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JOHANNESBURG ACADEMIC OFFICE CMSA The Colleges of Medicine of South Africa NPC Nonprofit Company (Reg. No.

JOHANNESBURG

ACADEMIC OFFICE

CMSA

The Colleges of Medicine of South Africa NPC

Nonprofit Company (Reg. No. 1955/000003/08) Nonprofit Organisation (Reg No 009-874 NPO)

27 Rhodes Ave, PARKTOWN WEST 2193 Private Bag X23, BRAAMFONTEIN 2017 Tel: +27 11 726-7037/8/9 Fax: +27 11 726-4036

General: admin@cmsa-jhb.co.za

Academic Registrar:

Website:

alv@cmsa-jhb.co.za

www.collegemedsa.ac.za

FC PAED(SA) PART II

NOTICE OF CHANGE OF CLINICAL EXAMINATION FORMAT AUGUST/OCTOBER 2014

Comprehensive Clinical Assessment (CCA)

As from August/October 2014 the format of the FC Paed(SA) Part II clinical examination will be that of a comprehensive clinical assessment (CCA).

The content and format of the written examination component of the FC Paed(SA) Part II remains unchanged.

  • 1.0 The format of the assessment The comprehensive clinical assessment (CCA) will involve:

8 objective assessments of each candidate.

Observed history taking

Explicit and structured testing of communication skills

Assessment and management of a child with developmental problems

2 observed “long case” assessments, allowing discussion of differential diagnoses

and management 2 short clinical assessments, emphasising clinical examination and problem

formulation A structured oral examination

Candidates will be assessed by a different (single) examiner at each clinical station, so performance at one station does not influence the outcome at the next station.

  • 2.0 The CCA carousel (Figure 1)

    • The CCA examination involves 10 “stations”, lasting 15 minutes each

    • Two stations will be combined “long” (double) stations, lasting 34 minutes.

    • Thus, there will be 8 assessment points for a single candidate.

    • Ten examiners will be involved in a single cycle.

    • Each “station” will be assessed by a single examiner.

    • Candidates will start at any one of the 10 stations, and then move round the carousel of stations, at 15-minute intervals with a four-minute break in-between, until they have completed the full cycle.

    • Candidates will be given written instructions before/at the start of each station.

    • A full cycle of ten candidates will be completed in 182 minutes (3 hours) – 154 minutes of assessment time and 28 minutes for movement between stations.

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Station 1 History- taking Station 10 Station 2 Structured oral/viva Long case 1 (part 1) Station
Station 1
History-
taking
Station 10
Station 2
Structured
oral/viva
Long case 1
(part 1)
Station 3
Long case 1
(part 2)
Station 4 Communica- tion skills Station 5 Short case 1
Station 4
Communica-
tion skills
Station 5
Short case 1
Station 9 Development Station 8 Long case 2 (part 2) Station 7 Long case 2 (part1)
Station 9
Development
Station 8
Long case 2
(part 2)
Station 7
Long case 2
(part1)
Station 6
Short case 2

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  • 3.0 Marking scheme and passing the CCA

  • 3.1 Marking scheme for CCA

At the end of each station the examiner will assign a percentage mark and make an overall judgement as to whether or not the candidate’s performance was a:

Clear Pass

(55 – 100%)

Borderline Pass

(50%)

Bare Fail

(45%)

Clear Fail

(≤40%)

  • 3.2 Overall judgement Stations will be judged using the following scheme:

Category

Clear Pass

Borderline Pass

Bare Fail

Clear Fail

Percentage equivalent (%)

55-100

50

45

≤40

Points

6

5

4

2

There will be a total of 8 station marks. However, each of the two “long case” station marks will be worth two judgements, so that there will be a total of 10 judgements (6+2+2).

The minimum acceptable score to pass the clinical examination component will be a score of 50 (reflecting an average of ten ‘passes’ over the 8 stations [10 judgements]).

If a candidate’s behaviour is unprofessional, he/she may be stopped by the Convenor from continuing with the examination. Unprofessional behaviour, eg, rough handling will result in the automatic awarding of clear fail mark.

Further details of each station and guidelines for candidates will be published on the CMSA website by 31 March 2014.

JOHANNESBURG January 2014