report of chair of primary examination committeereport of chair of primary examination committee...

REPORT OF CHAIR OF PRIMARY EXAMINATION COMMITTEE

2013.1 PRIMARY EXAMINATION

1. INTRODUCTION

The MCQ and the Viva components of the 53rd Primary Examination 2013.1 were conducted separately. The MCQ examinations were held on-line via Cliftons training centres throughout Australasia on 15 February 2013 (Appendix IIA). The final number of candidates presenting for the MCQ was 420 after the College had received applications from 429 trainees.

There were 93 full exam candidates, 76 candidates sitting three subjects, 169 candidates sitting two subjects and 82 candidates sitting single subjects. (Appendix I).

The examination consisted of 60 MCQs (over 90 minutes) in each of anatomy, pathology, physiology and pharmacology. Those candidates who received a scaled mark of 8 or more out of 20, were invited to the corresponding Viva exam on 21 – 22 March 2013 at the Hilton Hotel, Adelaide.

As per last exam, the division of the examination ran well, and allowed for optimal efficiency in the viva timetable.

The peer support examiner program was run during this exam. The peer support examiners (PSE) led a successful orientation/education program for 7 new examiners, as well as peer supporting the other examiners.

My sincere thanks go to Philippa Henderson, Sarah Aldridge, Mary Lawson, Pam Donaghy and Leonie Tatt for overseeing this primary exam, and also to Katharine Ebbs and Louise Feeney for development and delivery of the on-line MCQ.

2. SETTING OF THE EXAMINATION

The relevant PEC subcommittees set the MCQ questions and Viva topics. MCQ’s were selected from the MCQ bank in accordance with the subject matrices published in the training and examination handbook and on the College’s website. Extensive proof reading of the MCQ component was undertaken by the subcommittee chairs, subcommittee members, an alternate subcommittee chair and the chair, PEC. This resulted in no typographical errors in the final copy of the exams.

The timetables for both the MCQ and Viva components of the examination are attached (Appendix IIB & IIC). A list of the Viva topics is appended (Appendix III) and the workshopped Viva questions are available on the College website.

43 examiners participated in the Viva exam. In addition, the 5 peer support examiners were also allocated to tables during the exam (Appendix IV).

As with previous exams, candidates were able to withdraw from subjects at any time prior to their oral exam. Due to the ‘invite only’ nature of the Viva, this was minimal.

3. MCQ EXAMINATION

As mentioned above, an online format was used for the MCQ examinations. Locations were available in all Australian States and Canberra, as well as Auckland, Wellington and Christchurch in New Zealand.

The exam was coordinated through Cliftons, and held at their offices or those of their affiliates. Extensive pre-exam preparation was undertaken by College officers, Cliftons’ staff and PEC members.

Report of Chair of Primary Examination Committee 2013.1 Primary Examination of 4

This included but was not limited to having built in hardware and software redundancy, staff/invigilator training, troubleshooting manuals and on-site and on-line IT back up.

In all locations, each subject was given an individual time slot with a 30 minute lunch break between Anatomy and Pathology in the morning and Physiology and Pharmacology in the afternoon. 30 minutes was allocated prior to the commencement of each exam for registration and admin time. Time zone differences were accounted for within the exam timetable (Appendix IIB) and therefore candidates were not quarantined after the exam. No candidates were permitted to leave the examination early.

Prior to the commencement of the examination, candidates were logged on to the exam software by an invigilator using their pre-assigned user name and password. The candidates were then escorted into the exam room and directed to their allocated computer in a timely manner. The electronic format allowed each exam to be randomised. Each candidate still received the same 60 questions per subject; however the order of questions was different. The MCQ software displayed the candidates’ names and an exam count down clock.

Some computers suffered a temporary drop in internet connection resulting in a frozen screen for up to one minute. Affected candidates were given extra time to complete the exam and their data was checked to ensure that all answers had been captured and their results correct. The exam software which is used is written so that if there is a delay or temporary drop in internet connection for some reason, all the results from every exam attempt are recorded.

In Sydney, the Cliftons invigilators unfortunately used the Anatomy log on user IDs and passwords for the Pathology exam. This was quickly recognised and the candidates were re-logged into the exam using the correct user IDs and passwords. Cliftons have acknowledged the error and will take steps to ensure this does not happen again. It will also be re-emphasised to candidates both in the primary exam information booklet, and by the ACEM invigilators’ overhead announcement at the beginning of each exam, that they must check that their name is on the monitor and notify an invigilator immediately if it is not.

4. MARKING OF THE MCQ

Marks from the on-line MCQ were downloaded into the marking program developed by Dr Gary Ayton. As in past exams, a small number of MCQ questions needed review during the marking process due to fewer than 36% of candidates selecting the correct answer. Any poorly performing questions have been referred to the relevant subcommittees for revision or deletion. Results from the MCQ exam were collated and then scaled according to the scaling system published in the training and examinations handbook. Invitations to the respective viva exams were emailed to candidates scoring a scaled mark of 8 or greater out of 20, on the 7th March, once the viva time table was finalised. The invitations are no longer posted.

5. PRE-EXAM MEETING

The pre-exam meeting was held at the Hilton Adelaide commencing at 1600 hours on Wednesday 20th March. The meeting was addressed by Dr Barry Gunn, Chair Primary Exam Committee. The format of this meeting was different to previous exams. The 4 groups rotated through different stations of either one or two hour’s duration. Each group worked in a separate room, rather than in a common room. This was viewed very positively and hopefully will be able to done at future pre-exam meetings.

In the weeks prior to the meeting, under the leadership of co-ordinating examiners, preparatory work had been undertaken on the Viva questions from the topics set by the Primary exam committee. These draft developed questions were workshopped and finalised at the pre-exam meeting in one station (two hours duration). The other 2 stations (each of one hour’s duration) that were held were standard setting the 2013.2 primary exam MCQ using the modified Angoff method


and a session workshopping the integrated viva which will commence as of the 2013.2 exam. The format of the standard setting session was changed from previous standard setting sessions. For example, 5 to 10 questions were discussed at a time to try and get the judges more in line with each other. The standard setting results will be used to compare to the current standardistation process for the 2013.2 MCQ exam. With regard to the integrated viva, valuable feedback was obtained. It is planned to send this information to the Court of Examiners.

6. VIVA EXAMINATION

Examining began at 0830 hours and concluded at 1820 hours on Thursday 21st March (morning and afternoon sessions) and 0830 hours concluding at 1335 hours on Friday 22nd March. Each session of each subject contained a separate exam. Three sessions were used for Anatomy, Pathology, Physiology and Pharmacology.

The PEC and examiners endeavour to make each Viva session equivalent in depth, breadth and difficulty of subject matter covered.

There were 20 tables in the Viva room and we had enough invigilators at each session.

Overall the exam ran to time throughout.

Candidates who had completed their exam were quarantined until all candidates sitting that session (i.e. sitting the same set of viva questions) had arrived. All candidates had been warned against the use of mobile phones during this period. There were no known security breaches.

Collation and entry of Viva marks occurred throughout the viva sessions with final entry and checking completed within two hours of the exam’s conclusion.

The helpfulness of the staff of the Hilton Adelaide was first rate.

7. RESULTS

Results were posted at the examination venue at approximately 15:30 hours on 22 March. They were also made available simultaneously on the internet via the College web site.

The Joseph Epstein Prize for the 2013.1 Primary Examination was Daniel Haustead. A list of trainees who completed their primary examination at this exam is found in Appendix V.

Detailed statistics can be found in Appendices VI & VII. The overall pass rate of those invited to the Vivas was 79.7%

My congratulations go to all successful candidates.

8. MATTERS ARISING FROM THE CONDUCT OF THE EXAMINATION

The Hilton Adelaide Hotel worked very well as a venue for the Viva.


9. ACKNOWLEDGMENTS

In order for the examination to run smoothly a large number of people are involved. In particular, I would like to thank the following people for their contributions.

First and foremost Philippa Henderson and Sarah Aldridge for their incredible effort, hard work and patience in all aspects of the exam organisation. Without them the exam could not be run.

Katharine Ebbs and Louise Feeney for their assistance with all aspects of the on-line MCQ.

Mary Lawson, Pam Donaghy and Leonie Tatt for their assistance with running the examination.

Dr Gary Ayton for his IT expertise and for marking the exam.

All invigilators (ACEM and Cliftons’) for their part in the running of the MCQ Examination.

Dr David Lightfoot, previous chair of the Primary Examination Committee and current chair of the Examiner Committee, for all his help and advice.

The Primary Examination Committee for the development of questions and the setting of the examination.

The Court of Examiners for volunteering their time, both for the exam days and in preparation.

Once again members of the Adelaide Emergency Medicine community were extremely generous with their time during the Vivas. My thanks go to the following invigilators who helped with logistics on the days of the vivas and with support of the candidates: Aman Anand, Shankar Badu, Catriona Balfour, Tanya Boast, Adrainne Boonstra, Judy Cornish, Jackie Davidson. Lisa Farmer, Alistair Fergusson. Andrew Giles, Srinivas Golla. Kimberly Humphrey, Ken Lee. Jake Mallon, Simon Menelaws, Tariq Nehvi, Melissa Nelligan, Mohines Pala, Yousouf Peerbaye, Rhea Sicat, Muhammad Tajdar. Very special thanks to Keiko Morioka who organised all the invigilators and was chief invigilator on both days.

The staff from the Hilton Adelaide Hotel, and from Cliftons.

Yours Sincerely

BARRY GUNN CHAIR PRIMARY EXAMINATION COMMITTEE

S:\EXAMINATION - Primary\Primary Examination\Reports & Statistics\# PE Reports\2013-1\APPENDIX I Candidate number stats-2013-1.doc

APPENDIX I

PRIMARY EXAMINATIONS

1990 – 2013.1

Number of

Applicants Withdrawals

Before Writtens

Candidates presenting MCQ/Viva

Single Subject Candidates

Two Subject Candidates

Three Subject Candidates

Four Subject Candidates

2013.1 429 9 420 411 82 169 76 93

2012.2 543 21 535 507 108 280 63 92

2012.1 439 32 407 384 121 188 48 50

2011.2 436 11 425 392 172 172 39 40

2011.1 379 17 362 331 122 166 30 44

2010.2 471 41 430 151 204 32 43

2010.1 429 32 397 139 191 30 37

2009.2 480 79 401 134 162 35 70

2009.1 430 70 360 123 159 35 43

2008.2 451 66 384 110 190 36 48

2008.1 369 63 306 81 146 27 52

2007.2 344 54 288 86 131 30 41

2007.1 285 49 236 65 103 24 44

2006.2 211 45 206 44 94 29 39

2006.1 213 43 170 42 77 16 35

2005.2 236 34 196 58 75 20 43

2005.1 204 39 165 48 66 17 34

2004.2 216 46 170 33 68 17 52

2004.1 171 39 132 28 37 15 52

2003.2 185 43 142 21 33 14 74

2003.1 153 47 106 17 16 8 65

2002.2 162 26 136 8 15 7 106

2002.1 113 22 91 21 8 4 58

2001.2 137 26 111 13 3 95

2001.1 99 33 66 19 2 45

2000.2 119 31 88 4 0 84

2000.1 129 26 103 26 7 70

1999.2 171 38 133 12 7 114

1999.1 136 39 97 22 6 69

1998.2 152 34 118 8 2 108

1998.1 89 21 68 13 6 49

1997.2 129 21 108 9 99

1997.1 96 29 67 5 62

1996.2 97 20 77 3 74

1996.1 55 13 42 3 39

1995.2 71 22 49 3 46

1995.1 44 16 28 28

1994.2 61 15 46 46

Appendix I Page 2 of 2

Number of

Applicants Withdrawals

Before Writtens

Candidates presenting MCQ/Viva

Single Subject Candidates

Two Subject Candidates

Three Subject Candidates

Four Subject Candidates

1994.1 54 19 35 1 34

1993.2 63 13 49 49

1993.1 53 11 40 1 39

1992.2 67 15 52 N/a

1992.1 47 26 21 N/a

1991.2 43 9 34 N/a

1991.1 26 5 21 N/a

1990.2 55 14 41 N/a

1990.1 30 13 17 N/a

PRIMARY EXAMINATION MCQ ON-LINE VENUES 2013.1

ACT - Canberra Cliftons Canberra Level 2 10 Moore Street Canberra ACT 2601 Telephone : (02) 6122 0999

NSW - Sydney Cliftons Sydney Level 13, 60 Margaret Street Sydney NSW 2000 Telephone : (02) 9250 0999

NT - Darwin Crimson Innovations Unit 3 6 Catterthun Street Winnellie NT 0820 Telephone : 1300 881 148

VIC - Melbourne Cliftons Melbourne Level 1 440 Collins Street Melbourne VIC 3000 Telephone : (03) 9993 9999

SA - Adelaide Cliftons Adelaide Level 1 80 King William Street Adelaide SA 5000 Telephone : (08) 8233 0999

TAS - Hobart The Quill Consultancy Level 6 152 Macquarie Street Hobart TAS 0820 Telephone : (03) 6224 0263

QLD Brisbane Cliftons Brisbane Level 3 288 Edward Street Brisbane QLD 4000 Telephone : (07) 3231 0999 Cairns Dedicated Training 220 Severin St Cairns QLD 4870 Telephone: (07) 4030 1111

WA - Perth Cliftons Perth Ground Floor, Parmelia House 191 St Georges Terrace Perth WA 6000 Telephone : (08) 9480 0999

NZ Auckland Cliftons Auckland Level 2 Tower Centre 45 Queen Street Auckland 1010 Telephone : 64 9 374 0999 Christchurch The George 50 Park Terrace Christchurch 8013 Telephone : 64 3 379 4560 Wellington Cliftons Wellington Level 28 The Majestic Centre 100 Willis Street Wellington 6011 Telephone : 64 4901 9010

NSW 200 George Street Sydney NSW 2000 (02) 9250 0999

VIC Level 1 440 Collins Street Melbourne Vic 3000 (03) 9993 9999

SA Level 1 80 King William Street Adelaide SA 5000 (08) 8233 0999

Delivery Address: Sydney Cliftons Rebecca Fridman Level 2, 200 George Street Sydney NSW 2000 02 9250 0916

Delivery Address: Melbourne Cliftons Paul Fenton Level 1, 400 Collins St Melbourne Vic 3000 Ph: 03 9993 9960

Delivery Address: Adelaide Cliftons Chloe Strauss Level 1 80 King William Street Adelaide SA 5000 Ph: 08 8233 0977

QLD Brisbane Level 3 288 Edward Street Brisbane Qld 4000 (07) 3231 0999 Townsville Holiday Inn Townsville 334 Flinders Mall Townsville (07) 4729 2021

WA Ground Floor, Parmelia House 191 St Georges Terrace Perth WA 6000 (08) 9480 0999

NZ Auckland Level 2 Tower Centre 45 Queen Street Auckland 64 9374 0999 Christchurch The George Hotel 50 Park Terrace Christchurch NZ 64 3 371 0255 Wellington Level 28 The Majestic Centre 100 Willis Street Wellington 6011 64 4901 9099

Delivery Address: Brisbane Cliftons Katy Bowers Level 3, 288 Edward St Brisbane Qld 4000 Ph: 07 3231 0996 Townsville Cliftons Kaye Thwe 07 4729 2021

Delivery Address: Perth Cliftons Maria Brookes Ground Floor 191 St Georges Terrace Perth WA 6000 Ph: 08 9480 0970

Delivery Address: Auckland Cliftons Erica Forbes Ph: 64 9 374 0987 Christchurch Daniel (03) 371 0255 Wellington Cliftons Justing Scraayer 64 4901 9099

DG22 Clifton's Venues

MCQ MASTER TIMETABLES 2013.1

NEW ZEALAND:

SUBJECT TIME DESCRIPTION

Anatomy 10:00 - 10:15 Registration

10:15 Enter room/Admin time

10:30 Commence examination

12:00 End examination

Pathology 12:00 - 12:15 Registration




BREAK

Physiology 14:30 - 14:45 Registration




Pharmacology 16:30 – 16:45 Registration




EDT – CANBERRA/HOBART/MELBOURNE/SYDNEY:










BREAK





Pharmacology 14:30 - 14:45 Registration




CDT - ADELAIDE:










BREAK

Physiology 13:00 – 13:15 Registration




Pharmacology 15:00-15:15 Registration




WST - PERTH:










BREAK









CST - DARWIN:










BREAK BREAK









EST – BRISBANE/CAIRNS:










BREAK









ANAT PATH PHYS PHARM ANAT PATH PHYS PHARM ANAT PATH PHYS PHARM ANAT PATH PHYS PHARM ANAT PATH PHYS PHARMBLOCK TIME 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

0830-0840 00093 00091 00049 00081 00022 00024 00042 00007 00094 00015 00009 00068 00008 00005 00034 00060 00071 00062 00074 000040845-0855 00004 00093 00091 00049 00081 00022 00024 00042 00007 00094 00015 00009 00068 00008 00005 00034 00060 00071 00062 000740900-0910 00074 00004 00093 00091 00049 00081 00022 00024 00042 00007 00094 00015 00009 00068 00008 00005 00034 00060 00071 000620915-0925 00062 00074 00004 00093 00091 00049 00081 00022 00024 00042 00007 00094 00015 00009 00068 00008 00005 00034 00060 00071

0935-0945 00001 00003 00013 00014 00033 00056 00069 00016 00021 00027 00038 00039 00043 00044 00046 00050 00052 00064 00066 000700950-1000 00070 00001 00003 00013 00014 00033 00056 00069 00016 00021 00027 00038 00039 00043 00044 00046 00050 00052 00064 000661005-1015 00066 00070 00001 00003 00013 00014 00033 00056 00069 00016 00021 00027 00038 00039 00043 00044 00046 00050 00052 000641020-1030 00064 00066 00070 00001 00003 00013 00014 00033 00056 00069 00016 00021 00027 00038 00039 00043 00044 00046 00050 00052

1050-1100 00072 00076 00082 00084 00085 00088 00089 00090 00092 00095 01021 04011 12314 00020 03445 04008 12310 23418 03449 034291105-1115 00036 00072 00076 00082 00084 00085 00088 00089 00090 00092 00095 01021 12416 12314 00020 03445 12315 12310 23418 034491120-1130 01217 00036 00072 00076 00082 00084 00085 00088 00089 00090 00092 00095 01021 12416 12314 00020 01209 12315 12310 234181135-1145 01025 01217 00036 00072 00076 00082 00084 00085 00088 00089 00090 00092 00095 01021 01304 12416 23418 01209 12315 04017

1155-1205 12418 23420 03403 00078 13403 02402 02307 12401 13408 23424 03003 01407 12417 02406 03425 03413 12415 02417 03010 024071210-1220 12316 12418 23420 03403 12313 00065 13403 02402 12308 23409 13408 23424 12303 12417 03014 02406 12312 12415 03009 024171225-1235 01246 12316 00077 12418 01233 12313 00065 13403 01265 12308 23409 13408 01226 12303 03001 12417 01224 12312 03002 124151240-1250 01018 01246 12316 23420 01024 01233 12313 00065 01016 01265 12308 23409 01015 01226 12303 03405 01003 01224 12312 03407

1400-1410 00032 00051 03419 04001 12311 23403 03404 04002 01406 23411 03004 04003 13406 23423 03005 04004 01402 23415 03006 040051415-1425 13405 00032 00051 03419 01409 12311 23403 03404 01007 00029 23411 01406 01005 00048 23423 13406 01032 00035 23415 014021430-1440 01011 23422 00032 00051 01222 12309 12311 23403 01216 02305 00029 23411 01243 02302 00048 23423 01247 02310 00035 234151445-1455 01030 02009 23422 13405 01009 01222 12309 01409 01001 01216 02305 00029 01002 01243 02302 00048 01004 01247 02310 00035

1505-1515 12301 23412 03411 04006 01403 23404 03007 04007 01401 23428 03008 04009 01404 23417 03011 04010 01410 00028 03012 040121520-1530 01408 12301 23412 03411 13404 02003 23404 01403 13409 02011 23428 01401 13407 02004 23417 01404 01261 02306 00028 014101535-1545 01251 00010 12301 23412 01254 02304 13404 23404 01258 02311 13409 23428 01255 23414 13407 23417 01223 01261 03013 000281550-1600 01006 01251 00010 01408 01008 01254 02304 13404 01010 01258 02311 13409 01013 01255 23414 13407 01014 01223 04013

1620-1630 12411 12302 03436 04015 00002 12307 03414 04016 12423 00053 03402 04018 12422 02308 03446 04019 12403 23407 03410 134021635-1645 12406 12411 12302 03436 12405 00002 12307 03414 12413 12423 00053 03402 12420 12422 02308 03446 00075 12403 23407 034101650-1700 01228 12406 12411 01245 12405 00002 00031 12413 12423 01219 12420 12422 01235 00075 124031705-1715 01019 01228 12406 01022 01245 12405 01023 00031 12413 01026 01219 12420 01028 01235 00075

1725-1735 01031 00026 03417 23405 01313 00006 03401 00055 01306 23402 00017 23406 01311 23401 03434 01405 01307 00054 03442 234271740-1750 01305 00023 00026 03417 01033 00055 00006 03401 01034 23406 23402 00017 01035 02403 23401 03434 01036 23427 00054 034421755-1805 01037 02001 00023 00026 01214 02006 00055 00006 01242 00073 23406 23402 01207 02301 02403 23401 01203 00019 23427 000541810-1820 01038 00025 01313 00023 01301 01214 01306 01242 01311 01405 01207 01307 02403 01029 01203 01305

THURSDAY 21 March 2013 - START

BREAK

LUNCH

AUSTRALASIAN COLLEGE FOR EMERGENCY MEDICINE – PRIMARY EXAMINATION – 2013.1 VIVA TIMETABLE

1

2

3

4

5

6

7

8

BREAK

ANAT PATH PHYS PHARM ANAT PATH PHYS PHARM ANAT PATH PHYS PHARM ANAT PATH PHYS PHARM ANAT PATH PHYS PHARMBLOCK TIME 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

AUSTRALASIAN COLLEGE FOR EMERGENCY MEDICINE – PRIMARY EXAMINATION – 2013.1 VIVA TIMETABLE

0830-0840 01302 23408 03421 01262 00061 03428 03408 01259 23419 03426 03422 01205 00041 03435 03424 01230 12306 03412 034500845-0855 01229 12304 23408 03421 01225 01262 00061 03428 01206 01259 23419 03426 01221 01205 00041 03435 01213 01230 12306 034120900-0910 01208 01229 12304 23408 01257 01225 03433 00061 01264 01206 03409 23419 01201 01221 03448 00041 01244 01213 000870915-0925 01208 01302 01257 03408 03433 01264 03422 03409 01201 03424 03448 01244 03450 00087

0935-0945 00067 03430 03443 01234 23421 03438 13401 01239 02303 03423 03418 01250 02404 01303 03406 01241 02408 01310 034410950-1000 01212 02415 00067 03430 01248 01234 23421 03438 01252 01239 02303 03423 01204 01250 03406 02404 01253 01241 03441 024081005-1015 01231 01212 03432 02415 01237 01248 03415 03444 01232 01252 03447 01210 01204 03416 01240 012531020-1030 01231 03443 03432 13401 01237 03444 03415 01232 03418 03447 01303 01210 03416 01310 01240

1050-1100 01220 12412 03431 01238 02409 01309 01218 02410 01249 02411 01202 024181105-1115 12404 12412 01256 01238 00059 02409 01211 01218 02410 01215 01249 02411 01202 024181120-1130 01220 12404 01309 01256 01211 01215 000571135-1145 00086 03431 00059 01227 01236 01260 01263

1155-1205 02421 00083 01266 00037 02002 02420 02005 23413 02007 124141210-1220 23410 02421 02414 00011 12409 23413 02419 12414 000801225-1235 02413 23410 00037 02414 12409 00011 02419 23425 00080 024051240-1250 02008 02413 02010 02012 02013 023091255-1305 00083 02401 12421 00063 02420 23425 024051310-1320 02401 00063 12421 02412 02416 123051325-1335 12407

BREAK

2

3

4

END / LUNCH

1

FRIDAY 22 March 2013 - START

PRIMARY EXAMINATION 2013.1 VIVA TOPICS APPENDIX III

ANATOMY Thursday 21 March 2013 Morning Session TOPIC LOA Bones Femur (Bony Landmarks) LOA1 McMinn’s X-Ray CT Brain (Describe Structures) LOA1 Photo Left Lung Root/Mediastinum (Describe Structures) LOA2 Model Female Pelvis (Organs) LOA2 Discussion Movements of Thumb LOA1

Afternoon Session TOPIC LOA Bones Tibia (Bony Landmarks) LOA1 X-Ray CT Abdomen (Describe Structures) LOA2 Photo Thoracic Inlet (Describe Structures) LOA2 Model Heart (Coronary Artery/Valves) LOA1 Discussion Sensory Innervation (Upper Limb) LOA1 Friday 22 March 2013 Morning Session TOPIC LOA Bones C1/C2 (Bony Landmarks/Articulation) LOA1 X-Ray Foot (Lateral - Describe Structures) LOA1 Photo Palm of Left Hand (Describe Structures) LOA1 Model Male Pelvis (Urinary System/Testes) LOA2 Discussion Circle of Willis LOA1

Afternoon Session TOPIC LOA Bones Elbow (Bony Landmarks) LOA1 X-Ray C spine (Lateral - Describe Structures) LOA1 Photo Posterior Abdo/Pelvis (Describe Structures) LOA2 Model Face (Describe Structures) LOA1 Discussion Knee (Ligaments/Stability) LOA1

PATHOLOGY Thursday 21 March 2013 Morning Session TOPIC LOA Infarction 1 Type 2 Hypersensitivity Reaction 1 Community Acquired Pneumonia 1 Infective enterocolitis 2 Gout 2

Afternoon Session TOPIC LOA

Necrosis 1 Hepatitis B 2 IHD 1 Asthma 1 Obstructive uropathy 2

Friday 22st

March 2013 Morning Session TOPIC LOA Vascular changes of Acute Inflammation 1 The normal immune response 2 Pulmonary Embolism 1 Portal Hypertension 2 Traumatic CNS injury 1 Afternoon Session TOPIC LOA Oedema formation 1 Characteristics of neoplasms 2 COPD 1 Patterns of hepatic injury and hepatic failure 1 Complications of DM 2

PHYSIOLOGY Thursday 21 March 2013 Morning Session TOPIC LOA

Local Blood Flow Regulation (- CV regulation) 1 Pulmonary Resistance and Compliance 1 Renal H+ regulation 1 Glucocorticoids 1 Hearing 2 Afternoon Session TOPIC

Coronary Blood Flow 1 O2 and CO2 transport 1 Renal Tubular Function 1 Anterior Pituitary Hormones (- incl insufficiency) 1 GIT handling of water and electrolytes 1

Friday 22nd

March 2013 Morning Session TOPIC LOA

Cardiac Muscle Action Potential (- incl difference to pacemaker action potential) 1 Lung Volumes and Capacity 1 Renal Handling of Water 1 Vasopressin (hypothalamus) 1 Placental and Foetal Circulation 2 Afternoon Session TOPIC LOA

Cardiac Cycle 1 Gas diffusion 1 Renin- Angiotensin System 1 Neuro muscular junction 1 Exocrine Pancreas 1

PHARMACOLOGY Thursday 21 March 2013 Morning Session

Pharmacokinetic changes in the elderly (changes in metabolism and elimination kinetics) 2 Verapamil (MOA, ADE, indications) 1 Cephalosporins (dose, MOA, anti-bacterial activity) 1 Ketamine (dose, ADE, ROA) 1 N-acetylcysteine (MOA, ADE) 2


Efficacy & potency (definitions and dose/response curves) 1 Propranolol (MOA, ADE) 1 Trimethoprim (dose, MOA, anti-bacterial activity) 2 Midazolam (dose, ROA, ADE) 1 Octreotide (indications, dose, ROA) 2 Friday 22

nd March 2013

Morning Session TOPIC LOA

Bioavailability (definition, examples, factors affecting) 1 Glyceryl trinitrate (MOA, ADE, dose) 1 Norfloxacin (dose, MOA, anti-bacterial activity) 2 Propofol (dose, ADE) 1 Naloxone (MOA, ROA, dose) 2


Biotransformation: Phase I & II reactions (definition, examples, factors affecting) 1 Flecainide (indications, adverse effects) 2 Gentamicin (dose, MOA, anti-bacterial activity) 1 Fentanyl (MOA, dose, ADE) 1 Flumazenil (MOA, indications, ADE) 2

APPENDIX IV

TABLE OF EXAMINERS PRIMARY EXAMINATION 2013-1

EXAMINERS Philip Aplin Shalini Arunanthy Neil Banham Adam Chan Betty Chan Herman Chua James Collier Bill Croker Deanne Crosbie David Cruse Jennifer Davidson Gina De Cleene Bernard Foley Barry Gunn Wayne Hazell Ruth Hew Anna Holdgate Chanh Huynh Trevor Jackson Diane King Sean Lawrence Victor Lee

Belinda Leigh David Lewis-Driver David Lightfoot John Maguire Jennie Martin Sally McCarthy Shyaman Menon Richard Mulcahy Lindsay Murray Debra O'Brien Nadi Pandithage Bhavani Peddinti David Richards Philip Richardson Drew Richardson Ian Rogers Andrew Singer Ian Summers David Symmons Janet Talbot-Stern Eric Van Puymbroeck Mark Webb Kim Yates

PEER SUPPORT EXAMINERS George Braitberg Matthew Chu Diane King Greg McDonald Ian Rogers

NEW EXAMINERS Andis Graudins Kate Porges Sean Clark Shyaman Menon

Simon Chu Swee Cham Shahina Braganza

ACEM Primary Exam Results

March 2013 THE JOSEPH EPSTEIN PRIZE WINNER: Daniel Haustead The following candidates have completed their Primary Exam: Rachelle Abouchedid Aria Adeli Bilal Ahmad MD Rasel Ahmed Sami Al Khalaf Modher Albeiruti Sarah Aldington Saima Ali Saif Alkadhi Amal Al-Mandhari Sulaiman Almubarak Fawaz Altuwaijri Firas Alwaheb Andrew Amato-Gauci Sohaila Amini Nabella Amini Alexandra Archer Amy Archer-Jones Christopher Armstrong Sitti Waheedah Athaullah Jing Au Mirza Baig Mark Ballinger David Barrett Patrick Begley Sally Belcher Vishal Bhatti Purnasankar Bhowmik James Black Fiona Blackburn Paul Blackery Lee Blair Holly Blunden Yi Bong Thomas Bourne Mitchell Cameron Niroshika Chandramohan

Gang Cheng Benjamin Cheung Peter Chigwidden Cheau Wern Chin Lohith Chittanahalli Karigowda Nandini Choudhury Russell Chowdhury Danielle Clark Kathryn Clark Maria-Angela Clifford Julian Cochrane Jon Cohen Isabelle Cooper Mark Daley Ahmed Danyial Ryan Dashwood Conor Davis Ruella D'Cruz Indika De Lanerolle Tanya Dean Atul Dhital Frances Dibona Natalie Dodd Vincent D'Onofrio Elizabeth Du Bois Christine Dyer Gillian Edwards Ghazwan Fahmi Shamim Family Shamim Reza Farooq Clare Finch Laura Fitzpatrick Philippa Flinn Warnage Fonseka Elayne Forbes Jessica Forbes Michael Foster

Angela Fraser Bernard Frost Mohamed Gaber Daniel Gaetani Zoltan Galambos Xiuhui Gao Ruchiika Ghai Emma Gibson Stephen Gildfind Deirdre Glynn Anja Gourlay Cristian Gutierrez Andrew Habig Suzanne Hamilton Rachel Hanney Simon Harger Daniel Haustead Jennifer Hawes Amanda Henderson Amelia Hendry Alexandra Ho Laura Hodgson Matthew Howl A K M Shawkat - UL- Islam Kathleen Jackson Jennifer James Jennifer Jamieson Christopher Jarvis Luke Bartholomew Jeremijenko Carys Jones Laura Jones Davina Julliard Blanchard Kadiongo Stephen Kearney Hamish Kent Georges Khawam Megan Kho Stephanie Krajniak Dominic Krepski Trevor Kuang Praneel Kumar Anil Kumar Shangeetha Kumaresan Joanne Lamont Jamie Lan David Lawless Elleanor Lee Lisa Lee-Horn Claire Leonard Helen Lester Pamela Lim Dieter Linde

Kenneth Lo Eleanor Macdougall Alastair MacKinlay Nilesh Mahale Denmore Maigurira Kiri Manning Joanna Manton Karthikeyan Manugandhi Vong Mao Victoria Markus Nagendran Mathavan Josephine McDonnell Stuart McLay Ciaran McNamara Elissa Milford Robert Mitchell Gary Mitchell Masyitah Mohd Anuar Sally Moore David Moore Robert Morrow Sashikanth Munnangi Judith Murphy Ahamed Mustaq Soe Naing Sarah Newman Bassam Nuseibeh Thomas O'Connor Ailene O'Hehir Ray Paramalingam Ahilan Parameswaran Christopher Parry Krunal Patel Davina Pereira Timothy Petterson Geoffrey Pincham Elena Pop Manda Louise Poynton Bibhu Pradhananga Kiranjeet Pritam Singh Megan Quedley Shantha Raghwan Andreas Rauch Sadia Rehman Lucinda Remilton Alexander Richardson Charles Richmond Veronika Riegler Robert Roan James Roberts Aseem Sabharwal Jasveen Sachdev

Jam Sad Ullah Anna Salah Mark Salter Khin Sam Muhammad Samdani Mark Savage Joshua Scott Roxanne Shahtahmasebi Carly Ann Silvester Gareth Simpkins Casey Smith Katie Smith Myles Smith Ryan Snaith Zhao Kang Soong Thomas Stevenson Cameron Stirling Thanaraj Sudharshan Rojan Thomas Martha Thompson Viet Tran Aine Tuohy Tristan Turner Sarah Tyrrell Dhananjay Uyanage Anuj Vaidya Natalie Varga Emma Wawn Christopher White Sally Wickham Mark Willsdon Craig Wilson Joel Wilson Debra Wood Kerry Woolcock Su-Ying Wu Yu Hong Xiao Terence Yang Kai Yap Ming Yong Amihan Yusingco Mona Zaky George Zhi Zhou

APPENDIX VI

PRIMARY EXAMINATION PASS RATES – 2006.2 onwards

2013.1 Examination subjects passed by subjects attempted 2012.1 Examination subjects passed by subjects attempted

2011.2 Examination subjects passed by subjects attempted

2011.1 Examination subjects passed by subjects attempted.


No of subs attempted

No of Candidates

Four subjects passed

Three subjects passed

Two subjects passed

One subject passed

Zero subjects passed

Pass % Pass % Pass % Pass % Fail %

1 90 74 82.2 16 17.8

2 171 122 71.3 30 17.5 19 11.1

3 64 21 32.8 17 26.6 19 29.7 7 10.9

4 86 35 40.7 8 9.3 21 24.4 8 9.3 14 16.3


No of Candidates



Two subjects passed

One subject passed



1 121 97 80.1 24 19.8

2 188 89 47.3 56 29.7 43 22.8

3 48 17 35.4 9 18.7 10 20.8 12 25

4 50 22 44 6 12 8 16 4 8 10 20


No of Candidates



Two subjects passed

One subject passed



1 172 133 77.3 39 22.7

2 172 104 60.5 34 19.8 34 19.8

3 39 20 51.3 11 28.2 3 7.7 5 12.8

4 40 14 35 6 15 6 15 6 15 8 20


No of Candidates



Two subjects passed

One subject passed



1 122 80 65.6 42 34.4

2 166 79 47.6 49 29.5 38 22.9

3 30 8 26.7 7 23.3 11 36.7 4 13,3

4 44 20 45.5 11 25 2 4.5 5 11.4 6 13.6


No of Candidates



Two subjects passed

One subject passed



1 151 114 75.5 37 24.5

2 204 116 56.9 50 24.5 38 18.6

3 32 11 34.4 11 34.4 6 18.7 4 12.5

4 43 23 53.6 8 18.6 4 9.3 4 9.3 4 9.3 53.6 18.6 9.3 9.3 9.3

34.4 34.4 18.7 12.5

56.9 24.5 18.6

75.5 24.5

0% 20% 40% 60% 80% 100%

1

2

3

4

Number of

Subjects

Attempted

2010.2 % subjects passed by subjects attempted

Four subjects passed Three subjects passed Tw o subjects passed

One subject passed Zero subjects passed

Appendix V – 2006.2 onwards Page 2 of 3

PE06.1

37.2 16.3 16.3 11.6 18.6

32.4 26.5 32.3 8.8

54.3 26.3 19.4

75.6 24.4

0% 20% 40% 60% 80% 100%

1

2

3

4

Number of

Subjects

Attempted




57.7 15.4 13.5 11.51.9

44.4 22.2 14.8 18.5

60.3 20.5 19.2

72.8 27.2

0% 20% 40% 60% 80% 100%

1

2

3

4

Number of

Subjects

Attempted

2008.1

% subjects passed by subjects attempted

Four subjects passed % Three subjects passed % Tw o subjects passed %

One subject passed % Zero subjects passed %

42.6 23.4 10.6 8.5 14.9

25 19.4 25 30.6

53.4 25.1 21.5

72.7 27.3

0% 20% 40% 60% 80% 100%

1

2

3

4

Number of

Subjects

Attempted

2008.2










No of Candidates



Two subjects passed

One subject passed



1 139 109 78.4 30 21.6

2 191 112 58.6 38 19.9 41 21.5

3 30 9 30.0 5 16.7 10 33.3 6 20.0

4 37 18 48.6 3 8.1 3 8.1 6 16.2 7 19.0


No of Candidates



Two subjects passed

One subject passed



1 134 98 73.1 36 26.9

2 162 91 56.2 40 24.7 31 19.1

3 35 10 28.6 10 28.6 9 29 6 19.4

4 70 37 52.9 11 15.7 12 17.1 4 5.7 6 8.8


No of Candidates



Two subjects passed

One subject passed



1 123 93 75.6 30 24.4

2 160 87 54.3 42 26.3 31 19.4

3 34 11 32.4 9 26.5 11 32.3 3 8.8

4 43 16 37.2 7 16.3 7 16.3 5 11.6 8 18.6


No of Candidates



Two subjects passed

One subject passed



1 110 80 72.7 30

27.3

2 191 102 53.4 48

25.1 41

21.5

3 36 9 25 7 19.4 9 25 11

30.6

4 47 20 42.6 11 23.4 5

10.6 4 8.5 7

14.9


No of Candidates



Two subjects passed

One subject passed



1 81 59 72.8 22 27.2

2 146 88 60.3 30 20.5 28

19.2

3 27 12 44.4 6 22.2 4 14.8 5 18.5

4 52 30 57.7 8 15.4 7 13.5 6 11.5 1 1.9

52.9 15.7 17.1 5.7 8.8

28.6 28.6 29 19.4

56.2 24.7 19.1

73.1 26.9

0% 20% 40% 60% 80% 100%

1

2

3

4

Number of

Subjects

Attempted




48.6 8.1 8.1 16.2 19

30 16.7 33.3 20

58.6 19.9 21.5

78.4 21.6

0% 20% 40% 60% 80% 100%

1

2

3

4

Number of

Subjects

Attempted




Appendix V – 2006.2 onwards Page 3 of 3

PE06.1

43.9 4.9 17.1 14.6 19.5

30 13.3 26.7 30

56.5 25.9 17.6

73.3 26.7

0% 20% 40% 60% 80% 100%

1

2

3

4

Number of

Subjects

Attempted

2007.2




38.6 11.4 20.5 13.6 15.9

45.8 12.5 16.7 25

61.2 26.2 12.6

75.4 24.6

0% 20% 40% 60% 80% 100%

1

2

3

4

Number of

Subjects

Attempted

2007.1




48.7 15.4 10.3 20.5 5.1

27.6 31 17.2 24.2

62.9 20.2 16.9

74 26

0% 20% 40% 60% 80% 100%

1

2

3

4

Number of

Subjects

Attempted

2006.2




2007.2 Examination subjects passed by subjects attempted. 2007.1 Examination subjects passed by subjects attempted.

2006.2 Examination subjects passed by subjects attempted


No of Candidates



Two subjects passed

One subject passed



1 50 37 74 13 26

2 89 56 62.9 18 20.2 15 16.9

3 29 8 27.6 9 31 5 17.2 7 24.2

4 39 19 48.7 6 15.4 4 10.3 8 20.5 2 5.1


No of Candidates



Two subjects passed

One subject passed



1 86 63 73.3 23 26.7

2 131 74 56.5 34 25.9 23

17.6

3 30 9 30 4 13.3 8 26.7 9 30

4 41 18 43.9 2 4.9 7

17.1 6 14.6 8

19.5


No of Candidates



Two subjects passed

One subject passed



1 65 49 75.4 16 24.6

2 103 63 61.2 27 26.2 13 12.6

3 24 11 45.8 3 12.5 4 16.7 6 25

4 44 17 38.6 5 11.4 9 20.5 6 13.6 7 15.9

APPENDIX VII

PASS RATE BY SUBJECT

2013.1 MCQ Anatomy (250) - 200 candidates invited to Viva (80%)

Pathology (259) - 250 candidates invited to Viva (96.5%) Physiology (221) - 187 candidates invited to Viva (84.6%) Pharmacology (238) - 214 candidates invited to Viva (89.9%) Overall 87.9% of candidates who sat the MCQ were invited to the Viva 2013.1 Candidates invited to Viva: Anatomy (200) - 155 candidates passed (77.5%) Pathology (250) - 218 candidates passed (87.2%) Physiology (187) - 132 candidates passed (70.6%) Pharmacology (214) - 173 candidates passed (80.8%) Overall pass rate of those invited to Viva 79.7% 2013.1 Overall Pass Rate:

Anatomy (250) - 155 candidates passed (62%)

Pathology (259) - 218 candidates passed (84.2%) Physiology (221) - 132 candidates passed (59.7%) Pharmacology (238) - 173 candidates passed (72.7%) Overall pass rate 69.7% 2012.2 MCQ

Anatomy (264) - 221 candidates invited to Viva (83.7%)

Pathology (279) - 252 candidates invited to Viva (90.3%) Physiology (320) - 291 candidates invited to Viva (90.9%) Pharmacology (306) - 271 candidates invited to Viva (88.6%) Overall 88.5% of candidates who sat the MCQ were invited to the Viva 2012.2 Candidates invited to Viva: Anatomy (221) - 186 candidates passed (84.2%) Pathology (252) - 192 candidates passed (76.2%) Physiology (291) - 218 candidates passed (74.9%) Pharmacology (271) - 206 candidates passed (76%) Overall pass rate of those invited to Viva 77.5%

2012.2 Overall Pass Rate: Anatomy (264) - 186 candidates passed (70.5%) Pathology (279) - 192 candidates passed (68.8%) Physiology (320) - 218 candidates passed (68.1%) Pharmacology (306) - 206 candidates passed (67.3%) Overall pass rate 68.7%

Appendix VII Pass Rate by Subject Page 2 of 4

2012.1 MCQ

Anatomy (236) - 204 candidates invited to Viva (86.4%)

Pathology (208) - 184 candidates invited to Viva (88.4%) Physiology (208) - 166 candidates invited to Viva (79.8%) Pharmacology (189) - 156 candidates invited to Viva (82.5%) Overall 84.4% of candidates who sat the MCQ were invited to the Viva 2012.1 Candidates invited to Viva: Anatomy (204) - 162 candidates passed (79.4%) Pathology (184) - 137 candidates passed (74.4%) Physiology (166) - 117 candidates passed (70.4%) Pharmacology (156) - 112 candidates passed (71.7%) Overall pass rate of those invited to Viva 74.3% 2012.1 Overall Pass Rate: Anatomy (236) - 162 candidates passed (68.6%) Pathology (208) - 137 candidates passed (65.8%) Physiology (208) - 117 candidates passed (56.2%) Pharmacology (189) - 112 candidates passed (59.2%) Overall pass rate 62.7% 2011.2 MCQ Anatomy (205) - 157 candidates invited to Viva (76.6%) Pathology (175) – 154 candidates invited to Viva (88%) Physiology (222) – 195 candidates invited to Viva (87.8%) Pharmacology (193) – 177 candidates invited to Viva (91.7%) Overall 85.9% of candidates who sat the MCQ were invited to the Viva 2011.2 Candidates invited to Viva: Anatomy (157) - 122 candidates passed (77.7%) Pathology (154) – 118 candidates passed (76.6%) Physiology (195) – 160 candidates passed (82.1%) Pharmacology (177) – 160 candidates passed (90.4%) Overall pass rate of those invited to Viva 82% 2011.2 Overall Pass Rate: Anatomy (205) - 122 candidates passed (59.5%) Pathology (175) – 118 candidates passed (67.4%) Physiology (222) – 160 candidates passed (72.1%) Pharmacology (193) – 160 candidates passed (82.9%) Overall pass rate 70.4%


2011.1 MCQ Anatomy (152) - 119 candidates invited to Viva (78.2%) Pathology (168) – 151 candidates invited to Viva (89.9%) Physiology (210) – 165 candidates invited to Viva (78.6%) Pharmacology (190) – 168 candidates invited to Viva (88.4%) Overall 83.8% of candidates who sat the MCQ were invited to the Viva 2011.1 Candidates invited to Vivas:

Anatomy (119) - 92 candidates passed (77.3%) Pathology (151) – 123 candidates passed (81.5%) Physiology (165) - 113 candidates passed (68.5%) Pharmacology (168) - 131 candidates passed (78.0%)

Overall pass rate of those invited to the vivas 76.1%

2011.1 Overall Pass Rate: Anatomy (152) - 92 candidates passed (60.5%) Pathology (168) – 123 candidates passed (73.2%) Physiology (210) - 113 candidates passed (53.8%) Pharmacology (190) - 131 candidates passed (68.4%)

Overall pass rate 63.9%

2010.2 Anatomy (204) - 153 candidates passed (75%) Pathology (211) - 153 candidates passed (75%) Physiology (223) - 148 candidates passed (66.4%) Pharmacology (189) - 131 candidates passed (69.3%)

Overall pass rate 71%

2010.1 Anatomy (195) - 123 candidates passed (63.1%) Pathology (161) - 110 candidates passed (68.3%) Physiology (206) - 137 candidates passed (66.5%) Pharmacology (197) - 140 candidates passed (71.1%)


2009.2

Anatomy (196) - 119 candidates passed (60.7%) Pathology (201) - 162 candidates passed (80.6%) Physiology (223) - 148 candidates passed (66.4%) Pharmacology (224) - 159 candidates passed (71%) Overall pass rate 69.7%


2009.1

Anatomy (198) - 131 candidates passed (66.16%) Pathology (171) - 101 candidates passed (59.06%) Physiology (174) - 122 candidates passed (70.11%) Pharmacology (173) - 120 candidates passed (69.36%)


2008.2 Anatomy (185) - 106 candidates passed (57.3%) Pathology (192) - 137 candidates passed (71.35%) Physiology (216) - 139 candidates passed (67.92%) Pharmacology (196) - 124 candidates passed (63.26%)


2008.1 Anatomy (156) - 103 candidates passed (66.03%) Pathology (175) - 133 candidates passed (76%) Physiology (159) - 108 candidates passed (67.92%) Pharmacology (170) - 137 candidates passed (80.59%)


2007.2

Anatomy (155) - 102 candidates passed (65.8%) Pathology (156) - 105 candidates passed (67.3%) Physiology (149) - 99 candidates passed (66.4%) Pharmacology (143) - 80 candidates passed (55.9%)

Overall pass rate 64%

2007.1

Anatomy (142) - 92 candidates passed (64.79 %) Pathology (138) - 104 candidates passed (75.36 %) Physiology (116) - 69 candidates passed (59.48 %) Pharmacology (123) - 87 candidates passed (70.73 %)

Overall pass rate 67.82 %

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