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TheThe FRCPathFRCPath PracticalPractical ExamExam DrDr CathyCathy MM CorbishleyCorbishley LeadLead ExaminerExaminer
TheThe FRCPathFRCPath
PracticalPractical ExamExam
DrDr CathyCathy MM CorbishleyCorbishley
LeadLead ExaminerExaminer forfor
HistoHisto//CytoCyto practicalpractical examexam
SyllabusSyllabus RCPathRCPath CurriculumCurriculum forfor SpecialistSpecialist TrainingTraining inin
SyllabusSyllabus
RCPathRCPath CurriculumCurriculum forfor SpecialistSpecialist
TrainingTraining inin HistopathologyHistopathology (2005)(2005)
500500--10001000 surgicalsurgical casescases perper yearyear ofof allall
typestypes includingincluding subspecialitiessubspecialities suchsuch asas
neuropath,neuropath, renalrenal etcetc
CytologyCytology 300300--600600 casescases perper yearyear
AutopsyAutopsy 2020 perper yearyear (100(100 overall)overall)
ExamExam DatesDates HeldHeld overover twotwo daysdays inin 44--77 centrescentres inin earlyearly AprilApril andand
ExamExam DatesDates
HeldHeld overover twotwo daysdays inin 44--77 centrescentres inin earlyearly
AprilApril andand OctoberOctober
UpUp toto 2020 candidatescandidates inin eacheach centrecentre divideddivided
intointo twotwo groupsgroups ofof 1010 (Newcastle(Newcastle upup toto 40)40)
CandidatesCandidates allocatedallocated toto centrescentres wherewhere theythey
havehave notnot trainedtrained
ExternalExternal ExaminersExaminers askedasked toto declaredeclare interestsinterests
andand asas farfar asas possiblepossible avoidavoid examiningexamining ownown
traineestrainees
ExaminersExaminers mustmust bebe activelyactively engagedengaged inin
diagnosticdiagnostic pathologypathology
StructureStructure SurgicalsSurgicals OSPEOSPE 11 andand vivaviva OSPEOSPE 22 LongLong casescases
StructureStructure
SurgicalsSurgicals
OSPEOSPE 11 andand vivaviva
OSPEOSPE 22
LongLong casescases
MacroscopicMacroscopic pathologypathology andand vivaviva
FrozenFrozen SectionsSections andand vivaviva
GynaeGynae andand DiagnosticDiagnostic cytologycytology
TimetableTimetable DayDay 11 morningmorning SurgicalsSurgicals DayDay 11 afternoonafternoon LongLong cases,cases,
TimetableTimetable
DayDay 11 morningmorning
SurgicalsSurgicals
DayDay 11 afternoonafternoon
LongLong cases,cases, FrozensFrozens andand vivaviva andand OSPEOSPE 11 withwith
vivaviva
DayDay 22 morningmorning
CytologyCytology
DayDay 22 afternoonafternoon
MacrosMacros andand viva,viva, OSPEOSPE 22 (written)(written)
NBNB asas slidesslides andand questionsquestions areare circulatedcirculated youyou
MUSTMUST NOTNOT discussdiscuss thethe examexam withwith otherother
candidatescandidates atat anyany timetime duringduring anyany halfhalf dayday
periodperiod
OtherOther issuesissues MicroscopesMicroscopes –– taketake youryour ownown ifif possiblepossible oror
OtherOther issuesissues
MicroscopesMicroscopes –– taketake youryour ownown ifif possiblepossible oror
arrangearrange toto hirehire oror borrowborrow oneone ofof aa makemake andand
typetype youyou areare happyhappy withwith
AccommodationAccommodation –– listlist ofof suitablesuitable placesplaces
providedprovided byby examexam centrecentre
LocalLocal timetablestimetables givengiven toto candidatescandidates atat
centrescentres
AllAll scriptsscripts andand candidatescandidates identifiedidentified byby
candidatecandidate examexam numbernumber althoughalthough locallocal
numbersnumbers maymay bebe usedused atat centrescentres forfor easeease ofof
timetablingtimetabling
TheThe SurgicalsSurgicals SetSet CentrallyCentrally 2020 casescases toto reportreport inin 3h3h 20m20m BothBoth
TheThe SurgicalsSurgicals
SetSet CentrallyCentrally
2020 casescases toto reportreport inin 3h3h 20m20m
BothBoth biopsiesbiopsies andand largerlarger specimens,specimens,
straightforwardstraightforward andand difficultdifficult casescases
AllAll sitessites andand specialitiesspecialities maymay bebe coveredcovered
CirculatedCirculated asas 1010 setssets ofof 22 overover 33 hourshours 2020
minutesminutes
2020 minutesminutes toto produceproduce writtenwritten answersanswers toto
bothboth casescases thenthen slidesslides areare movedmoved onon
StrictStrict timetime criteriacriteria
LongLong CasesCases SetSet andand markedmarked locallylocally 44 casescases SetSet ofof sectionssections
LongLong CasesCases
SetSet andand markedmarked locallylocally
44 casescases
SetSet ofof sectionssections includingincluding specialspecial
stains/stains/immunoimmuno andand sometimessometimes alsoalso
photos/EMphotos/EM
2020 minutesminutes perper casecase toto produceproduce writtenwritten
answeranswer
TheThe OSPEsOSPEs –– OSPEOSPE 11 OSPEOSPE 11 VivaViva withwith 22 examinersexaminers ScenarioScenario
TheThe OSPEsOSPEs –– OSPEOSPE 11
OSPEOSPE 11
VivaViva withwith 22 examinersexaminers
ScenarioScenario providedprovided duringduring vivaviva
StructuredStructured discussiondiscussion
UsuallyUsually coverscovers
management/governancemanagement/governance issuesissues
SetSet centrallycentrally butbut markedmarked locallylocally
TheThe OSPEsOSPEs –– OSPEOSPE 22 WrittenWritten scenarioscenario usuallyusually withwith setset ofof datadata
TheThe OSPEsOSPEs –– OSPEOSPE 22
WrittenWritten scenarioscenario usuallyusually withwith setset ofof datadata
and/orand/or reportsreports
UsuallyUsually coverscovers aa diagnosticdiagnostic scenarioscenario andand
maymay involveinvolve MDMMDM settingsetting
MayMay involveinvolve adherenceadherence toto reportingreporting
protocols/guidelines/grading/stagingprotocols/guidelines/grading/staging etcetc
SetSet centrallycentrally andand markedmarked locallylocally
FrozenFrozen SectionsSections 66 casescases divideddivided asas twotwo setssets ofof 33 2020 minutesminutes toto
FrozenFrozen SectionsSections
66 casescases divideddivided asas twotwo setssets ofof 33
2020 minutesminutes toto looklook atat eacheach setset andand taketake
notesnotes (40(40 minutesminutes inin all)all)
2020 minuteminute vivaviva toto discussdiscuss casescases withwith 22
examinersexaminers
KeyKey approachapproach ‘‘ WhatWhat willwill youyou telltell thethe
surgeon’surgeon’
SetSet andand markedmarked locallylocally
MacroscopicMacroscopic PathologyPathology SetSet centrallycentrally 44 setssets ofof macroscopicmacroscopic
MacroscopicMacroscopic PathologyPathology
SetSet centrallycentrally
44 setssets ofof macroscopicmacroscopic photographsphotographs withwith
briefbrief historyhistory andand instructionsinstructions
4040 minutesminutes toto looklook atat andand markmark photosphotos
FeltFelt penpen providedprovided toto markmark wherewhere
sectionssections takentaken
2020 minuteminute vivaviva withwith 22 examinersexaminers
MarkedMarked locallylocally onon centralcentral criteriacriteria
CytologyCytology 88 gynaegynae casescases (conventional,(conventional, thinprepthinprep oror surepathsurepath)) 88
CytologyCytology
88 gynaegynae casescases (conventional,(conventional, thinprepthinprep
oror surepathsurepath))
88 diagnosticdiagnostic casescases (Pap(Pap andand GiemsaGiemsa))
SlidesSlides circulatedcirculated inin pairspairs withwith 2020
minutesminutes forfor eacheach setset andand writtenwritten
answersanswers toto bebe producedproduced (2(2 hourshours 4040
minsmins))
SetSet andand markedmarked centrallycentrally byby CytoCyto
subgroupsubgroup (chair(chair PeterPeter Smith)Smith)
PreparationPreparation PracticalPractical ExperienceExperience isis thethe keykey CutCut upup andand
PreparationPreparation
PracticalPractical ExperienceExperience isis thethe keykey
CutCut upup andand supervisedsupervised primaryprimary reportingreporting ofof
casescases usingusing locallocal andand nationalnational protocolsprotocols
CytologyCytology screeningscreening andand reportingreporting
AttendanceAttendance andand PresentationPresentation ofof casescases atat
MDMsMDMs andand CPCsCPCs
HandsHands onon FrozenFrozen sectionsection experienceexperience
PresentationPresentation ofof preparedprepared casescases atat BlackBlack BoxBox
sessionssessions
TrainingTraining sessionssessions andand postgradpostgrad meetingsmeetings
PreparationPreparation 22 –– requiredrequired readingreading RCPathRCPath GuidelinesGuidelines andand MinimumMinimum
PreparationPreparation 22 –– requiredrequired readingreading
RCPathRCPath GuidelinesGuidelines andand MinimumMinimum DataData SetsSets
TNMTNM classificationsclassifications
CytologyCytology ScreeningScreening GuidelinesGuidelines
ReviewReview articlesarticles onon DiagnosticDiagnostic PathologyPathology inin
JournalsJournals
GeneralGeneral backgroundbackground readingreading aroundaround casescases inin
upup toto datedate textbooks.textbooks.
WHOWHO booksbooks andand AFIPAFIP FasciclesFascicles
PreparationPreparation 33 –– thethe mockmock examexam DoDo atat leastleast oneone timedtimed mockmock examexam
PreparationPreparation 33 –– thethe mockmock examexam
DoDo atat leastleast oneone timedtimed mockmock examexam coveringcovering asas
manymany aspectsaspects asas possiblepossible includingincluding vivasvivas
FindFind someonesomeone whowho hashas examinedexamined inin thethe lastlast
threethree yearsyears toto setset thethe examexam andand givegive youyou
feedbackfeedback
VolunteerVolunteer toto invigilateinvigilate ifif thethe examexam isis takingtaking
placeplace atat youryour centrecentre
Don’tDon’t justjust looklook atat oldold fadedfaded slideslide setssets ofof
obscureobscure andand difficultdifficult casescases
Don’tDon’t bebe aa mockmock junkiejunkie andand don’tdon’t askask peoplepeople
whowho areare notnot youryour trainerstrainers oror currentcurrent
examinersexaminers toto givegive youyou mockmock examsexams
WhatWhat isis notnot requiredrequired DetailedDetailed knowledgeknowledge ofof obscureobscure andand rarerare casescases
WhatWhat isis notnot requiredrequired
DetailedDetailed knowledgeknowledge ofof obscureobscure andand rarerare casescases
andand conditionsconditions
InabilityInability toto makemake diagnosticdiagnostic decisionsdecisions atat thethe
levellevel requiredrequired
InappropriateInappropriate useuse ofof additionaladditional diagnosticdiagnostic
teststests
LengthyLengthy ramblingrambling answersanswers withwith nono conclusionconclusion
oror diagnosisdiagnosis
ScattergunScattergun differentialdifferential diagnosesdiagnoses withwith nono
deductivedeductive reasoningreasoning
UnreadableUnreadable reportsreports withoutwithout sentencessentences oror
verbsverbs
PassPass oror FailFail YouYou needneed toto passpass eacheach sectionsection TheThe sectionssections areare closeclose
PassPass oror FailFail
YouYou needneed toto passpass eacheach sectionsection
TheThe sectionssections areare closeclose markedmarked soso ifif youyou
makemake aa numbernumber ofof seriousserious diagnosticdiagnostic
errorserrors youyou areare unlikelyunlikely toto passpass
AllAll sectionssections areare doubledouble markedmarked andand
remarkedremarked ifif borderlineborderline
WeWe reallyreally dodo wantwant toto passpass peoplepeople ––
honest!honest!
TheThe MRCPathMRCPath PracticalPractical examexam –– whatwhat isis itit for?for? ToTo seesee ifif youyou areare
TheThe MRCPathMRCPath PracticalPractical examexam ––
whatwhat isis itit for?for?
ToTo seesee ifif youyou areare safesafe toto bebe letlet looseloose onon thethe
publicpublic asas aa diagnosticdiagnostic pathologistpathologist inin thethe nearnear
futurefuture
ToTo testtest youryour diagnosticdiagnostic andand deductivedeductive skillsskills
acrossacross thethe rangerange ofof histohisto andand cytocyto includingincluding
complexcomplex casescases andand dealingdealing withwith frozensfrozens,,
MDMsMDMs,, managementmanagement andand governancegovernance issuesissues
ToTo prepareprepare youyou forfor thethe finalfinal yearyear prepre CCSTCCST
wherewhere youyou learnlearn howhow toto becomebecome aa consultantconsultant