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A cross-sectional study examining MRCS performance by core surgical training location.

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Title: A cross-sectional study examining MRCS performance by core surgical training location.
Authors: Ellis, Ricky1,2, Cleland, Jennifer3, Lee, Amanda J.4, Scrimgeour, Duncan S. G.5, Brennan, Peter A.6
Source: Medical Teacher. Apr2022, Vol. 44 Issue 4, p388-393. 6p.
Subject Terms: *Retrospective studies, *Educational tests & measurements, *Clinical competence, *Professional licensure examinations, *Longitudinal method, Confidence intervals, Operative surgery, Cross-sectional method, Multivariate analysis, Membership, Chi-squared test, Descriptive statistics, Logistic regression analysis, Odds ratio, Success
Geographic Terms: United Kingdom
Abstract: In the UK, core surgical training (CST) is the first specialty experience that early-career surgeons receive but training differs significantly across CST deaneries. To identify the impact these differences have on trainee performance, we assessed whether success at the Membership of the Royal College of Surgeons (MRCS) examinations is associated with CST deanery. A retrospective cohort study of UK trainees in CST who attempted MRCS between 2014 and 2020 (n = 1104). Chi-squared tests examined associations between locality and first-attempt MRCS performance. Multivariate logistic regression models identified the likelihood of MRCS success depending on CST deanery. MRCS Part A and Part B pass rates were associated with CST deanery (p < 0.001 and p = 0.013, respectively). Candidates that trained in Thames Valley (Odds Ratio [OR] 2.52 (95% Confidence Interval [CI] 1.00–6.42), North Central and East London (OR 2.37 [95% CI 1.04–5.40]) or South London (OR 2.36 [95% CI 1.09–5.10]) were each more than twice as likely to pass MRCS Part A at first attempt. Trainees from North Central and East London were more than ten times more likely to pass MRCS Part B at first attempt (OR 10.59 [95% CI 1.23–51.00]). However, 68% of candidates attempted Part A prior to CST and 48% attempted Part B before or during the first year of CST. MRCS performance is associated with CST deanery; however, many candidates passed the exam with little or any CST experience suggesting that some deaneries attract high academic performers. MRCS performance is therefore not a suitable marker of CST training quality. [ABSTRACT FROM AUTHOR]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: A cross-sectional study examining MRCS performance by core surgical training location.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Medical+Teacher%22&quot;&gt;Medical Teacher&lt;/searchLink&gt;. Apr2022, Vol. 44 Issue 4, p388-393. 6p.
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  Data: In the UK, core surgical training (CST) is the first specialty experience that early-career surgeons receive but training differs significantly across CST deaneries. To identify the impact these differences have on trainee performance, we assessed whether success at the Membership of the Royal College of Surgeons (MRCS) examinations is associated with CST deanery. A retrospective cohort study of UK trainees in CST who attempted MRCS between 2014 and 2020 (n = 1104). Chi-squared tests examined associations between locality and first-attempt MRCS performance. Multivariate logistic regression models identified the likelihood of MRCS success depending on CST deanery. MRCS Part A and Part B pass rates were associated with CST deanery (p &lt; 0.001 and p = 0.013, respectively). Candidates that trained in Thames Valley (Odds Ratio [OR] 2.52 (95% Confidence Interval [CI] 1.00–6.42), North Central and East London (OR 2.37 [95% CI 1.04–5.40]) or South London (OR 2.36 [95% CI 1.09–5.10]) were each more than twice as likely to pass MRCS Part A at first attempt. Trainees from North Central and East London were more than ten times more likely to pass MRCS Part B at first attempt (OR 10.59 [95% CI 1.23–51.00]). However, 68% of candidates attempted Part A prior to CST and 48% attempted Part B before or during the first year of CST. MRCS performance is associated with CST deanery; however, many candidates passed the exam with little or any CST experience suggesting that some deaneries attract high academic performers. MRCS performance is therefore not a suitable marker of CST training quality. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Medical Teacher is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=156936812
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/0142159X.2021.1995599
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 6
        StartPage: 388
    Subjects:
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Educational tests & measurements
        Type: general
      – SubjectFull: Clinical competence
        Type: general
      – SubjectFull: Professional licensure examinations
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Operative surgery
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Membership
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      – SubjectFull: Chi-squared test
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Odds ratio
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      – SubjectFull: Success
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      – SubjectFull: United Kingdom
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    Titles:
      – TitleFull: A cross-sectional study examining MRCS performance by core surgical training location.
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            NameFull: Ellis, Ricky
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              Text: Apr2022
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              Y: 2022
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