Ian Eardley

Surgical Director of ISCP

Changes to the Intercollegiate Surgical Curriculum Programme

Changes to the Intercollegiate Surgical Curriculum Programme

The new Surgical Curricula ISCP Website changes

Surgical Curricula Approved in 2007

Competence based Written as run through curricula Used MRCS to assess early years training

– Although the syllabus for the MRCS exam was not blue-printed to the curriculum

Since 2007 …..

MTAS, Tooke Report– Decoupling for many specialties– Regional variations in Programme structure

PMETB Standards for Curricula– Explicit blue-printing of assessment to curriculum

AoMRC templates on Leadership and Core Competencies needed incorporation

Challenges for the New Curricula

Flexible enough to accommodate both run-through and decoupled training

Assessment system that mapped to the curriculum (especially wrt Core training)

Incorporate an enhanced emphasis on basic surgical sciences

Incorporate generic Academy curricula regarding Leadership and Core competencies

So what has changed in 2010?

1. Structure of early years training

2. Early years syllabus

3. Definition of knowledge level in early years

4. Professional Behaviour and Leadership Syllabus

5. MRCS

6. MRCS(ENT)

7. Intermediate and Final stage General Surgery

8. Head and Neck special interest module in 3 disciplines

9. Workplace based assessments

Structure of Core Surgical Training

Most specialties requested up to 3 years of core surgical training

PMETB dictated that Core training be 2 years Programmes structure determined by Schools of

Surgery and are either themed or generic

The Current Curriculum

FY 1

CT 1 CT 2

CCTGenericFY 2

ST 3 ST 4 ST 5 ST 6 ST 7

Selection Selection

Assessed by MRCS and WPBA

Assessed by FRCS and WPBA

ST 8ST 2ST 1

Some regions and specialties

Core Surgical Syllabus

Early Years Knowledge and Clinical skills levels

Topic Possible Textbook or other educational resource

Anatomy Last's Anatomy: Regional and Applied (MRCS Study Guides) by R.J. Last and Chummy S Netter’s Atlas of Human Anatomy 4th Edition Saunders-Elsevier ISBN-13-978-1-4160-3385-1

Physiology Ganong's Review of Medical Physiology, 23rd Edition (Lange Basic Science)

Pathology Robbins Basic Pathology: by Vinay Kumar MBBS MD FRCPath, Abul K. Abbas MBBS, Nelson Fausto MD, and Richard Mitchell MD PhD

Professional Skills and Leadership

Based around principles of GMP– Good clinical care– Being a good communicator– Teaching and training– Keeping up to date– Manager– Promoting good health– Probity and ethics

MRCS

Now blueprinted to generic component of early years curriculum

OSCE (Part B) expanded to 18 stations– Stations re-configured to four broad content areas

MRCS (ENT)

MRCS Part A4 hour MCQ (Applied Basic Sciences and Principles of Surgery in General)

DO-HNS Part 2OSCE MRCS (ENT)

Specialty Curricula

All underwent minor changes However, General Surgery underwent a

significant re-write– 4 stages, each of 2 years

Early years Intermediate: Elective and emergency general

surgery Final I: Specialist surgery Final II: Specialist surgery

Website Changes

April and May 2010 : Version 6 – Significant functionality changes

August 2010: Version 7– Incorporation of the new surgical curricula

January 2011: Version 8– Incorporation of OCAP

So what has changed in 2010?

1. Structure of early years training

2. Early years syllabus

3. Definition of knowledge level in early years

4. Professional Behaviour and Leadership Syllabus

5. MRCS

6. MRCS(ENT)

7. Intermediate and Final stage General Surgery

8. Head and Neck special interest module in 3 disciplines

9. Workplace based assessments