Examination Surgery A Guide To Passing The Fellowship Examination In General Surgery 1st Edition PDF Free
Examination Surgery offers invaluable insight into the format and content of the Fellowship Examination in General Surgery.
The fellowship in Australasia
The Royal Australasian College of Surgeons (RACS) was formed in 1927 to provide education, training, examination and the setting of standards for surgical practice and continuing professional development to surgeons in Australia and New Zealand. There are now nine surgical specialty areas within RACS of which general surgery is the largest, containing approximately one-third of the total number of fellows of the College. Until 1933, an application for Fellowship of the Royal Australasian College of Surgeons (FRACS) was considered by the credentials committee of each state or dominion and a report was sent to the College council once a candidate had completed a minimum of 5 years training in surgery. From 1933, the censor in chief would determine if a candidate had completed a satisfactory period of training, allowing the candidate to appear in person before a board of censors who were empowered to test the ability and knowledge of the candidate on a case-by-case basis, with no standardised form of assessment. Formal examination in the form of exam papers and vivas in general surgery did not begin until 1947.
Today, there are approximately 550 general surgical trainees throughout Australia and New Zealand, with approximately 120 new trainees accepted into general surgical SET each year, with an application ratio of 4: 1. The RACS runs a primary exam, which must be completed at the SET 1 level. It comprises two multiple choice examinations, known as the surgical science examination (SSE) generic and specialty specific, and a clinical examination in the form of an OSCE. The Part II examination is now known as the fellowship examination. It is taken in the fifth year of surgical training and is an exit exam that assesses a candidate’s proficiency and ability to practise independently as a general surgeon. The seven components of the fellowship examination have been subject to change and modification over the years, but the format currently consists of two written examinations, two clinical vivas, and three separate viva voce examinations in anatomy, operative surgery, and pathophysiology and critical care.
The Fellowship in the United Kingdom and Ireland
There are four Royal Colleges of Surgeons in the UK and Republic of Ireland involved in surgical education, training and examination of trainees. Fellowship of the Royal College of Surgeons (FRCS) is the professional qualification to practise as a surgeon and is bestowed by the Royal College of Surgeons of England, Royal College of Surgeons in Ireland, Royal College of Surgeons of Edinburgh and Royal College of Physicians and Surgeons of Glasgow. The original fellowship was taken between basic and higher surgical training and was available in general surgery and in certain specialties (ophthalmic or ENT surgery or obstetrics and gynaecology), although these were not formally specified in the initials. In 1995, the original fellowship examination was replaced by the Membership of the Royal College of Surgeons (MRCS) and Associate Fellowship of the Royal College of Surgeons (AFRCS), which continued to be taken between basic and higher surgical training, and a range of higher fellowship examinations taken at the end of higher specialist training. These ‘exit’ or part III examinations were specific to each of the subspecialties and were identified accordingly with additional abbreviations following ‘FRCS’, such that the fellowship in general surgery became ‘FRCS (Gen
The Joint Committee on Intercollegiate Examinations (JCIE) is responsible, in line with the statutory requirements of the General Medical Council (GMC) Postgraduate Board, to the presidents and through them the councils of the four surgical royal colleges of Great Britain and Ireland, for the supervision of standards, policies, regulations and professional conduct of the intercollegiate specialty examinations (specialty fellowship examinations). Success in the examination is a mandatory requirement for surgical trainees working toward the award of Certificate of Completion of Training (CCT) by the GMC Postgraduate Board or for the award of Certificate of Specialist Doctor (CSD) or Specialist Registration with the Medical Council of Ireland.
Candidates who are successful in the intercollegiate specialty examination are eligible for election to, or award of, the fellowship of the College to which they are affiliated. Successful candidates who are not affiliated to one of the four surgical royal colleges of Great Britain and Ireland (i.e. who do not hold the MRCS/AFRCS) may apply to any one of these for election to, or award of, the fellowship. The intercollegiate specialty examination in general surgery currently consists of two
sections. Section 1 is a written test composed of a combination of multiple choice questions in single best answer (SBA) and extended matching items (EMI) format. Candidates must meet the required standard in section 1 in order to gain eligibility to proceed to the next part of the examination. Section 2 is the clinical component of the examination and consists of two clinical examinations and three separate oral examinations covering: (i) emergency surgery with critical care; (ii) general surgery and subspecialty; and (iii) academic surgery.