Orientation To The Postgraduate Exam

1. Orientation To The Postgraduate Exam

2. Dr. Anahita Chauhan Associate Professor & Unit Chief Seth GS Medical College & KEM Hospital Honorary Consultant Saifee Hospital & St Elizabeth Hospital

3. “I would live to study, and not study to live”Francis Bacon (1561-1626) British statesman and philosopher

4. CONTENTS • Preparation for theory exams • Preparation for practical exams • MUHS pattern • DNB pattern • CPS DGO pattern • Training Course

5. It's never about studying more It's always about studying better

6. PREPARATION FOR THEORY ..1 • Basics • Basics • Basics

7. PREPARATION FOR THEORY ..2 • Preparation for life and future practice and not just to pass the exam • Do not let panic and perceived lack of time take away from the basic enjoyment of the subject • Prioritize topics but read everything • Go deep rather than skim the surface – explore one topic thoroughly • Select 1 or 2 standard texts

8. PREPARATION FOR THEORY ..3 • Limit your attention to the topics you are covering each day – stick to the time table • Start speed reading • Learn to read what's important • Ignore all the filler text (“the, but, as, she”) • Don’t try to memorize every single word • Only mark /highlight what you don't know • Information that you already know and will remember, does not need highlighting!

9. PREPARATION FOR THEORY ..4 • Practice writing and drawing diagrams • Surround yourself with flow charts and important information for constant visual stimulus • Collect drug information and product monographs from pharma companies • Don’t waste time, effort and resources on photocopying • Be net savvy

10. READING NON STANDARD TEXTS / JOURNAL ARTICLES • These books are not standard reference texts • Recent advances enhance existing knowledge base • Quickly read each article/ abstract / first para • Does it contain information that will answer one of the questions that might be asked? • If “no”, then forever ignore that article • Every journal has articles that don’t give answers • Add notes to the basic text • Be careful of what you read and interpret

11. FINAL THEORY REVISION • Don’t jump from topic to topic in nervousness or panic • Think about possible questions on each topic and try to match portions in the text that answer specific questions • Now is the time to quickly review and solve papers only if you have time

12. PREPARATION FOR PRACTICALS • Regurgitate what you have studied • Talk to yourself or your friends/ juniors • “Study Buddy” - Create a study group for discussion • Arrange clinics • Remember that drugs/ instruments/ specimens are just stepping stones to a full discussion on management

13. GENERAL TIPS • There is nothing more important than sleep and food • Avoid herd mentality • Avoid “tips” and “hot points” • Recreation is required • Do what works best for you

14. THESIS • The thesis is independently examined by a different set of examiners than the practical examiners • This process begins 3 -4 months before the date of exam • Thesis may be accepted, accepted with modifications or rejected (with reasons), or examiner may offer comments • Queries have to be addressed by the candidate prior to practical examination

15. THEORY PAPER ..1 • Read the question paper before picking up your pen • Systematic approach • Stick to the time for each question • Legible handwriting • A picture is worth a thousand words

16. THEORY PAPER ..2 • Short notes are not full questions • Do not attempt any extra questions, especially short notes • Underline important points to catch the examiner’s eye • Easy questions first • Size does not matter!

17. APPROACH TO PRACTICALS ..1 • Dress - style, shoes, shave • Clean starched apron, roll number • Mannerisms • Last minute reading in the exam hall does not help • Be polite to everyone • Don’t starve – carry a snack • Carry tape, hammer, torch, stethoscope • Don’t let small things upset you

18. APPROACH TO PRACTICALS ..2 • Bedside manners • Treat the patient as a whole, examine her systematically and thoroughly • Mentally review and revise possible lines of questioning • Be prepared to answer “positive findings only” or “relevant findings only” or “diagnosis” or “summary” • Give only your findings, be honest

19. APPROACH TO PRACTICALS ..3 Listen to the question and answer to the point • Answer in first person • Give differential diagnosis • Justify your point • Be polite but firm • Differing viewpoints - let go at some point • Don’t waste time if you don’t know

20. Muhs ms & dgo

21. PATTERN OF MUHS MS THEORY Syllabus • Paper I : Basic sciences in Ob/ Gyn including the diseases of newborn • Paper II : Clinical Obstetrics including newborn • Paper III : Clinical Gynaecology • Paper IV : Recent advances in Ob/ Gyn

22. PATTERN OF MUHS MS THEORY • 4 papers • Duration 3 hours each • 100 marks each • 10 MCQ 1 mark each 10 marks • 4 questions 20 marks each 80 marks (liberty to divide in 2 questions) • 2 (out of 3) short notes 10 marks • Total theory marks 4x100 400

23. PATTERN OF MUHS MS PRACTICALS • 2 Obstetric cases 50 marks each 100 • 100 marks (equal weightage) • 2 Gynaec cases 50 marks each 100 • 100 marks (equal weightage) • 5 Spots 10 marks each 50 • 50 marks • 5 Cases Ward round 10 marks each 50 • 50 marks • 2 Vivas 50 marks each 100 • Obstetrics 50 + Gynaec 50 • Total practicalsmarks 400

24. PATTERN OF MUHS DGO THEORY Syllabus • Paper I : Obstetrics including the diseases of newborn • Paper II : Gynaecology, gynaec pathology & operative gynaecology • Paper III : Medical and surgical diseases complicating Ob/ Gyn, social Ob/ Gyn including MCH & Family welfare

25. PATTERN OF MUHS DGO THEORY 3 papers • Duration 3 hours each • 100 marks each • 10 MCQ 1 mark each 10 marks * • 4 questions 20 marks each 80 marks (liberty to divide in 2 questions) • 2 (out of 3) short notes 10 marks • Total theory marks 300

26. PATTERN OF MUHS DGO PRACTICALS • 2 Obstetric cases 50 marks each 100 • 100 marks (equal weightage) • 2 Gynaec cases 50 marks each 100 • 100 marks (equal weightage) • 5 Spots 10 marks each 50 • 50 marks • 2 Vivas 25 marks each 50 • Obstetrics 25 + Gynaec 25 • Total practicalsmarks 300 • Log book is compulsory with signature of HOD

27. dnb

28. DNB EXAMINATION • DNB Final is a two-stage examination comprising theory and practicals • An eligible candidate who has passed theory is permitted to appear in the practical exam • Candidates who have undergone training as a DNB trainee at any recognized institute after having registered, and are completing 3 years training can undertake the exam

29. ELIGIBILITY FOR DNB • MD/MS:Candidates who have passed MD/MS from recognized institutes on or before the last date of submission of application form for DNB examination can apply for the DNB Final examination in the same broad specialty • Post Diploma Candidates: Who are registered with the Board and completing their training (as per the registration letter) are eligible • Submission of proof of having passed the MD/MS final exam or Diploma before the last date of submitting application for DNB Final exam is an essential pre-requisite

30. PATTERN OF THEORY EXAM • 4 papers, max 100 marks & 3 hours each • Paper 1: Obstetrics • Paper 2: Gynaecology • Paper 3: Contraception • Paper 4: Basic Sciences • Warning: No proper categorization • 10 short notes of 10 marks each • The number of short notes and marks weightage may vary in some papers

31. PATTERN OF THEORY EXAM • Candidate must score at least 50% in the aggregate of 4 papers to pass the theory exam • Only those candidates who have qualified the theory exam are permitted to take the practical exam

32. PRACTICAL EXAM • Maximum Marks: 300, minimum 50% to pass • Maximum of three attempts can be availed, after which candidate has to reappear for theory • First attempt is the practical exam following immediately after the theory results • Second and third attempt permitted out of the next three sessions of practical examinations • Appearance in first practicals is compulsory • Absenteeism at Practicals is counted as attempt

33. DNB EXAMINATION • Requests for change in practical centre are not entertained • Enough time between theory and first attempt, but sometimes not enough notice before other practical attempts • National examination with variation • Language problem especially South India • 1:1 ratio of candidates to interpreters (for both patients and candidates) • Usually a resident

34. PRACTICAL EXAM PATTERN 10 spots • Usually a device, instrument, pathology slide, x-ray, USG or HSG plate • 1 line extremely specific questions, 1 min 4 Cases • 1 long case – either obs or gyn • 3 short cases – usually one postpartum case • Emphasis on history and examination findings in each and every case

35. PRACTICAL EXAM PATTERN…2 Ward round • Usually a postop case which is presented by Registrar • The candidate asks questions to Registrar • The candidate may also examine and check findings • “Consultant” situation, not “student” • Examiner asks in the end • Tables in Obstetrics & Gyn, mainly FP • Individual clearance in every head

36. DNB THESIS • MS thesis valid for DNB • Primary candidate – submit earlier • Log book in detail • Questions asked on thesis and log book during tables

37. Cps dgo

38. CPS DGO Theory • 3 papers, 100 marks each, 3 hours duration • 2 sections per paper • 1 – 2 long questions and remaining short notes • Paper 1: Obstetrics • Paper 2: Gynaecology • Paper 3: Applied Sciences including anatomy physiology

39. CPS DGO Practicals • Total 300 marks • 2 Obstetric cases 100 • 1 Long case 40 marks, emphasis on history taking and presentation • 1 Short case 60 marks, 30 marks each for diagnosis and management • 2 Gynaec cases, same as obst 100 • 2 Vivas 50 marks each obst & gyn 100 • 20 marks instrument + 20 marks specimen / surgery + 10 marks FP

40. FURTHER INFORMATION • http://www.muhsnashik.com • http://www.natboard.edu.in

41. THE NEXT THREE DAYS • Intense preparation for practical examination • Dress rehearsal • Participation is encouraged • Platform to commit mistakes • “Big Bazaar” of Ob /Gyn • Wide variety of excellent teachers under one roof

42. THE NEXT THREE DAYS • Success of the programme depends on you and your interaction with the panel of examiners • Chance to compare notes with colleagues from different institutes • We look forward to positive criticism and suggestions

43. “It always seems impossible until its done” Nelson Mandela