Dr. Vivek Nuguri is a physician educator with around 15 years of experience in international medical education. He has a unique portfolio of administrative, training and educator roles. His experience includes facilitating small groups as a Clinical Tutor, managing all aspects of courses in an integrated curriculum as a Course Director, conducting team-based, case-based and problem-based learning in small groups as a Faculty member and providing senior level administrative leadership for integrated curriculum and faculty development as Dean of Basic Sciences. He regularly conducts the MCQ writing exercises with his students and has gained considerable insight into the difficulties they face in their learning.