Assessment of clinical competencies using clinical images and videos“CIVA”

BMC Medical Education

Table 1 Final MBBS exam

Organ system	Problem	Practice context		Age			Clinical task					Test instrument
Organ system	Problem	1	2	1	2	3	1	2	3	4	5	6
Musculoskeleta & Rheumatology	Fracture humerus	x			x				x	x			CIVA
	Dislocation shoulder	x			x				x	x	x		CIVA
	Rheumatoid arthritis		x			x		x		x			CIVA/OSCE
Peripheral Nervous (PNS)	Weakness LL		x		x	x		x					OSCE
Cardiovascular	Coronary angiography		x		x				x				CIVA
	Atrial flutter	x			x			x	x	x			CIVA
	Post MI advice		x			x					x	x	OSCE
	Postural hypotension		x			x		x	x				OSCE
Respiratory	Horner syndrome		x			x		x	x				CIVA
	Stridor	x		x				x					CIVA
	Resp distress in new born	x		x				x					CIVA
	Pneumothorax	x				x		x	x	x			OSCE
	Recurrent cough		x	x			x	x	x	x	x		0SCE
Gastrointestinal	Shifting dullness		x		x			x					CIVA
	Acute abdomen		x			x		x			x		OSCE
	Per rectal bleeding							X(PR)		x			OSCE
GenitoUrinary / Renal	Catheterization	x			x	x		x	x				CIVA/OSCE
GenitoUrinary / Renal	Inguinal hernia		x			x					X(consent)		OSCE
Endocrine	Cushing’s syndrome		x		x			x	x	x			CIVA
Endocrine	Developmental milestones		x	x				x	x				CIVA
Reproductive	PCOS		x		x			x	x				CIVA
	Pap smear		x		x			x		x			CIVA
	Episiotomy	x			x			x	x				CIVA
	Irregular bleeding		x			x	x		x	x			OSCE
Central Nervous (CNS)	Heel shin test		x		x			x	x				CIVA
	Intention tremor		x		x					x	x		CIVA
	Lumbar puncture		x		x			x	x				CIVA
	Babinski sign		x		x			x	x				CIVA
	Febrile convulsion	x		x				x	x		x		CIVA
Hematopoietic (Hem & Lymphatics)	Hemarthrosis		x		x			x	x				CIVA
	Iron deficiency anemia		x	x				x	x				CIVA
	Cervical LN pathy		x		x			x	x				CIVA
Integumentary (Skin & related) + ConnectiveTissue	Purpura		x		x			x	x				CIVA
	Burns	x		x							x	x	CIVA
	Herpes zoster		x		x			x			x		CIVA
Special Senses	Hearing tests		x	x				x	x				CIVA

Blueprint University of Sharjah, College of Medicine / ClinicalSkills Program for CIVA and OSCE only.
Practice Context: 1 emergency, 2 non emergency. Age: 1child, 2 Adult, 3 Elderly. Clinical tasks: 1 History, 2Physical Examination, 3 Diagnosis, 4 Investigation, 5 Treatment, 6Follow-up. Test instrument: OSCE -Objective StructuredClinical Exam, CIVA - Clinical Image & Video Assessment.

ISSN: 1472-6920