1. Assessment in System-based Curriculum
Dr Usman Mahboob
Assistant Professor in Medical Education

2. First Year Modules Foundation Module Blood & Immunology
Musculo-skeletal and Locomotion
Cardiovascular
Respiratory
First Year Modules
Consider talking about:
Writing to learn
Writing in the disciplines

3. System-based Curriculum: How?

5. Year-1 Academic Colander
Academic Calendar Year 1, (Session )
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 5th Feb Public Holiday
Feb 04- Feb 09 6
End of Module Exam
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
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
May 20- May 25 21
CVS-I
May 27- June 01 22
Eid Holidays
June 03- June 08 23
June 10- June 15 24
June 17- June 22 25
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
4-weeks Preperatory Leaves for Professional Exam
July 22- Aug 22
30-33
4=weeks Preperatory Leaves for Professional 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

6. 01 - Foundation Module (6-weeks)
SNO
Theme
Duration 1
Orientation
1 week 2
Cell 3
Growth & Development of Human Body
2 weeks 4
Human Body tissues, bones & joints

7. 02 – Blood & Immunology (5-weeks)
S No
Theme
Duration 1
Pallor and swelling
2 weeks 2
Fever (Infection and Immunity) 3
Excessive bleeding & Transfusion Reaction
1 week

8. 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 4
Bony arches and fracture of foot 5
Backache 6
Muscle weakness and fatigue

9. Breathlessness and ankle swelling
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

10. 05 – Respiratory (4-weeks)
S No
Theme
Duration 1
Chest wall injury
1 week 2
Cough and Hemoptysis 3
Breathlessness
2 weeks

11. Integrating Teaching of Behavious in Curriculum

12. Outcomes required by the PMDC
Year
Medical Knowledge
Clinical Practice & patient care
Community Health Promoter
Communication Skills
Doctor as Leader and Manager
Doctor as Scholar/ Researcher
Doctor as Professional/ Professionalism
Year 5
Year 4
Year 3
Year 2
Year 1

13. How to learn these skills?
P – Professionalism, Patient safety & Communication Skills R – Research I – Identity formation M – Management & Leadership E – Ethics & Legal issues

14. Assessment in system-based curriculum

15. Assessment in System-based Curriculum
FM End of Module Exam
Block 1 exam (FM+ Blood)
Block 2 exam (MSK)
CVS End of Module Exam
Block 3 exam (CVS+ Resp.)
Pre-prof exam (Paper I, II, III)
Prof exam (University)
Assessment in System-based Curriculum

16. 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

17. Year 1 Professional Exam in System-based Curriculum
Theory paper
Modules
Theory Marks
Internal Assessment Theory (10%)
OSPE/ OSCE
Internal Assessment OSPE/ OSCE (10%)
TOTAL MARKS
Paper A FM
120 14 90 10
234
Blood
Paper B
MSK 13
233
Paper C
CVS
Respiratory
360 40
270 30
700

18. Sample Blueprint: Paper A (FM+ Blood)
Subject
No. of MCQs in Foundation (total 158 hours)
No. of MCQs in Blood (total 93 hours)
Total *
Gross Anatomy 12 1 13
Histology 10 4 14
Embryology 15
Physiology 22 32
Biochemistry 26
Pathology 2 6
Pharmacology
Community medicine 3
Forensic medicine
PRIME 5 8
Total 70 50
120
* Distribution of MCQs are based on a ratio of 1.7:1 (158:93) between 2 modules

19. Sample Blueprint: Paper B (MSK)
Subject
No. of hours allocated in TT
Percent distribution (No. of hours allocated in TT for specific subject/total hours x 100)
Percentage distribution of hours (subject-wise)
Total subject-wise MCQs out of 120
Gross Anatomy
121 59 69 71
Histology 14 7 8
Embryology 3 4
Physiology 26 13 16
Biochemistry
Pathology 2
Pharmacology 1
Community medicine
PRIME
Total
207
100
120

20. Sample Blueprint: Paper C (CVS+ Resp.)
Subject
CVS
module MCQs
Respiratory
Total
MCQs*
Gross Anatomy 9 12 21
Histology 4 8
Embryology 5 3
Physiology 34 20 54
Biochemistry 14 22
Pathology 1 2
Pharmacology
Forensic medicine
Community medicine 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)

21. 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

22. Example: OSPE Circuit MSK & Locomotion
Static
Shoulder Joint model
Ana Internal Viva
Static
Histology slide
Enter
Phy Internal Viva
Static
Walking mechanism
Ana External Viva
Static
Action potential
Phy External Viva
Static
ATP production
Bio
External Viva
Static
G6PD deficiency
Bio Internal Viva
Exit

23. OSPE Circuit Dr Usman Mahboob
This Photo by Unknown Author is licensed under CC BY-SA

24. Example of Paper A

25. Paper A (FM+ Blood & Immunology)3 5 7 1 9
Operating The Microscope
Anatomical terms
Histology of Simple Epithelia
Rest 1
Ana Viva 1
Histology of Glands/ Lymph nodes
Rest 2
Ana Viva 2
Sterilization
Lab Equipment’s
Rest 3
Phy Viva 1
Oral temperature
Bio Viva 2
Rest 7
Detection of Monosaccharide’s 25
OSPE Circuit
Paper A (FM+ Blood & Immunology) 11 23 13
Bio Viva 1
Rest 6
PH and buffer solutions
Blood count
Rest 5
Hb determination
Phy Viva 2
Rest 4
Blood grouping 21 19 17 15

26. 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)

27. Plan 2 (Parallel Circuits – 50 students)
Boys Common Room
Girls Common Room
Circuit 1 (Group A)
Circuit 1 (Group B)
Circuit 2 (Group c)
Circuit 2 (Group D)
Circuit 1 (9 – 11:05 AM)
Group A & B
Break 1 (11:05 – 12:00 PM)
Circuit 2 (12:00 – 2:05 PM)
Group C & B

28. Works cited

29. Thank you
Dr Usman Mahboob MBBS, MPH, FHEA (UK), PhD (UK), Fellow FAIMER (USA)
Director Medical Education
Khyber Medical University