scholarly journals Restructuring Clinical Dental Specialty Examination: A Call for National Standard

2021 ◽  
Vol 13 (4) ◽  
pp. 103-105
Author(s):  
Ahmad Faisal Ismail ◽  
◽  
Keyword(s):  
National Standard ◽  
Specialty Training ◽  
National Reference ◽  
Standard Quality ◽  
Training Programmes ◽  
Dental Schools

This commentary encompassed present clinical dental specialty training and assessments in Malaysia. Specifically, no uniform examination and assessment are identified within the dental specialty training programmes provided by local dental schools. Candidates who underwent the same specialty programme might be trained and evaluated differently (depending on the institution). Despite the standard Malaysian Qualifications Agency (MQA) guideline for dental specialty training programmes (initially published in 2019), the aforementioned standards were established as a national reference for present and future Malaysian dental specialty programmes with no indication of standardised national dental specialty programme assessments. As such, a national reference for dental specialty assessments under the guidance of dental and MQA authorities is urgently needed to ensure standard quality and competent graduates of the programmes.

scholarly journals Effect of sex on specialty training application outcomes: a longitudinal administrative data study of UK medical graduates

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025004
Author(s):  
Katherine Woolf ◽  
Hirosha Jayaweera ◽  
Emily Unwin ◽  
Karim Keshwani ◽  
Christopher Valerio ◽  
...  
Keyword(s):  
Sex Differences ◽  
Medical School ◽  
Administrative Data ◽  
Training Programme ◽  
Primary Outcome Measure ◽  
Academic Attainment ◽  
Specialty Training ◽  
Medical Specialties ◽  
Medical Graduates ◽  
Training Programmes

ObjectivesTo examine sex differences in the specialty training recruitment outcomes of UK medical graduates; and whether sex differences were explained by prior academic attainment and previous fitness to practise (FtP) declarations.DesignRetrospective longitudinal cohort study.SettingAdministrative data on entrants to all UK medical schools from the UK Medical Education Database.Participants10 559 doctors (6 155; 58% female) who entered a UK medical school in 2007 or 2008 and were eligible to apply for specialty training by 2015.Primary outcome measureOdds of application, offer and acceptance to any specialty training programme, and on to each of the nine largest training programmes, adjusting for sex, other demographics, prior academic attainment, FtP declaration and medical school.ResultsAcross all specialties, there were no sex differences in applications for specialty training, but women had increased odds of getting an offer (OR=1.40; 95% CI=1.25 to 1.57; p<0.001) and accepting one (OR=1.43; 95% CI=1.19 to 1.71; p<0.001). Seven of the nine largest specialties showed significant sex differences in applications, which remained after adjusting for other factors. In the adjusted models, Paediatrics (OR=1.57; 95% CI=1.01 to 2.46; p=0.046) and general practice (GP) (OR=1.23; 95% CI=1.03 to 1.46; p=0.017) were the only specialties to show sex differences in offers, both favouring women. GP alone showed sex differences in acceptances, with women being more likely to accept (OR=1.34; 95% CI=1.03 to 1.76; p=0.03). Doctors with an FtP declaration were slightly less likely to apply to specialty training overall (OR=0.84; 95% CI=0.71 to 1.00; p=0.048) and less likely to accept an offer to any programme (OR=0.71; 95% CI=0.52 to 0.98; p=0.036), after adjusting for confounders.ConclusionsSex segregation between medical specialties is due to differential application, although research is needed to understand why men are less likely to be offered a place on to GP and Paediatrics training, and if offered GP are less likely to accept.

scholarly journals Modernising Medical Careers: a urological workforce perspective

2008 ◽  
Vol 90 (1) ◽  
pp. 22-26
Author(s):  
GO Hellawell ◽  
SS Kommu ◽  
F Mumtaz
Keyword(s):  
Junior Doctors ◽  
Specialty Training ◽  
Medical Careers ◽  
Foundation Programme ◽  
The Future ◽  
Training Programmes ◽  
The Uk ◽  
And Training

The training of junior doctors in the UK is undergoing an evolution to ensure that those concerned are adequately trained and specialised for current and future consultant practice. The implementation of this training evolution is currently widespread at the foundation level (SHO-equivalent) and will expand to specialty training programmes as foundation programme trainees complete their training in 2007. Urology has led the change to the specialty training, with three-year trainees having entered the specialty in 2005. The emergence of urology as the lead specialty for change originated in part from a meeting in 1998 that addressed the future of urology and training, the summary of which was published later that year.

scholarly journals UK nationals who received their medical degrees abroad: selection into, and subsequent performance in postgraduate training: a national data linkage study

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e023060 ◽  
Author(s):  
Paul A Tiffin ◽  
James Orr ◽  
Lewis W Paton ◽  
Daniel T Smith ◽  
John J Norcini
Keyword(s):  
Postgraduate Training ◽  
Medical Specialty ◽  
Linkage Study ◽  
Annual Review ◽  
Educational Performance ◽  
Specialty Training ◽  
Subsequent Performance ◽  
Satisfactory Outcome ◽  
Training Programmes ◽  
The Uk

ObjectivesTo compare the likelihood of success at selection into specialty training for doctors who were UK nationals but obtained their primary medical qualification (PMQ) from outside the UK (‘UK overseas graduates’) with other graduate groups based on their nationality and where they gained their PMQ. We also compared subsequent educational performance during postgraduate training between the graduate groups.DesignObservational study linking UK medical specialty recruitment data with postgraduate educational performance (Annual Review of Competence Progression (ARCP) ratings).SettingDoctors recruited into national programmes of postgraduate specialist training in the UK from 2012 to 2016.Participants34 755 UK-based trainee doctors recruited into national specialty training programmes with at least one subsequent ARCP outcome reported during the study period, including 1108 UK overseas graduates.Main outcome measuresOdds of being deemed appointable at specialty selection and subsequent odds of obtaining a less versus more satisfactory category of ARCP outcome.ResultsUK overseas graduates were more likely to be deemed appointable compared with non-EU medical graduates who were not UK citizens (OR 1.29, 95% CI 1.16 to 1.42), although less so than UK (OR 0.25, 95% CI 0.23 to 0.27) or European graduates (OR 0.66, 95% CI 0.58 to 0.75). However, UK overseas graduates were subsequently more likely to receive a less satisfactory outcome at ARCP than other graduate groups. Adjusting for age, sex, experience and the economic disparity between country of nationality and place of qualification reduced intergroup differences.ConclusionsThe failure of recruitment patterns to mirror the ARCP data raises issues regarding consistency in selection and the deaneries’ subsequent annual reviews. Excessive weight is possibly given to interview performance at specialty recruitment. Regulators and selectors should continue to develop robust processes for selection and assessment of doctors in training. Further support could be considered for UK overseas graduates returning to practice in the UK.

scholarly journals 2019 EULAR points to consider for the assessment of competences in rheumatology specialty training

2020 ◽  
Vol 80 (1) ◽  
pp. 65-70 ◽  
Author(s):  
Francisca Sivera ◽  
Alessia Alunno ◽  
Aurélie Najm ◽  
Tadej Avcin ◽  
Xenofon Baraliakos ◽  
...  
Keyword(s):  
Musculoskeletal Diseases ◽  
Task Force ◽  
Training Programme ◽  
Assessment Practices ◽  
Specialty Training ◽  
Sufficient Time ◽  
Effective Implementation ◽  
European League Against Rheumatism ◽  
Training Programmes ◽  
Level Of Agreement

Background and aimStriving for harmonisation of specialty training and excellence of care in rheumatology, the European League Against Rheumatism (EULAR) established a task force to develop points to consider (PtCs) for the assessment of competences during rheumatology specialty training.MethodsA systematic literature review on the performance of methods for the assessment of competences in rheumatology specialty training was conducted. This was followed by focus groups in five selected countries to gather information on assessment practices and priorities. Combining the collected evidence with expert opinion, the PtCs were formulated by the multidisciplinary task force, including rheumatologists, medical educationalists, and people with rheumatic and musculoskeletal diseases. The level of agreement (LoA) for each PtC was anonymously voted online.ResultsFour overarching principles and 10 PtCs were formulated. The overarching principles highlighted the importance of assessments being closely linked to the rheumatology training programme and protecting sufficient time and resources to ensure effective implementation. In the PtCs, two were related to overall assessment strategy (PtCs 1 and 5); three focused on formative assessment and portfolio (PtCs 2–4); three focused on the assessment of knowledge, skills or professionalism (PtCs 6–8); one focused on trainees at risk of failure (PtC 9); and one focused on training the trainers (PtC 10). The LoA (0–10) ranged from 8.75 to 9.9.ConclusionThese EULAR PtCs provide European guidance on assessment methods throughout rheumatology training programmes. These can be used to benchmark current practices and to develop future strategies, thereby fostering continuous improvement in rheumatology learning and, ultimately, in patient care.

Remote delivery of FDS examinations

2021 ◽  
Vol 12 (1) ◽  
pp. 30-31
Author(s):  
Alex Landau ◽  
Kim Voerman ◽  
Martyn Cobourne
Keyword(s):  
Mobile Phones ◽  
Specialty Training ◽  
Online Delivery ◽  
Face To Face ◽  
Aberrant Behaviour ◽  
Oral Assessment ◽  
Effective Delivery ◽  
Final Consideration ◽  
Training Programmes ◽  
The Impact

The challenge of COVID-19 meant that there was an imperative to provide an alternative to face-to-face delivery for those trainees who required examination in autumn 2020 to progress within, or exit from specialty training programmes. Written examinations were most easily adaptable to online delivery, with established platforms readily available for this purpose. The key consideration related to invigilation of candidates in a remote context. Candidates were invigilated through a combination of their webcams and mobile phones, to ensure that any potentially aberrant behaviour was identifiable. Oral elements proved to be more complicated to implement remotely. As a consequence, it was necessary for Examinations Directorate staff to explore ways of accommodating the oral assessment delivery requirements within existing videoconferencing software used by the College. The experience of remote delivery appears to have been a very positive one, for both candidates and examiners, due in part to the significant training provided for both groups prior to each examination to ensure effective delivery. Attention is now turning to the question of future delivery of examinations; some recent initiatives, such as the online delivery of written examinations, appear to be appropriate for retention in perpetuity. A final consideration is the impact of remote examination delivery on assessment of international candidate cohorts. Remote delivery appears to be the most efficient and sustainable mode of overseas examination delivery, and ensures that prestigious College qualifications become more accessible than ever to those overseas.

Utilization and cancer detection by U.S. prostate biopsies (2005-2011).

2013 ◽  
Vol 31 (6_suppl) ◽  
pp. 107-107
Author(s):  
Carl A. Olsson ◽  
Deepak A. Kapoor ◽  
Savvas E. Mendrinos ◽  
Ann E. Anderson ◽  
David G. Bostwick
Keyword(s):  
Cancer Detection ◽  
Prostate Biopsy ◽  
National Standard ◽  
Reference Laboratory ◽  
Similar Data ◽  
National Reference Laboratory ◽  
National Reference ◽  
Positive Biopsy ◽  
Significant Difference ◽  
Biopsy Rate

107 Background: To assess the positive biopsy rate and core sampling pattern in patients undergoing prostate biopsy in the US at a national reference laboratory and pathology laboratories integrated into urology group practices and analyze the relationship between positive biopsy rates and number of specimen vials per biopsy (sv/b). Methods: For the years 2005-11, we collected pathology data from a national reference laboratory (NRL) including number of urologists and urology practices referring samples, total specimen vials submitted per prostate biopsy, and final diagnosis for each case. The diagnoses were categorized as benign, malignant, prostatic intraepithelial neoplasia or atypical small acinar proliferation. Over the same period, similar data was gathered from urology practices with in-house laboratories performing global pathology services (urology practice labs, UPL) identified by a member survey of the Large Urology Group Practice Association. For each year studied, positive biopsy rate and number of specimen vials/biopsy were calculated in aggregate and separately for each site of service. Results: From 2005-11, 437,937 biopsies were submitted in 4,230,129 vials (9.4 sv/b); overall positive biopsy rate was 40.3%, identical at both the NRL and UPL (p=0.97). Nationally, the number of specimen vials/biopsy increased sharply from a mean of 8.8 during 2005-8 to 10.3 from 2009-11 (difference 1.5 sv/b, p=0.03). For the most recent 3 year period (2009-11), there was no significant difference between the NRL (10.0 sv/b) and UPL (10.6 sv/b) (p=0.08). Positive biopsy rate correlated strongly (p<0.01) with number of specimen vials/biopsy. Conclusions: The positive prostate biopsy rate of 40.3% is identical across sites of service. Although there was a national trend towards increased specimen vials/biopsy from 2005-11, from 2009-11 there was no significant difference in specimen vials/biopsy across sites of service. Increased cancer detection rate correlated significantly with increased number of specimens examined. Segregation of prostate biopsy cores into 10-12 unique specimen vials has been adopted by urologists across sites of service and can be considered the de facto national standard of care.

Cooling Mechanics Performance with Fuzzy Prediction on in the Water Supply System Based on Mechanics Properties and Material Properties

2012 ◽  
Vol 252 ◽  
pp. 27-31
Author(s):  
Xiao Hong Chen ◽  
Hui Xu ◽  
Sheng Jian Xie ◽  
Hong Wu Zhao
Keyword(s):  
Sheet Metal ◽  
High Standard ◽  
Metal Plate ◽  
Measured Data ◽  
Supply System ◽  
National Standard ◽  
Technological Parameters ◽  
Metal Production ◽  
Mechanics Performance ◽  
Standard Quality

In actual production, able to predict that their products performance can meet the requirements of the national standard, whether or not to meet the pursuit of enterprise product high standard quality requirements. To solve this problem, in the plate production site collection plate large amount of measured data in sheet metal production, main technological parameters of field measurement, and at the same time on the production of sheet metal plate products the main mechanical properties experimental determination.

scholarly journals Neurosurgical trainees' perceptions of course value and study leave budgets

2011 ◽  
Vol 93 (3) ◽  
pp. 94-95 ◽  
Author(s):  
Stephen Metcalfe
Keyword(s):  
Surgical Training ◽  
Specialty Training ◽  
Surgical Specialty ◽  
Medical Careers ◽  
Core Training ◽  
Training Programmes ◽  
Course Value

With the advent of Modernising Medical Careers (MMC) in 2007 neurosurgery adopted 'run-through' training, whereby trainees apply to a neurosurgical rotation that takes them through from foundation training to its completion and the award of the Certificate of Completion of Training (CCT). This is in contrast to the post-MMC training programmes for the rest of the surgical specialties, in which trainees apply to a core surgical training (CST) rotation, followed by open competition after their second core training (CT2) year for appointment into a specialty training (ST) rotation in the surgical specialty of their choice.

scholarly journals Continuing medical education during a pandemic: an academic institution’s experience

2020 ◽  
Vol 96 (1137) ◽  
pp. 384-386 ◽  
Author(s):  
Abhiram Kanneganti ◽  
Ching-Hui Sia ◽  
Balakrishnan Ashokka ◽  
Shirley Beng Suat Ooi
Keyword(s):  
Medical Education ◽  
Continuing Medical Education ◽  
Healthcare Systems ◽  
Specialty Training ◽  
Clinical Competencies ◽  
Learning Modules ◽  
Surgical Simulators ◽  
E Learning ◽  
Training Programmes ◽  
Surgical Videos

The COVID-19 pandemic has affected healthcare systems worldwide. The disruption to hospital routines has affected continuing medical education (CME) for specialty trainees (STs). We share our academic institution's experience in mitigating the disruption on the CME programme amidst the pandemic. Most specialty training programmes had switched to videoconferencing to maintain teaching. Some programmes also utilized small group teachings with precautions and e-learning modules. Surgical residencies were disproportionately affected due to reductions in elective procedures but some ways to provide continued surgical exposure include going through archived surgical videos with technical pointers from experienced faculty and usage of surgical simulators . We should adapt CME sessions to keep trainees up to date with core clinical competencies as they will continue to manage both COVID-19 and non-COVID-19 cases and this pandemic may last until year's end.

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