Medical Training Application Process (MTAS) – revised for 2012 EPM additions for Dec11 added Academic Scoring (‘Ranking’) Special Circumstances ‘Strugglers’ Referees Author - Prof David James, former Director of Medical Education Revisions – Curriculum Policy Group October 2010 Additional detail on deciles and Parallel Recruitment Exercise November 2011

Academic Scoring – Principles Principles : Initial meeting (ISC representation) discussion of the ‘rules’ for the ranking process Wider discussion amongst the student body to reach the final agreed approach Summary of agreed ranking process:  performance in Clinical Phases 1 and 2  final overall mark being derived from the following by evaluating a credit weighted mean across the 8 modules  Untaken (1 st sit) assessments excluded and total credits reduced in weighted sum

Academic Scoring – Overall score Clinical Practice *– Total CP % (based from combined Knowledge/Skills mark in a 50/50 ratio) x 50 CFU – CFU % x 15 Therapeutics –Therapeutics % x 15 Child Health – Total % (based on combined Knowledge/Skills mark in a 50/50 ratio) x 50 Obstetrics and Gynaecology - Total % (based on combined Knowledge/Skills mark in a 50/50 ratio) x 50 Health Care of the Elderly – HCE % (based on combined Knowledge/Skills mark in a 33/67 ratio) x 20 Psychiatry – Total % (based on combined Knowledge/Skills mark in a 50/50 ratio) x 30 Specials - Specials % (based on combined Knowledge/Skills mark in a 50/50 ratio) x 30 * CP Ratio is 50:50 for those beginning CP in Feb 2011 and for those graduating in 2013; until then 70:30 is used Credit weighted mean across the 8 modules (total out of 26000)

Academic Scoring – Example SubjectKnow or Only % Skill % Overall ratio Overall % Adjust -ment factor Max mark Actual Mark Percent Clinical Practice : CFU Theraptix Child Health O & G HCE Psyche Specials TOTAL

Academic Scoring – Example SubjectKnow or Only % Skill % Overall ratio Overall % Adjust -ment factor Max mark Actual Mark Percent Clinical Practice : CFU Theraptix Child Health O & G HCE Psyche Specials TOTAL

Academic Scoring – Example SubjectKnow or Only % Skill % Overall ratio Overall % Adjust -ment factor Max mark Actual Mark Percent Clinical Practice : CFU Theraptix Child Health O & G HCE Psyche Specials TOTAL

Academic Scoring – Example SubjectKnow or Only % Skill % Overall ratio Overall % Adjust -ment factor Max mark Actual Mark Percent Clinical Practice : CFU Theraptix Child Health : O & G HCE Psyche Specials TOTAL

Academic Scoring – Example SubjectKnow or Only % Skill % Overall ratio Overall % Adjust -ment factor Max mark Actual Mark Percent Clinical Practice : CFU Theraptix Child Health : O & G : HCE Psyche Specials TOTAL

Academic Scoring – Example SubjectKnow or Only % Skill % Overall ratio Overall % Adjust -ment factor Max mark Actual Mark Percent Clinical Practice : CFU Theraptix Child Health : O & G : HCE : Psyche Specials TOTAL

Academic Scoring – Example SubjectKnow or Only % Skill % Overall ratio Overall % Adjust -ment factor Max mark Actual Mark Percent Clinical Practice : CFU Theraptix Child Health : O & G : HCE : Psyche : Specials TOTAL

Academic Scoring – Example SubjectKnow or Only % Skill % Overall ratio Overall % Adjust -ment factor Max mark Actual Mark Percent Clinical Practice : CFU Theraptix Child Health : O & G : HCE : Psyche : Specials : TOTAL

Academic Scoring – Example SubjectKnow or Only % Skill % Overall ratio Overall % Adjust -ment factor Max mark Actual Mark Percent Clinical Practice : CFU Theraptix Child Health : O & G : HCE : Psyche : Specials : TOTAL %

Academic Scoring – Ranking score  Whole final year are then ranked according to the overall percent score  Academic Ranking Component of MTAS Application comprises 40% of the final score (with the other 60% coming from the non-academic component)  Each medical school divides final year into quartiles according to their academic score ranking  % mark out of 40 to use in the Application will be 40 for those on 75 th centile and above 38 for those on 50 th centile up to 75 th centile 36 for those on 25 th centile up to 50th centile 34 for those below the 25th centile  Any resit student is automatically in the 4 th quartile

Total percent vs Rank order (328 students) 2007 data

Total percent vs Rank order (325 students) 2010 data

Ranking cut off points (2007 data) 68.4% 64.6% 61.3%

Ranking cut off points 2007on Quartile August 2010 August st nd rd th (lowest %) Not known

Most subject results are correlated R = 0.51; p< R = 0.37; p<0.0001

Except with CFU R = 0.10; p = N/S

‘Strugglers’  Identified during UG Course Academic problems Medical problems Domestic and other problems  Clinical subdean involvement  Liaison with Deanery with permission September (‘shortlist’) June (‘final shortlist’)  Advice to make on- scheme applications and placements before applications open

Special Circumstances - application to Foundation Programmes  Significant family responsibilities - most commonly a student who has responsibility as the primary carer for a young, school-age child or for a seriously ill partner or first degree relative.  Chronic illness (physical or psychological) or disability for which local follow up is an absolute requirement as confirmed by an Occupational Health report.  Terminally ill first-degree relative living locally as confirmed by a doctor's note.

Referees  Two senior doctors They should know you (from any other student)! They should have been impressed by you (rapport)! Eg Consultant of firm especially if you are interested in a specific career pathway  Ask them if they would be prepared to be a referee  Confirm with an and a copy of your CV (layout like on-line reference form)  Let them know your choice

EPM – Deciles for December 2011  Process for calculating aggregate score exactly as before – same basket of assessments and weightings  Whole final year are then ranked according to the overall percent score  Deciles will score: 43, 42, 41, 40, 39,38, 37 36, 35, 34  Final Year Resit students will NOT be automatically placed in former lowest score (34 in quartiles) but student retains original ranking from earlier round and decile used  ISFP feeds back your decile in March 2012

Any Questions? Nottingham EPM/SJT Team SJT Lead - SJT Lead - EPM Lead - ?