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Exam Preparation

Global Health Toolkit No. 4

Author: Dr Alison WrightContributors: Fred Emden, Rakhi Shah and Mr Paul Wood

EXAMINATION PREPARATION

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CONTENTS

1. Introduction

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2. Step 1 – Identify the need

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3. Step 2 – Submit proposal

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4. Step 3 – Quality assurance

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5. Step 4 – Training the trainers

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6. Step 5 – Organising the courses for Parts 1 & 2 MRCOG

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7. Step 6 – Evaluate outcomes

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8. Appendices A. Instructions to Invigilators for Part 1 B. Instructions to Invigilators for Part 2 C. RCOG Franchising Policy

15 to 22

Abbreviations

MRCOG Membership of the Royal College of Obstetricians and Gynaecologists

SBA Single Best Answer

MCQ Multiple Choice Question

EMQ Extended Matching Question

SAQ Short Answer Question

ST Specialty Training

OSCE Objective Structured Clinical Examination

NHS National Health Service


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1. Introduction

The RCOG is increasingly asked for support from organisations around the world to set up centres to

prepare candidates for the MRCOG examinations.

This toolkit has been developed to address variations in global standards of preparation for the

MRCOG examination.

The MRCOG examination is universal and so it is imperative that examination preparation should be

streamlined accordingly in collaboration with host countries in order to maximise success.

This toolkit will guide the host centre through the key elements of the process of establishing an

RCOG examination centre, working in collaboration with the RCOG.

1.1 The MRCOG examination

Membership of the RCOG is achieved by passing the membership examination (MRCOG), which is an

internationally recognised qualification for obstetricians and gynaecologists.

Currently, the examination is divided into two parts:

Part 1 MRCOG covers the basic and applied sciences relevant to the clinical practice of

obstetrics and gynaecology and consists of both single best answer questions (SBAs) and

multiple choice questions (MCQs). The Part 1 examination can be taken at any time after

medical graduation.

The Part 2 MRCOG examination consists of:

A written component consisting of two MCQ papers, two extended matching question (EMQ) papers and a short answer question (SAQ) paper

An oral assessment consisting of 12 stations, which test the candidates’ application of knowledge, and communication skills.

The syllabus for the Part 2 examination maps the RCOG’s core curriculum. Each component of the

examination is appropriately selected to ensure that the examination contains coverage of all the

important subjects.

1.2 Definition of an RCOG examination centre

RCOG examination centres are recognised by the RCOG as flagships of excellence in preparation for

and taking of the Part 1 and 2 MRCOG.

Selected centres will be responsible for delivering the Part 1 and the written component of Part 2

examinations, as well as supporting the prospective candidates through preparation courses,

coaching and eLearning resources.


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2. STEP 1 – Identify the need

Step one is to determine the demand within your country for setting up an RCOG examination

centre. As a host centre you will need to assess potential number of doctors interested in further

qualifications like the MRCOG, how the MRCOG examination will support your existing training

programme and what resources are required in country for potential candidates for their

examination preparation. Firstly, you should consider why candidates may find the Part 1 and Part 2

MRCOG difficult.

2.1 Part 1 MRCOG

The Part 1 is still predominantly a ‘text book’ examination, so an insufficient grasp of core basic

science principles will lead to underperformance. This is particularly the case given the move over to

a ‘systems-based’ approach to undergraduate medical teaching in the UK and elsewhere.

More specifically, certain areas of the syllabus are unpopular, or are deemed to be less relevant to

subsequent practice within obstetrics and gynaecology, so are not given sufficient attention in

preparation for the examination.

For example, performance in areas such as statistics and epidemiology is often much poorer than in

areas such an anatomy, which appear to have been given more attention.

The introduction of the more clinically relevant domains of clinical management and data

interpretation in 2012 has proved problematic to some candidates. It is recommended the host

country reviews the Part 1 MRCOG syllabus page of the RCOG website, explaining the required

knowledge for the Part 1 MRCOG examination. For more detail about the content of each module,

please visit the curriculum pages.

2.2 Part 2 MRCOG

The Part 2 is predominantly grounded in UK clinical practice, assessed against the knowledge

expected of a UK trainee at the end of intermediate training (ST5). Consequently, an insufficient

understanding of current UK clinical practice may prove problematic for candidates.

Therefore, an understanding of evidence-based practice, as outlined in Green-top and other

guidelines is hugely beneficial in the absence of experience of practicing within the NHS.

Areas of the syllabus that do not relate explicitly to clinical practice, but require a good knowledge of

UK practices (such as audit and research) could also prove difficult to candidates unfamiliar with the

UK NHS system. Equally, such topics might be less popular than overtly clinical topics, so may receive

insufficient attention during Part 2 preparation.

Although candidates, particularly those from outside the UK, may fear the SAQ component the most,

it is actually the True/False MCQ component that candidates tend to find more difficult. This tests

breadth, rather than depth, of knowledge, so it will identify those candidates who have not

sufficiently covered the syllabus.

https://www.rcog.org.uk/en/careers-training/mrcog-exams/part-1-mrcog/syllabus/

https://www.rcog.org.uk/en/careers-training/specialty-training-curriculum/


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In terms of the oral component of the Part 2, an insufficient understanding of what constitutes

appropriate communication within a clinical consultation could prove problematic to those

candidates unfamiliar with UK practice and UK culture.

In future, the aim is that communication will be increasingly an intrinsic part of the examination, so

it is important that these skills, are addressed by any examination preparation resources, otherwise

candidates will be disadvantaged. There will also be an increase in lay involvement in the

examination process and this should be catered for in the preparation.

The syllabus is summarised on Part 2 MRCOG syllabus page of the RCOG website, explaining what

you will need to know for the Part 2 MRCOG exam. For more detail about the content of each

module, please visit the curriculum pages. As the Part 2 MRCOG is predominantly about UK clinical

practices, the RCOG has developed a series of resources to support trainers and candidates in their

preparation. It is vital before undertaking the Part 2 examination that you use the resources to

undertake any preparation courses or elearning products.

3. STEP 2 – Submit proposal and supporting documents

Application or ‘proposal’ packs are available on request from the RCOG

([email protected]). Our staff will be able to help with enquiries regarding this

process. The application should be completed and returned to the RCOG with details of the

proposed venue, examination centre and course convenors, local faculty and finance plans – see

below.

3.1 Convenors

3.1.1 Examination Centre Convenor

All new centres should have the support of the local obstetrics and gynaecology society (and of the

local RCOG Representative Committee where this exists).

While there is no minimum number of applicants required to set up exam preparation courses, for

the centre to be financially viable, the minimum recommended number is 10. The RCOG would

require the host country to assume the risk for the RCOG’s costs if the number falls below that

minimum.

For each new centre, an ‘examination centre convenor’ needs to be identified and included in the

proposal. The convenor should be a Fellow or Member of the RCOG, supported by an administrator

to undertake the non-clinical logistics. If there is no Fellow or Member within the host country, then

it is advised to speak to the RCOG before proceeding.

This convenor will ensure that the examination centre has the administrative infrastructure required

to identify and arrange suitable accommodation, to answer queries from local candidates, and to

continuously liaise with the RCOG.

3.1.2 Course Convenor

Two UK convenors will conduct the initial RCOG courses. The host country will be responsible for

covering all costs of the UK convenors, including travel and hotel expenses, visas and per diems.

https://www.rcog.org.uk/en/careers-training/mrcog-exams/part-2-mrcog/syllabus/

https://www.rcog.org.uk/en/careers-training/specialty-training-curriculum/


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Once the course has been established in the host country, the host convenor will be responsible for

organising future courses, in liaison with the RCOG. As the course convenor you will be responsible

for providing:

Speakers for speciality lectures (for example Urogynaecology, Maternal Fetal Medicine). The talks will be confirmed by the Convenors (UK and Host country) shortly after the course has been confirmed

2-3 Examiners to assist with the marking of essays. It is extremely important that we have 2-3 local faculty to support the marking of the course examination questions NB Speakers and examiners can be combined

1-2 administrative staff to handle registration of delegates, liaise with the RCOG regarding course materials, convenor flights and accommodation details, on day administration and post event information

OSCEs

6-10 local examiners, preferably with OSCE experience

3-4 role players The RCOG will provide certificates for all faculty members who participate in the course within one of the teaching and marking roles above.

3.2 Venue

3.2.1 Examination Venue

This must be of an appropriate size to accommodate individual examination desks and chairs for the

required number of candidates. Desks must be spaced sufficiently far apart to prevent potential

cheating and distraction from neighbouring candidates.

Aisles must be of sufficient width to enable invigilators to patrol without disturbing candidates.

Examination accommodation should be well signposted and candidates should be provided with

clear directions and maps to venues.

Candidates should have access to water. If examinations last for a whole day, candidates should be

directed to nearby facilities where refreshments and lunches may be purchased.

In hot climates it is essential that examination rooms be air-conditioned. All examination rooms

should be well ventilated, well lit, of a reasonable temperature, and free from external noise as far

as possible.

The venue must include a secure area for candidates' bags and belongings, as they will not be

permitted to keep these with them at their desks, as well as having adequate male and female

lavatory facilities, including provision of a designated area for breastfeeding and infant changing if

required.

In accordance with equality and diversity policies, every reasonable effort should be made to adapt

the venue for disabled access.


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3.2.2 Course Venue

The course venue will depend on the type of course. The majority of courses will require the

following facilities:

1 x room for lectures

1 x catering room

1 x examiners briefing/marking room

AV equipment and technician - 1 x laptop with PowerPoint, 1 x data projector

Area for registering delegates

For the Part 2 courses, where we conduct a practical OSCE session you will require:

1 x room that can be divided into 10 for OSCE stations NB The same room used for the lectures can be used if there is sufficient space

Optional: 1 recording station

1 closed room for DVD recording

Video system to record one OSCE station onto DVD for each candidate

3.3 Local Faculty

3.3.1 Local invigilators

The examination centre convenor must carefully select these and they must have read and signed

the ‘Security Procedures’ produced by the RCOG Examination Department.

The convenor is responsible for ensuring that all staff strictly follow these procedures and it is

essential that unauthorised persons do not have access to any confidential examination material.

Invigilators must familiarise themselves with the ‘Instructions to Invigilators’ and ‘Instructions to

Candidates’ produced by the RCOG Examination Department (see appendices A and B). All staff must

strictly enforce these instructions. It is essential that there are neither too many nor too few

invigilators for the number of candidates (1 invigilator per 30 candidates).

3.4 Finance/risk assessment

3.4.1 Examinations

The RCOG should receive payment from all examination candidates in advance. This will cover the

cost of running the exams.

3.4.2 Courses

The local centre is responsible for covering all the costs associated with running courses. They will

also set the delegate fee, in line with local market rates – or the RCOG base rate (whichever is the

higher).


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The RCOG receives 20% of the delegate income. Payment must be received prior to the start of the

course. Should the RCOG not receive payment by the agreed date, it reserves the right to remove

RCOG accreditation or cancel the course.

3.4.3 Cancellation of courses

Should the local centre need to cancel the course, notification of the cancellation must be received

by the RCOG in writing 30 days before the course is due to begin.

An administrative charge will be made on all cancellations received and the local centre will be liable

for any charges incurred prior to cancellation e.g. flights, accommodation and visa requirements.

The RCOG follows travel advice from the British Foreign and Commonwealth Office. In the event the

British Foreign and Commonwealth Office advise against travel to the host country the RCOG

reserves the right to cancel the course. However, the RCOG will always endeavour to make

alternative arrangements wherever possible.

4. STEP 3 – Quality assurance

4.1 Examinations

The RCOG will provide a UK RCOG examiner, who has undertaken the RCOG ‘Training the Examiner

Course’. The UK examiner will bring the sealed examinations papers, collect all examinations papers

once completed, and take them back to the RCOG in London.

The UK examiner will complete a report within two weeks, which will be circulated to the RCOG

Examination and Assessment Committee, and recommendations will be sent to the local

examination centre.

In exceptional circumstances, where candidate numbers are low (fewer than 5) and the RCOG is

satisfied as to quality assurance, the RCOG may agree with the host country that local invigilators

will oversee the examination process.

In this case, the lead invigilator will be required to submit a report and the RCOG will agree the

means of secure submission of examination papers.

4.2 Revision courses

RCOG revision courses are governed by the RCOG Franchising Policy (see appendix C). For all new

courses UK RCOG Faculty member(s) will travel to the centre to deliver the initial course(s).

The local centre is then required to identify a group of local doctors who will form the RCOG local

teaching faculty. A ‘training the trainers’ course for each examination will be conducted prior to the

candidates’ course.

The UK RCOG Faculty member will report to the RCOG’s Honorary Director of Conferences and the

Examination & Assessment Committee , with key recommendations (i.e. how many more visits by

the UK Faculty are required, whether additional training the trainers courses are required etc).


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Once the RCOG is satisfied the local teaching faculty can deliver the course independently meeting

the RCOG standards, user satisfaction will be ascertained via electronic feedback forms sent to all

delegates directly after the course – certificates of attendance will only be issued once delegate

feedback has been received.

Delegate feedback will be sent to the Convenors of the Part 1 and Part 2 courses and

recommendations will be provided to the local centre.

4.3 Local centres

The local centre is responsible for the recruitment of the local trainers, and ensuring individuals

meet the requirements set in the Franchising Policy and personal specifications outlined by the

RCOG. It is vital that trainers are available for the entire duration of the courses.

The local centre enters into a formal contract with the RCOG for each course. This ensures the

necessary facilities and equipment are available (individual guidance notes are provided for each

course).

The centre is responsible for the recruitment of candidates, and it is important that these candidates

are either registered or are going to register for the examination. Centres must reach the minimum

numbers set by the RCOG for each course and send payment of the franchising fee to the RCOG prior

to the start of the course.

5. STEP 4 - Training the trainers

5.1 Training the Course Faculty

The course convenor is responsible for bringing together the local faculty. This will usually be made

up of local doctors who meet the personal specifications and experience outlined by the RCOG.

Depending on the size of the examination preparation centre, and experience of local invigilators

and course trainers, it is generally recommended they attend an RCOG ‘training the trainers’ course

in the UK.

Where this is not feasible or appropriate, a local ‘training the trainers’ course (for the faculty) may

be run prior to the course.

The RCOG and the course convenor will discuss how best to train the trainers and agree this

beforehand as part of the proposal planning.

6. STEP 5 – Organising courses for Part 1 and Part 2 MRCOG

The complete Training Course Brochure is available on the RCOG website at

https://www.rcog.org.uk/en/about-us/get-involved-with-our-work/franchise-an-rcog-course/.

6.1 Part 1 MRCOG

The Part 1 MRCOG covers the basic and applied sciences relevant to the clinical practice of O&G. The

following courses are available for Part 1 MRCOG:

https://www.rcog.org.uk/globalassets/documents/get-involved-in-our-work/franchising_rcog_courses.pdf

https://www.rcog.org.uk/en/about-us/get-involved-with-our-work/franchise-an-rcog-course/


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6.1.1 Part 1 MRCOG Preparation Course

This 4-day course is an introduction to the Part 1 MRCOG exam and the comprehensive programme

of lectures covers all components of the examination.

Delivered by experienced RCOG lecturers from the UK, the talks are tailored to address the

examination syllabus. There is coverage of typical examination questions with daily practise papers

plus general advice about preparing for and taking the exam.

During this course you can invite up to 10 local senior doctors to learn more about the Part 1

MRCOG examination syllabus and how to support and coach candidates preparing for their

examination. These senior doctors will also attend the RCOG ‘Training the Trainers’ workshop on

how to organise an RCOG Part 1 MRCOG Revision Course.

It is recommended this course should take place 6-8 months before the examination.

Who should attend?

Minimum 20 candidates preparing to sit the Part 1 MRCOG examination Up to 10 senior doctors who would like to be involved in RCOG teaching.

Requirements and benefits

The RCOG will:

Provide 3 RCOG senior faculty examiners to conduct the course

Prepare course programme and mock examination papers

Prepare course material for candidates

Provide RCOG certification of attendance for delegates and teaching faculty

Provide electronic marketing material

Local hosts need to:

Promote and publicise the course

Recruit 20 local candidates

Provide 3 local faculty members to teach on the course

Identify 10 local senior doctors to observe the course and attend the Training the Trainers

Workshop

Co-ordinate local administration (enrolment of candidates, course registration, course

preparation)

Arrange venue (lecture hall, AV equipment and catering)

Provide accommodation for the 3 RCOG faculty members for 5 nights

Fund the flights, visas, and local expenses for the RCOG faculty (funding may be negotiable

subject to local circumstances in low resource settings – to be discussed and agreed as part

of the proposal process)


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6.1.2 Part 1 MRCOG Revision Course

This 3-day course is the final preparation before candidates sit the Part 1 MRCOG examination. This

programme refreshes candidates on all components of the examination syllabus, which were

delivered in the preparatory course. There is extensive, daily, exposure to typical examination

questions with practise MCQ sessions plus top tips and techniques for taking the examination.

It is recommended this course should take place 8 weeks before the actual examination.

Who should attend?

Minimum 20 candidates sitting the Part 1 MRCOG examination


The RCOG will:

Provide 2 RCOG experienced examiners to conduct the course

Prepare the course programme and course material for candidates

Provide RCOG certification of attendance for delegates and teaching faculty

Provide electronic marketing material


Promote and publicise the course

Recruit 20 local candidates

Arrange local administration (enrolment of candidates, course registration, course

preparation)

Arrange venue (lecture hall, AV equipment and catering)

Provide local faculty (who have attended the Training the Trainers Workshop) to teach on

the course

Fund the flights, visas, and local expenses for the RCOG faculty

Provide accommodation for 2 UK faculty members for 4 nights

Agree to the financial arrangements of the RCOG franchising policy (see appendix C)

6.2 Preparation for MRCOG Part 2 written examination and oral assessments

The Part 2 MRCOG consists of a written and an oral exam that together assess the application of

clinical knowledge. The following courses are available for Part 2 MRCOG:

6.2.1 Enhanced Revision Programme

This 15-week programme is mapped to the syllabus of the membership examination. It guides

candidates through key themes (understanding the NHS, clinical governance and legal and ethical

issues), which give them an insight into clinical practice in the UK to improve the chance of success in

the Part 2 MRCOG examination.

This programme includes:

A series of online lectures for pre, during and post learning

https://www.rcog.org.uk/en/careers-training/mrcog-exams/part-2-mrcog/


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Weekly 1-hour online classroom session with a UK moderator teaching up to 10 candidates at a time.

Regular ‘homework’ assignments and individual feedback from the UK moderator

A list of other supporting materials including StratOG, booklist and TOG articles

A 3-day Part 2 MRCOG Revision Course at the local centre

The programme runs from September to January and April to June each year.

Who should attend?

Candidates who are registered to sit the Part 2 MRCOG examination Maximum 10 candidates per classroom; number of classrooms will be subject to demand


The RCOG will: • Provide 3 RCOG UK faculty (per classroom) conducting the 15-week online classroom

programme

• Prepare the course programme, material and homework for candidates

• Arrange RCOG certification of attendance for delegates and teaching faculty

• Provide electronic marketing material

Local hosts need to: • Promote and publicise the course

• Recruit 10 candidates per classroom

• Co-ordinate local administration (enrolment of candidates, course preparation)

• 1 or 2 local consultants (to support the UK faculty during the 15-week online classroom)

• Agree to the financial arrangements of the RCOG franchising policy (see appendix C)

6.2.2 Part 2 MRCOG Revision Course

This course focuses on exam techniques and practice papers, and offers an insight into the practice

of obstetrics and gynaecology within the UK NHS, (which is essential knowledge to attain success in

this examination).

It is revision, and ‘fine tuning’ advanced preparation, therefore candidates taking this course must

be “exam-ready” in terms of their knowledge, skills and competencies.

This course covers both elements of the examination; candidates will undertake various practice

papers for the written examination in the morning and sit a mock OSCE exam in the afternoon.

The OSCE circuit comprises 10 stations, 2 preparatory and 8 active, just like the actual exam.

Candidates will participate in two mock OSCE circuits, once as the candidate and once as an

observer. The course is limited to 20 candidates to ensure that all candidates gain OSCE experience

and have individual feedback.

Candidates will practise up to:


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• 6 SAQs

• 60 EMQs

• 100 MCQs

• 2 OSCE circuits (once as candidate and once as observer)

It is recommended the course take place 8-10 weeks before the examination.

Who should attend?

Maximum 20 candidates preparing to sit the Part 2 MRCOG examination.


The RCOG will:

• Provide 2 RCOG Examiners to conduct the course

• Prepare the course programme and course material for candidates

• RCOG certification of attendance for delegates and teaching faculty

• Provide electronic marketing material


• Promote and publicise the course

• Recruit 20 candidates

• Co-ordinate local administration (enrolment of candidates, course registration, course

preparation)

• Arrange the venue (lecture hall, one breakout room, AV equipment and catering)

• Fund the flights, visas, and local expenses for the RCOG faculty

• Provide accommodation for 2 faculty for 4 nights

• Agree to the financial arrangements of the RCOG franchising policy (see appendix C)

6.3 eLearning

The RCOG’s online learning resource StratOG includes several resources aimed at preparing

candidates for the Part 1 and Part 2 MRCOG examination. The Part 1 Single Best Answer resource

provides candidates with invaluable practise at tackling SBAs for the Part 1 exam. Studying 218 SBA

questions that focus on the aims and objectives of the specialty training programme, trainees are

given instant feedback on whether they have answered questions correctly, with explanations

provided for each question and answer.

The StratOG website also hosts 96 core training eTutorials, available to help trainees gain the

knowledge required for core training and the Part 2 examination. Mapped to the curriculum, each

tutorial contains a number of interactive elements such as self-assessment questions, case studies

and reflective exercises.

Access to the core training tutorials is provided as a member benefit to all trainees who are

registered on the RCOG Trainees’ Register.

https://stratog.rcog.org.uk/

https://www.rcog.org.uk/en/careers-training/mrcog-exams/part-1-mrcog/format/sample-sbas/

https://stratog.rcog.org.uk/tutorials/core-training


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Tutorials are also available for purchase by individuals interested in accessing the content.

An editorial board with a team of reviewers and authors, regularly updates the content to ensure

that it is accurate and appropriate, and oversees the eTutorials.

7. STEP 6 – Evaluate outcomes and plan future strategy

Once initial courses have been run and the first exam has taken place, the convenor should

consider the outcomes – this should include not only the pass rate of the exam for the local

candidates, but also take into account the delegate feedback from the course which is collected and

given to the UK convenor.

Once the feedback has been analysed should the convenor then feels he/she requires more support

for the running of examination preparation courses in future then they will need to discuss this with

the RCOG.

Assuming the course(s) have been successful, there may be plans to develop and expand.

It is expected that faculty members who have been involved in the local course(s) will be able to

provide guidance and support to the convenor in terms of future planning.


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Appendix A: Instructions for Invigilators for Part 1

1. General

Invigilators must check for any possible cheating. Textbooks, calculators, pocket computers, mobile telephones or similar articles should not be allowed into the examination hall. Invigilators are expected to be aware of the instructions issued to candidates and these are attached.

Should a candidate be seen copying any part of the Question Papers, passing material or talking to any other candidate, the invigilator is instructed by Council to disqualify the candidate.

Candidates must be reminded that question papers, answer sheets and all examination materials remain the property of the College at all times.

Invigilators may not discuss the meaning of questions. All instructions must be given in English.

Candidates more than 30 minutes late should not be admitted and candidates may not leave the examination hall within the first hour of each SBA/MCQ Paper. Candidates may not leave the examination hall during the final 10 minutes of each SBA/MCQ Paper and must remain seated whilst the booklets/answer sheets are being collected. Any candidate leaving the examination hall will only be allowed to return if he/she has been escorted whilst outside the hall.

Candidates are required to provide satisfactory evidence of identification (which must include their name and photograph). Any candidate failing to produce evidence of identification at the beginning of the examination must be informed that he/she will be withdrawn from the examination. The Head of the Examination Department must be informed of all candidates who do not produce identification at the beginning of the examination.

2. Multiple Choice/Single Best Answer Question Papers The examination consists of two Papers, both of which last two-and-a-half hours. Each Paper will consist of 60 single best answer questions (SBAs) and 30 (x 5 part – i.e. 150 individual question items) true/false multiple-choice questions (T/F MCQs) in book form. There is one double-sided answer sheet – one side for the 60 SBAs and the other side for the 30 (150) T / F MCQs. Candidates will have been supplied with detailed instructions and a copy is attached. Before reading out the instructions ensure that all candidates have a copy of the question book but do not allow candidates to begin the examination until they have read the instructions and understood them.

The timing of the two examinations should start only when all candidates have completed the front page of the Question Paper and headings on the answer sheets and understood what is required of them. CANDIDATES MUST SHOW THEIR NAME AS STATED ON THEIR ENTRY TICKET

Only the grade HB pencils supplied should be used. Candidates may erase any pencil mark by using the eraser provided. Emphasis should be made that candidates must use a bold technique with the pencil, completely obliterating the appropriate lozenges. Ink or ball pens must not be used for any part of the examination. Candidates are to be instructed to write their full name in the boxes provided on the front cover of the book and then sign their name in the space marked “signature”. The candidate number (not desk number) must be written in the four squares labelled “candidate number”.


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Candidates should then take out the answer sheet, which is inserted into the question paper and print their surname (family name) and other name(s) at the top of the page. Candidates must show their name as stated on their entry ticket. Their candidate number should then be written in the four squares provided and the lozenges corresponding to the candidate number must be boldly filled in (obliterated). An example of this is provided in the Candidates’ Instructions.

The computer answer sheet must not be folded, creased or torn.

Candidates should be given two time warnings. One at 30 minutes and the second 10 minutes before the end of each Paper. Candidates may not leave the examination hall during the final 10 minutes of each Paper. At the 30 minutes warning candidates must be reminded that unless the answer sheet is completed as instructed they might fail the examination. Candidates have been told in their instructions that they may mark their responses in the question book and then transfer their decisions to the answer sheet, but this must be done within the two-and-a-half hours allowed. Candidates must stop writing immediately at the end of the examination. Any candidate seen to be writing after this time must have his/her number taken and be informed that continuing to write after the examination has ended has resulted in disqualification. Candidates must leave on their desks the booklets/answer sheet, which must be collected in numerical order. For all candidates that wish to leave before the end of the exam, please check that the answer sheet is inserted inside the question booklet with the answer sheet slightly visible at the top. For candidates that remain until the end, please ask candidates to leave their answer sheets on top of their question booklets, ready for collection.

Invigilators must check that candidates who appeared for Paper 1 are also present for Paper 2. Any candidate absent for Paper 2 should be noted and their paper removed from the desk.

IMPORTANT: PLEASE NOTE: The question books remain confidential even after the examination. It is of the utmost importance that all books, including the invigilator's copy, are returned to the College immediately after the examination together with a note of absentees on the candidate list supplied. No book may be removed from the examination hall. Instructions for the return of the examination material will be given separately.

THE INVIGILATOR MUST RETAIN SPARE QUESTION BOOKS. SPARE BOOKS MUST REMAIN IN THE EXAMINATION HALL AND MUST NOT BE GIVEN TO ASSISTANTS TO READ.

Appendix B: Instructions for Invigilators for Part 2 1. General Invigilators must check for any possible cheating. Textbooks, calculators, mobile telephones, pocket computers or similar articles should not be allowed into the examination hall. Invigilators are expected to be aware of the instructions issued to candidates and these are attached. Should a candidate be seen copying, talking to another or passing anything to any other candidate, the invigilator is instructed by Council to disqualify the candidate. Candidates must be reminded that question papers, answer sheets and all examination materials remain the property of the College at all times. Invigilators MAY NOT discuss the meaning of questions. All instructions must be given in English.


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Candidates more than thirty minutes late should not be admitted and candidates may not leave the examination hall within the first hour of each paper. Candidates may not leave the examination hall during the final 10 minutes of each paper and must remain seated whilst the answer booklets/answer sheets are being collected. Any candidate leaving the examination hall will be allowed to return only if s/he has been escorted whilst outside the hall. Candidates must stop writing immediately at the end of each examination and should be given two time warnings, the first 30 minutes and the second 10 minutes before the end of each paper. Any candidate seen to be writing after this time must have his/her number taken and be informed that continuing to write after the examination has ended has resulted in disqualification. The numbering of questions, underlining and final corrections must be completed by the end of the examination. Any candidate wishing to attract the invigilator’s attention should raise his/her hand. Candidates must provide evidence of identification, which shows their name, and photograph (e.g. passport, hospital identification badge). This should be inspected at the beginning of the examination to verify each candidate’s authenticity. Any candidate failing to produce evidence of identification at the beginning of the examination must be informed that s/he will be withdrawn from the examination. The Head of Examination Department must be informed of all candidates who do not produce identification at the beginning of the examination. It is the invigilator’s responsibility to open the package(s) containing the confidential question papers in the presence of the candidates and to ensure that all candidates have a paper at the start of each examination session. 2. SAQ/ EMQ/ MCQ PAPERS The examination will comprise one Short Answer Question (SAQ) Paper (1 hour 45 minutes) two EMQ Papers (each with 45 questions) and two MCQ Papers (each with 120 Questions). EMQ Paper 1 and MCQ Paper 1 will be sat together (2 hours 15 minutes) and EMQ Paper 2 and MCQ Paper 2 will be sat together (2 hours 15 minutes). EMQ Paper 1 and MCQ Paper 1 will be distributed together, as will EMQ Paper 2 and MCQ Paper 2. In both cases, candidates must decide for themselves the allocation of their time for each of the papers within the limit of 2 hours 15 minutes. The timetable is as follows: SAQ Paper: 1 hours 45 minutes Break: 45 minutes EMQ/MCQ Paper 1: 2 hours 15 minutes Break: 30 minutes EMQ/MCQ Paper 2: 2 hours 15 minutes Candidates have been asked to present themselves in good time. Invigilators are requested to ensure that candidates correctly fill in NAME and CANDIDATE NUMBER (NOT DESK NUMBER) on the cover of the SAQ Paper booklet, EMQ/MCQ booklet and EMQ/MCQ answer sheet. Invigilators must check that the candidate number is written in the space provided at the top of each SAQ question. CANDIDATES MUST SHOW THEIR NAMES AS STATED ON THEIR ENTRANCE TICKET.


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FOR EACH SHORT ANSWER QUESTION A MAXIMUM OF 4 MARKS MAY BE DEDUCTED FOR PERSISTENT FACTUAL ERRORS OR DANGEROUS CLINICAL PRACTICE. EXTENDED MATCHING QUESTIONS: CANDIDATES MUST SELECT THE SINGLE MOST APPROPRIATE OPTION FOR EACH QUESTION. INCORRECT ANSWERS ARE NOT PENALISED. MULTIPLE CHOICE QUESTIONS: CANDIDATES MUST BE INSTRUCTED THAT ALL QUESTIONS MUST BE ANSWERED. INCORRECT ANSWERS ARE NOT PENALISED. The examinations should start only when all candidates have completed the front page and headings on the answer booklets/answer sheets and understood what is required of them. Candidates have been warned that those who are late for the start of the examination will forfeit this time. Invigilators are, however, asked to ensure that the full 1¾ hours for the Short Answer Question Paper and the full 2¼ hours for each of the EMQ and MCQ Papers are allowed taking into account a possible late start caused by the time taken at the start of the examination when instructions are given, or delay between collecting the EMQ/MCQ Paper 1 booklets and the issue of the EMQ/MCQ Paper 2 booklets. To preserve SECURITY for the EMQ/MCQ Papers, all booklets and answer sheets MUST BE COLLECTED at the end of the time allowed. The EMQ/MCQ Papers MUST NOT BE ISSUED until the SAQ Papers have been collected. Only the grade HB pencil supplied should be used for the EMQ/MCQ Papers. Candidates may erase any pencil mark by using the eraser provided. It should be emphasised that candidates must use a bold technique with the pencil, completely obliterating the appropriate lozenges. Ink or ballpoint pens must not be used. SHORT ANSWER QUESTION PAPERS Please ensure that candidates write their CANDIDATE NUMBER (NOT DESK NUMBER) and their FULL NAMES on the cover of the SAQ Paper booklet. Candidates must enter their number in the space provided at the top of each SAQ question Candidates must not be provided with replacement Short Answer Question Paper booklets/answer sheets/additional paper. Candidates must not remove any papers from the Short Answer Question Paper booklets. Candidates may use the coloured paper provided for notes/rough work (one sheet per candidate). EMQ/MCQ Candidates are to be instructed to write their full name in the boxes provided on the front cover of the booklet and then sign their name in the space marked "signature". The candidate number (not desk number) must be written in the four squares labelled "candidate number". Candidates should then take out the answer sheet, which is inserted into the MCQ Paper booklet and print their surname (family name) and other name(s) at the top of the page. Candidates must show their name as stated on their entrance ticket. Their candidate number should then be written in the four squares provided and the lozenges corresponding to the candidate number must be boldly filled in (obliterated). An example of this is provided in the candidates’ instructions (copy attached).


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The computer answer sheets must not be folded, creased or torn. Candidates should be given two time warnings. One at 30 minutes and the second 10 minutes before the end of the Short Answer Question/EMQ/MCQ Papers. Candidates may not leave the examination hall during the final 10 minutes of the Short Answer Question/EMQ/MCQ/ Papers. At the 30 minutes warning candidates must be reminded that unless the EMQ/MCQ answer sheet is completed as instructed they may fail the examination. Candidates must be advised that failure to respond clearly to every question may result in the inadvertent loss of marks. Candidates must stop writing immediately at the end of the examination. Any candidate seen to be writing after this time must have his/her number taken and be informed that continuing to write after the examination has ended has resulted in disqualification. Candidates must leave the answer booklets/answer sheets on their desks, which should then be collected, in numerical order. Candidates have been told, in their EMQ/MCQ Paper instructions that they may mark their responses in the booklets and then transfer their decisions to the answer sheet, but this must be done within the time allowed. ALL QUESTIONS MUST BE ANSWERED: TRUE OR FALSE. INVIGILATORS MUST ENSURE THAT COMPLETED ANSWER SHEETS FOR EMQ/MCQ PAPERS 1 AND 2 ARE INSERTED IN THE MCQ QUESTION BOOKLETS. IMPORTANT: PLEASE NOTE: The Short Answer Question Paper, EMQ and MCQ Paper booklets remain confidential even after the examination. It is of the utmost importance that all booklets, including spares and invigilator’s copies, are returned to the College immediately after the examination. If EMQ and MCQ booklets need to be shredded, this must only be carried out by the RCOG representative from the UK. The completed answer booklets (including all spare Short Answer Question, EMQ and MCQ Papers) must be returned, in numerical order, to the Examination Department together with absentee list and unused stationery. ALL SPARE QUESTION PAPERS (SHORT ANSWER, EMQ AND MCQ) MUST BE RETAINED BY THE INVIGILATOR. SPARE PAPERS MUST REMAIN IN THE EXAMINATION HALL AND MUST NOT BE GIVEN TO ASSISTANTS TO READ.

Appendix C: RCOG Franchising Policy

Individuals and organisations wishing to hold RCOG-branded courses will now be able to apply to the RCOG for permission to do so. The necessary information to run these courses will be included in an Application Pack, which will be supplied on request to the RCOG Meetings department. Once completed, the application to hold an RCOG-approved course will be assessed by the

Meetings department, with appropriate input from other RCOG departments as necessary. The Vice President of Strategic Development in cooperation with the Senior Vice President and Vice President of Education are the Officers of the RCOG with overall responsibility for franchising courses. Principles

All courses must be based on the relevant RCOG Curriculum at the appropriate level.


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The franchised organisation, course content and method of delivery must be approved in advance by the RCOG.

The course faculty must consist of RCOG Fellows/Members or Trainers approved by the RCOG.

The RCOG will supply course certificates to the delegates who have attended and all delegates will be required to complete the RCOG feedback questionnaire, which will be sent directly back to the RCOG.

All course materials and documentation to run the course will be provided by the RCOG.

The franchised organisation will be entitled to use RCOG ‘branding’ for the course.

The RCOG will initially inspect courses to ensure adherence to the required standard.

RCOG franchised courses may advertise free of charge in specific RCOG marketing resources, both online and in print.

A proportion of the delegate fee will be paid to the RCOG by the Course Convener, to support the quality assurance process. This will be negotiated with the RCOG on an individual basis, but will be at least 20%. Alternative funding arrangements may be possible, depending on circumstances and requirements to be agreed in advance with the RCOG.

Organisation of UK and International courses The following is applicable to all courses, including Basic Practical Skills, Theoretical Courses for Advanced Training Skills Modules and Part 1 and 2 MRCOG Revision Courses.

Convenor

The Convener is the person who organises the course and is responsible for its running. He/She will choose the course leads and advise on faculty.

The Convener bears the ultimate responsibility to ensure RCOG policies are met, guidelines are followed and revenue is collected and sent to the RCOG.

The Convener will be chosen primarily from UK Fellows and Members, though Fellows and Members outside the UK should be encouraged to become course leads and ultimately conveners.

Course Leads

The Course Lead should be an experienced teacher/trainer who has taught on several teaching/training courses. CVs may be required.

Each Course Lead would be responsible for organising and teaching on at least one course held at the RCOG and a minimum of one other course held in their local area.

Trainers

The Trainers will be recruited by course leads and will be required to teach a minimum of one course held in their local area and participate at course held at the RCOG if required.

RCOG Courses Held Internationally

International courses should follow UK programmes.

One or occasionally two Conveners/Course Leads should initially attend each international course to establish a group of Trainers and offer advice on preferred methods for course delivery.

International Faculty and conveners will be ‘created’ by:

Running international courses under supervision/assessment by the appropriate UK Convener/Course Lead.

It may be possible in certain circumstances for the RCOG to partially fund travel expenses of UK Conveners/Course Leads who will initially run the international course.


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Alternatively international Course Leads will have the opportunity to apply for funding, in the form of travel expenses, to attend a “Training the Trainers” course to be held at the RCOG.

In time, local people, Fellows and Members, will run local RCOG courses. Where there are concerns about a course, its organiser may be asked to participate in an RCOG course in the UK. Guidelines for running courses Curriculum Courses must be based on the current RCOG curricula and examinations syllabi, as detailed on the RCOG website. Host organisation and venue Organisations wishing to run RCOG franchised courses should complete the RCOG course application pack giving full details of the proposed course, venue, faculty and contacts. Trainers The convenor and course lead must approve all trainers for RCOG franchised courses. A full list of teachers and trainers running the course should be submitted with the application. It is important that UK convenors and course leads should teach at least one course per year which is held at the RCOG, to keep up to date with any developments. An RCOG inspector may attend a course periodically to ensure that standards are maintained. If feedback indicates that a course is not delivered to standard, the College is eligible to attend and evaluate the course in question. The Course Package Once an organisation/hospital has been approved a course pack will be provided with the following information: Branding Branding includes use of all RCOG templates and the words ‘RCOG’ in the course title. Course certificates will be issued by the RCOG. Course materials Course materials, such as participant manuals, will be provided by RCOG either in print or as electronic files, so that local printing arrangements can be made, if preferred. The cost of materials will be included in the delegate fee. All material is RCOG copyright protected and should be used only for the duration of the organised course. All convenors will be expected to sign a statement adhering to the RCOG terms and conditions of copyright. Improper use of RCOG course materials without application will be investigated by RCOG. Training materials Complete CD-ROM with lecture presentations, videos and additional course requirements will be provided.


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Marketing RCOG franchised courses will be entitled to use specified College marketing opportunities at no charge. The advert will include date, venue, course leader and administrative contact free of charge on a selection of RCOG marketing resources, both online and in print. Should extra words and display advertisements be required, these maybe charged at an agreed rate. Booking arrangements The convenors will be expected to inform the RCOG of the minimum number of delegates attending each course. Appropriate payment must be made 8 weeks prior to the course. Payment for additional delegates can be made to the RCOG following the course and all certificates will be issued following full payment for the course. If you do not reach your minimum numbers by the above deadline, then you will need to consider cancelling the course.

© Royal College of Obstetricians and Gynaecologists 2014. Registered Charity No. 213280

Royal College of Obstetricians and Gynaecologists27 Sussex Place, Regent’s Park, London, NW1 4RG

Tel: +44 207 772 6200Email: [email protected] Website: www.rcog.org.uk/globalhealthtoolkits

Also in the Toolkit series:

• Curriculum Design• Developing a Subspecialty Training Programme • Establishing a Training Centre for Courses• Exam Preparation • Guideline Development and Adaptation• Health and Training Needs Assessment • Service Review and Audit

exam preparation - rcog · pdf filestep 3 – quality assurance 8 ... nhs national health...

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