Associated Assessment Criteria for Exit Level Outcome 1:
A history from the patient is obtained, a physical examination is performed, a differential diagnosis is formulated and an appropriate diagnostic and management plan are developed and implemented.
A comprehensive and systematic knowledge base is displayed of the epidemiology of the principal diseases in Hepatology with emphasis in developing countries and the specific circumstances pertaining to Africa.
Appropriate indications for and contra-indications to liver transplantation are understood.
Emergency management of acute liver failure is performed.
Complications of cirrhosis are managed.
The diagnosis, investigation and treatment of a broad range of hepatobiliary disorders is displayed.
The patterns of histological change and pathology are used and understood in the diagnosis of certain specific groups of liver conditions are understood.
The prognostic criteria for acute liver failure and chronic liver disease are understood.
The long-term follow-up of liver transplant patients; monitoring of immune-suppressant treatment and management of metabolic and infectious complications is understood.
Diagnostic and therapeutic paracenteses are perfomed.
The indications and limitations of a number of diagnostic and therapeutic procedures that are needed to manage hepatobiliary disorders are interrogated.
Appropriate referrals are done and communicated with colleagues at referral centres.
Ethical and rational decisions are made in difficult clinical cases in the setting of resource limited facilities.
The need for a multi-disciplinary approach is understood (dieticians, surgeons, psychologists, radiologists, pathologists, and laboratory scientists).
Effective communication and counselling skills with patients is displayed.
Communication with Specialist Hepatology colleagues regarding management and referral of suitable cases for diagnosis, investigation and further management is displayed.
Communication with the patients and their families regarding diagnosis and management of their liver disease is properly executed.

Associated Assessment Criteria for Exit Level Outcome 2:
Specialised investigations and procedures in Clinical Hepatology is understood and interpreted.
Integrated knowledge of Clinical Hepatology is demonstrated and translation to own practice is shown.
Different theories of Clinical Hepatology are evaluated.
Techniques relevant to practise Clinical Hepatology is understood.
An understanding of ethical and professional practices is understood in the context of managing acute and chronic liver diseases within the resource restraints of their country.
Information from literature on Clinical Hepatology is gathered, independently validated and evaluated.
The patterns of histological change and pathology used in the diagnosis of certain specific groups of liver conditions viz. viral/autoimmune/drug or toxin induced hepatitis, alcohol and non-alcoholic liver disease; collapse and sub-massive necrosis; biliary disease including sclerosing cholangitis, primary biliary cirrhosis, vanishing bile duct syndrome and biliary obstruction; inherited metabolic liver diseases and rejection of the transplanted liver – acute cellular rejection, chronic ductopaenic rejection and vascular rejection is understood and explained.
The prognostic criteria for acute liver failure and chronic liver disease is evaluated.
The long-term follow-up of liver transplant patients: monitoring of immunosuppression and management of metabolic and infectious complications is discussed.

Integrated Assessment:
Integrated Assessment will be applied to assess the learners’ competencies. This will be as follows:

Initially formal assessment will be administered on completion of the first 3 months of the qualification. This form of assessment will be case-based oral assessments.
On-going feedback will also be provided at daily ward-rounds.

Thereafter a final Clinical Multiple Choice Question paper will be used as a type of summative assessment and a clinical case-based assessment will also be administered at the end of the training. Furthermore, learners will be expected to submit a Transition and Translation of Knowledge Essay.

In addition, A logbook must be completed documenting clinical cases seen; and procedures witnessed and performed; and topics presented. The range of clinical experience and procedures through documentation in the log book will be monitored and assessed.
Clinical MCQ paper, Clinical Case-based Oral.