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A Paradigm Shift - Reflections from Blinded Assessment of Online Learning Portfolios of MBBS Students

Another academic year has passed and a fresh batch of interns has arrived, and with each passing year, I feel 'academically older' and feel like I'm from the distant past. Inconspicuously, I have found myself wearning rose-tinted glasses on my hindisght and see my yesteryears as 'those glory days'. However, system 2 thinking takes over and I quickly realise that I was (and am) as the current crop of students are - incomplete, yearning to learn, with some sense of fear and insecurity as to what the future beholds. I was recently invited, along with my dear wife Dr. Madhavi Latha, to provide a blinded assessment of 32 students who just took their final MBBS exams, by assessing their long case, short case and seeing their performance recorded on video (only some students' videos were reviewed). The goal of this project is to compare their performance on their learning portfolios, to their university marks/assessment . The paradigm shift is in how we've moved fr...

Evidence Documents for Higher Specialty Training Application

As part of my application to higher specialty training (HST) in the UK, I have decided to collect all evidence documents and publish them online. I already have them stored on my hard drive but I thought it would be helpful to others who are also interested in applying to HST at a later date. A link to the revised application scoring criteria , applicable from November 2022 for the 2023 academic recruitment (August 2023 to December 2023) is here Edited - 26 October 2023 Images from the application scoring criteria are shown below for easier understanding. Text highlighted in green applies to my application, highlighted in yellow/orange is what is possible before I submit my application (such as scoring a full 8/8 for MRCP UK; scoring 8/8 for a publication as first author). My scores in all areas of the application are highest, except in Additional achievements, for which I can only get 1 point and score for training in teaching is likely to be the same at 2 points. The domains in the p...

A 54 year old gentleman with altered bowel habits

A 54 year old gentleman presented to my clinic with a chief concern of altered bowel habits since 12 years. A principled and inquisitive man, he reports first having altered bowel habits nearly 14 years ago, manifested by an increase in time spent in the loo for complete evacuation. On pressing further, he says that his visit to the wash is often preceded by a vague pain in his abdomen, which apparently may or may not relieve with defecation. He describes the pain as a poorly localising, diffuse, spasmodic pain that can last from anywhere between 5 to 15 minutes.

Quality Improvement Cycle 1 of Teaching Programme - Case Based Blended Learning Ecosystem

  Quality Improvement Cycle 1 Quoting the stated objectives here – The stated objectives of the teaching programme are – To improve history taking with a focus on patient-centered problems. To perform a targeted clinical exam with video demonstration of relevant clinical signs. To perform a critical and clinically sound analysis of the history and physical exam and generate a list of differential diagnoses. To perform interpretation of laboratory data and demonstrate an understanding of test characteristics by performing a review of literature. To demonstrate procedural competencies on video. The programme was devised to enable online asynchronous learning , during the COVID-19 pandemic, designed for – Undergraduate students Interns Postgraduate students Global network of students on our WhatsApp groups   Case 1 - https://ruchithareddy007.blogspot.com/2020/06/e-log-of-p-ruchithareddy.html Objectives met – 1, 2, 3, 4 and 5 Targeted Audience – 2, 3, ...

A 60 year old woman with breathlessness

  A 60 year old woman, housewife by occupation presented with the complaints of  Dyspnea on exertion since 6 months  Chest pain since 2 days

Core Clinical Competencies

A few selected procedural skills videos -  Ultrasound guided Lung Biopsy -  45 F - Lung biopsy in patient suspected with Bronchoalveolar carcinoma - by Dr. Aditya Samitinjay - YouTube Ultrasound Guided Pericardiocentesis -  35yr M - Pericardial Tap by Dr. Aditya Samitinjay - YouTube 35yr M - Pericardial Tap by Dr. Aditya Samitinjay - Part 1 - YouTube Ultrasound Guided Pericardiocentesis -  Pericardiocentesis in a 56/F with severe anaemia with pericardial effusion by Dr.Aditya Samitinjay - YouTube Clinical Discussions and Presentations - A few selected videos are shared in the playlist below -  Case presentations by Dr. Aditya Samitinjay - YouTube  - 9 videos Demonstration of Interesting Clinical Signs and a few learning points on Echocardiography Interesting clinical findings by Dr. Aditya Samitinjay - YouTube  - 9 videos

A 49 year old with an involuntary movement disorder

Case Presentation History taken from Patient and Attendant (elder brother); Reliability 9/10.  A 49 year old English and Telugu language lecturer presented with a 2 month history of progressive asymmetric involuntary movements of his right index and middle fingers.

Long Case - A 44 Year Old Man with Chronic Joint Pains and New Onset Generalized Edema

Long Case Presentation History A 44 year old man presented with a 3-day history of bilaterally symmetrical rapidly progressive generalized edema.