GWU MEM Exit exam at Aster DM health care

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MEM EXIT EXAM- Calicut- a bird's eye view.

Today It was my pleasure to monitor the MEM exam in calicut.

With good grace of Dr Venu sir, who has organised the event so well.
It was flawless Multiple choice question paper with 200 questions.

We had all the 3 batches from 1st year to final year EM residents of  around 50 in number sitting with writing pads, pencil & eraser at 9.30am.
Final years were writing their exit exam and others were giving year exam.
There were different sets of questions for each batch.

All candidates were provided with juice packets as refreshment before onset of exam to keep them charged up, which was innovative effort.

Than Examiner's team brought sealed packets of question papers from Ronald Reagan Institute- George Washington University.

At 10am sharp, we distributed the question papers & answer sheets.

Every candidate was looking confident, comfortable, and excited to score the best in exam.

Exam was well arranged in seminar hall with everyone sitting at a distance of 5 seats, & seats were well labelled with the name of participants.

All mobiles, electronic devices, books and bags were not permitted in exam hall.

So there was pin drop silence for 4hrs with stop watch showing time on main-screen.

I observed that all the candidates were honestly writing exam, without any cheating or asking anyone else.

That proved that all the candidates were well prepared with theory and well versed due to frequent mock tests every month in internal exam.

Questions were lengthy with clinical photos of patient's bodypart, Xray, ECG,  USG, & lab reports just like in USMLE and MRCP exams.

MCQ were based from typical indian emergency scenario like we daily see while working in Medanta- the Medicity since last 4yrs.

MCQs covered are all medical Superspeciality emergencies in tertiary care including emergencies in dialysis, post organ transplant in kidney, liver & heart; upper GI bleed in CLD; STD diagnosis and treatment;
Obs gyne about normal delivery,  perimortem caesarian, neonatal pediatrics about croup, ENT, eye injuries and grades of burn in acid, neurosurgery & head trauma management,  orthopedic trauma, assault,  gunshot, electrocution, kerosene burn, acid burn face, suicidal & homicidal poisoning with sedatives, cardiotoxicity, drug overdose, polytrauma, choking, pneumothorax,  cardiac tamponade, liver rupture and the ATLS protocols in handling Mass casualties by -START rapid triaging.

Questions also covered decision making by using BLS, ACLS, PALS guidelines while managing medical emergencies including cardiac arrest & stroke in different age group of patients & treatment.

Answer options were meticulously drafted based on recent evidence based journal articles & Tintinalli's emergency medicine.
Multiple options were so similar but different on deep thought- it was playing with words to confuse the participants.

In last there were Questions about Medical ethics in emergency, MCI code of ethics & recent updated regulations for free treatment in emergency situations,  breaking bad news to relatives,
Quality of care, medical negligence, unethical conduct, SEMI guidelines for ethical practices in emergency were a new entry in pattern, as most medical exams in India rarely ask questions on ethics- similar to GCP guidelines asked in Europian exams- Good Clincical practice guidelines

One unique feature I noticed that all candidates after completion of exam were having winner's smile over face with pace of a lion walking back to their den after mind blowing session to today's written MEM exam.

Thanks to Dr Venu and his team of expert doctors,  nurses & paramedics - who are perfect in co-ordinating academic events on time, even when it was raining continously outside in calicut.

Regards
Dr Vivekanshu
Emergency & Trauma care  Attending Consultant
Medanta-the Medicity
Gurgaon

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