candidates, one from final year and one from first and one second year. Please ask one of them to work out history and the others to do clinical examination). In each batch there would be 25 to 30 candidates thus there would be 10 groups of three students each for case allocation. The list of important cases is given in the CME module you may shortlist the cases from the list and may also add more in case you desire so. 9.00 to 9.30 AM,Tea/ snacks/ inauguration 9.30 to 1.30 PM, Case discussions-All the 25-30 students will sit in one room and all the experts would sit as one panel. The students would present cases and the entire faculty/consultants would discuss these highlighting important points in history or clinical signs, investigations, differential diagnosis, management etc. from clinical and examination point of view. The faculty should ensure that it becomes a learning session for all the students some important point be summarized frequently and some important