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The Royal College of Surgeons of Edinburgh The Royal College of Surgeons of England The Royal College of Physicians and Surgeons of Glasgow The Royal College of Surgeons in Ireland INTERCOLLEGIATE SPECIALTY BOARD IN PLASTIC SURGERY REGULATIONS RELATING TO THE INTERCOLLEGIATE SPECIALTY EXAMINATION IN PLASTIC SURGERY [New Examination Format] NOVEMBER 2006 Secretariat of the Intercollegiate Specialty Board in Plastic Surgery 2 Hill Place, Edinburgh, EH8 9DS (Tel: 0131 662 9222 Fax: 0131 662 9444) www.intercollegiate.org.uk Intercollegiate Specialty Boards, 2006 Regulations Relating to the Intercollegiate Specialty Examination in Plastic Surgery (2006) (New Examination Format Section 1/Section 2) (to be read in conjunction with appropriate Guidance Notes for Applicants) 1. The applicant must hold a medical qualification recognised for registration by the General Medical Council of the United Kingdom or the Medical Council of Ireland. The applicant must have been qualified for at least six years. 2. The applicant must provide evidence of having reached the standard of clinical competence defined in the Intercollegiate Surgical Curriculum either for the award of the Certificate of Completion of Training (CCT) by the Postgraduate Medical Education and Training Board (PMETB) or for the award of Certificate of Completion of Specialist Training (CCST) by the Irish Surgical Postgraduate Training Committee (ISPTC). The required standard may have been achieved through training or qualifications, and experience considered together. The passing of the Intercollegiate Specialty Examination alone does not imply that the CCT, CCST (Ireland) or placement on the Specialist Register will be automatic; the Examination will form only part of the evidence required. 3. This evidence must consist of three structured references in the format prescribed by the Joint Committee on Intercollegiate Examinations (JCIE). These references must be completed by the appropriate senior colleagues with direct experience of the applicant’s current clinical practice in the appropriate specialty as defined in the Guidance Notes for Referees. All previous Examinations Regulations will be rescinded after the implementation of the New Examination Format Section 1/Section 2. INTERCOLLEGIATE SPECIALTY EXAMINATION IN PLASTIC SURGERY GUIDE TO THE SCOPE AND FORMAT OF THE EXAMINATION Section 1 will be a written test* composed of a combination of Multiple Choice Questions (MCQ single best answer; 1 from 5) and Extended Matching Item questions (EMI). Each paper will be carefully prepared to cover the curriculum content which can be best assessed in this way. A process of standard setting will then be performed by trained and experienced examiners and this will set the pass mark for the paper. Candidates must meet the required standard in Section 1 in order to gain eligibility to proceed to Section 2. Paper 1 Single Best Answer [SBA] Paper 2 Extended Matching Items [EMI] Candidates will have a period of 3 years (maximum 6 attempts), from their first attempt at Section 1, to gain eligibility to proceed to Section 2. Candidates who have been unsuccessful within the 3 year period will be required to re-apply for eligibility (incl. three supportive structured references) to re-enter Section 1. * Case, S.M. & Swanson, D.B. (2001). Constructing written test questions for basic and clinical sciences. 3rd Edn. National Board of Medical Examiners (NBME), Philadelphia, USA. www.nbme.org/PDF/2001iwg.pdf (retrieved on 5/5/2004). Section 2 is the clinical component of the examination. It will consist of a series of carefully designed and structured interviews on clinical topics – some being scenario based and some being patient based. Candidates will have up to three attempts to pass Section 2 after which candidates would be required to re-enter Section 1 Section 2 of the examination comprises: Clinical Medium/Long Cases (x1 30 minute clinical during which 2 patients will be seen) Short Cases (x2 30 minute clinicals during which 5 patients will be seen in each of the 2 clinicals) Oral Trauma/Burns (x1 30 minute oral) Acute Head & Neck Tumours/Initial Cleft Management/Genitourinary (x1 30 minute oral) Basic Sciences & Generic/Aesthetic/Ethics & Consent Issues (x1 30 minute oral) The three orals cover the range of subjects as listed below in the Guide to the Scope of the Examination. 1. TRAUMA / BURNS 1. 2. 3. 4. 5. Assessment resuscitation and initial management of burns. Surgical management. Management of complications. All aspects of hand trauma. Facial, soft tissue injuries. Maxillofacial trauma. Lower limb trauma. Wound care management. Pressure sore management. 3 out of the above 5 areas must be covered in 1 30 minute Oral examination (topics 1 and 2 are compulsory). 2. ACUTE HEAD & NECK TUMOURS / INITIAL CLEFT MANAGEMENT / GENITOURINARY 1. 2. 3. Excisional surgery for benign and malignant disease of head and neck. Major reconstruction of head and neck defects. Management of children with cleft lip and palate. Management of velopharyngeal incompetence. Craniofacial deformities. Management of hypospadias. Perineal reconstruction. All 3 of the above topics must be covered in 1 30 minute Oral. 3. BASIC SCIENCES & GENERIC / AESTHETIC / ETHICS & CONSENT ISSUES 1. 2. 3. Basic sciences/generic plastic surgery techniques. Aesthetic surgery. Ethical and medico-legal issues/consent issues. All 3 of the above topics be covered in 1 30 minute Oral. For further indication of the Examination Scope, candidates should consult the Curriculum as published by the SAC in Plastic Surgery [www.iscp.ac.uk] * Case, S.M. & Swanson, D.B. (2001). Constructing written test questions for basic and clinical sciences. 3rd Edn. National Board of Medical Examiners (NBME), Philadelphia, USA. www.nbme.org/PDF/ItemWriting_2003/2003IWGwhole.pdf (retrieved on 15/12/2006). Ian McGregor Medal gifted by the British Association of Plastic, Reconstructive & Aesthetic Surgeons The above medal may be awarded by the Board to a candidate who has achieved an outstanding performance in the Examination. Please note that the Intercollegiate Board in Plastic Surgery reserves the right to modify the format of the examination. MISSION STATEMENT The Intercollegiate Examiners in Plastic Surgery will assess and report fairly and conscientiously whether each candidate possesses the core knowledge and the practical abilities in diagnosis and planning of care to meet an appropriate standard for that candidate to conduct safe and competent consultant practice in Plastic and Reconstructive Surgery in general within the United Kingdom and Ireland. Please note that with effect from September 2002, candidates who are successful in the Intercollegiate Specialty Examination will be 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 FRCS or MRCS/AFRCS) may apply to one of the four Surgical Royal Colleges for election to, or award of, the Fellowship. January 2008