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Norwich Medical School University of East Anglia

Finals Information for Students 2012

The assessment will be in two parts; 1. An OSCE with a series of clinical encounters of the type that an FY1 doctor might be expected to meet. 6th 8th june 2012 2. A written paper with 100 single best of 5 answer type questions. These questions will be selected to ensure that all of the major curricular themes are covered. The questions primarily test clinical medicine rather than basic sciences. The pass mark for the theory exam is determined by a standardsetting committee. Friday 15th June 2012 The marks from the two parts will be combined in a ratio of 66%:33% . Candidates must pass the OSCE AND the combined paper but there is no requirement to pass the written paper independently. The OSCE exam takes 2 hours and 20 mins. There is a different examination (which is matched in pattern/format only) on the different days and we will ensure that students are not allowed to communicate between the morning and afternoon rotations so there will be no advantage to being allotted to any particular session. There are ten stations primarily drawn from each of the modules from 2 10 and module 12. However it is important to note that stations are designed to be integrated and to test your spiral learning so they will often contain aspects of more than one module. Stations will not be encountered in any particular order. Each station will consist of either; Two 5 minute tasks (divided into an a and b part). These two tasks may be linked or entirely different and this will be made clear in your candidates instructions. In some stations the assessor will move with you and assess both tasks whilst in others you will see two separate assessors. Or A single 11 minute task. Station Type There are no procedural or logbook stations There will be at least one Geriatric and one Paediatric themed station Several stations have a major prescribing/therapeutics element There will be at least one data interpretation station (eg XRays or blood tests) which tests your clinical reasoning There are several stations which assess your examination skills. They usually utilise real patients but might use volunteers or simulation models One station utilises SIMMAN Several stations test your consultation skills. This might include telephone consultation, information gathering and diagnosis, information giving/explanation and planning, written communication skills and communication with colleagues/health care professionals. Please note that consultation skills stations may be 5 minutes or 11 minutes so please read your candidate instructions carefully, stick to the requested task and watch


Norwich Medical School University of East Anglia your timekeeping. In these stations the consultation skills test is integrated with a test of your knowledge and other skills such as management. Station Marking In order that we can use the same marking schedule on both days and for different patients we will not be using the highly structured marksheets that you are familiar with from previous OSCE exams. A more global marking system is also better suited to the assessment of the integrated performance of close-to-reality clinical tasks. We use only senior/experienced assessors in Finals, all of whom will have attended a specific standard setting session prior to assessing this exam. The assessors are asked to grade the clinical stations in between 4 and 6 domains using the following criteria

A = Excellent

The student performs at the standard of an excellent FY1 at qualification (i.e. equivalent to the standard expected of FY1 at end of FY1 year) The student performs at the standard of a good FY1 doctor on their first day The student performs at a standard acceptable for a FY1 doctor on their first day The student performs at a standard less than that expected from a FY1 doctor on their first day The student performs at a standard which would result in a significant risk to a patients safety or well-being.

B= Good

C= Pass

D= Fail

E= Severe fail

The pass mark for the clinical component of the exam will be an average grade C. Thus, it is possible for you to pass the exam, yet fail, or even severely fail individual components, or even whole stations, if you can demonstrate good or excellent performance elsewhere; such that overall you have scored an average of a grade C. This is a criterion referenced exam where the criterion set is acceptable on day 1 it is not a competitive exam with a fixed % fail like many postgraduate examinations. We would be delighted if 100% of candidates reached the required standard to graduate at the first sitting and every year many candidates perform outstandingly well. We wish you the very best during the next three months as you prepare.

Lesley Bowker, Clinical Skills Director Richard Holland, Course Director