While answering an oral exam/viva it is recommended to answer what is being practiced in your college/ institute or hospital. The logic is that although there may be many different lines of management or treatment given in books if something is being recommended or practiced by your teacher than that it should be for a good reason.
The trouble comes when the practice or preaching of your teacher goes against what is written in books or practiced elsewhere.
If in an exam there are examiners from other colleges or institutes then you may be in a tight spot. If you say something which is not being practiced by your teacher, you run the risk of displeasing him. If you say in front of the external examiner what is practiced by your teacher but is not standard teaching then you run the risk of being labeled an ignorant student/doctor by the external examiner. The internal examiner may keep mum leaving you the scape-goat.
Dr. Pradeep Chopra, who resides in heavenly abode at present, faced such a dilemma in his MD Pediatrics final exam viva.
The Head of Department (HOD) of Paediatrics was taking the viva along with an external examiner from a medical college from outside Rajasthan. The external examiner asked Dr. Pradeep Chopra to tell about 2nd line drugs for tuberculosis. (2nd line drugs are medicines which are kept reserved and only used when the first line drugs are not effective or could not be given)
Dr. Chopra was in a quandary. The HOD protocol of prescribing 2nd line drugs was different from what was given in the standard textbooks. If he says what the HOD practices then the external examiner may think him ignorant. If says what is written in the textbook then the HOD may not support him and may get offended.
So Dr. Pradeep Chopra started answering with the preface, “Sir, in the books the 2nd line tuberculosis treatment is given as …….” and articulated the treatment as given in the standard textbooks.
Then he said, “But in our hospital, we are practicing this …….” and articulated what was being practiced in their hospital and finished with “You can confirm this with our HOD sir sitting next to you.”
The external examiner did not ask Dr. Chopra any further question but the HOD and the external examiner had a half-hour long discussion before they called the next student.
And obviously, Dr. Chopra passed with flying colors.
So Dr. Chopra covered both the bases with his answer from the textbooks and what was practiced in their hospital with a suitable preface to avoid any misperception.
(Based on true incident)
— ND© Author. All rights reserved.
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DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Practice should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost.
DISCLAIMER: This article is intended only for fun purpose. The author does not promote or recommend any behavior illustrated here or claim it to be useful. Use of the information herein is at you one's own risk. Before trying to emulate or follow anything the reader is well advised to take into account ethical, moral, legal and other considerations. The author recommends that Medical Education should be of the highest ethical and moral level keeping in mind the interest of the patient as foremost and according to MCI and other Board’s norm.
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