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Neurology exit examination system in India: A survey of examiners' perceptions and recommendations


1 Department of Neurology, St. John's Medical College Hospital, Sarjapura Road, Bengaluru, Karnataka, India
2 Department of Neurological Surgery and Neurology, UT Southwestern Medical Center, Texas, USA
3 Department of Neurology, Sheffield Teaching Hospital NHS Foundation Trust Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, United Kingdom
4 Department of Neurology, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India
5 Department of Neurology, National Institute of Mental Health and Neurosciences, (NIMHANS), Bengaluru, Karnataka, India
6 Department of Neurology, Apollo Institute of Neurosciences, Jayanagar, Bengaluru, Karnataka, India
7 Department of Neurology, Sparsh hospitals, Bengaluru, Karnataka, India
8 Department of Neurology, Kasturba Medical College, MAHE, Manipal, Karnataka, India
9 Department of Neurology, Sree Chitra Thirunal Institute of Medical Sciences and Technology, Trivandrum, Kerala, India
10 Department of Neurology, MGR Medical University, Chennai, Tamil Nadu, India
11 Department of Neurology, Sri Venkateswara Institute of Medical sciences, Thirupathi, Andhra Pradesh, India
12 Department of Neurology, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India
13 Department of Neurology, GB Pant Hospital, New Delhi, India
14 Department of Neurology, Narayana Institute of Health Sciences, Bengaluru, Karnataka, India
15 Department of Neurology, Government Medical College, Kottayam, Kerala, India
16 Department of Neurology, Apollo Hospital Sheshadripuram, Bengaluru, Karnataka, India
17 Department of Neurology, Christian Medical College, Ludhiana, Punjab, India
18 Department of Neurology, Care Hospital, Hyderabad, Telangana, India
19 Department of Neurology, Avitis Institute of Medical Sciences, Nemmara, Palakkad, Kerala, India
20 Department of Neurology, JJM Medical College and Hospital, Davangere, Karnataka, India
21 Department of Neurology, Travancore Medicity Medical College and Hospital, Kollam, Kerala, India
22 Department of Neurology, Ramaiah Medical College, MSRIT Post, Bengaluru, Karnataka, India
23 Department of Neurology, Manipal Hospital, Bengaluru, Karnataka, India
24 Department of Neurology, SDM College of Medical Sciences, Dharwad, Karnataka, India
25 Department of Neurology, Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan, India
26 Department of Neurology, Trustwell Hospitals and People Tree Hospitals, Bengaluru, Karnataka, India
27 Department of Neurology, Queens NRI Hospital, Visakhapatnam, Andhra Pradesh, India
28 Department of Neurology, Manipal, Hospital Whitefield, Bengaluru, Karnataka, India
29 Department of Neurology, Sagar Hospital, Bengaluru, Karnataka, India
30 Department of Neurology, Krishna Institute of Medical Sciences, Minister Road, 1-8-31/1 Secunderabad, Telangana, India
31 Department of Neurology, Apollo Speciality Hospitals, Madurai, Tamil Nadu, India
32 Department of Neurology, Yashoda Hospital, Hyderabad, Telangana, India
33 Department of Neurology, Bangalore Baptist Hospital and Columbia Asia Hebbal, Bengaluru, Karnataka, India
34 Department of Neurology, Nizam's Institute of Medical sciences, Hyderabad, Telangana, India
35 Department of Neurology, Gajre Hospital, Jalgaon, Maharashtra, India
36 Department of Neurology, Apollo Hospitals Bannerghatta Road, Bengaluru, India
37 Department of Neurology, SRM Institutes for Medical Science, Chennai, Tamilnadu, India
38 Department of Neurology, SGPGI, Lucknow, Uttar Pradesh, India
39 Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
GR K Sarma,
Professor, Department of Neurology, St. John's Medical College Hospital, Sarjapura Road, Bengaluru - 560 034, Karnataka
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aian.aian_666_21

Background: The traditional Neurology exit examination in India has remained unchanged over the last few decades. In developed countries, objective evaluation methods have replaced the traditional ones. A need for such methods has not been explored in India. Objective: We aimed to study the perceptions and key recommendations of Neurology examiners on the existing examination pattern. Material and Methods: We conducted an online survey of examiners perceptions and recommendations using a set of 10 multiple-choice questions and an open-ended question. Results: 46 examiners provided completed responses suitable for analysis. Nearly equal proportions (30%) of the examiners had 10 years, 10–25 years and >25 years' experience. 92% were not satisfied with current system, 95% did not find adequate time for correction of theory scripts, 90% felt that theory questions were random, and 95% had legibility issues. 84% felt that the practical exams do not test true learning, 98% felt the examination stress impairs the performance and 85% felt that there are no objective criteria to pass the candidate. 83% felt the current system-needed changes. The key suggestions provided by the examiners to improve the system included objective assessments like MCQ, OSCE, OSLER and DOPS, inclusion of larger number of short answer type questions and periodic internal assessments of the candidates. Conclusions: A vast majority of examiners favoured changes to the current examination system and provided key recommendations. A larger study is needed to extrapolate these findings to the rest of India.


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