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Updates for Medicine & Surgery Exams in Year 5

Curriculum Retreat 2007. Updates for Medicine & Surgery Exams in Year 5. Comparing Outcomes from New and Old Curricula. Paul B. S. Lai HBP Surgery, CUHK. 8 September 2007.

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Updates for Medicine & Surgery Exams in Year 5

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  1. Curriculum Retreat 2007 Updates for Medicine & Surgery Exams in Year 5 Comparing Outcomes from New and Old Curricula Paul B. S. LaiHBP Surgery, CUHK 8 September 2007

  2. Med 5 Exam: students from old curriculum vs.first batch of new curriculum graduatesvs. second batch of new curriculum graduates

  3. Exam format for med 5Medicine

  4. Final MB examination in Medicine History Short case 2 Short case 1

  5. Format • Three sessions of 20 minutes A: History (in Cantonese) B: Short case I • CNS • CVS • Endo OR Joints OR ECG OR CT/MRI C: Short case II • Abdo • RS • Fundi OR Skin OR X-ray/CT scan

  6. Comparison of Scores in Medicine(Class 2006 vs. 2007)

  7. Exam format for med 5Surgery

  8. 2005/2006 Written papers paper 1 (MCQs) [4 hrs] paper 2 (R-type MCQs + MEQs) [3 hrs] OSCE 2 hrs & 10 mins for 21 effective stations and 5 rest stations total 21 stations and 20 of them carrying marks 2006/2007 Written (50%) & OSCE (50%) paper 1 (MCQs) [3 hrs] paper 2 (R-type MCQs + MEQs) [3 hrs] OSCE [1 hrs & 35 mins for 13 effective stations and 3 rest stations] Clinical examination Two pairs of examiners, 20 minutes each (i.e. total of 40 minutes of short to intermediate cases) Change in Final Surgery Exam Since examination format changed, cannot compare performance by their marks like last year.

  9. Exam results for med 5Medicine & Surgery

  10. If we use the ranking in the class to correlate, the R-Square was 0.32 (but still significant). [Pearson correlation of 0.57 if we use simple correlation for ranking in the class]

  11. If we use numerical marks in the class to correlate, the R-Square was 0.428 (P <0.001)

  12. Students Failing Surgery(Class 2006-2007)

  13. Students Failing Medicine(Class 2006-2007)

  14. Possible Explanations • Both medicine and surgery in the final years call for a lot of clinical skills, knowledge of clinical management, as well as basic scientific knowledge • Examination formats are very similar – written (MCQs, R-type, MEQs), OSCE, clinical examination, etc. • For those students who were weak in years 1-4 years, they would not have time to catch up as year 5 would be a very tight year for this group of students

  15. Exam results for med 5Does it matter where the students came from?

  16. Combined Grades of Medicine & Surgery(Class 2006-2007)

  17. End of day 4 (pull-up and distinction viva) – all the external examiners were shattered

  18. Examiners in Medicine had a good time

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