Orientation To The Postgraduate Exam

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Orientation To The Postgraduate Exam
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• Dr. Anahita Chauhan
• Associate Professor Unit Chief
• Seth GS Medical College KEM Hospital
• Honorary Consultant
• Saifee Hospital St Elizabeth Hospital

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I would live to study, and not study to
liveFrancis Bacon (1561-1626) British
statesman and philosopher
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CONTENTS

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

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• It's never about studying more
• It's always about studying better

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PREPARATION FOR THEORY ..1

• Basics
• Basics
• Basics

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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

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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)
• Dont 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!

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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
• Dont waste time, effort and resources on
  photocopying
• Be net savvy

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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 dont give
  answers
• Add notes to the basic text
• Be careful of what you read and interpret

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FINAL THEORY REVISION

• Dont 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

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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

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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

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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

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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

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THEORY PAPER ..2

• Short notes are not full questions
• Do not attempt any extra questions, especially
  short notes
• Underline important points to catch the
  examiners eye
• Easy questions first
• Size does not matter!

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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
• Dont starve carry a snack
• Carry tape, hammer, torch, stethoscope
• Dont let small things upset you

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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

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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
• Dont waste time if you dont know

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Muhs ms dgo
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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

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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

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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 practicals marks 400

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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

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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

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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 practicals marks 300
• Log book is compulsory with signature of HOD

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dnb
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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

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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

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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

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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

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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

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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
• 11 ratio of candidates to interpreters (for both
  patients and candidates)
• Usually a resident

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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

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PRACTICAL EXAM PATTERN2

• 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

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DNB THESIS

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

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Cps dgo
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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

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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

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FURTHER INFORMATION

• http//www.muhsnashik.com
• http//www.natboard.edu.in

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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

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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

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It always seems impossible until its done

• Nelson Mandela