What is MEQ It is a problem based structured essay question Introduced by JD KNOX in 1975 First used by the Royal college of GP UK Presents a typical problem faced in daily clinical practice wwwsimilimacom ID: 345284
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MEQ; Modified Essay QuestionsSlide2
What is MEQ
It is a problem based structured essay question
Introduced by JD KNOX in 1975
First used by the Royal college of GP, UKPresents a typical problem faced in daily clinical practice
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SEQ and MEQ
Traditional essay
Describe the diagnosis and management of
Thyrotoxicosis
(15 marks)SEQ
1.a)Describe the symptoms and signs of thyrotoxicosis (5marks)
b)Outline the investigations (5marks)
c)What are the various modes of treatment? (5marks)
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Evaluation of MEQ
The above SEQ can be made problem based
A 46 year old female patient comes to you with a history of generalized weakness, palpitation, excessive sweating, and heat intolerance for the last one year. In spite of a good appetite, she has lost 10kg of weight during this period.
What is your provisional diagnosis? Justify (2marks)
What investigations will you advise to support your diagnosis? (5marks)
Outline the steps in the management of this patient (8marks)
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The
MEQ
question has questions that deal with problems typically encountered in general practice that might present to a
GPThe content may vary from common clinical problems
or an environmental issue, which impacts on the community
It is designed to test decision-making skills. It aims to assess the candidate's ability to identify the issues involved and logically resolve them using their own skillsSlide6
MAIN OBJECTIVES
To assess the student’s skills in
Clinical appraisal
Problem solving
Decision making
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Design & Construction of MEQ
Begins with a brief scenario of patients presenting problem
Followed by short answer questions
Seeks explanation or justification based on knowledge of underlying mechanism involved in the problem
Allocate marks and time for each item
Marking by using predetermined model answers
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MEQ Matrix
History
Clinical/ Physical examination
Diagnosis and assessing the conditionManagement including investigations
ComplicationPrognosisHealth education and prevention
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Advantages
Relevant
Meaningful
Allows multidisciplinary involvement
Has criteria of good assessment
Test minimum level of competency
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Example of Structure
Mohammed is a 52-year-old man with a 6 months history of low back pain, presents to you requesting MRI scan for his back.
Out line the approach to this patient and
How would you manage?Slide11
Ayesha is a 48-year-old lady with the history of hypertension. Her BMI is 32, blood pressure 170/95. She takes
amlodipine
5 mg/day.
Out line the approach to this patient
How will you manageSlide12
THANK YOU
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