Zeeshan Bushra, Rashid Tariq
Dermatology Unit 1, Allama Iqbal Medical College/Jinnah Hospital, Lahore, PAK.
Global Clinical Scholars Research Training, Postgraduate Medical Education, Harvard Medical School, Boston, USA.
Cureus. 2024 Apr 16;16(4):e58393. doi: 10.7759/cureus.58393. eCollection 2024 Apr.
Background Clinical examination is the final step for the assessment of a candidate in the Fellowship of College of Physicians and Surgeons-II exam and several stressors are associated with it. After a certain level, the stressors and myths related to this exam increase the chances of poor performance. This study aimed to identify the shortcomings of candidates' short and long cases with suggestions for improvement. Methodology This qualitative research with a thematic analysis approach was conducted at the College of Physicians and Surgeons of Pakistan, Regional Center, Lahore. The data were collected from 20 examiners who assessed 88 candidates' short and long cases of dermatology through observation and cross-questioning. Results The major themes that emerged with more subcategories were poor history taking, poor examination, and poor time management while updated knowledge, rationalization, and enhancement of presentation skills were also highlighted in long cases. The major suggestions to improve the short and long cases were to focus on the command given, maintain the privacy of the patient, and improve training. Conclusions This study highlighted many major shortcomings the candidates showed while performing the long and short cases which may facilitate the forthcoming candidates to avoid these weaknesses by following the suggestions for improvements.
临床检查是内科医师和外科医师学会二级考试中对考生进行评估的最后一步，与之相关的有多种压力源。在达到一定程度后，与该考试相关的压力源和误解会增加表现不佳的几率。本研究旨在找出考生在短病例和长病例中的不足之处，并提出改进建议。方法：本定性研究采用主题分析法，在巴基斯坦内科医师和外科医师学会拉合尔地区中心进行。数据收集自20名考官，他们通过观察和交叉提问对88名考生的皮肤科短病例和长病例进行了评估。结果：出现的主要主题及更多子类别包括病史采集不佳、检查不佳和时间管理不善，而长病例中还强调了知识更新、合理化和表达技巧的提升。改进短病例和长病例的主要建议是关注给出的指令、保护患者隐私以及改进培训。结论：本研究突出了考生在进行长病例和短病例时表现出的许多主要不足之处，这可能有助于即将参加考试的考生通过遵循改进建议来避免这些弱点。
