1. The changing world of medical assessment Brian McCloskey Hong Kong 18 April 2007

2. Context Changes in organisations Changes in training Changes in examinations

3. Changes at DH – policy not operations – policy not operations

4. Changes in NHS fewer PCTs focus on commissioning less public health programme funds

5. Changes in training Postgraduate Medical Education & Training Board (PMETB) New Curriculum approach Modernising Medical Careers New jobs and new application system

6. Changes in exams OSPHE Objective Structured Public Health Examination

7. Advice on Passing the Part 2

8. How do I pass the current Part 2? Write a good report; do a good general oral

9. What makes a good report? Clarity Address the competency(ies) Tell a story (but not a detective story) Tell the examiner why it meets the competencies And then what?……..

10. Part 2 MFPHM “...to test the ability to apply relevant knowledge, skills and attitudes to the practice of public health medicine...” “...the exercise and the discipline of investigating problems and preparing appropriate reports is essential..” “...to test the ability to discuss problems associated with the practice of public health medicine..” “...to exhibit competence in problem solving and communication...reasoned argument to justify the views expressed...”

11. The Competencies (2000) To assemble, review critically and interpret the published literature (and, where appropriate, other sources) on a particular topic; To use epidemiological and/or other approaches to describe the health status or health care needs of a defined population and, where appropriate, to identify environmental or personal factors which either threaten or enhance health; To identify and obtain relevant information and show how it can be used to plan health services or other activities aimed at improving health; To identify and obtain relevant information and show how it can be used to plan health services or other activities aimed at improving health; To assess the effectiveness and efficiency (resource requirements) of health services or other activities aimed at improving health. To assess the effectiveness and efficiency (resource requirements) of health services or other activities aimed at improving health.

12. What makes a successful Part 2? A successful part 2 is one which meets the expectations of 2 arbitrary examiners at a point in time

13. What makes a successful Part 2? Clarity

14. Clarity of Purpose Clarity of Thought Clarity of Presentation

15. What makes a successful Part 2? Clarity of purpose –Project –Competencies

16. What makes a successful Part 2? Clarity of thought –Logical progression of ideas explain what you did explain why you did it explain what happened –Not a mystery story!

17. What makes a successful Part 2? Clarity of presentation –remember it is a “presentation” not a Board paper

18. And then what?…….. Read it Have someone else read it Have it proof read Put it away Read the guidance Read it again

19. What makes a successful Part 2? Pet Hates –Para 4.3.2.1.ii

20. Passing the General Oral StructurePractice Not knowledge