CoM Medical Students Year 3; Group 4; 2012/2013 , Kamuzu Central Hospital; Campus Lilongwe

LOGBOOK
for
MBBS III STUDENTS

The College of Medicine, Campus Lilongwe

And
The Department of Medicine at Kamuzu Central
Hospital

2012/2013

NAME: ____________________________

CONTENT

Documentation of:
1. Case-work-ups........................................................:................3
2. Clinics attended.......................................................................4
3. 4B-On Calls.............................................................................4
4. Practical procedures performed...........................................5-6
5. Patient Presentation assessment sheets 1-3.......................7-9
6. Long Case Assessment Sheet..............................................10
7. Continuous assessment Sheet..............................................12
8. OSCE-marking sheet Cardio Examination............................13
9. OSCE-marking sheet Respiratory Examination....................14
10.

OSCE-marking sheet Respiratory Examination...........15

11.

OSCE-marking sheet Neuro Examination...............16-17

CASE WORK-UPs
A minimum of 18 signed cases is required.
Case/Problem

Date of
Clerking

Print Name of
Clinician

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.

Signature of
consultant/registrar/intern

CLINICS ATTENDED
Two different clinics clinics minimum

Clinic
Light House ART

Date

Signature Clinician

Diabetic
Oncology/Hematology
General Medicine
In hospital HIV clinic
Partners in Hope
clinic

Short Stay Unit Admissions with your teamA minimum of two on calls required.

Date
1.

Signature Clinician

2.

PRACTICAL PROCEDURES
Practical Procedure
(numbers required)
Venesections (3)

IM Injections (2)
SC Injections (2)
IV Lines (3)

Pleural Taps (3)

Ascitic Taps (3)

Lumbar Punctures (2)

Date
1.
2.
3.
1.
2.
1.
2.
1.
2.
3.
1.
2.
1.
2.

Urine Dipstick (1)

1.
2.
1.
2.
1.

NG-tubes (1)

1.

Urinary Catheters (2)

1.

Malaria Rapid Test (1)

1.

ECG

1.

Blood Glucose Stix (2)

(1)

Not required ( merit)

Additional procedures
(from the list above or
Extra activities like
ultrasound, bleeding time,
fine needle biopsy)

Signature Clinician

1.
2.
3.
4.
5.
6.
7.
8.
9.
10

Patient Presentation Assessment Sheet - MBBS III (N1)

__________________________________________________________________
Student name:
Date:
Name of faculty grading:

Signature:

Topic:
__________________________________________________________________

History of Presenting Complaint and Past Medical History (30%)

Examination (30%)

Problem List and Differential Diagnosis (20%)

Presentation Skills (20 %)

Summary Feedback (please circle)

FAIL

PASS

DISTINCTION

Patient Presentation Assessment Sheet - MBBS III (N2)

__________________________________________________________________
Student name:
Date:
Name of faculty grading:

Signature:

Topic:
__________________________________________________________________

History of Presenting Complaint and Past Medical History (30%)

Examination (30%)

Problem List and Differential Diagnosis (20%)

Presentation Skills (20 %)

Summary Feedback (please circle)

FAIL

PASS

DISTINCTION

Long Case Assessment Sheet - MBBS III

_______________________________________________________________
Student name:
Date:
Name of faculty grading:
Topic:
_________________________________________________________

Presentation of patient history (30 marks)

Presentation of physical examination (30 marks)

Problem list and summary (20 marks)

Differential diagnosis (20 marks)

Other comments:

Grading scheme
75100
= distinction
6574
= credit
50 64
= pass
<49
= fail

Total mark:
/100
Signatures of Markers:

OBJECTIVE STRUCTURED EXAMS

Dear Students,
the following pages contain forms that you dont need to get filled in. They rather should give you
guidance as to the rules we apply when assessing your performance.
You will find
o the continuous assessment form
o the forms used at various OSCE-stations

Please make use of the OSCE forms when you rehearse your physical examination skills. And you
need to rehearse a lot. Everyone needs that. It is like playing the piano or learning a new language.
I suggest, you pair up with 2-3 colleagues so that you can form PE-rehearsal groups examining
patients together. Use the OSCE forms to guide you through these exercises.

Dept. of Medicine MBBS III OSCE Cardiovascular Station

Technique

Good

Introduction to patient, politeness, positioning

General Inspection
Inspection of the hands
Pulse (rate, rhythm, volume, character, max 2 credits)
and blood pressure or mention wish to take (1 credit)
Neck: JVP
Eyes: conjunctival pallor; mouth: central cyanosis
Chest Inspection
Palpation of precordium
Palpation of apex beat
Positioning of patient for auscultation
Auscultation of precordium (4 areas)
Description of heart sounds and possible murmurs
Bilateral auscultation of carotids
Auscultation of the lung bases
Assessment of liver for hepatomegaly
Peripheral edema
Peripheral pulses
Presentation and interpretation of findings

SUM (max 47)

10

Not Done/
inadequate

Thanks patient and leaves pt. in a comfortable position

Incomplete

3
1

0
2

0
0

MBBS III OSCE Respiratory Station

Technique

Good

Introduction to patient, politeness, positioning

General Inspection
Respiratory Rate
Inspection of the hands (clubbing, pallor, cyanosis, nails)
Eyes: conjunctival pallor,
Mouth KS, oral thrush, OHL, central cyanosis
Cervical and supraclavicular lymphadenopathy
Trachea
Chest Inspection
Chest palpation: expansion, tactile vocal fremitus
Percussion and description of percussion note
Auscultation of the anterior and lateral aspects of the
lungs with correct description of findings
Auscultation of the posterior aspects of the lungs with
correct description of findings
Vocal resonance

Presentation and interpretation of findings (maximum 5)

Thanks patient and leaves pt. in a comfortable position
SUM (max. 40)

11

Incomplete

Not Done/
inadequate

5
2

3
1

0
0

MBBS III OSCE Abdominal Station

Technique

Good

Introduction to patient, politeness, positioning

General Inspection
Inspection of the hands
Inspection of the Face
Abdominal inspection
Auscultation of all quadrants
Percussion in general
Paercussion to determine liver span
Palpation (superficial)
Palpation (deep)
Palpation of spleen (assesss technique)
Palpation of liver (assesss technique)
Ballotment of kidneys
Bilateral palpation of femoral pulses
Bilateral auscultation for femoral bruits bilaterally
Palpation of inguinal lymph nodes

Presentation and interpretation of findings (maximum 5)

Thanks patient and leaves pt. in a comfortable position

SUM (max. 39 credits)

12

Incomplete

Not Done/
inadequate

5
2

3
1

0
0

MBBS III OSCE Neurology Station Upper or lower limb examination

Technique

Good

Introduction to patient, politeness, positioning

Incomplet Not Done/

e
inadequate

Gait (candidate also able to show awareness of bringing out

gait abnormality e.g. tandem walking, Romberg test)

Presentation and Interpretation of findings (maximum 5)

General Inspection (eg. muscle wasting, tremor, involuntary

movements, skin lesions, fasciculation)
Tone
Power
(Isolates each muscle group during active movement, tests
appropriate myotome and understands MRC grading of
power)
Reflexes
(reinforces the reflex or shows awareness of this when
indicated)
Sensation (light touch, pin prick, joint position)
Able to assess sensation in a systematic and relevant way
i.e. dermatome, glove/stocking or sensory level with light
touch and pinprick. If abnormality noted with joint position
sense ascends up the body until normal or unable to.
Coordination (able to demonstrate one of the following;
finger nose, heal to shin, dysdiadokokinesia where
appropriate)

Thanks patient and leaves pt. in a comfortable position

SUM (max 30)

13

3
1

0
0

MBBS III OSCE Neurology Station Cranial nerve examination

Technique
Introduction to patient, politeness, positioning
General Inspection (eg. muscular wasting, tremor, ptosis,
facial asymmetry, gaze deviation)
I
(asks appropriate questions and aware of objective methods
of assessing this nerve)
II
( able to demonstrate or aware of modalities of this cranial
nerve e.g. acuity, visual fields, light reflex, accommodation
and fundoscopy)
III IV VI
( able to demonstrate full range of eye movement; looking
for evidence of gaze palsies, nystagmus or diplopia)
V
(assesses the sensory component i.e. sensation of the
face/aware of corneal reflex and motor component i.e.
muscles of mastication and jaw jerk)
VII
(assess the facial muscles & aware of its sensory
component)
VIII
(able to perform a general screen + aware of the principles
of the Rinnes and Webers test)
XI, V, XII
(able to demonstrate palatal and tongue movement, aware of
the principles of the gag reflex
XI
( able to demonstrate the movements of the shoulder and
neck, isolating the muscle group during active movement)
Presentation and Interpretation of findings (maximum 5
Thanks patient and leaves pt. in a comfortable position
SUM (max 30)

14

Good

Incomplete

Not Done/
inadequate

5
2

3
1

0
0

Continuous Assessment Sheet - MBBS III

______________________________________________________________
Student name:
Date:
______________________________________________________________
1. History Taking and Examination Skills

2. Knowledge
(includes contribution to seminars, PBLs)

3. Professionalism
(includes reliability, punctuality, interaction with colleagues)

4. Interaction with patients

5. Logbook
Morning presentations
Procedures
Clerkings
Clinic Attendance

Other comments:

15

Midterm Assessment and Feedback Sheet - MBBS III

Student name:
Date:
Faculty (name and signature)
______________________________________________________________
1. History Taking and Examination Skills

2. Knowledge
(includes contribution to seminars, PBLs)

3. Professionalism
(includes reliability, punctuality, interaction with colleagues)

4. Interaction with patients

5. Logbook
Procedures
Case write ups
Clinic Attendance

Other comments:

16

Final Assessment Sheet - MBBS III

__________________________________________________________________
Student name:
Date:
__________________________________________________________________
Long Case (20%):

Written Exam (20%):

OSCE (30%):

Continuous assessment (30% of final mark):

- Professional conduct
- Achieved course objectives
- Logbook completed
- Presentations

Comments:

Final mark:

PASS

/100
Grading scheme
75100
= distinction
6574
= credit
50 64
= pass
49
= fail

FAIL

Signed by Academic Lead Lilongwe Campus

_____________________________________

17