SAUDI BOARD RESIDENCY TRAINING PROGRAM NEUROSURGERY. Promotion Examination 2018

Transcription

1 SAUDI BOARD RESIDENCY TRAINING PROGRAM NEUROSURGERY Promotion Examination 2018 Objectives: The general objective of the annual promotion 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 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

2 Continuous Assessment Formats: Continuous assessment formats (R1 and R2): consist of: a. In-training evaluation reports (ITERs). 20% 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. Academic assignments 25%. I. Regional treatment plan oral presentation (CBD): 10% o The resident will be evaluated based on an oral presentation as part of the his/her annual promotion assessment where he/she describes a case, including history-taking, diagnostic tools used, diagnosis in each discipline, and how he/she can formulate an integrated treatment plan and identify alternative plans. II. Quizzes: 15% o Three quizzes contacted through the year c. Log book 20% o Daily evaluation of resident his\her cases base on quality and quantity of treatment. Continuous assessment formats (R3) consist of: a. In-training evaluation reports (ITERs). 25% o ITERs should be conducted at least three times which 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. Page 2

3 b. Academic assignments 15%. I. Regional treatment plan oral presentation (CBD): 15% o The resident will be evaluated based on an oral presentation as part of the his/her annual promotion assessment where he/she describes a case, including history-taking, diagnostic tools used, diagnosis in each discipline, and how he/she can formulate an integrated treatment plan and identify alternative plans. c. Log book 25% o Daily evaluation of resident his\her cases base on quality and quantity of treatment. If any other assessment format (not mentioned above) is used the CAC must agree to its implementation. Passing Score for Promotion: An average of 60% score in the annual promotion assessment with a minimum of 50% in each component (written and continuous assessment) is required for passing. Score Report: All written examination score 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. Page 3

4 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. 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. Section Proportion% 1 Vascular 8% 2 Pediatrics 13% 3 Anatomy, physiology, and embryology 12% 4 Oncology, skull base, and surgical approaches 17% 5 Trauma 8% 6 Spine 10% 7 Functional and epilepsy 9% 8 Critical care, general, and peripheral nerves 18% 9 Ethics 5% Total 100% Note: Blueprint distributions of the examination may differ up to +/-3% in each category. Page 4

5 Suggested References: 1. Youman s Neurological Surgery. Crash Courses: Outline of each course including suggested reading references given by the provider. 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. Example Questions: EXAMPLE OF K1 QUESTIONS Question 1 Which of the following agents can be used to increase cerebral blood flow irrespective of cerebral perfusion pressure? A. Lasix B. Mannitol C. Ketamine D. Levophed Page 5

6 EXAMPLE OF K2 QUESTIONS Question 1 Following a blunt injury sustained during a motor vehicle crash, a patient is fully awake and the CT brain and secondary survey are non-contributory. The patient developed a brief episode of right sided weakness and aphasia lasting 10 minutes. CT angiogram revealed an acute carotid artery dissection in the origin of the left internal carotid artery with moderate flow compromise, Which of the following is the most appropriate intervention? A. Carotid endarterectomy B. Carotid stenting C. No intervention, medical therapy will suffice D. Carotid artery Huntarian ligation Page 6