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Comprehensive guide to FRCPath examinations covering various specialties, stages, assessment methods, pass standards, fees, and keys to success. Learn about training, feedback, and essential preparation strategies for successful certification.
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Introduction to the FRCPathExaminations Dr Andrew Day Clinical Director of Examinations
College Examinations • Medical only • Haematology • Histopathology • Forensic Pathology • Neuropathology • Paediatric Pathology • Autopsy • Cervical Cytology • Dermatopathology • Medical Genetics • Oral Pathology (dental) • Veterinary Pathology (vets) • Medical or Clinical Scientist • Clinical Biochemistry • Genetics • Medical Microbiology • Immunology • Virology • Clinical Scientist • Reproductive Science • Histocompatibility & Immunogenetics • Toxicology • Haematology • Molecular Pathology 17 different specialties
Infection Training Chemical Pathology Histopathology
Curriculum Examinations Workplace-based assessments
Stage A Examination (Chem Path and Histopath) * F1 F2 ST1 ST2 ST3 ST4 ST5 Foundation Stage A Stage B Stage D Stage C Stage A Examination * ST3 if metabolic medicine subspecialty trainee
Stage A Examination (Chem Path and Histopath) • OSPE (objective structured pathology examination) • data • clinical / laboratory scenarios • images • communication stations F1 F2 ST1 ST2 ST3 ST4 ST5 Foundation Stage A Stage B Stage D Stage C Stage A Examination
The Assessment of Clinical Competence Miller’s Pyramid Performance Does Workplace based assessment Competence Showshow Part 2 FRCPath Understanding Knows how Knowledge Knows Part 1 FRCPath Miller GE. Academic Medicine 1990;65(Sup): S63-7
FRCPath overarching structure (cellular pathology) Part 1 Part 2 Histopathology Histopathology Stage A examination Dermatopathology Neuropathology Paediatric Pathology Higher Autopsy Training Higher Cervical Cytopathology Forensic Pathology
FRCPath overarching structure (other) Part 1 Part 2 Clinical Biochemistry Stage A examination Clinical Biochemistry FRCPath & Combined Infection Certificate Examination MRCP Medical Microbiology Virology Infectious Diseases
FRCPath Part 1 – written knowledge See website Specialty pages for sample questions and past papers https://www.rcpath.org/trainees/examinations/examinations-by-specialty.html/
When should I sit the Part 1? • when you and your supervisor think you are ready • normally about 1½ - 2½ years into training
Pass standard • What is the standard? • the level of knowledge and understanding expected about 2 years into the programme • pass candidates possess adequate knowledge to progress to Stage C / higher training
Pass standard • How is the pass standard determined? • Angoff Method
Fees • Stage A £265 • Part 1 £647 • Part 2 £1361 20-40%
Feedback • Provides a summary of performance • Not guidance on steps required to pass • Should notbe used it as sole basis of preparing for future attempts • Should be used in conjunction with other evidence of progress to to determine a plan for further training.
Feedback • MCQ/EMQ • candidate score and pass score only • Practical and oral examinations • list of components passed • summary of reasons for failure • further feedback to Sponsor • numeric breakdown for each component • any comments from marking examiners
Keys to your success • Training programme
Keys to your success • Training programme • experienced (trained) trainers • clear educational objectives • structured learning experience facilitating formative assessment • regular appraisal • broad ranging experience across breadth of curriculum • local, regional and national training sessions
Keys to your success • Stage A Examination • primarily a competency test but…. • you are also expected to build a significant knowledge base in Yr 1 • …engaging with a well structured Year 1 prog. is essential • hit the ground running!
Keys to your success • Part 1 FRCPath Knowledge • take a long run-up • adopt a systematic approach • correlate book knowledge with ongoing day to day experience • insist on regular feedback from your trainers
Keys to your success • Part 2 FRCPath Skills and knowledge application • Wide ranging workplace-based experience with feedback • Shift lots of glass • Get your lab coat on • Optimize all clinical opportunities • Get people to set you practical exercises • Practice oral exam technique • Do a mock exam • Attend a course?
Concluding Thoughts • FRCPath examinations provide a rigorous and fair test of cognitive skills • Part 1 knowledge • Part 2 skills and application • Together with workplace-based assessments they sample all aspects of the curriculum • Candidates who are fully engaged in a well structured training programme have high probability of success