Title

Does the new fellowship examination format ensure a sufficient standard for FACEMs? No

Date of this Version

2-28-2016

Document Type

Journal Article

Publication Details

Citation only

Brazil, V., Carley, S. (2016, in press). Does the new fellowship examination format ensure a sufficient standard for FACEMs? No. EMA - Emergency Medicine Australasia .

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© Copyright, 2016 Australasian College for EmergencyMedicine and Australasian Society for EmergencyMedicine

ISSN

1742-6731

Abstract

In 2015, ACEM instituted changes to the Fellowship Examination (FEx) following a 3 year period of curriculum revision. This revision encompassed changes to training and assessment, including examinations, workplacebased assessment and in-training assessment. A rise in the passing rate for the FEx in 2015 compared with previous years has stimulated commentary that this must mean a ‘lower standard’ for FACEMs, and by implication, poorer care for patients. This article examines the assumptions inherent in that position and proposes a different approach to physician performance assessment. The ‘sharp end’ of any educational programme is the assessment process and outcomes. In medical specialty certifying examinations, these outcomes are high stakes for candidates’ careers and finances. These outcomes also affect those already qualified as FACEMs by increasing competition for jobs. Controversy is likely to follow.

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This document has been peer reviewed.