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

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

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