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Page | 1 Saudi Board Promotion Exam of Ophthalmology OPHTHALMOLOGY SAUDI BOARD PROGRAM Objectives: The general objective of the annual promotion assessment is to evaluate that the trainee has satisfactorily acquired the theoretical knowledge and clinical competences that he/she should have acquired during the relevant year(s). The annual promotion assessment consists of the following components: a. Written examination b. Continuous Assessment Eligibility for Written Examination: Valid registration with the SCFHS. Approval of the specialty local supervisory committee. Written Examination Format: A written examination shall consist of one paper with 120 MCQs with a single best answer (one correct answer out of four options). The examination shall contain type K2 questions (interpretation, analysis, reasoning and decision making) and type K1 questions (recall and comprehension), Clinical presentation questions include history, clinical finding and patient approach. Diagnosis and investigation questions; includes the possible diagnosis and diagnostic methodologies (laboratory investigation, radiological imaging and clinical procedures), Management questions; includes treatment and clinical management non-therapeutic, therapeutic, patient safety, complication. Health maintenance questions; includes health promotion, disease prevention, risk factors assessment, and prognosis, see examples below. The examination shall include different aspects of medicine, surgery and pediatric relevant for general clinical practice (R1) The examination shall include basic concept and clinical questions relevant to Ophthalmology (R2/3), see blueprint below. Saudi Board Promotion Exam of Ophthalmology 2016
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  • Page|1Saudi Board Promotion Exam of Ophthalmology

    OPHTHALMOLOGY SAUDI BOARD PROGRAM

    Objectives:

    • The general objective of the annual promotion assessment is to evaluatethat the traineehas satisfactorily acquired the theoretical knowledgeandclinicalcompetencesthathe/sheshouldhaveacquiredduringtherelevantyear(s).

    • Theannualpromotionassessmentconsistsofthefollowingcomponents:a.Writtenexaminationb.ContinuousAssessment

    EligibilityforWrittenExamination:

    • ValidregistrationwiththeSCFHS.

    • Approvalofthespecialtylocalsupervisorycommittee.

    WrittenExaminationFormat:

    • A written examination shall consist of one paper with 120 MCQs with asinglebestanswer(onecorrectansweroutoffouroptions).

    • The examination shall contain type K2 questions (interpretation, analysis,reasoning and decision making) and type K1 questions (recall andcomprehension),

    • Clinical presentation questions include history, clinical finding and patientapproach. Diagnosis and investigation questions; includes the possiblediagnosis and diagnostic methodologies (laboratory investigation,radiological imaging and clinical procedures), Management questions;includes treatment and clinicalmanagement non-therapeutic, therapeutic,patientsafety,complication.Healthmaintenancequestions;includeshealthpromotion,diseaseprevention, risk factorsassessment, andprognosis, seeexamplesbelow.

    • The examination shall include different aspects of medicine, surgery andpediatricrelevantforgeneralclinicalpractice(R1)

    • Theexaminationshall includebasic conceptandclinicalquestions relevanttoOphthalmology(R2/3),seeblueprintbelow.

    Saudi Board Promotion Exam of Ophthalmology 2016

  • Page|2Saudi Board Promotion Exam of Ophthalmology

    ContinuousAssessmentFormats:

    • Continuousassessmentformatsconsistof:

    a.ContinuousEvaluationReports(CER)

    o CERs should be conducted at least three times which covers 9trainingmonthsperyear.

    o CERs are submitted to local supervisory committee for eachtraineebasedonaseriesofworkplace-basedassessments(WBA)consideredrelevantbythespecialty.Examplesfoundinappendix4and5.

    b.Otherassessmentformats

    o Otherassessmentformatsinvolve:

    •ObjectiveStructuredClinicalExam(OSCE),

    •StructuredOralExam(SOE),

    •Researchactivity,

    •Internationalexaminations,and/or

    •Academicassignments.

    c. The percentage for (b) shall not exceed 50% of the continuousassessmentscore.

    d. If anyotherassessment format (notmentionedabove) isused theCACmustagreetoitsimplementation.

    PassingScoreforPromotion:

    • An average of 60% score in the annual promotion assessment with aminimumof50%ineachcomponent(writtenandcontinuousassessment)isrequiredforpassing.

    • Inwrittenexamination, if thesamepaper isusedforall training levels (i.e.juniororsenior),pre-determinedpassingscoretoreflecttheleveldifferencein residency training shall be made where applicable. Example: R1=50%,R2=55%andR3=60%.

  • Page|3Saudi Board Promotion Exam of Ophthalmology

    ScoreReport:

    • All written examination score reports shall go through a post-hoc itemanalysis beforebeing approvedbyboth theAssistantofGeneral Secretaryfor Postgraduate studies of SCFHS and SEC, and then reported to thescientific council for the specialty for promotion decisions for all trainees,withintwoweeksoftheexamination.

    • Every SEC is encouraged to provide the scientific council for the specialty

    with results feedback represent theperformanceof all residentsbasedoneachsectionoftheexamaccordingtothetestblueprint,andbasedontheirtrainingcenterifpossible.

    GeneralRules:

    • The written examination shall be held once a year within 4-6 weeks ofcompletionofninemonthsoftraininginthatparticularyear.

    • If both examination (written promotion examination and Part I specialtyexamination) conducted at the same year, a candidate who passed Part Ispecialtyexaminationisexemptfrompromotionwrittenexaminationfor(R1only)inthefour-yearSCFHSaccreditedprograms

    • Thereshallbenore-sitexamination.• Thereshallbenopromotionwrittenexaminationattheendoffinalyear• Promotionwrittenexaminationandcontinuousassessmentresultsarevalid

    forthespecificyearinwhichtheywereconducted.

    ExaminationConductandDuration:

    2 1/2 hours duration is and examwill be delivered as a computer based testwhenavailable,otherwisepaperandpencil.

  • Page|4Saudi Board Promotion Exam of Ophthalmology

    Suggested References for Saudi Board Promotion Examination ofOphthalmology

    1. AmericanAcademyofOphthalmology(AAO)BasicandClinicalScienceCourse(BCSC)Sections1-14;2013-2014.

    2. AmericanAcademyofOphthalmology(AAO)BasicandClinicalScienceCourse(BCSC)Sections1-14;2014-2015.

    3. BowlingB.Kanski'sClinicalOphthalmology,8thEdition.ASystematicApproachSaundersElseviersHealthSciences.ISBN978-0-7020-5572-0.

    4. LevinL,NillsonS,VerHoeveJ,WuS,KaufmanP,AlmA.eds.Adler'sPhysiologyoftheEye,11thEdition.Saunders2011.ISBN:9780323057141

    5. TabbaraKF,HyndiukRA.eds.InfectionsoftheEye,2ndEdition,1996.Little,BrownandCompany,USA.

    6. RoyFH,FraunfelderFWJr.,FraunfelderFT,eds.CurrentOcularTherapy,6thEdition.Saunders;2008.ISBN978-1-4160-2447-7.

    7. TraboulsiEI.ed.PracticalManagementofPediatricOcularDisordersandStrabismus.ACase-basedapproach.2016,Springer-Verlag.

    8. WrightKW,SpiegelPH.eds.PediatricOphthalmologyandStrabismus;2003.Springer.

    9. RabbettsRB.ClinicalVisualOptics,4thEdition.Butterworth-Heinemann2007.ISBN:978-0-7506-8874-1.

    10. BartlettJD,JaanusSD.ClinicalOcularPharmacology,5thEdition;2008.Butterworth-Heinemann.ISBN:978-0-7506-7576-5.

  • Page|5Saudi Board Promotion Exam of Ophthalmology

    MCQTestBlueprintforOphthalmologyBoardPromotionexamfor(R1)

    Section ProportionGlaucoma 4-6Optics/Refraction 9-11Pathology 9-11Neuro-Opthalmology 4-6Pediatricophth&strabismus 19-21Cornea&anteriorsegment 9-11Oculoplastics/Orbit 9-11Uveitis 9-11Retina/Viterous 9-11Comprehensiveophthalmology 19-21

    Total 120

    MCQTestBlueprintforOphthalmologyBoardPromotionexamfor(R2)

    Section ProportionGlaucoma 19-21Optics&Refractivesurgery 9-11Pathology 4-6Neuro-Opthalmology 1-3Pediatricophth&strabismus 19-21Cornea&anteriorsegment 29-31Oculoplastics/Orbit 2-4Uveitis 4-6Retina/Viterous 9-11Comprehensiveophthalmology 9-11

    Total 120

    MCQTestBlueprintforOphthalmologyBoardPromotionexamfor(R3)

    Section ProportionGlaucoma 9-11Optics&Refractivesurgery 9-11Pathology 4-6Neuro-Opthalmology 11-13Pediatricophth&strabismus 4-6Cornea&anteriorsegment 19-21Oculoplastics/Orbit 9-11Uveitis 7-9Retina/Viterous 11-13Comprehensiveophthalmology 19-21

    Total 120

  • Page|6Saudi Board Promotion Exam of Ophthalmology

    ExampleQuestions

    EXAMPLESOFK1:

    Question1:

    Inapatientwithneuropathickeratopathyafterastroke,whatocularmedicationisrelativelycontraindicated?

    A. FluoroquinolonesB. HypertonicsalineC. BetablockersD. Prostaglandininhibitors

    EXAMPLESOFK2:

    Question2:

    ASevenyear-oldgirlwhohashadarenaltransplantcomplainsofaright-sidedheadachefortwodays.Examinationrevealsrednessofherrightforehead,rightuppereyelid,andnose,withafewclearvesicles.Slit-lampexamshowsconjunctivalhyperemiaandsuperficialpunctatekeratitis.

    Whatisthepreferredmanagement?

    A. TopicalsteroidsB. TopicalantiviralsC. OralantiviralsD. Oralsteroids

  • Page 1

    OPTHALMOLOGY SAUDI BOARD PROGRAM ANNUAL PROMOTION ASSESSMENT

    I. Annual Assessment

    50% Continuous Assessment 50% Promotion

    Examination

    Educational Portfolio EOYE

    BSCE Monthly

    Evaluation

    Attendance

    Rotational Mini-CEX

    Rotational CBD

    Weekly Quiz

    MCQs (A type including

    recalls, interpretation and

    problem solving

    R1 20% 15% 15%

    50% Continuous Assessment 50% Promotion Examination

    Educational Portfolio EOYE

    OSCE/OSPE/Oral

    Exam

    Monthly

    Evaluation

    Attendance

    Weekly Quiz

    Rotational Mini-

    CEX

    Rotational CBD

    MCQs (A type)

    Recall, Interpretation &

    Problem solving

    R2 25% 10% 15%

    50% Continuous Assessment 50% Promotion Examination

    Educational Portfolio EOYE

    OSCE/OSPE/Oral

    Exam

    OKAP

    Exam

    Monthly

    Evaluation

    Attendance

    Weekly Quiz

    Rotational Mini-

    CEX

    Rotational CBD

    MCQs (A type)

    Recall, Interpretation &

    Problem solving

    R3 *20%/25% *5%/0 10% 15%

    *Based on OKAP availability, if not available, 5% to be added to clinical examination.

    100% Continuous Assessment

    OSCE/OSPE/Oral

    Exam

    Monthly

    Evaluation

    Attendance

    Weekly Quiz

    Rotational Mini-

    CEX

    Rotational CBD

    Thesis

    R4 50% 15% 15% 20%

    Educational Portfolio

  • Page 2

    * The educational portfolio reflects performance, assesses clinical competencies (including assessment of

    CanMEDS roles implementation in the program) and professional development.

    * Portfolio contents (Assessment forms for all placements, mini-CEX/ CBD forms for all placements,

    Reflection documents and additional reflection documents for courses, workshops, presentations,

    research, etc.).

    * BSCE (Basic Science Course Examination) on the 1st

    two (2) weeks of January (Examination should

    matched and aligned with BSC objectives)

    * OSCE/ OSPE (Objective Structured Clinical Examination/ Objective Structured Practical Examination).

    * EOYE (End of the Year Examination).

    *OKAP Exam (Ophthalmic Knowledge Assessment Program Exam). The OKAP exam is a computer-based examination administrated at Prometric Test Centers. Ophthalmic Knowledge

    Assessment Program (OKAP) International is a 250-item multiple choice, in-service exam for ophthalmology trainees around

    the world to assess their knowledge and for programs to assess their educational effectiveness.

    Requirement for Educational Portfolio

    1. End of placement/ rotation assessment (Appendix A) 2. Mandatory formative assessment:

    - Mini-CEX (Appendix B)

    - CBD (Appendix C)

    - Quiz

    3. Evidence of achievements in each placement/rotation with descriptive statement

    4. Reflection documents (Appendix D)

  • Page 3

    Appendix A

    EDUCATIONAL PORTFOLIO

    RESIDENTS’ ASSESSMENT

    RESIDENT NAME: ________________________________ Training Year: R1 R2 R3 R4

    ROTATION: ________________________________ ASSESSMENT PERIOD: _________________

    CONTRIBUTORS TO Evaluation: _________________________ Hospital: _______________________

    Scale Key: Please compare the resident with other residents at his/her training.

    Level:

    N/A Not Applicable There was no opportunity to enable evaluation of this item.

    2 Unsatisfactory* Clearly inadequate in functioning and/or not improving.

    3 Borderline/Marginal* Inconsistently meets expectations for domain being evaluated.

    4 Meets Expectations A solid performance at his/her level in the program – the majority of residents will fit into this category

    5 Exceeds Expectations* Performed in a fashion that exceeds your expectations for most residents in the program, and equals

    performance of advance residents and experienced practitioners.

    This rating should be given to only a small number of residents and would place them at >90th

    percentile.

    *Written comments should accompany and support this rating.

    Please note that observed progress and evaluation should incorporate sequential integration of prior learning, new knowledge and skills.

    N/A 2 3 4 5 Comments

    A. COMMUNICATION SKILLS

    1. Ability to elicit relevant, concise and accurate

    history from patient/parent(s).

    2. Ability to present clinical data in an organized,

    problem oriented manner at rounds.

    3. Ability to effectively discuss relevant information

    with attending, and health care team.

    4. Establishes a therapeutic relationship with patients

    and communicates well with family.

    5. Adequate, appropriate and organized

    documentation.

    B. MEDICAL EXPERTISE DEVELOPMENT: KNOWLEDGE/CLINICAL JUDGMENT/SKILLS/PERFORMANCE

    6. Basic Science

    7. Knowledge of common problems (related to

    subspecialty and level of training)

    8. Accurate and efficiency in conducting a complete

    and problem focused physical examination (must be

    witnessed even if partial e.g. eye motility exam,

    anterior segment, fundus exam)

    9. Formulation of differential diagnoses, ability to

    prioritize and solve problem.

    10. Interpretation of relevant laboratory and

    diagnostic imaging tests.

    11. Competency in performance of procedural tasks

    related to subspecialty.

    12. Recognition and performance in acute and

    emergency situations.

    C. HEALTH CARE ADVOCATE

    13. Identifies important determinants of health

    affecting patients. (e.g. poverty, socio-economic status)

    14. Recognizes opportunities to provide health

    promotion and anticipatory guidance (e.g. vision test

    for preschoolers, recommending immunization, etc.).

  • Page 4

    N/A 2 3 4 5 Comments

    D. COLLABORATOR and MANAGER

    15. Utilizes resources effectively where appropriate

    (e.g. evaluates need for and appropriately orders

    lab/DI tests).

    16. Displays appropriate time management skills.

    Prioritizes tasks and performs procedural

    interventions in a timely and efficient manner.

    17. Understands own limitations, seeks help when

    required, receptive to constructive criticism, and able

    to adequately handle feedback.

    18. Ability to function in a multidisciplinary team

    setting.

    19. Ability to follow up on outstanding issues in a

    timely fashion.

    E. SCHOLARLY ACTIVITY

    20. Ability to execute a systematic search for evidence

    (literature review, chart audit, etc.) in order to

    optimize clinical decision-making and clinical care.

    21. Ability to critically appraise sources of medical

    information.

    22. Teaching ability (formal/informal, e.g. clinical

    clerks, juniors).

    F. PROFESSIONAL ATTITUDE AND PERFORMANCE

    23. Demonstrates initiative in achieving educational

    objectives, (e.g. preparation for rounds, reading

    around cases, discussion on how to improve).

    24. Courteous and respectful (to patients/parents and

    staff). Open minded to the needs and expectations of

    parents. Active listener.

    25. Displays empathy for sick patients and their

    families.

    26. Demonstrates gender and cultural sensitivity.

    27. Displays dedication/enthusiasm, sense of

    responsibility and punctuality.

    28. Delivers highest quality of care with integrity,

    honesty and compassion.

    29. Displays and able to handle appropriate level of

    responsibility for level of training.

    30. Establishes effective relationship with seniors,

    peers and health professionals.

    F. OVERALL COMPETENCE

    31. Overall assessment for rotation

    No. of

    Laser/Surgeries

    Name of Procedure Main Surgeon* Assistant

    Surgeon

    *Main Surgeon means doing more than 75% of the procedure

    Strengths: ___________________________________________________________________

    Areas requiring further work: ____________________________________________________

    Other comments: _____________________________________________________________

    Resident comments: ___________________________________________________________

    Total Score -------------------------------------------- x 20% = -------------------

    No. of Evaluated Items

    Official

    Use

  • Page 5

    Mini-CEX (Mini-clinical Evaluation Exercise)

    Ophthalmology Residents will be responsible for the conduction of at least one Mini-CEX session each

    rotation. The process will end with a structures discussion with the supervisor or assessor:

    • A selected case from the in-patient or out-patient setting to be interviewed under direct supervision.

    • The case should be presented with a conclusion. It should take no longer than 15 minutes.

    • This should be followed immediately by feedback lasting 5-10 minutes that include things done right and those need improvement.

    • A mini-CEX form should be completed with the presence of the Residents

    • The assessment form should be part of the educational portfolio.

    Case-based Discussion (CBDs)

    Competence in patient investigation, patient management, health promotion and disease prevention, and

    some aspects of both attitudes/ethics and continuing professional development is assessed using a CBDs

    form. These forms can be completed by trainers in the following circumstances:

    • During an out-patient clinic. Trainers and trainees may wish to allocate 5-10 minutes to discuss the management of a patient seen during an out-patient clinic.

    • Case selection would be determined by either the trainee or trainer. The trainee should have had some direct clinical role with the patient e.g. history taking, clinical examination, investigations

    ordered or interpreted, management decisions, management of complications, critical incidents

    etc.

    • At the end of an out-patient clinic. Trainers and trainees may wish to allocate some time at the end of clinic to review a small number of case notes where the trainee has had a significant role in the

    management of the patient.

    • Case presentations during postgraduate teaching. Trainees are often asked to present cases at local or regional postgraduate teaching sessions. A nominated trainer should complete a CBDs form

    after the presentation.

    • During a designated teaching session. Trainers and trainees may wish to allocate a period of one-to-one teaching or small group teaching where cases are discussed and a CBDs form completed.

    A list of Clinical Scenarios (approximately 40) that cover most of the SBO curriculum. Trainees should

    aim to cover all these scenarios in their case based discussions if possible so that their portfolio reflects a

    wide range of clinical management situations.

    It is recommended that about half the cases for CBDs are chosen by the trainee and half by the trainer.

    A guide trainee’s should ensure that a minimum of one case per annual quarter is discussed and a CBDs

    form completed. By the end of training a trainee’s portfolio should contain at least 15 CBDs forms.

  • Page 6

    CBDs Scenarios:

    • The Ophthalmology Resident is expected to manage a range of clinical scenarios. This may involve referrals from other health professionals, patient self-referrals or screening for ophthalmic

    disease.

    Symptoms Signs

    Foreign body sensation

    Decreases Vision

    - Transient

    - Sudden

    - Gradual

    - Painful

    Diplopia

    Distortion

    Dry Eyes

    Floaters

    Headache

    Night Blindness

    Pain

    - Ocular

    -Periocular

    Photophobia

    Red Eye

    Trauma

    Visual Disturbance

    Tearing

    Ametropia

    Cataract

    Corneal Opacities

    Corneo-scleral laceration

    Corneal Foreign Body

    Conjunctival Pigmentation

    Dysgenesis/ Colobomata

    Intra-ocular Foreign Body

    Lid Lumps

    Lid Malposition

    Leukocoria

    Macular Exudation

    Nystagmus

    Ocular Tumours

    Peri-Orbital swelling

    Optic Nerve Atrophy/ Swelling

    Buphthalmus

    Proptosis

    Pupil Abnormalities

    Raised Intraocular Pressure

    Retinal Haemorrhages

    Retinal Pigmentation

    Strabismus

    Visual Field Defects

    Retinal Vasculature abnormalities

    Retinal Detachment

    Retinoblastoma

    Competencies Assessed in Mini-CEX

    • Professional approach to patient

    • History taking skills

    • Physical examination skills

    • Clinical diagnostic skills

    • Clinical judgment & synthesis

    • Patient management skills

    • Communication skills

    • Overall clinical competences

    * See appendix B

  • Page 7

    Appendix B

    Educational Portfolio

    Mini-CEX Form

    Resident’s Name: ______________________________

    Clinical Setting: ____________________________________

    Title of Procedure: __________________________________

    Clinical Problem Category

    Anterior Segment | Glaucoma | Uveitis | Retina | O.P. | N.O. | Ped & Strabismus

    If Other please specify _____________________

    New or FU? ________________________

    Focus of clinical encounter

    History | Diagnosis | Management | Explanation

    Number of times patient seen before by trainee _________

    Complexity of case __________________________

    Assessor’s position _________________________

    Number of previous mini-CEX observed by assessor with any trainee: ____________________

    Please grade the following area using the scale below:

    Please mark as ‘Insufficient Evidence’ if you have not observed the behaviour and feel unable to comment

    History Taking

    Insufficient evidence | Below expectations | Borderline | Meets expectations | Above expectation

    | for completion | for completion

    Physical Examination Skills

    Insufficient evidence | Below expectations | Borderline | Meets expectations | Above expectation

    | for completion | for completion

    Communication Skills

    Insufficient evidence | Below expectations | Borderline | Meets expectations | Above expectation

    | for completion | for completion

  • Page 8

    Clinical Judgment

    Insufficient evidence | Below expectations | Borderline | Meets expectations | Above expectation

    | for completion | for completion

    Professionalism

    Insufficient evidence | Below expectations | Borderline | Meets expectations | Above expectation

    | for completion | for completion

    Organization/Efficiency

    Insufficient evidence | Below expectations | Borderline | Meets expectations | Above expectation

    | for completion | for completion

    Overall Clinical Care

    Insufficient evidence | Below expectations | Borderline | Meets expectations | Above expectation

    | for completion | for completion

    Anything especially good

    Suggestions for Development

    Agreed Action

    Time taken for observation: (in minutes)

    Assessor’s Name:

    Competencies Assessed in Case-Based Discussion

    • Professional approach to patient

    • Data gathering and interpretation

    • Making diagnosis and decisions

    • Clinical management

    • Managing medical complexity

    • Working with colleagues and in teams

    • Maintaining an ethical approach

    • Fitness to practice

    * See appendix C

  • Page 9

    Appendix C Form

    Educational Portfolio: CBD Form

    Resident’s Name: Date (dd/mm/year)

    R1 R2 R3 R4 Other (specify)

    Assessor’s Name:

    Assessor’s Status: Consultant Residents (R1, R2, R3, R4) Other (specify)

    Clinical Scenario (see study guide)

    Brief description of case:

    Overall difficulty of case: Simple Intermediate Difficult

    Subspecialty: Plastic/Lac/Orbits Cornea/Ext Cataract/Ref Glaucoma Retina/Uvea/Oncol Neuro Paeds/Strab

    Topic Poor Fair Good V.Good n/a

    Medical Record Documentation

    Clinical Assessment

    Investigation and Referrals

    Treatment

    Follow-up and Future Planning

    Professionalism

    Clinical Judgment

    Leadership/Manager Issues

    Overall performance in this assessment Poor Fair Good V.Good

    Meets Expectations/Does not meet Expectations (for stage of training)

    Anything especially good?

    Suggestions for development:

    Agreed action:

    Signature of Assessor: Signature of Trainee:

  • Page 10

    Appendix D

    Educational Portfolio

    Reflection Form

    Rotation (____): Comprehensive Ophthalmology

    1. Clinical Management:

    Strength:

    Areas of Improvement:

    New Skills:

    2. Medical Practice:

    Strength:

    Areas of Improvement:

    New Skills:

    3. Professionalism:

    Strength:

    Areas of Improvement:

    New Skills:

    4. Communication Skills:

    Strength:

    Areas of Improvement:

    New Skills:

    5. Leadership and Teamwork:

    Strength:

    Areas of Improvement:

    New Skills:

  • Page 11

    I. Annual Promotion Assessment

    A. Objectives

    1. The general objective of annual assessment is to evaluate that the trainee has satisfactorily

    acquired the theoretical knowledge and clinical competence to which he/she was exposed during

    the relevant year(s).

    2. The following specialties have to be covered for R1:

    BSC, E.R., Neuro-Ophthalmology, Oculo-Plasty, Pediatrics Ophthalmology & Strabismus,

    comprehensive Ophthalmology and ancillary services.

    3. The following specialties have to be covered for R2:

    E.R., Retina, Uvitis, Glaucoma, Anterior Segment, Cornea & External Eye Disease, Neuro-

    ophthalmology and Oculo-plastic.

    4. All specialties have to be covered for R3 and R4.

    B. Eligibility of Promotion Examination

    1. Completion of at least nine (9) months of training in the concerned year of residency. 2. Satisfactory report by the Supervisory Training Committee and the Annual Continuous

    Assessment.

    C. General Rules

    1. The trainees learning capabilities, performance, interest, etc., shall be monitored by the

    trainer/Program Director on the forms of continuous assessment of rotation throughout the

    year and the marks awarded shall be submitted to SCFHS.

    2. Written promotion examination (EOYE) shall be held once a year for all the residents except

    R4.

    3. The written examination question paper (EOYE) shall ensure proper coverage of all the areas

    of syllabus specified for the relevant year(s) (see above).

    4. The OSCE/OSPE shall ensure proper coverage of all the areas of syllabus specified for the

    relevant year(s) (see above).

    5. Promotion to next year of residency shall depend on passing the Annual Continuous

    Assessment requirement and the written promotion examination which will have equal

    weightage.

    6. EOYE is obligatory and applicable for all the residents except fourth year residents.

    D. Written Examination Format

    1. A written examination consisting of 120 MCQs (A Type) shall be attempted in two (2) hours. 2. Three (3) different papers, one for each level i.e. R1, R2 and R3 shall be given.

    E. Passing Score

    1. An average of 60% score in the promotion examination and continuous assessment with a minimum of 50% in each is required for passing the 1

    st

    three years of the program.

  • Page 12

    2. An average of 60% score in the continuous assessment with a minimum of 50% score in OSCE (i.e. 25 out of 50) is required for passing and completing the program for fourth year

    residents.

    F. Declaration of Result

    All written examination score reports shall go through a post-hoc item analysis before being

    approved by both the Assistant of General Secretary for Postgraduate studies of SCFHS and SEC,

    and then reported to the scientific council for the specialty for promotion decisions for all trainees,

    within two weeks of the examination.

    G. Eligibility:

    Valid registration with Saudi Council for health Specialties.

    Specialties.


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