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Orthopaedic in-training examination Belgium. Nanni Allington, MD Orthopaedic department CHR Citadelle Liège. In training examination ?. Online ?. Written ?. Oral exam ?. Multiple choice ?. Written with open books ?. Open questions ?. In-training Examination. Purpose Organization
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Orthopaedic in-training examination Belgium Nanni Allington, MDOrthopaedic department CHR CitadelleLiège
In training examination ? Online ? Written ? Oral exam ? Multiple choice ? Written with open books ? Open questions ?
In-training Examination • Purpose • Organization • Type of examination • Evaluation • Handling of failures
Purpose • Evaluation residents • Check Progress • Motivate to read
Purpose – Why ? • Become Orthopaedic Surgeon
Resident’s perspective • “Manual” …OR • Fashion …Industry
Reality • Patient care - ethics • Clinics • Theory
Organization • Since 19871999 : 92 residents ( written )2010: 62 residents ( written ) • Changes • Belgium and Netherlands …written
Organization • Members of all universities and others • “Goodwill” • Limited resources , examination free • AAOS complex organization, question makers, Administrative support , finances, fee for examination.. • European examination ? More Support ?
Type of exam • Written third to fifth year…. • Well defined subject over three years • Reference book… • Multiple choice Wright or Wrong • Oral exam last year
Type of exam – Reference Book • Avoid discussion • Limitations Not up to date…but Basics will not change Question makers…only relevant • “Basic” questions • “18/20” score questions
Type of exam – Questions 33. Chez une fille de 12 ans, non pubère, qui présente une scoliose idiopathique de D8 à L3 mesurée à 30°, un corset est indiqué. VRAI/FAUX?
Type of exam – Questions • Wright or Wrong : - translation - manpower • Cotation : +1 correct answer 0 no answer -1 wrong answer….-1/2 • Avoid “guessing” • -1/2 …
Type of exam – Questions • Translation : French and FlemishDebate English ….European Exam ? • Question Bank ? Internet ? • Universal Aspect of Surgery
Type of exam – Questions • Airline Pilot Training • Same training Europe • Same Exams • Huge Data Bank of Questions • Available schools, teachers…Students • English…
Type of exam – Questions Which of the following are not symptoms of hypoxia: 1. blueness of lips and fingernails 2. flatulence 3. dizziness and light headedness 4. lack of night vision a. 1 and 4 only b. 1, 2, 3, and 4 c. 2 only d. 1, 3 and 4 only
Type of exam – Questions Sophisticated questions Attention to detail Limited exam time Test attitude towards stress Organization Adapt to our residents ?
Type of exam • Oral exam • Last year • General exam • Two sets of examiners from different universities • “case presentation” – xray – • Computer
Who participates ? • Legal aspect • “ Regular” Residents • All ?
Evaluation • Written examComputer correction“Adaptation”12 / 20 …. • Oral Exam Examiners …then discussion …12/20
Handling failures • Written examRedo…written or oral • Oral Exam Quite rare….usually corresponds with multiple other problems….one more year…Evaluation for every situation in commission
Practical organisation - Collegium • President – vice president to coordinate • Two members from each university • Two meetings a year
Practical organisation - Website • Http://www.collegium.be • General information • Inscription • Exam rules • “Diffusion”