Modified Essay QuestionModified Essay Question

Yousef Abdullah Al TurkiYousef Abdullah Al TurkiMBBS,DPHC,ABFMMBBS,DPHC,ABFM

Associate Professor and Consultant Associate Professor and Consultant Family MedicineFamily Medicine

College of Medicine, King Saud College of Medicine, King Saud UniversityUniversity

Aims and Aims and Objective( General)Objective( General)• To assess the candidate’s ability to To assess the candidate’s ability to

conduct a good consultation and problem conduct a good consultation and problem solving skills.solving skills.

• To assess the candidate ability to To assess the candidate ability to identify the nature of a prevented identify the nature of a prevented problem and to propose a range of problem and to propose a range of solutionssolutions

• To identify and evaluate the candidate To identify and evaluate the candidate attitude to the situation described.attitude to the situation described.

Aims and Objective Aims and Objective (Specific)(Specific)

• The Assessment of adequate The Assessment of adequate consultation skills.consultation skills.

• The comprehensive of history-taking.The comprehensive of history-taking.

• Explaining to the patient the nature Explaining to the patient the nature of his problem's).of his problem's).

• Selection of relevant health Selection of relevant health promotion and prevention.promotion and prevention.

continuecontinue

• Relevant clinical examination.Relevant clinical examination.

• Relevant laboratory investigation.Relevant laboratory investigation.

• Appropriate management strategy.Appropriate management strategy.

• Rational prescribing.Rational prescribing.

• Effective referral if needed.Effective referral if needed.

• Evidence of being a competent and Evidence of being a competent and safe doctor.safe doctor.

Common theme in M.E.QCommon theme in M.E.Q

• All aspect of clinical and preventive All aspect of clinical and preventive family medicine.family medicine.

• Problem and difficult patients.Problem and difficult patients.

• Psychological problems in individuals Psychological problems in individuals and families.and families.

• Consultation process.Consultation process.

• Practice organization.Practice organization.

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• Relationships with colleagues and Relationships with colleagues and others.others.

• Controversial and new topics.Controversial and new topics.

• The doctor’s own feeling.The doctor’s own feeling.

• Ethics and attitudes.Ethics and attitudes.

How should you set about How should you set about answering M.E.Q ?answering M.E.Q ?

• Read the scenario Read the scenario carefully.carefully.

• Every Every wordword has some significance. has some significance.

• Think in Think in broad termsbroad terms about the whole of about the whole of the case, not just about the superficial the case, not just about the superficial symptoms or diagnosis described.symptoms or diagnosis described.

• Think of the context in which the Think of the context in which the situation arises, and the resources you situation arises, and the resources you can command to deal with it.can command to deal with it.

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• Think of what you need to do to convey Think of what you need to do to convey your ideas and implement them.your ideas and implement them.

• Keep it brief - notes or statement.Keep it brief - notes or statement.

• Time Time – divide equally– divide equally

• Practice family medicine – justify your Practice family medicine – justify your action and how? Who will help you and action and how? Who will help you and how?how?

• Structure your answer to cover all aspectsStructure your answer to cover all aspects..

Marking scheduleMarking schedule

• What are the contents of marking What are the contents of marking schedule of Modified Essay Question?schedule of Modified Essay Question?

Clinical competenceClinical competence

• Assess of physical state, relevant Assess of physical state, relevant clinical examination, appropriate clinical examination, appropriate investigation, and evaluation of investigation, and evaluation of therapy.therapy.

• Psychological, social, and Psychological, social, and environmental factors.environmental factors.

• Family situation and support.Family situation and support.

• Compliance.Compliance.

Practice management and Practice management and organizationorganization

• Communication, team work.Communication, team work.

• Follow up.Follow up.

• Value of regular visits.Value of regular visits.

• Shared care.Shared care.

Patient autonomy and Patient autonomy and expectationsexpectations

• What does the patient want or What does the patient want or expect?expect?

• What does the doctor think is What does the doctor think is possible?possible?

• What is realistic in the What is realistic in the circumstances?circumstances?

Attitudinal factorsAttitudinal factors

• How does the candidate consider How does the candidate consider resources outside the practice?resources outside the practice?

• Implication of social class and doctor- Implication of social class and doctor- patient relationship. patient relationship.

R.A.P.R.I.O.PR.A.P.R.I.O.P

• R- reassuranceR- reassurance

• A- AdviceA- Advice

• P- prescribeP- prescribe

• R- referralR- referral

• I- investigationI- investigation

• O- observeO- observe

• P- planP- plan

Sttot and DavisSttot and Davis

• Management of presenting problems.Management of presenting problems.

• Management of continuing problems.Management of continuing problems.

• Modification of help-seeking Modification of help-seeking behaviors.behaviors.

• Opportunistic health promotion.Opportunistic health promotion.

Thanks with my best Thanks with my best regardsregards