ICSEB Meeting
15th March 2018

I attended the Intercollegiate Specialty Examination in Trauma & Orthopaedic Surgery Board Meeting on the 15th of March 2018.

Congratulations to Mr Stephen Eastaugh-Waring who has become Chair of the Intercollegiate Specialty Examination Board. Thank you to Prof Richard Montgomery for his hard work during his time as Chair.

The following matters were discussed which I would like to bring to the attention of BOTA members.

There was extensive discussion about the candidate-examiner dynamic and the attitude seen in successful exam takers.

It is worthwhile to look at the Regulations and Syllabus Blue print at https://www.jcie.org.uk/content/content.aspx?ID=20 to familiarise oneself with the exam process and the content in order not to be caught unprepared. Particularly noteworthy is that Spines can be a topic at any point during Section 2, including as an intermediate case. With Basic Sciences, questions may be formulated in a fashion where there is a demand for higher order through an application of Basic Science principles and concepts to “everyday” clinical scenarios.

During Section 1:

  • Questions with images or videos contain these to augment the question or confirm the answer.

During Section 2:

  • During Short Cases, you may be asked to take a history. Keep it succinct and focused.
  • Be aware of the difference in allowed time between Short and Intermediate Cases. This requires a mind shift in order to maximise performance in Short Cases.
  • Images and props are provided to augment or confirm a diagnosis. If CT or MRI imaging is provided, the candidate should not expect to have access to an electronic radiography system but rather some “choice slices” from this modality.
  • In the event that you are being asked particularly difficult questions, it may be that you are being pushed for higher marks.
  • When encountered with an uncommon or rare condition be aware that higher order thinking is what is being assessed. You do not have to get the diagnosis, but you do have to be safe and sensible as well as show reasonable thought processes.