Consensus Document

Tables of Specification
Syllabus, Internal Assessment
and Marking Schemes

Department of General Medicine

Fatima Jinnah Medical University
Lahore

Prof. Dr. Tahira Murtaza Cheema Prof. Dr. Bilquis Shabbir Associate Prof. Dr Tahir Bashir
(Unit-I) (Unit-II) (Unit-III)
 FJMU GENERAL MEDICINE MARKING SCHEME
TOTAL MARKS = 600

THEORY INTERNAL CLINICALS INTERNAL

ASSESSMENT ASSESSMENT
SAQ MCQ OSCE LONG SHORT
CASE CASE
MEDICINE 13 X 5 65 X 1 14 X 5 100 X 1 25 X 4
I 30 40
65 65 70 100 100
MEDICINE 13 X 5 65 X 1
II
65 65
130 130
TOTAL 260+30 = 290 270 + 40 = 310
(Total marks of internal assessment = 70 )11.67%)

COMPULSORY TO SCORE 50% IN 3 COMPONENTS SEPARATELY

THEORY = INTERNAL CLINICALS (LONG CASE + SHORT CLINICALS + OSCE + INTERNAL

ASSESSMENT CASE) ASSESSMENT
(260 = 30 = 290) (100+100 = 200) (200 + 70 + 40 = 310)
PAPER I = 130
PAPER II = 130 Pass Marks in Clinicals = 100 Pass Marks = 155
PASS MARKS IN THEORY
130 = 15 = 145

MARKING SCHEME FOR THEORY, CLINICALS AND INTERNAL ASSESSMENT

Theory SEQs Marks MCQs Total Internal Assessment Grand
Lecture Attendance, Class Assessments, Send up Total
Paper I 13 65 65 130 Third Fourth Final *Class Send up
year year year Assessments
Paper II 13 65 65 130 3x3=9 2x3=6 3x3=9 1.5x3 = 4.5 1.5
Marks 260 30 290
*0.5 Marks for Assessments in each year (3rd, 4th, final) for each unit

Clinical Internal Assessment Grand

(Ward Attendance and Assessments) Total
OSCE LONG SHORT Third year Fourth year Final year BLS *Skills
Case Cases Lab
5x3 = 15 2x3 = 6 5x3 = 15
1 0.6x5 = 3
Attendance = 3 Attendance = 3 Attendance = 3
Assessment = 2 Assessment = 2 Assessment = 2
(14x5) (1) (25x4)
70 100 100 40 310
st
(*0.6x5 means Marks for skill lab for five years from 1 till final year)
 GUIDELINES FOR AWARDING INTERNAL ASSESSMENT MARK

Internal assessment for Class Lecture Attendance

3rd and Final Year - 75-85%=1, 85-95%=2, >95%=3
4th Year — 75-85%=0.5, 85-90%=1, 90-95%=1.5, >95%=2

Internal assessment for Class Assessments (0.5 for each year)

Two major assessments are recommended (Midterm and End-term)
Marks for each assessment = 50-65% = 0.15, 65-80%=0.3, >80%=0.5

Internal assessment for Ward Attendance

3rd and Final Year - 75-80%=1, 80-85%=1.5, 85-90%=2, 90-95%=2.5, >95%=3
4th Year — 75-85%=0.25, 85-90%=0.5, 90-95%=0.75, >95%=1

Internal assessment for Ward Assessments

3rd and Final Year (2) — Marks= 50-60%=0.5, 61-70%=1, 71-80%=1.5, >80%=2
4th Year (1) — 50-65%=0.25, 65-80%=0.5, 80-90%=0.75, >90%=1

BLS = 1
Successful completion of written and skill assessment in first attempt = 1
Successful completion of written and skill assessment in remediation attempt = 0.5

Send up Marks = 1.5

50-60%=0.25, 60-65%=0.5, 65-70%=0.75, 70-75%=1, 75-80%=1.25, > 80%=1.5

UNIT-WISE INTERNAL ASSESSMENT AWARD SCHEME FOR 3 YEARS

Class Attendance Class Test Ward Attendance Ward Assessment Tota BL Skill Sen Tota
l S s t up l
Unit
3rd 4th Fina 3rd 4th Fina 3rd 4th Fina 3rd 4th Fina
yea yea l yea yea l yea yea l yea yea l
r r year r r year r r year r r year

I 3 2 3 0.5 0.5 0.5 3 1 3 2 1 2 21.5 1 3 1.5 5.5

II 3 2 3 0.5 0.5 0.5 3 1 3 2 1 2 21.5

III 3 2 3 0.5 0.5 0.5 3 1 3 2 1 2 21.5

Tota 9 6 9 1.5 1.5 1.5 9 3 9 6 3 6 64.5 1 3 1.5 70

l
 OBJECTIVELY STRUCTURED CLINICAL ASSESSMENT (OSCE)

CT Brain Imaging ECG

Instrumentals X-Ray

At least 3 stations should be interactive replacing the table viva.

Drugs GIT

Instrument Respiratory


Drugs CNS

Counselling CVS

Interactive Interactive
LIVER & HEPATO– BILLIARY

1. Jaundice

2. Ascites

3. Acute Liver Failure

4. AutoImmune Liver Disease

5. Portal Hypertension

6. Viral Hepatitis

7. Alcohol /NASH

8. Liver Tumors

9. Inherited Disordes Of Liver

10. Pregnancy & Liver

11. Cholecystitis
 CARDIOVASCULAR SYSTEM
1. IHD

2. HTN
3. Heart Failure
4. Diseases Of Pericardium & Myocardium
5. Valvular Heart Disease
ENDOCRINOLOGY
CENTRAL NERVOUS SYSTEM
[Link]
Thyroid Disorders SYSTEM
1. Stroke
1. Stomach
PSYCHIATRY
2. Adernal & Esophagus
Disorders
2. Infections
Paper –ofI Brains & meninges SAQ’s MCQ’s
Anxiety Disorders Dysphagia
GERD,
1. Pituitary
3.
Achlasia,
OSCE
3. (14) Headache
1. PUB, CVS Tumors, Functional Disorders 1-2 10
2.
4. Depression
CaAPD/
Disorders
1. 4. STEMIComa
3. 2. / Seizure
Substance Respiratory
Abuse 1-2 10
CXR 2.
DIABETES Small Intestine
MELLITUS
2. 5. NSTEMI
Neuro– Inflammatory
4. 3.
SchizophreniaLiver & GIT diseases 2-3 19
1. Malabsorption,
Pleural Effusion Motility Disorder, Tumor
3. 1. Microvascular
6. Inferior
MND Wall MI Complications
4.
[Link]
Dementia CNS 1-2 10
2. 2. Large
Macrovascular
4. 7. Anterior Wall MIIntestine Complications
Tremors
5. Haematology 1-2 10
3. DERMATOLOGY
3. LobarMalignancy,
DKA Pneumonia IBD, IBS, Ischemic gut
5. 8. AtrialCerebellar
fibrillationdisorders
[Link]/m 6.
Eczema Miscellaneous 1 6
4. 4. Pancreatic
of type
6. 9. AtrialNeuropathies
Flutter – Diseases
I & II DM
2. Bullous – II & Myopathies
PaperLesions SAQ’s MCQ’s
5. RESPIRATORY
Abscess
7. HAEMATOLOGY
Complete Heart Block SYSTEM
1.
[Link]
Scabies Endocrine 1-2 10
6. Asthma
8. 1. Ventricular
Anemias Fibrillation
2.
[Link]
Psoriasis DM 1-2 5
7. COPD
9. 2. Ventricular
Bleeding Tachycardia
Disorders
5. 3.
Skin TumorsRheumatology 1-2 12
8. [Link]
Pneumonia
Stenosis
[Link] Disorders
[Link] 4.
Fungal Skin
Infections 1-2 10
9. [Link] Edema
1. 4. Increased ICP
Lympho-Proliferative Disorders
INFECTIONS 5.
[Link] Psychiatry
ILD / Occupational Diseases 1-2 10
10.
2. 5. Intracerebral Hemorrhage
Thrombotic
6. Disorders
Nephrology 1-2 10
1.6. Viral
Bronchiectasis
Infections
3. RHEUMATOLOGY
Cerebral Infarction
7.
2.7. Bacterial
Pleural Infectious
Diseases
Infections 1 8
4. 1. Meningioma
Rheumatoid Arthritis
3.8. T.B 8.
Pulmonary Miscellaneous
Hypertension 1-2 1-2
5. 2. Subdural Hematoma
SLE, Systemic Sclerosis
4. HIV / AIDS
6. 3. Epidural Hematoma
Vasculitis
5. Diarrhea
7. 4. Stroke
Gout
6. Protozoal Infections
8. 5. Hydrocephalus
Osteoarthritis
7. Fungal Infections
9. 7. Subarachnoid
Arthropathies Hemorrhage

8. Polymyositis
 Emergency Medicine:

Cardiology

1. Inj. Heparin

2. Atropine

3. Adrenaline

4. Dopamine

5. Dobutamine

6. Norepinephrine

7. Aspirin

8. Clopidogrel

9. Glycerine Trinitrate

10. Isosorbide dinitrate

11. Beta Blockers (Mepressor)

12. Furosemide Injection

13. Streptokinase injection

14. Lidocaine injection

15. Captopril
Respiratory:

1. Salbutamol (Inhaler/ nebulizer)

2. Ipratropium Bromide (Inhaler/ nebulizer)

3. Beclomethasone diproprionate (Inhaler/ nebulizer)

4. Inj. Hydrocortisone

5. Inj. Chlorpheniramine

6. Inj. Magnesium sulphate/ Aminophylline tablet

Pain killer;

1. Inj. Diclofenac

2. Inj. Nalbuphine + cyclizine (marzine)

3. Paracetamol tablet

4. Inj. Morphine for pulmonary edema + metoclopromide

Antibiotics

1. Inj. coamoxiclav

2. Inj. Ampicillin

3. Inj. Cefuroxime / Cefrtiaxone / Ceftazidime

4. Inf. Ciprofloxacin / Levofloxacin / Moxifloxacin

5. Inf. Metronidazole

6. Inf. Vancomycin

CNS:

1. Inj. Diazepam

2. Inj. Phenytoin

GIT:
Drips:Inj. Octreotide ( Sandostatin)
1.
1.
2. Inf. Omeprazole
Inj. 0.9% Normal Saline 1000ml

2.
3. Inf. 5%
Tab. Dextrose Saline 1000ml
Metoclopromide
3. Inj. 25% Dextrose Water 1000ml

4. Inj. 5% Dextrose Water 1000ml

Instruments:

1. NG tube

2.
REFERENCES:
Endotracheal tube

3. Drip set

1.
4. Hutchison's ClinicalInsulin
Syringes (LP needle, Methods by 10
1cc, 5cc, Michael
cc, 60ccSwash.
with nosel)

5. (Latest Edition)
Defibrillator
2. Davidson's Principles and Practice of Medicine
6. Airways
(Latest Edition)
7. Tracheostomy Tube
3. Macleod's Clinical Examination
8. Laryngoscope
(Latest Edition)
9. I/V cannula

10. Face mask/ Oxygen mask/ nasal cannula

11. Urinary catheter (foley’s)

12. Double lumen

13. CVP line

14. Blood bag

15. Blood transfusion set

16. Opthalmoscope

17. Lumbar puncture needle

18. Sengstaken–Blakemore Tube

19. Pleural biopsy needle

20. Liver biopsy needle

21. Microburettte

22. Chest drain with underwater seal

23. Chest tube

24. Nelton drain

25. Suction bottle