Cambodia Medicine Exit Exam study plan
Cambodia Medicine Exit Exam · Give each week a clear focus.
8 weeks · About 6 hours per week
Internal Medicine
Build a one-page summary sheet of the WHO/ISH and local Cambodian hypertension thresholds and first-line drug choices, then recite them from memory
Work through 40 internal medicine vignettes on cardiovascular and respiratory topics and log every missed concept with the reason for the error
Draw and label the pathophysiology cascade for acute decompensated heart failure and explain it aloud in under 5 minutes
Define the criteria that distinguish community-acquired pneumonia from tuberculosis in a Cambodian adult, listing 6 discriminating features
Your checkpoint
A 2-page handwritten cardiovascular and respiratory summary sheet plus a 40-item error log with causes classified as knowledge gap, misread, or guess
Internal Medicine
Compare and contrast the presentation, investigation, and management of dengue, malaria, and typhoid fever in a single comparison table
Solve 30 internal medicine questions on gastroenterology, hepatology, and renal medicine, timing each block to exam pace
Interpret 10 given arterial blood gas and electrolyte panels without reference material and state the primary acid-base disorder
List the bedside findings that separate nephrotic from nephritic syndrome and apply them to 5 written case vignettes
Your checkpoint
A completed 3-column comparison table for dengue, malaria, and typhoid plus a scored 30-question timed block with a percentage and review notes
Surgery and Traumatology & Basic Medical Sciences (Anatomy, Physiology, Pathology, Biochemistry, Microbiology)
Map the surgical anatomy of the inguinal region, abdominal wall, and thyroid, then self-quiz by drawing each from blank paper
Rank the differential diagnosis for acute abdomen by frequency and lethality, and state the first three investigations for each of 6 written scenarios
Explain the ATLS primary survey sequence and demonstrate the correct order of interventions for 5 written trauma scenarios
Review wound healing, fracture healing, and shock pathophysiology at the level needed to justify clinical decisions
Your checkpoint
Three unlabeled hand-drawn anatomy maps (inguinal region, abdominal wall, thyroid) with self-graded labels plus a 5-scenario trauma intervention log
Obstetrics and Gynecology
Construct a timeline of normal labor from latent phase to third stage, listing the action and threshold at each checkpoint that should trigger intervention
Classify the causes of postpartum hemorrhage and state the stepwise uterotonic and surgical escalation for each cause
Summarize the hypertensive disorders of pregnancy with diagnostic criteria, timing of delivery, and antihypertensive choices available in Cambodia
Work through 30 obstetrics and gynecology questions on antenatal care, labor, and gynecologic infection and record the reasoning behind each answer
Your checkpoint
A one-page labor and postpartum hemorrhage emergency algorithm that could be posted in a delivery room, plus a scored 30-question block
Pediatrics & Infectious and Tropical Diseases (including tuberculosis, malaria, dengue, HIV)
Build an integrated immunization and growth-monitoring schedule for a Cambodian child from birth to 5 years, citing the national schedule
Differentiate the management of severe pneumonia, severe malnutrition, and neonatal sepsis in children using IMCI-style danger signs
Explain the diagnostic pathway for pediatric and adult tuberculosis in Cambodia, including smear, GeneXpert, and drug-resistance testing
Describe dengue warning signs and the fluid management steps for dengue with and without shock in a child
Your checkpoint
A one-page pediatric danger-sign and immunization reference card plus a written 10-step tuberculosis diagnostic pathway with the test used at each step
Infectious and Tropical Diseases (including tuberculosis, malaria, dengue, HIV) & Pharmacology and Clinical Therapeutics
List the first-line regimen, key adverse effects, and monitoring for the 15 drugs most commonly prescribed in Cambodian hospitals
Explain antiretroviral therapy initiation, adherence support, and common drug interactions for a newly diagnosed HIV patient
Calculate doses for 8 written pediatric and renal-impairment prescriptions and flag any that are unsafe
Describe antimicrobial stewardship principles and apply them to 5 written scenarios where antibiotics are requested inappropriately
Your checkpoint
A 15-drug flashcard set with regimen, adverse effects, and monitoring plus a graded 8-item dose-calculation worksheet
Public Health, Epidemiology and Biostatistics & Emergency Medicine and Critical Care
Compute and interpret sensitivity, specificity, positive and negative predictive values, and number needed to treat from 6 written data sets
Identify the study design and main bias in 8 written epidemiological abstracts
Apply a structured resuscitation approach to written scenarios of anaphylaxis, hypoglycemia, status epilepticus, and septic shock
Explain triage and resource allocation during a dengue outbreak using a written surge scenario
Your checkpoint
A biostatistics formula sheet with 6 fully worked calculations plus a 4-scenario emergency management log stating drug, dose, and route for each
Medical Ethics, Professionalism and Health Law & Internal Medicine & Infectious and Tropical Diseases (including tuberculosis, malaria, dengue, HIV)
Apply informed consent, confidentiality, and end-of-life principles to 10 written ethical dilemmas and justify each choice
State the Cambodian legal and professional obligations for notifiable disease reporting, prescription practice, and medical error disclosure
Complete two full-length timed mock exams and review every incorrect answer to a stated cause
Recite the 20 highest-yield facts across internal medicine and infectious disease from a self-made condensed sheet
Your checkpoint
Two completed mock exams with scores recorded plus a one-page ethics and health-law decision checklist and a 20-fact condensed review sheet
Milestones
Week 2: Score at least 65% on the timed 30-question internal medicine block and show that every missed item has a written cause in the error log
Week 4: Reproduce the labor and postpartum hemorrhage algorithm from memory in under 10 minutes with all escalation steps correct
Week 6: Achieve full marks on the 8-item dose-calculation worksheet and correctly state regimen, adverse effects, and monitoring for at least 12 of 15 drugs
Week 8: Score at least 70% on both full-length mock exams, with no domain below 50%, and have a completed error log for every incorrect answer