Section 7

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 Assessment Policy

examination in Block 2 shall be as follows: -

One

288
 Statutes
1. The third Professional MBBS Examination shall be held at the end of the third year.

2. Every candidate shall be required to study contents of Anatomy (including Histology),

Physiology, Biochemistry, Behavioural Sciences, Community Medicine & Public Health,
Pathology including microbiology, Pharmacology & Therapeutics, Ophthalmology,
Otorhinolaryngology, Surgery, Medicine, Clinical skills and Professionalism, Ethics,
Research and Leadership. The teaching and assessment shall be done in three modular
blocks.

3. There will be three papers in the third professional examination:

Third Professional Exam:

a. Paper 1 will be based on contents of Block 7;
b. Paper 2 will be based on contents of Block 8;
c. Paper 3 will be based on contents of Block 9;

4. Each paper will comprise of two components “Written” and “Oral/Practical/Clinical”

examinations.

5. The Written and ‘Oral/Practical/Clinical’ examination in each paper will carry 175 marks
each, making the total marks of 350 for each of the papers 7,8, and 9 (inclusive of Internal
Assessment).

6. Total marks for the Third Professional Examinations shall be 1050.

7. Major content areas of the third professional years shall be from:
a. Pharmacology including applied/clinical Pharmacology;
b. Pathology including microbiology;
c. Community Medicine and Public Health
d. Forensic Medicine.

8. The Applied/Clinical content shall be based on clinical correlations.

9. Integrated clinical content areas include General Medicine, General Surgery, Community
Medicine & Public Health, Pathology, Pharmacology & Therapeutics, Clinical Rotations (C-
FRC– III), PERLs- III, Expository writing and IT.

Written Examination
a. The written component of Papers 7, 8, and 9 will consist of ‘One-best-
type’ Multiple Choice Questions (MCQ) and Structured Essay Questions
(SEQ) in a ratio of 65:35 %.
b. Each MCQ will have five options (one best response and four
distractors) and will carry one (01) mark.
c. There will be no negative marking.
d. Each SEQ will be a structured question with five (05) marks each.
e. SEQ’s will only be based on the major content areas of the year.

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 f. There will be total of 90 MCQs and 10 SEQs in every written paper
in Papers 7, 8, and 9.
g. The duration of each written paper will be 190 minutes (03 hours and 10
minutes).
h. The section ‘B’ of the MCQs and the section ‘B’ of the SEQs must be
passed independently also to be declared as ‘pass’ in the theory exam.
i. The MCQ section will be 90 minutes duration and the SEQ section of
100 minutes.

Oral/Practical/Clinical Examination
j. The ‘Oral/Practical/Clinical’ component of each Papers 7, 8, and 9 will
consist of a total of fifteen (15) OSPE/OSCE/OSVE stations in each
‘Oral/Practical/Clinical’ examination.
k. There will be eleven (11) Observed OSPE/OSCE (Objective Structured
Practical Examination Objective Structured Clinical Examination)
stations from major subject areas. Each OSPE/OSCE station will have
the practical component and an evaluation of the underlying principle
relevant to that practical with a component of applied knowledge.
l. There will be one (01) Observed OSCE (Objective Structured Clinical
Examination) station, based on PERLs-3 & ExposITory-3 in each
‘Oral/Practical/Clinical’ examination.
m. There will be three (03) Observed interactive OSVE (Objective
Structured Viva Examination) from major subject areas. Each OSVE
station will have a structured viva, to assess a practical component
along with evaluation of the underlying principle relevant to that practical
with a component of applied/practical knowledge and related clinical
application.
n. OSPE/OSCE station from the major subject areas will carry eight (08)
marks.
o. The OSCE station of PERLs-3 & ExposITory-3 will carry ten (10) marks.
p. Each OSVE station will carry fourteen (14) marks
q. The duration of each “Oral/Practical/Clinica” examination will be 120
minutes (2 hours).
r. Time for each OSPE, OSCE and OSVE station will be eight (08) minutes.
10.Every candidate shall take the examination in the following Blocks (Modules) in the
third Professional MBBS Examinations: -

YEAR-3
Block 7 Marks
A. (Foundation-II + Hematopoietic, Immunity & Implant +
General Pharmacology + Forensic Medicine & Toxicology- 350
I)
Block 8
B. (Musculoskeletal & Locomotion-II + Infectious Diseases + 350
Neoplasia + Forensic Medicine & Toxicology - II)
Block 9
C. (Cardiovascular-II + Respiratory II + Community Medicine 350
& Public Health + Family Medicine I + Forensic Medicine &
Toxicology - III)
Total 1050

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 A. Block 7 (Foundation-II + Hematopoietic, Immunity & Implant + General
Pharmacology + Forensic Medicine-I)
The examination in Block 7 shall be as follows: -

I. One written paper of 140 marks having two parts:

i. Part I shall have ninety Multiple Choice Questions (MCQs) of total 90
marks (01 mark for each MCQ) and the time allotted shall be 90 minutes.
There will be no negative marking.
ii. Part II shall have ten Structured Essay Questions (SEQs) of total 50 marks
(05 marks for each SEQ) and the time allotted shall be 110 minutes.

II. “Oral/Practical/Clinical” examination shall have 140 marks in total.

III. The continuous internal assessment through ‘Block Examination’ and other
parameters specified, conducted by the college of enrollment shall carry 70 marks,
i.e., 20% of the total allocated marks (350) for the block. The score will be equally
distributed to the Written and ‘Oral/Practical/Clinical’ Examinations.

B. Block 8 (Musculoskeletal & Locomotion--II + Infectious Diseases + Neoplasia

+ Forensic Medicine - II))

The examination in Block 8 shall be as follows: -

I. One written paper of 140 marks having two parts:
iii. Part I shall have ninety Multiple Choice Questions (MCQs) of total 90
marks (01 mark for each MCQ) and the time allotted shall be 90 minutes.
There will be no negative marking.
iv. Part II shall have ten Structured Essay Questions (SEQs) of total 50 marks
(05 marks for each SEQ) and the time allotted shall be 110 minutes.

II. “Oral/Practical/Clinical” examination shall have 140 marks in total.

III. The continuous internal assessment through ‘Block Examination’ and other
parameters specified, conducted by the college of enrollment shall carry 70 marks,
i.e., 20% of the total allocated marks (350) for the block. The score will be equally
distributed to the “Written” and “Oral/Practical/Clinical” Examinations.

C. Block 9 (Cardiovascular -II + Respiratory II + Community Medicine & Public Health +

Family Medicine I + Forensic Medicine - II)
The examination in Block 9 shall be as follows: -
I. One written paper of 140 marks having two parts:
v. Part I shall have ninety Multiple Choice Questions (MCQs) of total 90
marks (01 mark for each MCQ) and the time allotted shall be 90 minutes.
There will be no negative marking.
vi. Part II shall have ten Structured Essay Questions (SEQs) of total 50 marks
(05 marks for each SEQ) and the time allotted shall be 110 minutes.

II. “Oral/Practical/Clinical” examination shall have 140 marks in total.

III. The continuous internal assessment through ‘Block Examination’ and other
parameters specified, conducted by the college of enrollment shall carry 70
marks, i.e., 20% of the total allocated marks (350) for the block. The score will be
equally distributed to the “Written” and “Oral/Practical/Clinical” Examinations.
11.The marks distribution in each subject is given in Table 1:

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 Table 1

YEAR-3
Subject Theory Practical Total

BLOCK 7
Part I MCQs (90) 90 Marks
Modules Practical Marks
(Foundation-II + 11 OSPE 88
/Clinical 01 OSCE 10
Hematopoietic, 350
Examination 03 OSVE 42
Immunity & Part II SEQS (10) 50 Marks
Implant +
General &
Clinical
Pharmacology + Internal
Internal Assessment
Forensic 35 Marks Assessment 35 Marks
10%
Medicine & 10%
Toxicology-I)
Total 175 Total 175

BLOCK 8 Marks
Part I MCQs (90) 90 Marks Practical
11 OSPE 88
Modules /Clinical 01 OSCE 10
(Neoplasia + Examination 03 OSVE 42
Part II SEQS (10) 50 Marks 350
Infectious
Diseases +
Musculoskeletal
Internal
& Locomotion-II Internal Assessment
35 Marks Assessment 35 Marks
+ Forensic 10%
10%
Medicine &
Toxicology- II)
Total 175 Total 175

BLOCK 9 Marks
Part I MCQs (90) 90 Marks Practical
11 OSPE 88
Modules /Clinical 01 OSCE 10
(Cardiovascular Examination 03 OSVE 42
-II + Respiratory Part II SEQS (10) 50 Marks 350
II + Community
Medicine &
Public Health + Internal
Family Medicine Internal Assessment
3 5 Marks Assessment 35 Marks
10%
I + Forensic 10%
Medicine &
Toxicology- III)
Total 175 Total 175

Total Marks: 1050

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14. No grace marks shall be allowed in any examination or practical under any guise
or name.

15. At least 50% MCQs & 50% SEQs shall be based on applied/clinical/case scenario
to assess high order thinking in the papers set for the students of Third Professional
MBBS Examinations.

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Regulations
1. Professional examination shall be open to any student who: -
a. has been enrolled/registered and completed one academic year preceding
the concerned professional examination in a constituent/affiliated college of
the University.
b. has his/her name submitted to the Controller of Examinations, for the
purpose of examination, by the Principal of the college in which he / she
is enrolled & is eligible as per all prerequisites of the examination.
c. has his/her marks of internal assessment in all the Blocks sent to the
Controller of Examinations by the Principal of the college along with the
admission form.
d. produces the following certificates duly verified by the principal of his / her
college:
(i) of good character;
(ii) of having attended not less than cumulative 85% of the full course of
lectures delivered and practical conducted in the particular academic
session, while maintaining 75 % attendance in each block,
(iii) Certificate of having appeared at the Block Examinations conducted by
the college of enrolment with at least 55 % cumulative percentage in
aggregate of blocks 7,8, and 9 for the third year;
(iv) Candidates falling short of block/s attendance shall not be admitted to
the annual examination unless they take remedial classes to complete
the requirement.

2. The minimum number of marks required to pass the professional examination for
each paper shall be fifty-five percent (55%) in Written and fifty-five percent (55%) in
the ‘Oral/Practical/Clinical’ examinations and fifty-five percent (55%) in aggregate,
independently and concomitantly, at one and the same time.

3. Candidates who secure eighty five percent (85%) or above marks in any of the papers
shall be declared to have passed “with distinction” in that Block, subject to having at
least 80 % marks in the Written component of that paper, concomitantly. However,
no candidate shall be declared to have passed “with distinction” in any paper, who
does not pass in all the papers of the Professional Examination as a whole at one
and the same time,

4. A candidate failing in one or more paper of the annual examination shall be

provisionally allowed to join the next professional class till the commencement of
supplementary examinations. Under no circumstances, a candidate shall be
promoted to the next professional class till he / she has passed all the papers in the
preceding professional examination.

5. If a student appears in the supplementary examination for the first time as he/she did
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 not appear in the annual examination because of any reason and fails in any paper
in the Supplementary Examination, he/she will be detained in the same class and
will not be promoted to next class.
6. The colleges may arrange remedial classes and one re-sit for each block examination
after approval from the Competent Authority.
7. The remedial classes and re-sit examination can be conducted during summer
vacation/weekends, before or during preparatory leave, for the concerned
professional examination, subject to the following conditions:
a. At the completion of each block, the principals of the colleges shall submit a
detailed report to the university, including cases of students with short
attendance, poor performance/absence in the block examination along with the
reasons and evidence for the same, proposed schedule for remedial classes and
re-sit examination.
b. Competent Authority UHS will have the cause and the submitted evidence
evaluated and documented, before permitting the colleges to arrange remedial
classes and re-sit examination at the concerned block. No college is allowed to
conduct remedial classes or re-sit examination without prior approval of the
competent authority.
c. The students can appear in remedial classes / re-sit of a block examination,
However, conduct of remedial classes shall be permitted only in the cases of
students, who shall have attended at least 50 % of total attendance of the
concerned block in the first instance.
a. However, in special circumstances a student can be allowed to attend the
‘remedial classes’ for a certain block, with the permission of the Competent
Authority, to complete his/her requirement of attendance, even if the block
attendance is less than 50%. In such cases, the evidence of reason will be
provided by the college after the Principal has endorsed the case.
b. The students who have attained a cumulative attendance of 85% directly or
with remedial classes, can appear in the ‘annual’ professional examination.
c. The valid reasons for short attendance in a block or absence from a block
examination may include major illness/accident/surgery of the student or
sickness / death of an immediate relative/being afflicted by a natural/man-
made calamity or disaster or detained students (missed the first block of the
year) or UHS permitted late admission students

8. The application for admission of each candidate for examination shall be submitted
to the Controller of Examination, through the Principal of the College, in a prescribed
format, as per notified schedule, accompanied by the prescribed fee.

9. The marks of internal assessment through block/s examination and attendance shall
be submitted to Controller of Examinations three times, within two weeks of
completion of each block examination.

10.At the end of each block, the colleges are required to submit question papers and
keys for the block examination, internal assessment marks and attendance record to
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 the Department of Examinations UHS. Further, parent-teacher meetings shall be
arranged by the colleges after every block examination to share feedback on the
progress of students with their parents. Minutes of parent teacher meetings shall be
submitted to the Department of Medical Education UHS.

11.Itis emphasized that fresh internal assessment or a revision of assessment for

supplementary examination shall not be permissible. However, a revised internal
assessment for the detained students can be submitted. The internal assessment
award in a particular year will not be decreased subsequently detrimental to the
detainee candidate. A proper record of the continuous internal assessment shall be
maintained by the concerned department/s in the colleges.

12.The candidates shall pay their fee through the Principal of their respective Colleges
who shall forward a bank draft / pay order / crossed cheque in favor of Treasurer,
University of Health Sciences Lahore, along with their Admission Forms.

13.Only one annual and one supplementary of First, Second & Third Professional MBBS
Examinations shall be allowed in a particular academic session. In exceptional
situations, i.e., national calamities, war or loss of solved answer books in case of
accident, special examination may be arranged after having observed due process
of law. This will require permission of relevant authorities, i.e., Syndicate and Board
of Governors.

14.The internal assessment for third year will be sent according to the following scheme:

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 Internal Assessment (Theory)
Sr Scoring Parameter Marks out of 20% Marks distribution
#
85-90%=1%, > 90%=2%
Remedial classes – re-sit examination allowed only
after case endorsed and submitted by the college
85-90%= 01 mark
Principal and approval given by the Competent
1 Attendance in Lectures > 90%=02 marks
Authority. However, no marks given
Remedial classes – re-sit exam allowed only in
genuine cases after approval from Competent
Authority. However, no marks given
2 Block Examination 15% 27
Continuous Internal
Assessment/Class Quiz/Class
participation/ Professional
3
Behaviour/ Ethical practices/
3% 06
Leadership traits/ Module Exam
Discipline/Punctuality

Internal Assessment (Practical & Behavioral)

Sr # Scoring Parameter Marks out of 20% Marks distribution
85-90%=1%, > 90%=2%
Remedial classes – re-sit examination allowed only after
case endorsed and submitted by the college Principal 85-90%= 01 mark
and approval given by the Competent Authority.
1 Attendance in Practicals & Rotations > 90%=02 marks
However, no marks given
Remedial classes – re-sit exam allowed only in genuine
cases after approval from Competent Authority.
However, no marks given
2 Block Examination 13%
(OSPE/OSCE/OSVE) 23
3 CFRC Log Book / PERLs Portfolio 02% 06
Ward / Clinical / Bedside assessment
4 based on the clinical rotation / DOPS 02% 04
 MBBS 3rd Professional

Block-7

Written Exam Oral/Practical/Clinical Exam

OSPE
Subject OSCE OSVE
SEQ /OSCE
MCQ (10 marks (14 marks
(5 mark Marks (8 marks Marks
(1 mark) each each
each) each
observed) observed)
observed)

Pharmacology 30 05 55 03 - 01 38

Pathology 30 04 50 03 - 01 38

Family Medicine - - - - - - -

Community Medicine 02 - 02 01 - 08

Surgery 05 - 05 01 - - 08

Medicine 05 - 05 01 - - 08

Forensic 13 01 18 01 - 01 22

Behavioral 02 - 02 - - - -

Patient Safety 03 - 03 - - - -

CFRC - - - 01 - - 08

PERLs + ExposITory - - - - 01 - 10
11
01 stations x 03 stations x
Total 90 10x5=50 140 stations x 140
10 = 10 14=42
08 = 88

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 MBBS 3rd Professional

Block-8

Written Exam Oral/Practical/Clinical Exam

OSPE
Subject OSCE OSVE
SEQ /OSCE
MCQ (10 marks (14 marks
(5 mark Marks (8 marks Marks
(1 mark) each each
each) each
observed) observed)
observed)

Pharmacology 12 02 22 03 - 01 38

Pathology 30 05 55 04 - 02 60

Family Medicine - - - - - - -

Community Medicine 04 - 04 - - - -

Surgery 15 01 20 01 - - 08

Medicine 15 01 20 01 - - 08

Forensic 10 01 15 01 - - 08

Behavioral 02 - 02 - - - -

Patient Safety 02 - 02 - - - -

CFRC - - - 01 - - 08

PERLs + ExposITory - - - - 01 - 10
11
01 stations x 03 stations x
Total 90 10x5=50 140 stations x 140
10 = 10 14=42
08 = 88
 MBBS 3rd Professional

Block-9

Written Exam Oral/Practical/Clinical Exam

OSPE
Subject OSCE OSVE
SEQ /OSCE
MCQ (10 marks (14 marks
(5 mark Marks (8 marks Marks
(1 mark) each each
each) each
observed) observed)
observed)

Pharmacology 09 02 19 02 - 01 30

Pathology 12 02 22 02 - - 16

Family Medicine 05 - 05 - - - -

Community Medicine 27 03 42 03 - 01 38

Surgery 10 01 15 - - - -

Medicine 10 01 15 01 - - 08

Forensic 15 01 20 02 - 01 30

Behavioral 02 - 02 - - - -

Patient Safety - - - - - - -

CFRC - - - 01 - - 08

PERLs + ExposITory - - - - 01 - 10
11
01 stations x 03 stations x
Total 90 10x5=50 140 stations x 140
10 = 10 14=42
08 = 88