revised exam regulations 11 may 2005.doc

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revised exam regulations 11 may 2005.doc


Introduction 2

    Implementation 3

    Examinations 3

    Eligibility 3 & 4

    Exemption 4

    Application Procedure 5

    Referrals and Guidance 5

    Representation and Appeals 6 Infringements 6

    APPENDIX 1 7

    Structure of the Examination Primary Fellowship

    Appendix 1B: Marking System 8


    Structure of the Examination Final Fellowship

    Appendix 2B: Marking System 10


    Overseas Qualifying Exam (OQE)

    Appendix 3B: Structure of the OQE 12

    Appendix 3C: OQE Marking System 13



    These Regulations are also available on the College website:

    Application Forms for examinations can be obtained from:

    Examinations Office, College of Anesthetists RCSI

    22 Merrion Square North, Dublin 2, Ireland.

    Examinations Telephone: 00 353 1 6130001 Examinations Fax: 00 353 1 6614374 Examinations Email:


    The College of Anaesthetists RCSI Examination Regulations governs the content and conduct of the examination leading to the award of the Fellowship of the College of Anaesthetists RCSI. They specify the requirement, which must be satisfied before a candidate is eligible to apply to take the examination. They also specify the procedure to be followed in order to apply, limit the number of attempts and provide for guidance in the event of failure. They describe the procedure to making representations and provide sanctions for infringements.



1. These regulations will come into force on 1st January 2005, and will be valid

    for 2 years.


    2. (a) The Examination for the Fellowship of the College of Anaesthetists will

    be in two parts, namely the Primary and Final Examinations.

    (b) Normally there will be two sittings of each part of the Examination in

    each academic year starting on 1st January 2005. The Council may

    at any time decide subject to adequate notice, to adjust the number

    of sittings of either or both parts of the examination in any year.

    3. (a) The Primary Examinations will consist of Multiple Choice Questions

    (MCQ's), Oral and Objective Structured Clinical Examinations (OSCE).

    Details of these are attached in Appendix 1.

    (b) The Final Examination will consist of Written, (multiple choice, essays

    and short answer questions), Oral and Clinical sections. Details of

    these are found in Appendix 2.


4. Primary Examination

     An individual is eligible to enter for the Primary Examination who:

    (a) Has, or is eligible for, full or limited registration with the Irish Medical

    Council or the General Medical Council (UK).

    (b) Has completed 12 months training in the Republic of Ireland or the

    United Kingdom in posts approved by the College of Anaesthetists, or

    the Royal College of Anaesthetists.

    (c) Is registered with the College of Anaesthetists, or the Royal College of

    Anaesthetists, as a postgraduate trainee in Anaesthetics. Registration

    number will be requested on application form.

    (d) Complies with the requirements of these regulations in respect of

    application procedures and other matters.

5. Final Examination

    An individual is eligible to enter for the Final Examination leading to the

    Fellowship of the College of Anaesthetists who:

    (a) Has passed, or is exempt from, the Primary Fellowship Examination (see

    regulation 6).


    (b) Has, by a date not earlier than 5 years before the date of application

    to enter the examination, completed 30 months of training in the

    specialty of anaesthesia. The specified period of training shall have

    been completed in posts approved by the College of Anaesthetists

    RCSI, Ireland or the Royal College of Anaesthetists, United Kingdom. A

    period of up to 12 months may have been completed as an

    anaesthetic trainee in a recognised training programme overseas, to

    the satisfaction of the Examination Committee of the College of

    Anaesthetists, RCSI Ireland.

    (c) Is registered with the College of Anaesthetists or the Royal College of

    Anaesthetists as a postgraduate trainee in Anaesthesia. Registration

    numbers will be requested on the application form.

    (d) Complies with the requirements of these regulations in respect of

    application procedures and other matters.

    6. Exemption

    A candidate for the Final Fellowship examination shall be exempt from passing the Primary Examination and from such of the period of training prescribed in regulation 5 (b) who, within the 10 years preceeding the date of application.

    (a) Has passed the Part II Examination of the College of Anaesthetists RCSI,

    or the Part II of the Royal College of Anaesthetists.

    (b) Has obtained one of the following qualifications, any one of which

    shall also exempt the holder from the first 12 months of the 30 months

    training required by regulation 5 (b) provided that no candidate shall

    be entitled to more than one such exemption.

     (i) The Fellowship of the Royal College of Anaesthetists.

    (ii) The Fellowship of the Australian and New Zealand College of


    (iii) The Fellowship of the College of Anaesthetists of South Africa.

    (iv) The Fellowship in Anaesthesia of the Royal College of Physicians

    and Surgeons of Canada.

    (v) The Diplomate Certificate of the American Board of


    (vi) The Diploma in Anaesthesiology of the European Academy.

    (vii) The Fellowship in Anaesthesiology of the College of Physicians

    and Surgeons Pakistan since April 1998.

    (viii) Overseas Qualifying Examination.


    (c) Other degrees or qualifications as may be from time to time be

    approved by the Council of the College.

Application Procedures

    7. Dates of Examinations shall be published in the Examinations Calendar

    of the College of Anaesthetists in Ireland and copies may be obtained

    from the Examination Office, College of Anaesthetists in Ireland, 22

    Merrion Square North, Dublin 2, Ireland.

    8. Application forms for admission to the Examinations may be obtained

    from the Examinations Office. Applications must reach the

    Examinations Office not before the conclusion of the previous

    examination and not after the published closing date for the relevant


    9. Application for admission must be accompanied by the appropriate

    fee and include any certificates required, with the registration number

    given on the application form.

    10. Fees payable for admission to each part shall be those fixed by

    College Council and published in the Examinations Calendar. Fees

    may be paid by Sterling or Euro cheque, made payable to the

    College of Anaesthetists RCSI and drawn on an Irish clearing bank; or

    alternatively paid by a Euro banker's draft, or credit card.

Referrals and Guidance

    11. A candidate who is unsuccessful in an examination may, subject to

    the provisions of the regulations below, enter for the next or any

    subsequent sitting of that Examination.

     For the purpose of this Regulation, guidance may consist of:

    (i) Written communication with the candidate in which details of

    his/her performance may be divulged and discussed.

    (ii) Attendance at an interview arranged by the Chairman of the

    Examinations Committee.


     Representation and Appeals

    12. A candidate, or any person on behalf of that candidate, wishing to

    make representations in respect of the conduct of an examination or

    to appeal against any result, must address such representation or

    appeal to the Chairman of the Examination Committee, in writing,

    before the closing date of the next sitting in that part. In no

    circumstances may such representations be addressed to an

    individual examiner. The College’s Examination Committee will

    consider representations and appeals. See Appendix 4.


13. (a) Candidates are not permitted to bring any materials or

    information which may assist them (e.g. electronic recording

    devices, computers, mobile telephones) into the examinations.

    Failure to comply with these examination regulations may result

    in disqualification from the whole of that examination sitting.

    (b) The College Council may refuse to admit to an examination or

    proceed with the examination of any candidate who infringes

    any of the regulations, or who is considered by presiding

    examiner to be guilty of behaviour which prejudices the proper

    conduct and management for the examination or who has

    previously been found guilty of such behaviour. If, in the opinion

    of the Council, any examination result has been secured by

    cheating, deception or fraud of any kind whatsoever, the

    Council may nullify the result of any qualifications resulting from

    it and withdraw any Diploma, Certificate or other award so




    Structure of the Primary Fellowship Examination

There are 4 sections:

(a) Multiple Choice Questions (MCQs) - 90 questions, 3 hours

    This consists of approximately 30 questions in pharmacology, 30 questions in

    physiology and biochemistry, 20 questions in physics, clinical measurement,

    and 10 questions in clinical anaesthesia.

(b) Objective Structured Clinical Examination (OSCE) - This consists of 14 stations

    (with 2 rest stations) in approximately 2 hours. This may consist of stations in

    resuscitation, practical skills, anatomy including surface anatomy, history

    taking, physical examination, communication skills, interpretation of ECG, X-

    ray, biochemistry/haematology results, photographs, scans, charts,

    anaesthetic equipment, monitoring equipment, measuring equipment,

    clinical anaesthesia and statistics.

(c) Viva examination in Physiology - 25 minutes

(d) Viva examination in Pharmacology - 25 minutes

    The viva’s will be structured. They will be conducted over a 25 minutes

    period with two examiners in each subject. Each viva will consist of 5 x 5

    minute sections.

    ; A candidate in the Primary Examination who does not attain the required

    standard in the MCQ section will not be permitted to proceed with the

    remaining elements of the examination.

    ; Please note that negative marking is applied in the MCQ.


    Appendix 1b

    Marking System for the Primary Fellowship Examination

     A new close marking system is used.

     A - Outstanding, potential medal winner

     B - Pass

     C - Marginal Fail

     D - Veto Fail

     The minimum grades necessary to pass the examination are:

     B, B, B, C

    Any candidate who obtains a D in any part of the examination will be an

    outright fail.



    Structure of the Final Fellowship Examination

There are 5 sections:

(a) Multiple Choice Questions (MCQs) - 40 MCQ's in 90 minutes, comprising of

    questions on Anaesthesia, Pain Management, Intensive Care Medicine,

    General Medicine, Surgery and Anatomy related to Anaesthesia Practice.

(b) Essay and Short Answer Question (E&SAQ) paper (all are compulsory) - 3

    hours on the principles and practice of Clinical Anaesthesia, Intensive Care

    and Pain Medicine.

    (c) Clinical Care Examination (conducted in designated hospitals). Following

    30 minutes of examination including History taking, Physical Examination,

    Investigation and Provisional Diagnosis, the candidate is examined for the

    above and questioned on Clinical Anaesthesia for 30 minutes.

    (d) Viva 1 - Clinical Anaesthesia and Pain Management - 25 minutes. A

    structured viva examination is held relating to the clinical material provided,

    and also on Clinical Anaesthesia and Pain Management unrelated to the

    clinical material.

    (e) Viva 2 - Intensive Care and Clinical Science - 25 minutes. A structured viva

    examination is held relating to Intensive Care topics followed by application

    of Basic Sciences to Anaesthesia.

    ; A candidate in the Final examination who does not attain the required

    standard in one or both of the written sections will not be permitted to

    proceed with the remaining elements of the examination.

    ; Please note that negative marking is applied in the MCQ.


    Appendix 2b

    Marking System for the Final Fellowship Examination

The College uses a five-point closemarking system, the marks being:

     7 Outstanding Performance

     6 Pass

     5 Fail (Borderline)

     4 Fail

     3 Veto (if a candidate fails to answer a compulsory question in the

     E&SAQ Paper; or attains an unacceptable standard in the either the

     Clinical section or Viva section)

    Candidates with a mark = 4 in either the MCQ section or the Essay & Short Answer Questions section will not be invited to attend the Clinical or Viva elements.

The following marks are required to pass the Final FCA RCSI Examination

     6, 6, 6, 6, 5

    All examiners review performance of vetoed candidates before the final marks are awarded.

    Negative marking is applied in the MCQ. One mark added for a correct answer; one subtracted for an incorrect answer; no change where ‘don’t know’ is marked.

Essay and Short Answer Question paper ALL 6 questions must be attempted. A

    mark of 3 will be given for each whole question not attempted.


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