A Case of Autoimmune Hypophysitis Induced by Ipilimumab/Nivolumab Combination Therapy for Metastatic Melanoma

Background: With the advent of the COVID-19 pandemic medical residency training programs and other educational activities faced tremendous disruptions worldwide.It is important to provide continuity of teaching and learning as well as timely assessments so that certification for practice is not delayed for the benefit of the trainee.The conventional examination pattern involves clinical case presentations requiring face to face resident, assessor and patient interaction which increases the risk of transmission of infection.In addition external assessors were reluctant to travel due to the risk of exposure or due to covid induced lockdown.We were therefore forced to conduct an online examination in the virtual mode.Despite the use of this mode all around the globe, questions have been raised regarding the validity and reliability of the online mode as well as student and faculty satisfaction.Educational institutions suffered hiccups while going online.The availability of devices or lack of connectivity could put students at a disadvantage.Though online examination cannot replace the traditional assessment systems in clinical subjects many challenges can be met by careful planning and training of the faculty as well as students.Aim: In this study, we tried to evaluate the student and faculty satisfaction with the online mode through a confidential questionnaire about PG practical examination in Obstetrics and Gynecology in our institution in June 2020 during the COVID pandemic. Material and Methods:At the end of the online P.G examination, a questionnaire consisting of responses on a Likert scale and some open-ended questions were given to the students and the faculty members to assess the effectiveness, satisfaction, advantages, and challenges faced while conducting online PG practical examination.Results: Practical examination was conducted in the virtual online mode on 18 postgraduate students by 04 examiners(2 internal and 2 external).All postgraduate students and all examiners expressed satisfaction with a virtual mode of online system of examination.A few short duration of interruptions due to internet connectivity issues was challenging.Conclusions: Meticulous planning, prior student orientation and good internet connectivity for a virtual video conferencing platform appears to be an optimal alternative during the COVID pandemic for conducting online examinations.