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Introduction to the 4 th year

Introduction to the 4 th year. Brief talk. This year has its ups and downs; enjoy the ups, stay strong during the downs. Form your own opinion regarding this year. It is one of the fastest years.

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Introduction to the 4 th year

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  1. Introduction to the 4th year

  2. Brief talk • This year has its ups and downs; enjoy the ups, stay strong during the downs. • Form your own opinion regarding this year. • It is one of the fastest years. • The reference that we mention are just there to make things easier for you. You may explore other references and make sure you tell each other (and tell us, too) if you find new good references.

  3. 3rd Year vs. 4th Year • Bye bye to subjects that stay with you all the year! • Hello cycles! • What does a cycle contain? • - Lectures, sessions, exams, Logbooks... Additional things • - Every cycle differs • - Not all of them have midterms • - Not all of them have the same requirements • - At the end of the cycle all the groups (A, B, F) will have 2 weeks of exams, the finals will come for all the subjects one after another. • Half of you will be free the other half will prepare for osce or midterm ! It is normal

  4. You will start attending clinics and OR

  5. 4th Year Cycles 1st Term 2nd Term

  6. Not all cycles in KKUH!!!

  7. Logbooks: • Required by some cycles: Obgyne, Anesthesia, Primary Care) • They’re graded (usually) • You fill in cases you have seen • Different layout and requirements according to the department • Keep it with you in all practical sessions (clinics, OR... Etc) so you can fill the cases. Or you can write them down on a paper and then copy them to the logbook • Write them well because they read them !! • Ask each department to set a date for submission.

  8. OB-GYN

  9. New curriculum!!!

  10. Credit hours: 8 hours • Marks distribution:

  11. CBD • It is a group of vides around 30 video talk about different subjects in the OB\GYNE . • They send it to you one day or one week before the session. With Questions you need to answer them. Prepare well for it because they will evaluate you without you knowing it IS YOU ! • You will be divided to smaller groups. • If you prepared well for it it will help you a lot in the exam.

  12. Mini-CEX • This time you will know that you will be evaluated. • Your name will be set in the sechedule with a consultant. Read about the common things in the specialty of that consultant. • Sometime you will be evaluated on history taking, labor room, clinics..etc • If you will be evaluated in the history, take it one day before your evaluation. • If you scored less than 4 sometime they will reevaluate you.

  13. Skill lab: • Each group goes more than once. • It’s in the medical education • It’s a simulated dummy that acts like it’s giving birth. It actually screams and blink. • Practice how to deliver the placenta, because this came as an OSCE station. • Make sure to know the instrument and get the objectives of the skill lab from your doctor who gives the session

  14. ER • At the beginning of the shift, introduce yourself to the resident in charge, and tell them you’ll be staying with them. They can be really helpful • We were distributed to groups of 3-4 students, and had to attend the ER either the morning shift (8am – 4 pm) or the evening shift (4 pm to 12 am). • There might be emergency OR that you can attend • Depends on your luck, no certain times for patients to come • My experience, there wasn’t any activities.

  15. Labor and delivery: • We were distributed to groups of 4-5 students, Attend full day of delivery. • You must wear the clean green scrubs inside the L&D. • You are required to write the cases you see in your logbooks(2 at least?) . You’re required to attend a C-section. • C-sections usually are held in the OR of the obgyne L&D ward, unless it’s already occupied. Attend full day of C-secation. • For those who could not attend, we ask the department to take on-calls.

  16. Logbook • Take it with you all the time either clinics, OR, delivery, ER. • Any thing you see ask the consultant to sign for you. • It is about the common things they do it in ob\gyne, like C-section, delivery, menopause, feeding, speculum..etc. • You will submit 2 cases ( full history and examination) one OB and the other Gyne.

  17. OSCE: • Around 15 stations (10 stations on papers + 5 oral • “counseling” station examples: • OCP counseling • Gestational HTN counseling • Others … • 10 stations are just a picture on a table: • Some pictures were about instruments, their use... Etc • Some pictures were about obgyne diseases, and there were questions about them

  18. References By the department : Essentials of Obstetrics and Gynecology by Hacker and Moore by the students: Kaplan videos (Dr. Sakala), and Kaplan Obgyne booklet

  19. References • In addition two the material of the lectures and videos “we covered them in 433 team work”. • 428 obgynebooklet ‘for revision’ • In obgyne one source is not enough.

  20. Anesthesia

  21. Anesthesia • Credit hours: 4 hours. • Marks disruption: • Written (MCQ) Final: 40 • OSCE exam: 50 • Log book 10 • References: Anesthesia booklet (from the department) , logebook, lectures.

  22. What you will take? • Lectures • Practical sessions: • Intubation, spinal and epidural anesthesia... Etc • We had one session at the end that was a combination of all the previous sessions (like a revision) • YOU MUST ATTEND CLINCAL SKILLIS SESSIONS, because all OSCE station are from these sessions. • Attending the OR: • Once we attended an operation • Once we just went to the recovery room • Case simulation: it was in the recovery room. A simulated dummy that we had to resuscitate as a team • We were required to write the cases in the logbook • Tip: Try to arrange students in each group to attend surgeries.

  23. Anesthesia Logbook • Preoperative visit • Intraoperative Record • Recovery room • Postoperative or pain management • Some information's were missing from the logbook to be filled, you have to add them manually . • Don’t copy form each others because 432 did it and the department noticed.

  24. Orthopedics

  25. Orthopedics • Credit hours: 6 hours. • Marks disruption: • Written (MCQ) exam: 40 • OSCE: 40 • CBL: 10 • Continuous assessment: 10 • You will take one lecture each day. Memorize them very well. • References: Apley’s System of Orthopaedics and Fractures. • Doctors' Slides and notes from lectures + sessions

  26. Lectures: important to attend (you will learn much from attending + the department is strict about it) • Practical sessions: • The studying source is the department’s booklet (checklist from the department). • Try to practice with your friends on the same day after the session • Clinics: • Try to be involved in the examination, or history taking • Casting: • You will have one session with the casting technician to teach you how to apply a cast. • Other sessions will be for you to practice • CBL (case based learning): different topics with different consultants will be divided to groups. There are an evaluation forms and objectives.

  27. Ophthalmology

  28. Ophthalmology • Credit hours: 4 hours. • Marks disruption: • Written (MCQ) final exam: 30 • SAQ (short answer questions) final: 40 • OSCE: 20 • Practical session attendance: 10 • Final MCQ and SAQ were on the same day • References: • there are no objectives for this courses they say the lectures it self is the objectives but some doctors they don’t give their presentations. • Lectures , doctors notes. • Recommended by students : ophthalmology lecture notes by brucejames.

  29. Lectures: it is important to take notes specially dr. essam. • Clinics: • Each time with a different doctor • Depends on the doctor’s style • Practical session: • 2 sessions • The doctor teaches you about ophthaexamination ( this is what will come in osce) • Important to attend (graded) • No OR.

  30. ENT

  31. Credit hours: 4 hours. • Marks disruption: • Written (MCQ) final exam: 30 • SAQ (short answer questions) final: 40 • OSCE: 20 : on paper • Clinical assessment: 10 • Final MCQ and SAQ were on the same day • Refernceses: • Recommend by dept: Lecture notes, Diseases of Ear nose and throat, Ray Clarke (lectures is enough) • recommend by student: Toronto notes.

  32. Psychiatry

  33. Credit hours: 4 hours. • Marks disruption: • Final Video cases: 40 • Final MCQ: 40 • OSCE: 20 • Attendance is very important and useful • - Try to study on a daily basis, as midterm includes all lectures taken except “child psychiatry” • - Clinical attendance increases understanding and broadens prospective of topic • - The final exam we had questions from the doctor book as he told us before the exam. • References: Prof. Mohammed Al-Sughayir’s book: Basic psychiatry • The book is summarized in the manual

  34. Dermatology

  35. Credit hours: 2 hours. • Marks disruption: • Midterm MCQ: 30 • Finals: • - MCQ: 40 • - MEQ (multiple essay questions): 20 • Clinical evaluation: 5 • PBL: 5 • Lecture attendance was mandatory… • - Few MCQs were based on points mentioned in the lecture but not written, so take notes • - Study on a daily basis as lectures are long and time is tight. • References : Doctors' lecture slides + notes from lectures (it's important to take notes) • Fitzpatrick's colouratlas

  36. Primary Care

  37. Credit hours: 6 hours. • Marks disruption: • MCQ: 30 • OSCE: 20 • Clinical attendance: 5 • Data interpretation: 15 • CBD: 10 • EBM: 10 • SLS: 10 • Please ATTEND !!!!!

  38. OR Sessions • What to wear? • Where you go ? • How to behave ?

  39. Elective

  40. An online form will be sent to you from Dr. Elizabeth about 2-3 weeks into the year. You will be given a deadline to choose a subspecialty of your choice to do your elective in. • There are international electives only to Korea “ for 4th year medical students’ and in Saudi Arabia. Or you can apply to any hospital you want internationally and bring the acceptance to Dr. Elizabeth • If you are interested in a subspecialty, choose that… explore it before you choose to make it your career. • If you are undecided about a subspecialty, choose something general so that you can see different cases rather then focus on a certain thing (example: general surgery Vs. thyroid surgery) • You might want to put in mind that you want to either rule in or rule out a specialty from your future plan • 430 advice… choose something you will not experience in 4th or 5th year… (example, don’t do ER… as it will be covered in 5th year, unless its something you are considering as a future career)…

  41. For electives inside KKUH or KAUH, Dr. Elizabeth was responsible for contacting the departments • For electives outside KKUH or KAUH, make sure to ask Dr. Elizabeth about whom to contact from the hospital you want to go to, usually she will provide you with a paper and you contact the hospital. • Try to get written approvals rather than verbal, try to document all the communication that will occur between you and whoever is in charge of accepting you in the elective outside KKUH/KAUH. • Put a plan B, in case some unexpected thing happens

  42. Done by: Sarah AlSeneidi Presented by: Sarah AlSeneidi

  43. عن وحدة الجودة الاكاديمية • رؤية الوحدة: • الوصول إلى مستويات عالمية في الجودة والتميز الأكاديمي لكلية الطب. • رسالة الوحدة: • خلق وتعزيز ثقافة الجودة والتميز الأكاديمي في كلية الطب بجامعة الملك سعود من خلال متابعة جودة و  رصد تطور الأنشطة الأكاديمية . • الأهداف العامة للوحدة:  • دعم ومتابعة الخطة الاستراتيجية لكلية الطب. • نشر ثقافة الجودة بين منسوبي وطلاب كلية الطب.  • متابعة جودة التدريس والتعليم للطلاب الجامعيين وطلاب الدراسات العليا بكلية الطب.  • متابعة جودة البحث العلمي والحرص على أن يكون موافقا لأنظمة أخلاقيات البحث العالمية. • قيادة ودعم ومتابعة الاعتماد الأكاديمي لكلية الطب واستثماره كدافع للتطوير.  • متابعة جودة الأعمال الإدارية الهامة والمؤثرة بكلية الطب.  • اقتراح ودعم وتنظيم وتقييم جميع المبادرات الجديدة لتطوير الجودة الأكاديمية بكلية الطب.

  44. YouTube Video https://www.youtube.com/watch?v=twIXzPdgIog&t=13s

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