Assessment in
System-based
Curriculum
Dr Usman Mahboob
Assistant Professor in Medical
Education
1. Foundation Module
2. Blood & Immunology
First Year 3. Musculo-skeletal and
Modules Locomotion
4. Cardiovascular
5. Respiratory
System-based
Curriculum:
How?
Academic Calendar Year 1, (Session 2018-2019)
Year-1 Academic
Activity (Exams, holidays, vacations) Date Week No. Year 1 Modules
Dec 31- Jan 5 1 Foundation-I
Jan 07- Jan 12 2
Jan 14- Jan 19 3
Jan 21- Jan 26 4
Jan 28- Feb 02 5
End of Module Exam
Feb 04- Feb 09 6 End of Module Exam
Colander
5th Feb Public Holiday
Feb 11- Feb 16 7 Blood & Immunology
Feb 18- Feb 23 8
Feb 25- Mar 02 9
Mar 04- Mar 09 10
Block-I Exam Mar 11- Mar 16 11 Block-I Exam
23rd March Public Holiday Mar 18- Mar 23 12 MSK
Mar 25- Mar 30 13
Spring Break April 01- April 06 14
April 08- April 13 15
April 15- April 20 16
April 22- April 27 17
1st May Public Holiday April 29- May 04 18
May 06- May 11 19
Block-II Exam May 13- May 18 20 Block-II Exam
May 20- May 25 21 CVS-I
May 27- June 01 22
Eid Holidays June 03- June 08 23
June 10- June 15 24
End of Module Exam June 17- June 22 25 End of Module Exam
June 24- June 29 26 Respiratory-I
July 01- July 06 27
July 08- July 13 28
Block-III Exam July 15- July 20 29 Block-III Exam
4=weeks Preperatory Leaves for Professional
July 22- Aug 22 30-33
4-weeks Preperatory Leaves for Professional Exam Exam
Year 1 Professional Exam Aug 23- Sept 14 34-36 Tentative dates for Exam
Start of Year 2 Academic Session 30-Sep Tentative Start of Year 2 Academic Session
01 - Foundation Module (6-weeks)
SNO Theme Duration
1 Orientation 1 week
2 Cell 1 week
3 Growth & Development of Human Body 2 weeks
4 Human Body tissues, bones & joints 2 weeks
02 – Blood & Immunology (5-weeks)
S No Theme Duration
1 Pallor and swelling 2 weeks
2 Fever (Infection and Immunity) 2 weeks
Excessive bleeding & Transfusion
3 1 week
Reaction
03 – MSK & Locomotion (8-weeks)
S No Theme Duration
1 Orientation and shoulder pain 2 weeks
2 Weak grip and painful hand 1 week
3 Pain lower limb/limping 2 weeks
4 Bony arches and fracture of foot 1 week
5 Backache 1 week
04 – CVS (5-weeks)
SNO Theme Duration
1 Chest pain 1 week
2 Breathlessness and ankle swelling 2 weeks
3 Blood Pressure 1 weeks
4 Palpitations 1 week
05 – Respiratory (4-weeks)
S No Theme Duration
1 Chest wall injury 1 week
2 Cough and Hemoptysis 1 week
3 Breathlessness 2 weeks
Integrating Teaching of
Behavious in Curriculum
Outcomes required by the PMDC
Outcomes Medical Clinical Community Communication Skills Doctor as Doctor as Doctor as Professional/
Knowledge Practice & Health Promoter Leader and Scholar/ Professionalism
Year patient care Manager Researcher
Year 5
Year 4
Year 3
Year 2
Year 1
How to learn these skills?
P – Professionalism, Patient safety & Communication Skills
R – Research
I – Identity formation
M – Management & Leadership
E – Ethics & Legal issues
• FM End of Module Exam
• Block 1 exam (FM+ Blood)
Assessment in • Block 2 exam (MSK)
System-based • CVS End of Module Exam
• Block 3 exam (CVS+ Resp.)
Curriculum
• Pre-prof exam (Paper I, II, III)
• Prof exam (University)
How to assess in System-based curriculum?
• Assessment is based on blueprints
• Students would pass the module/block
• University theory paper – MCQ only
• University Skills assessment – OSPE/OSCE only
Year 1 Professional Exam in System-based Curriculum
Internal
Internal
Theory OSPE/ Assessment TOTAL
Theory paper Modules Assessment
Marks OSCE OSPE/ OSCE MARKS
Theory (10%)
(10%)
FM
Paper A 120 14 90 10 234
Blood
Paper B MSK 120 13 90 10 233
CVS
Paper C 120 13 90 10 233
Respiratory
TOTAL MARKS 360 40 270 30 700
Sample Blueprint: Paper A (FM+ Blood) Subject
No. of MCQs in Foundation No. of MCQs in Blood (total
Total *
(total 158 hours) 93 hours)
Gross Anatomy 12 1 13
Histology 10 4 14
Embryology 15 0 15
Physiology 10 22 32
Biochemistry 14 12 26
Pathology 2 4 6
Pharmacology 1 1 2
Community medicine 1 2 3
Forensic medicine 0 1 1
PRIME 5 3 8
Total 70 50 120
* Distribution of MCQs are based on a ratio of 1.7:1 (158:93) between 2 modules
Percent
Sample Blueprint: Paper B (MSK) distribution (No. of Percentage
No. of hours hours allocated in distribution of Total subject-wise
Subject
allocated in TT TT for specific hours (subject- MCQs out of 120
subject/total hours wise)
x 100)
121
Gross Anatomy 59 71
69
Histology 14 7 8
Embryology 7 3 4
Physiology 26 13 13 16
Biochemistry 26 13 13 16
Pathology 3 2 2 2
Pharmacology 1 1 1 1
Community
1 1 1 1
medicine
PRIME 1 1 1 1
Total 207 100 100 120
Sample Blueprint: Paper C (CVS+ Resp.) Subject
CVS
module MCQs
Respiratory
module MCQs
Total
MCQs*
Gross Anatomy 9 12 21
Histology 4 4 8
Embryology 5 3 8
Physiology 34 20 54
Biochemistry 14 8 22
Pathology 1 1 2
Pharmacology 1 0 1
Forensic medicine 1 1 2
Community medicine 1 1 2
Total 70 50 120
CVS module (total 109 hours) Respiratory module total 65 hours)
*total MCQs are distributed with a ratio of 1.7:1 (109:65)
! example=(30/120) x 50 (where 30 is the total no. of MCQ for gross anatomy in individual Respiratory module out of 120 MCQs
and 50 is the total MCQs required for block assessment according to the ratio of 1.7:1)
OSPE
• Minimum 18 stations (excluding pilot and rest stations) for each
batch.
• Mix of static and interactive stations.
• Time: Minimum 3-6 minutes, including 1 minute for movement
between the stations and reading the instructions.
• Faculty up to demonstrator/ SR level to be involved.
• For every block exam, there should be at least three external
examiners for the major subjects
• One of the external examiner - Nominated as coordinator
Example: OSPE Circuit
MSK & Locomotion
Static Ana
Static
Enter Shoulder Joint Internal
Histology slide
model Viva
Static Ana
Phy Internal
Walking External
Viva
mechanism Viva
Static
Phy External Static
Action
Viva ATP production
potential
Bio Static Bio
Exit External G6PD Internal
Viva deficiency Viva
OSPE Circuit
Dr Usman Mahboob
This Photo by Unknown Author is licensed under CC BY-SA
Example of Paper A
1 3 5 7 9
Histology of
Operating Histology of
Anatomical Glands/
The Simple Rest 1 Ana Viva 1 Rest 2 Ana Viva 2 Sterilization
terms Lymph
Microscope Epithelia
nodes
Lab
Equipment’s
25 Bio Viva 2
OSPE Circuit Rest 3 11
Rest 7
Paper A (FM+ Blood
& Immunology) Phy Viva 1
Detection of
23 Monosaccharide’s
Oral
temperature 13
PH and buffer Hb
Bio Viva 1 Rest 6 Blood count Rest 5 Phy Viva 2 Rest 4 Blood grouping
solutions determination
21 19 17 15
Plan 1 (Single Circuit – 25 students)
Total Circuit Time: 25 * 5 = 125 minutes (2 hours and 5 minutes)
• Circuit 1 (9 – 11:05 AM)
• Break 1 (11:05 – 11:30 AM)
• Circuit 2 (11:30 AM – 1:35 PM)
• Break 2 (1:35 – 2:00 PM)
• Circuit 3 (2:00 – 4:05 PM)
• Break 3 (4:05 – 4:30 PM)
• Circuit 4 (4:30 – 6:35 PM)
Plan 2 (Parallel Circuits – 50 students)
Boys Common Room Girls Common Room
• Circuit 1 (9 – 11:05 AM)
Group A & B Circuit 1 Circuit 1
• Break 1 (11:05 – 12:00 PM) (Group A) (Group B)
• Circuit 2 (12:00 – 2:05 PM)
Group C & B
Circuit 2 Circuit 2
(Group c) (Group D)
Works cited
Thank you
Dr Usman Mahboob MBBS, MPH, FHEA (UK), PhD (UK), Fellow FAIMER (USA)
Director Medical Education
Khyber Medical University
[email protected]
