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The Intercollegiate Exam. Past Present and Future. ASSOCIATION OF COLOPROCTOLOGY OF GREAT BRITAIN AND IRELAND. M62 COLOPROCTOLOGY COURSE 30th-31st March 2006. Why ?. An examination at this stage in training. Past. Examination only in General Surgery Taken by Senior Registrars
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The Intercollegiate Exam Past Present and Future
ASSOCIATION OF COLOPROCTOLOGY OF GREAT BRITAIN AND IRELAND M62 COLOPROCTOLOGY COURSE 30th-31st March 2006
Why ? An examination at this stage in training
Past • Examination only in General Surgery • Taken by Senior Registrars • Almost no one failed • Examiners largely untrained • Questions diverse and unregulated • No sub specialty component
Present Examination • Taken after satisfactory 4th year RITA • General Surgery and Subspecialty • Examiners all trained • Questions and answers decided on before • Three attempts before need Post Grad Dean
Present Examination • Academic Viva -2 papers Gen and specialty • Emergency surgery and critical care oral • General surgery and Subspecialty oral • General Clinical • Sub Specialty Clinical
Present Examination • Marking range 4-8 • Academic 2 papers 6 • Emergency surgery /critical care 6 • General Surgery/Subspecialty 6 • General Clinical 6 • Subspecialty Clinical 6 • Must pass the Clinicals with12 Total=30
Challenges • EWTD and shortened training/Gender • New curriculum • Government requirements • PMETB regulation • Specialty Associations • Demands for separate SAC-Breast,Vascular • Dinosaurs
Future Examination • Educational Review • Starts in November • Test of Knowledge-MCQ and EMI • Blueprinted on the new curriculum • Pilot exam 16th of June 2006 • You must pass the MCQ before proceeding to the clinical
Future Examination • Fully trained examiners • each section individually and anonymously marked total no.of marks doubled • Content will be decided before the examination • Pass mark will be decided by Angoff techniques
A clinical paper Scenario based orals Critical Care Surgical process Emergency surgery General Clinical Classic paper Tertiary Referral case Specialty specific investigations and techniques Specialty clinical GENERAL SPECIALTY
Present problem • No recognition of Specialty legally • Exam can allow pass and practice even when you fail some of subspecialty you will be working in • May have been in Specialty for so many years General surgery distant memory
Solution • Recognise changing training pathways • Separate the components • Award different degrees • Allow flexibility to change course • increase length of time of the exam • Move to in house assessment?
Goal • FRCS General • FRCS Colorectal