title: Perceptions of Interns and General Medicine Examiners Regarding Cardiovascular Case Presentation in Practical Exams of General Medicine in Final MBBS Summative Examinations.
abstract: BACKGROUND
  Assessment of cardiovascular cases in practical exit exam is limited to simple history taking and physical examination. Standards of assessment are not uniform. This makes assessment less valid and reliable.
  
  
  OBJECTIVE
  To explore the perceptions of Internees and General Medicine Examiners about current practices in Cardio Vascular system (CVS) case presentation in final MBBS exit exams and the necessity to change some of the practices.
  
  
  METHODS
  A set questions pertaining to the preparation for exams, validity, reliability, feasibility and educational impact were prepared to guide in obtaining the perceptions of internees and internal medicine examiners. Focus group discussions were conducted. Data Analysis was done by immersion-crystallization process.
  
  
  RESULTS
  Most of the internees admitted to feeling concerned because of difficulty in diagnosing murmurs by auscultation. Most of the examiners felt concerned about the logistics involved in arranging practical exams. Both admitted to the lack of uniform standards in assessment. Both agreed that the present system thrived as it was relatively feasible. Some internees suggested that the exam may be conducted in two parts by splitting the syllabus instead of once. Some internees suggested incorporating a student-doctor program to improve practical skills just like the on-going student nurse program.
  
  
  CONCLUSIONS
  There is a need for overhauling the assessment of cardiovascular system in final MBBS summative exams towards one aligned to the competencies as required in an Indian Medical Graduate. Blueprinting of practical assessment with due weightage assigned to epidemiologically important topics is the need of the hour.
authors.affiliation: Assistant Professor, Department of General Medicine, BIMS , Belagavi, India .
authors.forename: Archana
authors.initials: A
authors.lastname: Dambal
authors.affiliation: Associate Professor, Department of General Medicine, BIMS , Belagavi, India .
authors.forename: Naren
authors.initials: N
authors.lastname: Nimbal
authors.affiliation: Associate Professor, Department of General Medicine, MIMS , Mandya.
authors.forename: M C
authors.initials: MC
authors.lastname: Rekha
authors.affiliation: Assistant Professor, Department of Medicine, BIMS , Belagavi, India .
authors.forename: Giridhar
authors.initials: G
authors.lastname: Patil
authors.affiliation: Assistant Professor, Department of Physiology, GIMS , Gadag, India .
authors.forename: Samata
authors.initials: S
authors.lastname: Padaki
authors.affiliation: Assistant Professor, Department of Biochemistry, Mallareddy Institute of Medical Sciences , Surraram, India .
authors.forename: Amrut
authors.initials: A
authors.lastname: Dambal
authors.affiliation: Senior Resident, Department of Dermatology, BIMS , Belagavi, India .
authors.forename: Gajanan
authors.initials: G
authors.lastname: Pise
authors.affiliation: Professor and Head, Department of Medicine, BIMS , Belagavi, India .
authors.forename: S T
authors.initials: ST
authors.lastname: Kalsad
keywords: Aligning assessment with competencies; Blueprinting; Educational impact; Epidemiologic burden; Feasibility; Murmurs; Reliability; Validity
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