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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

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
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 examination1
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 examination2
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
Challenges

  • EWTD and shortened training/Gender

  • New curriculum

  • Government requirements

  • PMETB regulation

  • Specialty Associations

  • Demands for separate SAC-Breast,Vascular

  • Dinosaurs


Future examination
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 examination1
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


General specialty

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
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
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


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