SAUDI BOARD RESIDENCY TRAINING PROGRAM. OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY End of Year Progress Examination 2018

Transcription

1 SAUDI BOARD RESIDENCY TRAINING PROGRAM OTORHINOLARYNGOLOGY HEAD End of Year Progress Examination 2018 Objectives: The general objective of the annual assessment is to evaluate that the trainee has satisfactorily acquired the theoretical knowledge and clinical competences that he/she should have acquired during the relevant year(s). The annual promotion assessment consists of the following components: a. Written examination 20% b. Continuous Assessment Eligibility for Written Examination: Valid registration with the SCFHS. Completion of at least nine months of training in the concerned year of residency/fellowship training. Written Examination Format: A written examination shall consist of one paper with not less than 100 MCQs with a single best answer (one correct answer out of four options). The examination shall contain type K2 questions (interpretation, analysis, reasoning and decision making) and type K1 questions (recall and comprehension). The examination shall include basic concepts and clinical topics relevant to the specialty and its relation to different dental specialties. Clinical presentation questions include history, clinical finding and patient approach. Diagnosis and investigation questions; includes the possible diagnosis and diagnostic methods. Management questions; including treatment and clinical management, either therapeutic or nontherapeutic, and complications of management. Materials and Instruments questions; including dental material properties, usage, and selection of dental instruments and equipment used. Health maintenance questions; includes health promotion, disease prevention, risk factors assessment, and prognosis, see examples below. Page 1 End of Year Progress Examination; OTORHINOLARYNGOLOGY HEAD

2 Continuous Assessment Formats: Continuous assessment formats (R1-R2-R3-R4-R5) consist of: a. In-training evaluation reports (ITERs). 30% o ITERs should be conducted at least three times that covers 9 training months per year. o ITERs are submitted to local supervisory committee for each trainee based on Case-based Discussion ratings considered relevant by the specialty. b. Objective Structured Clinical Examination (OSCE) 20% c. Structured Oral Examination (SOE) 20% d. Research 10% If any other assessment format (not mentioned above) is used the CAC must agree to its implementation. Passing Score in the annual assessment: An average of 60% score in the annual assessment with a minimum of 50% in each component (written and continuous assessment) is required for passing. Score Report: All written examination sore reports shall go through a post-hoc item analysis before being approved by both the Assistant of General Secretary for Postgraduate studies of SCFHS and Scientifics Examination Committee (SEC), and then reported to the scientific council for the specialty for promotion decisions for all trainees, within two weeks of the examination. SEC is encouraged to provide the scientific council for the specialty with results feedback represent the performance of all residents based on each section of the exam according to the test blueprint, and based on their training center if possible. General Rules: The written examination shall be held once a year within 4-6 weeks of completion of nine months of training in that particular year. There shall be no re-sit examination. Page 2 End of Year Progress Examination; OTORHINOLARYNGOLOGY HEAD

3 There shall be no promotion written examination at the end of final year. Promotion written examination and continuous assessment results are valid for the specific year in which they were conducted. Examination Conduct and Duration: The exam duration is 2 hours for 100 MCQs and will be delivered as a computer based test when available, otherwise paper and pencil. Blueprint Outlines No. R1 Section Proportion% 1 General Surgery 35-40% Anesthesia ICU Emergency Neurosurgery Thoracic Plastic Surgery Research, Ethics & Professionalism and patient safety Total 100% No. R2, R3, R4, R5 Section Proportion% 1 Rhinology 2 Otology Laryngology Head and Neck Pediatric Otorhinolaryngology Facial plastic and reconstructive surgery Research, Ethics & Professionalism and patient safety Total 100% Page 3 End of Year Progress Examination; OTORHINOLARYNGOLOGY HEAD

4 Note: Blueprint distributions of the examination may differ up to +/-5% in each category. Suggested References: Outline of each course including suggested reading references given by the provider. Flint PW, Haughey BH, Lund VJ, et al. Cumming s Otolaryngology Head and Neck Surgery. 5th ed. Philadelphia, PA: Mosby; Gleeson MJ, ed. Scott-Brown s Otolaryngology, Head and Neck Surgery. 7th ed. London, England: Hodder Arnold; Johnson JT, Rosen CA, eds. Bailey s Head and Neck Surgery Otolaryngology. 5th ed. Baltimore, MD: Lippincott Williams & Wilkins; Bailey BJ, Calhoun KH. Atlas of Head and Neck Surgery Otolaryngology. 2nd ed. Baltimore, MD: Lippincott Williams & Wilkins; Myers EN. Operative Otolaryngology: Head and Neck Surgery. 2nd ed. Philadelphia, PA: Saunders; Pasha R, Golub JS. Otolaryngology Head and Neck Surgery: Clinical Reference Guide. 4th ed. San Diego, CA: Plural Publishing; Lee KJ, ed. Essential Otolaryngology: Head and Neck Surgery. 10thed. New York, NY: McGraw-Hill; Maran AGD, Stell PM. Clinical otolaryngology. Oxford, England: Blackwell Scientific Publications; Professionalism and Ethics, Handbook for Residents, Practical guide, Prof. James Ware, Dr. Abdulaziz Fahad Alkaabba, Dr. Ghaiath MA Hussein, Prof. Omar Hasan Kasule, SCFHS, Latest Edition. Essentials of Patient Safety, SCHS, Latest Edition. Note: This list is intended for use as a study aid only. SCFHS does not intend the list to imply endorsement of these specific references, nor are the exam questions necessarily taken solely from these sources. Page 4 End of Year Progress Examination; OTORHINOLARYNGOLOGY HEAD

5 Example Questions Example Questions EXAMPLE OF K2 QUESTIONS Question 1 A 35 year-old man with squamous cell carcinoma of buccal mucosa underwent wide local excision, supraomohyoid neck dissection and mandibular reconstruction with metal plates. Two months after radiation therapy, multiple orocutaneous fistulas with discharge developed over the lower jaw. Mandible was exposed and appeared hypovascular with no evidence of healing. Removal of reconstruction plates, local dressings and systemic antibiotics shows no response (see image). Which of the following is the best management option? A. Wide local debridement B. Hyperbaric oxygen therapy C. Biodegradeable mandibular plates D. Long term antibiotics and pentoxiphylline EXAMPLE OF K1 QUESTIONS Question 2 When tympanoplasty and mastoidectomy are performed in patients with chronic otitis media, ossicular pathologies are frequently encountered. The most common finding is the necrosis of long process of incus. Which of the following is the most likely reason? A. No muscle attachment B. Presence of end arteries C. Closest to the site of pathology D. Most mobile part of ossicular chain Page 5 End of Year Progress Examination; OTORHINOLARYNGOLOGY HEAD