Structured Oral Examinations in Internal Medicine: Case H

September 2009 in “ MedEdPORTAL ”

Hani Almoallim, Ali Alkatheeri, Alaa Monjed, Fozya Basheer, Abdullah Tawakol, Ahmad Imam, Abdulsalam Noorwali, Kamran Hameed

systemic lupus erythematosus SLE hair loss photosensitive rash

TLDR The structured oral exam format is effective and well-received for teaching internal medicine.

The document described a structured oral examination case focused on a 21-year-old female with systemic lupus erythematosus (SLE), presenting symptoms such as joint pain, hair loss, and a photosensitive rash. The examination format was praised for its convenience and standardization, avoiding the disadvantages of long case formats. Students reported enjoying the exam, and the educational objectives included obtaining comprehensive patient histories, identifying physical signs, formulating differential diagnoses, ordering and interpreting relevant tests, diagnosing conditions like hemolytic anemia and pericarditis, and recognizing SLE's multisystem involvement. The exam aimed to enhance clinical reasoning and communication skills.

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