Surgical Oncology Exam Update - UEMS Surg Oncology Exam Update Lynda Wyld, Chair of the Exam ... Paper 1: 40 MCQs, Basic surgical oncology (basic principles of surgical oncology,

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  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Surgical Oncology Exam

    Update

    Lynda Wyld, Chair of the Exam

    Committee and the Education and

    Training Committee of ESSO

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Exam Committee: the ETC of ESSO

    Name Gender Nationality

    Specialty

    Lynda Wyld f UK

    Breast, sarcoma

    Beate Rau f German HIPEC, pelvic, sarcoma and lung

    Michel Rivoire m French Upper GI/HPB

    Geerard Beets m Netherlands Colorectal

    Marjut Leidenius f Finnish

    Breast

    Odysseas Zoras m Greek Melanoma, sarcoma

    Joost van der Vorst m Dutch

    Trainee Representative

    Ibrahim Edhemovic m Slovenian GI

    Sergio Sandrucci m Italian

    Sarcoma, upper GI

    Daniel Perez m Swiss Upper GI/HPB

    Isabel Rubio F Spanish Breast

    Dawid Murawa m Polish

    Upper GI and Breast

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    The EBSQ Surgical Oncology

    Examination

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Applications

    19 applicants

    3 candidates were rejected due to inadequate

    training/experience to comply with the eligibility criteria.

    2 were unable to attend due to the unrest in Egypt and 1

    due to the Syrian civil war: all 3 plan to attend next year

    and have been allowed to carry over their fee if they do.

    2candidates cancelled after acceptance.

    In total therefore, 11 candidates sat the written

    examination. 1 failed the written. 1 failed the oral so 9

    passed.

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Surgical Oncology Exam

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Quality control and

    validation

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Examiner Training for the Oral Exam

    Examiners must observe an examination before taking

    part.

    Examiners meeting to standard set before each oral

    exam

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Standardised Viva Questions

    2 vivas, 25 minutes each, 2 experienced examiners.

    One based on review of 2 controversial academic papers

    with a question and answer guide.

    Second based on case reports to test applied knowledge

    and decision making. Cases and questions and answers

    predefined.

    Numeric and categorical scores.

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    MCQ Examination

    Completely new bank of questions.

    All extensively revised by the exam board (the ETC

    committee of ESSO)

    Standard setting using Anghoff referencing

    2 papers:

    Paper 1: 40 MCQs, Basic surgical oncology (basic principles of

    surgical oncology, genetics, radiation oncology, medical

    oncology, genetics).

    Paper 2: 20 MCQs, Applied surgical Oncology testing critical

    thinking and applied decision making at a higher level on

    Blooms taxonomy

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Example of Anghoff Scoring

    8 If limited peritoneal carcinomatosis is incidentally found during laparotomy for

    resectable rectal cancer, the best treatment option would be:

    a To proceed with resection of the rectum, remove the affected peritoneum and

    subsequently treat the patient with chemotherapy including molecularly targeted drugs

    (biologicals)

    b To proceed with the resection of the rectum without removing the affected peritoneum

    and subsequently treat the patient with chemotherapy including molecularly targeted

    drugs (biologicals)

    c To do nothing (or stoma only, if necessary) and refer the patient to the institution

    where the resection of the rectum with simultaneous peritonectomy and HIPEC are

    feasible.

    d To proceed with the resection of the rectum and subsequently send the patient to the

    institution where the peritonectomy and HIPEC are feasible.

    e To consider the patient as untreatable, do nothing or create a stoma only, if necessary.

    Correct

    Angoff 60, 60%, 90%, 60%, 60%, 80%, 50%, 60%, 70%, 20%, 50%, 50%

    Mean

    score

    66%

    Pass

    mark

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Review of MCQ quality and validity

    Scores reviewed.

    Low scoring questions checked

    for accuracy and intelligibility and

    modified or removed

    High scoring questions reviewed

    and modified or removed.

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Oral Papers

    Increased structure to questions with different levels of

    questions at different levels of Blooms taxonomy

    Good feedback from examiners

    1 candidate failed oral exam

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Innovations for 2014

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Core Curriculum

    Core Curriculum: Fully

    revised, collaborative between

    ESMO, ESTRO, SSO, and

    ESSO. Published in the

    European Journal of Surgical

    Oncology and available on the

    web site.

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Textbook of Surgical Oncology

    First published in 2007

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Second Edition

    Based on the previous book but themed to reflect the

    Core curriculum

    Maximal input from ESSO board and committee

    members

    Recommended reading for the exam

    Hard cover, PDF and handbook version

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Next Steps

    Critical review of questions

    Develop bank so minimise repetition

    Hopefully will have increase in numbers after Core

    Curriculum publication

    Exam to be held as a stand alone in Brussels, no longer

    linked to the Congress for logistical reasons.

    To have a medal and a prominent award of the

    prize/certificates at the main ECCO/ESSO congress

    (prize is free congress registration).

    Develop specific exams in specialist areas: Peritoneal

    Surface Oncology

  • E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y

    Thank You