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GWH Swindon 17/08/2015Phill Burgess MD FRCS. Intercollegiate Specialty Board Examination...
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Transcript of GWH Swindon 17/08/2015Phill Burgess MD FRCS. Intercollegiate Specialty Board Examination...
GWHSwindon
19/04/23 Phill Burgess MD FRCS
Intercollegiate Specialty Board Examination
19/04/23 Phill Burgess MD FRCS
“.......and how long is a piece of string?”
19/04/23 Phill Burgess MD FRCS
Section 1
Paper 1: MCQ 2 Hours (single best answer)
Paper 2:MCQ 2 1/2 Hours (extended matching items)
19/04/23 Phill Burgess MD FRCS
Section 1 MCQ
Standard Setting
• Examiners sit and answer the two papers.
• Assess probability of a candidate answering each question correctly.
• Pass mark determined by total sum of probability scores divided by number of Examiners (Angoff Technique).
19/04/23 Phill Burgess MD FRCS
SBA Sample 1
A 27 year old woman presents with diarrhoea and weight loss. This is associated with abdominal distension after meals. What would be the best investigation?
A Barium enemaB Barium enema and follow throughC CT scanD Gastroscopy and biopsy of small bowelE Gastroscopy and biopsy of stomach for helicobacter
Sample 2
Laparoscopic donor nephrectomy is generally considered to be superior to open nephrectomy for which one of the following reasons?
A Reduced incidence of complications in the recipient operationB Reduced intra-operative blood lossC Reduced postoperative analgesic requirementsD Reduced warm ischaemia timeE Shorter operating time • 19/04/23 Phill Burgess MD FRCS
SBA Sample 3
A 70 year old man develops hypotension and sweating with associated abdominal pain seven days post sigmoid colectomy. His temperature is 39°C and WCC 18x109/L. What is the most likely diagnosis?
A Acute pyelonephritisB Anastomotic leakC Leaking aortic aneurysmD Myocardial infarctionE Pulmonary embolus Sample 4
A 42 year old woman presents with a two day history of colicky upper abdominal pain radiating to the back. She has previously been well. On examination she is clinically jaundiced. There is no abdominal mass or tenderness. Ultrasound examination of her abdomen shows multiple stones in the gallbladder. Her bile duct is measured at 10 mm and her intra-hepatic ducts were dilated. What is the most likely diagnosis?
A Bile duct stonesB Biliary dyskinesiaC Carcinoma of the pancreasD Chronic pancreatitisE Primary sclerosing cholangitis
19/04/23 Phill Burgess MD FRCS
EMISample 1 OESOPHAGEAL PATHOLOGY A AchalasiaB Barrett’s oesophagusC Candida oesophagitisD Congenital oesophageal strictureE Eosinophilic oesophagitisF Fibrotic strictureG Mallory Weiss tearH Oesophageal perforationI Oesophageal varicesJ Plummer Vincent syndromeK Post cricoid webL Reflux oesophagitisM Schatski ringN Squamous metaplasiaO Vascular compression of oesophagus
For each of the scenarios below, choose the single most likely diagnosis from the list of options above. Each option may be used once, more than once or not at all.
Is a cause of haematemesis following prolonged retching.A 55 year old woman with long standing rheumatic mitral valve regurgitation suddenly develops dysphagia for chicken pieces.An 80 year old spinster who lives alone develops dysphagia for some solids and is found to be anaemic.
19/04/23 Phill Burgess MD FRCS
EMISample 2 ABDOMINAL MASS A Appendix abscessB Appendix massC Caecal tumourD Diverticular diseaseE Ectopic pregnancyF Fibroid (uterine)G HypernephromaH Ovarian cystI Pancreatic tumourJ Sigmoid volvulusK Terminal ilial mass In each of the following scenarios, choose the most appropriate option from the list above. Each option may be used
once, more than once or not at all.
A 17 year old man has a five day history of lower abdominal pain, nausea and a temperature of 37.8°C. He is tender in the RIF and a mass is palpable.A 28 year old woman has a three day history of RIF pain. She is unable to lie flat. There if a vague mass in the RIF and she has a temperature of 37.2°C.A 57 year old woman is lethargic with a two month history of pain in the lower abdomen. She is pale and there is a palpable mass in the right lower abdomen.
19/04/23 Phill Burgess MD FRCS
Section 2
Clinical Component
“consisting a series of carefully designed and structured interviews on clinical topics, some being scenario based (structured orals) and some being patient based”
19/04/23 Phill Burgess MD FRCS
Standard
Day 1 Consultant
19/04/23 Phill Burgess MD FRCS
Section 2• Held over three days
• Clinical Examination (subspecialty)
• General Surgery/ Subspecialty
• Emergency surgery & Critical care
• Academic Viva
19/04/23 Phill Burgess MD FRCS
Section 2
• Approach the clinical and the oral examinations as if you are a Consultant.
• You are not sitting the examination as a surgical registrar.
• The examiners are your “colleagues” with whom you are discussing cases
19/04/23 Phill Burgess MD FRCS
Intercollegiate Academic Viva
Phillip Burgess
19/04/23 Phill Burgess MD FRCS
Introduction
Two Papers to be discussed
30 minutes reading time per paper
19/04/23 Phill Burgess MD FRCS
Key Points
The Journal
The Authors/Institution
19/04/23 Phill Burgess MD FRCS
Key Points
Aims of the study
Type of Study : Observational?Blinded – Single?
Double?Multicenter?
19/04/23 Phill Burgess MD FRCS
Key PointsMethodology
Statistical AnalysisSample sizePower CalculationVariables
Significance testsparametricnon-parametric
19/04/23 Phill Burgess MD FRCS
Key Points
Data Collection
End points of study
Exclusion criteria
19/04/23 Phill Burgess MD FRCS
Key Points
Results of the Study
Conclusions of the Study
19/04/23 Phill Burgess MD FRCS
Key Points
Have the Aims of the study been addressed?
Are the authors conclusions justified by the results?
19/04/23 Phill Burgess MD FRCS
Key Points
What additional data is required to complete this study?
19/04/23 Phill Burgess MD FRCS
Final Assessment
Will this study influence your clinical practice?
Has this paper made any contribution to surgical knowledge
19/04/23 Phill Burgess MD FRCS
Final Assessment
Give you opinion regarding the merits of the paper.
19/04/23 Phill Burgess MD FRCS
Typical Questions
• Type 1 or Type 2 errors?• Non parametric and parametric tests?• What is a consort diagram?• What is impact factor?• Describe “levels of Evidence”
19/04/23 Phill Burgess MD FRCS
Finally
Maximum of 7 years to complete the examination process.
Section 1: 2 years from 1st attempt and maximum of 4 attempts to gain eligibility to proceed to section 2.
Section 2: Maximum of 4 attempts
19/04/23 Phill Burgess MD FRCS
Practice!!!
19/04/23 Phill Burgess MD FRCS
Any Questions?
19/04/23 Phill Burgess MD FRCS