Abstract
Background
The MRCS is a key gatekeeping assessment in the UK, completion of which is a prerequisite for progression into higher specialist surgical training (HST) programmes. As a result, examination success or failure can have a significant and lasting impact on career progression. Yet despite such high stakes, little was known about factors that may influence examination performance.
Methods
To address this important gap in the literature, a series of large longitudinal cohort studies were undertaken. The work used data crossmatched from several national medical education databases to create the most extensive investigation of training outcomes for UK surgical trainees to date. MRCS data were matched to sociodemographic factors, training history and measures of prior academic attainment, and multivariate analyses identified independent predictors of MRCS success.
Results
Three key quantifiable factors were identified that predict success at MRCS: institutional differences in teaching and training, academic ability and individual differences in personal and social circumstances. This invited report for the Syme Medal discusses the key findings from this body of research and the implications for policy and practice.
Conclusions
The research studies discussed in this report are driving evidence-based changes at the national level. The findings contribute to the optimisation of surgical training and the recognition of candidates at increased risk of failure. This results in the appropriate reallocation of resources and support, enabling greater fairness, equity, diversity and inclusivity in surgical career progression.
The MRCS is a key gatekeeping assessment in the UK, completion of which is a prerequisite for progression into higher specialist surgical training (HST) programmes. As a result, examination success or failure can have a significant and lasting impact on career progression. Yet despite such high stakes, little was known about factors that may influence examination performance.
Methods
To address this important gap in the literature, a series of large longitudinal cohort studies were undertaken. The work used data crossmatched from several national medical education databases to create the most extensive investigation of training outcomes for UK surgical trainees to date. MRCS data were matched to sociodemographic factors, training history and measures of prior academic attainment, and multivariate analyses identified independent predictors of MRCS success.
Results
Three key quantifiable factors were identified that predict success at MRCS: institutional differences in teaching and training, academic ability and individual differences in personal and social circumstances. This invited report for the Syme Medal discusses the key findings from this body of research and the implications for policy and practice.
Conclusions
The research studies discussed in this report are driving evidence-based changes at the national level. The findings contribute to the optimisation of surgical training and the recognition of candidates at increased risk of failure. This results in the appropriate reallocation of resources and support, enabling greater fairness, equity, diversity and inclusivity in surgical career progression.
| Original language | English |
|---|---|
| Number of pages | 3 |
| Journal | The Surgeon |
| Early online date | 25 Aug 2024 |
| DOIs | |
| Publication status | E-pub ahead of print - 25 Aug 2024 |
Bibliographical note
The author would like to acknowledge the ICBSE research team: Peter Brennan, Jennifer Cleland, Amanda Lee and Duncan Scrimgeour for their invaluable help, support and mentorship, without which these research studies would not have been possible. The author would also like to acknowledge the funding for the ICBSE Research Fellowship from the Royal College of Surgeons of Edinburgh, the Royal College of Surgeons of England, the Royal College of Physicians and Surgeons of Glasgow and the Royal College of Surgeons of Ireland.Data Availability Statement
No data availability statement.Keywords
- Clinical
- Medical education
- Non-clinical
- Postgraduate
- Surgery