THE TAMIL NADU DR .M .G .R MEDICAL UNIVERSITY 69 ANNA SALAI, GUINDY, CHENNAI 600 032. Academic Decisions FINAL M.B.B.S.

The Board of Studies in Final MBBS degree course in the Meeting held on 03.05.2010 recommended various academic issues relating to Final MBBS degree course. The recommendations were approved in the 39th Meeting of the Standing Academic Board held on 21.6.2010 and also approved under Resolution No.23 passed at the 198th Governing Council held on 14.7.2010. 1. Theory Examinations: Theory Paper Format is as follows: Marks Structured Essay Short Notes Short Answers Minutes meeting of the

2 x10 = 20 30 minutes (15 x 2) 5 x10 = 50 100 minutes (10 x 10) 2 x15 = 30 45 minutes ( 3 x 15)

When there are 2 papers in Theory, the candidates must secure minimum 50% in Theory examination. 2. Clinical Examinations: For Clinical subjects the format is as follows: The common format for the Clinical Examination is one long case for 45 minutes, 2 short cases (15 x 2) 30 minutes and Viva is split into two parts with 50 marks each examined by one Internal Examiner and One External Examiner respectively. 3. VIVA VOCE - Total 100 marks. Viva Voce - I carries 50 marks and Viva Voce II carries 50 marks.

Viva Voce I is split into five parts of ten marks each. The Record Note Book of that particular subject must be presented during Viva Voce-I.

The record note books containing clinical cases seen discussed, operated during the first clinical, pre- final and final year postings must be chronologically recorded and certified by the respective Professor in each year. Viva Voce II is based on OSCE pattern of examination of the respective subject. 5 to 10 stations for a total of 50 marks. 4. Internal Assessment: Internal Assessment is a continual process in which theory and Clinical Examination are conducted during the First Clinical / Pre-clinical and the Final Year posting. Three Internal Assessment Examinations are conducted during the Final Year ( 1 in 1st Clinical, 1 in PreClinical and 3 in Final Clinical). 5. CRRI: The distribution of the posting for CRRI as per MCI norms is as follows :Compulsory Community Medicine Medicine including 15 days of Psychiatry Surgery including 15 days of Anaesthesia 2 Months 2 months 2 months

Obst. / Gynae. Including Family Welfare Planning 2 months Paediatrics Orthopaedics including PMR ENT Ophthalmology Casualty 1 month 1 month 15 days 15 days 15 days

Elective Posting ( 1 x 15 days) (i) (ii) (iii) (iv) (v) (vi) Dermatology and Sexually Transmitted Diseases Tuberculosis and Respiratory Diseases Radio-Diagnosis Forensic Medicine Blood Bank Psychiatry

During the training period CRRI must compulsorily undertake training like Trauma life support, Basic life support and Paediatric advance life support like Neonatal and Paediatric advance life support training (PALS and NALS) in the respective Departments. They should have practical training in communications skills to enable them establish good rapport with patients.

The Unit Chief should encourage the CRRI s to take active interest in all the Continuing Medical Education Programmes, Clinical Meetings and present Scientific Papers and Journals.

6. Certain Modification in postings of Final MBBS students:. The Undergraduate students during their VIII & IX Semester will do their Surgical posting, Medical Posting and Obstetrics in a single stretch of 12 weeks each; The posting in General Medicine, General Surgery and Obstetrics & Gynaecology are combined in 12 weeks postings and not split as a present. Ortho postings 8th and 9th Semester will be for 4 weeks. Anaesthesiology from 9th Semester is shifted to 7th Semester (2 weeks). Skin and STD posting posted to 7th Semester (2 weeks).

The above resolutions from Sl. No.1 to 6 will come into force from February 2011 examination onwards.

7.

To follow the measures proposed to the Under-Graduate Students during CRRI / Internship

training.

The Under-graduate Medical students during CRRI/Internship period of training has to attend CME Programme and to secure a minimum of 40% credit points. If the candidate fails to secure 40% of credit points in the CME programme the Provisional Certificate - II will not be issued by the University. The above said Regulations will come into effect from February 2011 onwards.

8. REGULATIONS OF ATTENDANCE TO UNDER GRADUATE DEGREE COURSES. 90% of attendance of the working days is mandatory for all undergraduate students to appear for the University examination. Number of working days in a year should not be less than 270 days excluding Sundays and holidays. For First year 90% of attendance will be calculated from the date of joining of the course. There shall be no condonation for lack of attendance for undergraduate degree courses.

The said resolution will come into effect from the academic year 2010-2011 onwards.

9. MODIFIED REGULATIONS FOR RE-ADMISSION AFTER BREAK OF STUDY TO ALL THE UNDER-GRADUATE & POST-GRADUATE COURSES. The Modified Regulations for Re-admission after break of study for all Under-graduate and Post- graduate degree courses has came into effect from 1.6.2010 onwards. The above modified Regulations for Re-admission after break of study is available in the website of this University www.tnmgrmu.ac.in

10. REVISED CLINICAL / PRACTICAL EXAMINATIONS TO BE IMPLEMENTED IN FINAL MBBS DEGREE COURSE. The Revised Clinical/ Practical Examinations of Ophthalmology, Oto- Rhino-

Laryngology, Community Medicine subjects in Final MBBS Part I and Medicine, General Surgery, Obstetrics & Gynaecology and Family Welfare, Paediatrics including Neonatology subjects in Final MBBS Part II degree Course are enclosed and this will be implemented from February 2011 Examinations onwards. *******

GUIDELINES TO CONDUCT FOR CLINICAL AND VIVA EXAMINATIONS FINAL M.B.B.S. (PART-I) (NON SEMESTER)

Subject: OPHTHALMOLOGY There shall be four examiners working as two pairs with 1 internal and 1 external as one pair to conduct the examination for two batches of students. CLINICAL NO.OF CASES TIME INCL. CASE SHEET WRITING 45 20 MARKS

LONG CASE SHORT CASE TOTAL VIVA: VIVA I 1. X-Rays 2. Instruments 3. Systemic Ophthal 4. Community Medicine 5. Pathology & Micro

1 2 x 10 mts.

Maximum 50 50 100

Minimum -

50

5 x 10 marks

50

VIVA-II RECENT ADVANCES (OSCE) TOTAL

10 stations x 5 marks

50

100

50

MARKS QUALIFYING FOR A PASS candidate shall be declared to have passed the examination is Ophthalmology if he/she secures, MAXIMUM MINIMUM 1) Theory 100 50 2) Clinical 100 50 3) Viva Voce 100 50 4) Internal Assessment Theory / Clinical 100 50

( 1 in Pre- Clinical + 2 in Pre-Final, minimum 3 Exam)

1) Clinical Examination shall be conducted from 8.30 a.m. to 1.30 p.m. 2) The Candidates shall be present in the Examination Hall half an hour before the commencement of the Clinical Examinations. 3) Number of Candidates to be examined per day not to exceed 24. 4) The Candidates should secure the minimum required marks in each of the four sections.(Theory, Clinical, Internal Assessment, Viva Voce) 5) If the candidate fails to secure the minimum in any of the section, he/she is deemed to have failed in the whole examination. **********

GUIDELINES TO CONDUCT FOR CLINICAL AND VIVA EXAMINATIONS FINAL M.B.B.S. (PART-I) (NON SEMESTER) Subject: OTO RHINO LARYNGOLOGY There shall be four examiners working as two pairs with 1 internal and 1 external as one pair to conduct the examination for two batches of students. TIME INCL. CASE SHEET WRITING 45mts. 20

CLINICAL

NO.OF CASES

MARKS Maximum 50 50 100 Minimum -

LONG CASE SHORT CASE TOTAL VIVA: X-RAYS OPERATIVE SURGERY, X RAY INSTRUMENT, SPECIMEN SPECIAL INVESTIGATIONS VIVA-II RECENT ADVANCES (OSCE) TOTAL

1 2 x10

50

5x10

50

10x5

50 100

50

MARKS QUALIFYING FOR A PASS A candidate shall be declared to have passed the examination is Oto Rhino Laryngology if he/she secures, MAXIMUM MINIMUM 1) Theory 100 50 2) Clinical 100 50 3) Viva Voce 100 50 4) Internal Assessment Theory + Clinical.(50 + 50) 100 50

(1 in II Yr. + 2 in pre-Final )
1) Clinical Examination shall be conducted from 8.30 a.m. to 1.30 p.m. 2) The Candidates shall be present in the Examination Hall half an hour before the commencement of the Clinical Examinations. 3) Number of Candidates to be examined per day not to exceed 24. 4) The Candidates should secure the minimum required marks in each section. 5) If the candidate fails to secure the minimum in any of the section, he/she is deemed to have failed in the whole examination. ***********

GUIDELINES TO CONDUCT FOR CLINICAL AND VIVA EXAMINATIONS FINAL M.B.B.S. (PART-I) (NON SEMESTER)

Subject: COMMUNITY MEDICINE

There shall be four examiners working as two pairs with 1 internal and 1 external as one pair to conduct the examination for two batches of students. TIME INCL. CASE SHEET WRITING 45 30

PRACTICALS

NO.OF CASES

MARKS Maximum Minimum 30 20

(A) CLINICO SOCIAL CASE (B) CLINICAL CASE SIMULATION (C) EPIDEMIOLOGICAL EXERCISES: 1. BASIC BIOSTATISTICS. 2. MCH INDICATORS, POPULATION PROJECTION INCL, VITAL STATISTICS. 3. STUDY DESIGNS & ENTOMOLOGY. 4. TESTS FO SIGNIFICANCE & SCREENING. (D) SPOTTERS TOTAL VIVA: VIVA-I WATER ANALYSIS, whole Portion NATIONAL PROGRAMMES, COUNSELLING, OUTBREAK INVESTIGATION, NATIONAL PROGRAMS, STUDY DESIGNS VIVA-II RECENT ADVANCES (OSPE) Applied Aspect / National Programmes TOTAL

1 2

60

40

10

10 100

50

50

50

100

50

MARKS QUALIFYING FOR A PASS A candidate shall be declared to have passed the examination is Community Medicine if he/she secures, MAXIMUM MINIMUM 1) Theory I & II 100 + 100 =200 50 + 50=100 2) Practical 100 50

1) 2) 3) 4) 5)

3) Viva Voce 100 50 4) Internal Assessment Theory + Prac. (50 + 50) 100 50 (1 + 1 + 3) Clinical Examination shall be conducted from 8.30 a.m. to 1.30 p.m. The Candidates shall be present in the Examination Hall half an hour before the commencement of the Clinical Examinations. Number of Candidates to be examined per day not to exceed 24. The Candidates should secure the minimum required marks in each section. If the candidate fails to secure the minimum in any of the section, he/she is deemed to have failed in the whole examination. ********

GUIDELINES FOR CLINICAL / VIVA VOCE EXAMINATIONS FINAL M.B.B.S. (Non-Semester) PART- II EXAMINATIONS

SUBJECT : MEDICINE

There shall be four examiners working as two pairs with 1 internal and 1 external as one pair to conduct the examination for two batches of students. NO. OF CASES CLINICAL I TIME For examination & case sheet writing MAXIMUM MINIMUM

1. Long Case CLINICAL 2 2. Short Case 3. Spotters

45

80

1 2 Total

10 5

40 30 -------150 --------

-----75 ------

Viva I Slides, Specimens, Drugs, Instruments, X-rays etc. Viva II Recent Advances. (OSCE) 10 x 5 Total MARKS QUALIFYING FOR A PASS A Candidate shall be declared to have passed the examination in Medicine if he/she secures. MAXIMUM 200 150 100 100 MINIMUM 100 75 50 50 50 -------100 --------

5 x 10

50

-----50 ------

1. Theory 2. Clinical 3. Viva Voce 4. Internal Assessment Theory + Practicals (50 + 50) ( 1 + 1 + 3)

1) Clinical Examination shall be conducted from 8.30 a.m to 1.30 p.m 2) The Candidates shall be present in the Examination Hall half an hour before the commencement of the Clinical Examinations. 3) Number of Candidates to be examined per day not to exceed 24. 4) The Candidates should secure the minimum required marks in each section. 5) If the candidate fails to secure the minimum in any of the sections, he/she is deemed to have failed in the whole examination. *******

FINAL MBBS SCHEME OF (CLINICAL / ORAL) EXAMINATION NON- SEMESTER

GUIDELINES FOR CLINICAL / VIVA VOCE EXAMINATIONS

SUBJECT : GENERAL SURGERY 1)There shall be Six Examiners, Four General Surgery (Two Internal +Two External Examiners) + Two Ortho (One Prof. of Ortho from the same college and other from Affiliated Medical Colleges of this University). 2)There shall be four examiners working as two pairs with 1 internal and 1 external as one pair for surgery and two Internals as a pair for Orthopaedics to conduct the examination for two batches of students. NO. OF CASES TIME MAXIMUM MINIMUM CLINICAL I For examination & case sheet writing General Surgery Long Case 1 45 min. 50 Short Case 2 each 10 min. 50 ------------Total 100 50 ------------Orthopaedics Short Case 2 each 10 min. 50 25 ------------Total 150 75 -----------

Viva Voce
Viva I X-rays, Instruments, Specimen, Operative Surgery And Ortho. (4+1) Viva II Recent Advances (OSCE) Minimum 5 short case 5 X 10 (vii) Orthopaedics 3 x 10 = 30 (viii) Surgery 2 x 10 =20 Total 50

50

-------100 --------

-----50 -----

MARKS QUALIFYING FOR A PASS

A Candidate shall be declared to have passed the examination in Surgery if he/she secures.

MAXIMUM

MINIMUM

1) 2) 3) 4) 5)

1.Theory 200 100 2.Clinical Surgery Clinical 100 50 3.Ortho Clinical 50 25 4.Viva Voce 100 50 5. Internal Assessment theory + Practicals (50 + 50) 100 50 (1 + 1 + 3) Clinical Examination shall be conducted from 8.30 a.m to 1.30 p.m The Candidates shall be present in the Examination Hall half an hour before the commencement of the Clinical Examinations. Number of Candidates to be examined per day not to exceed 24. The Candidates should secure the minimum required marks in each section. If the candidate fails to secure the minimum in any of the sections, he/she is deemed to have failed in the whole examination. *****

THIRD (FINAL) M.B.B.S. (N. S) PART- II EXAMINATIONS GUIDELINES FOR CLINICAL / VIVA VOCE EXAMINATIONS

SUBJECT : OBSTETRICS, GYNAECOLOGY AND FAMILY WELFARE 1.) There shall be four examiners working as two pairs with 1 internal and 1 external as one pair to conduct the examination for two batches of students

CLINICAL - I
NO: OF CASES TIME MAXIMUM MINIMUM For examination & case sheet writing 30 min. 10 min. each 75 75 ------150 ------------75 ------

1.) Long Case (Obstetrics) 2.) Short Case (Obstetrics) -1 (Gynaecology) 2 Total

1 3

Viva Voce
Viva 1 X-ray, USG, Instruments, Drugs, Specimen charts Viva 2 Recent Advances in (Obstetrics, Gynaecology, Family Welfare) (OSCE) Total 5 x 10 5 x 10 50 50 -------100 ------------50 ------

MARKS QUALIFYING FOR A PASS

A Candidates shall be declared to have passed the examination in O & G if he/she secures.

MAXIMUM MINIMUM
1.) Theory 2.) Clinical 3.) Viva Voc 4.) Internal Assessment theory + Practicals (50 + 50) (1 + 1 + 3) 200 150 100 100 100 75 50 50

1) Clinical Examination shall be conducted from 8.30 a.m to 1.30 p.m 2) The Candidates shall be present in the Examination Hall half an hour before the commencement of the Clinical Examinations. 3) Number of Candidates to be examined per day not to exceed 24. 4) The Candidates should secure the minimum required marks in each section. 5) If the candidate fails to secure the minimum in any of the sections, he/she is deemed to have failed in the whole examination. *******

THIRD (FINAL) M. B. B. S. (N. S) PART II EXAMINATIONS GUIDELINES FOR PRACTICAL / VIVA VOCE EXAMINATIONS

SUBJECT : PAEDIATRICS INCLUDING NEONATOLOGY There shall be four examiners working as two pairs with 1 internal and 1 external as one pair to conduct the examination for two batches of students.

No. OF CASES

TIME

MAXIMUM MINIMUM
CLINICAL

For examination & case sheet writing

1.) Long Case 2.) Short Case 3.) Spotters 1 2 2 40 min. 20 min 10 min Total Viva Voce Viva I Instruments, Vaccines, Drugs, X-ray Nutrition 10 x 5 Viva II Recent Advances 5 stations x 10 OSCE Total 50 50 50 -------150 --------

-----75 ------

50 50 -------100 --------

50 ------

MARKS QUALIFYING FOR A PASS A Candidate shall be declared to have passed the examination in Paediatrics if he/she secures, MAXIMUM MINIMUM 1) Theory 2) Clinical 3) Viva Voce 4) Internal Assessment Theory + Practicals (50 + 50) (1 + 1 + 1) 100 150 100 100 50 75 50 50

1) Clinical Examination shall be conducted from 8.30 a.m to 1.30 p.m 2) The Candidates shall be present in the Examination Hall half an hour before the commencement of the Clinical Examinations. 3) Number of Candidates to be examined per day not to exceed 24. 4) The Candidates should secure the minimum required marks in each section. 5) If the candidate fails to secure the minimum in any of the sections, he/she is deemed to have failed in the whole examination. *******