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FFPMRCA Examination application form V2

The application form must be completed online in full using the Word version of the document. All information must be submitted electronically. Personal details are removed from the application prior to being despatched to the reviewers.

Please submit your completed application to [email protected]. The submission will be acknowledged by return email. Please do NOT submit your Curriculum Vitae.

CLOSING DATE: 2nd March 2018

1.1 Title 1.2 First name(s) 1.3 Last name

1.4 Address and postcode (home) 1.6 Telephone number (home)

1.7 Telephone number (work)

1.5 Address and postcode (work) 1.8 Telephone number (mobile)

1.10 Date of birth

1.9 Email address 1.11 College Reference Number

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APPLICATION FORM FOR EXAMINERSHIP AND QUESTION WRITERS

Contact and reference detailsPart 1

mailto:[email protected]


2.1 Please list your qualifications

Date Qualification

2.2 Current appointment (including date of appointment):

Date Appointment

2.3 Previous relevant appointments (with dates):

Date Appointment

3.1 Please provide evidence of active involvement and commitment to training, assessment and examination question writing in medicine undergraduate or postgraduate education. Please give examples of formal and informal experience with dates:

Date Involvement and commitment to training, assessment and question writing

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Qualifications & TrainingPart 2

Evidence of active involvement in training, assessment and examination question writing

Part 3


3.2 Please provide information about any areas of special interest that you have:

3.3 Please give some examples of ideas you could put forward for FFPMRCA question development (200 words max)

3.4 Continuing professional development (points earned in the 16/17 CPD cycle)

3.5 Date of FFPMRCA Examinations visited if applicable:

3.6 Equal opportunities training (within last 3 years)

DATE DETAILS

PUBLICATIONS: (It is desirable that applicants are able to demonstrate the involvement in written and electronic publications that are of particular relevance to training/education and basic sciences of Pain Medicine).

DATE PUBLICATION

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EXTERNAL POINTS: INTERNAL POINTS:


Please provide the names and addresses (including emails) of 2 referees, who will be asked to provide structured references, one of whom should be a member of your current department / directorate:

Please carefully read the declarations below.

I have read the Person Specifications and Job Description and believe I meet the essential requirements for this role.

I have spoken with my Trust regarding applying for this role and I would be able to commit to 7 days per academic year.

I am a Fellow or Associate Fellow in good standing with the Faculty.

I hold full registration, without limitation, with the GMC.

I confirm that the information given on this form is, to the best of my knowledge, true and complete.

Signed Date

NB: The signature can either be electronic, or the page can be printed, signed and scanned.

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ReferencesPart 4

1)

2)

DeclarationPart 5


To ensure compliance with the Equality Act 2010 and as part of the College’s Equal Opportunities Policy, the College monitors exam results in relation to the candidate and Examiner population. Details of examiners’ protected characteristics, allows the College to carry out analysis of the examiner cohort and examiner/candidate interaction.

This information will only be used to assist in the provision of equal opportunities for all and will not be sent to the reviewers. You are requested to complete the form below, although this is not mandatory.

All information will be held in the strictest confidence and in accordance with the Data Protection Act 1998. It will not be available to any other examiners. This information will be recorded on the College database. However, any use made of this data will not allow any individual to identify you.

Your ethnic group: The ethnic groups are based on the Census 2011 categories.

Asian or Asian British:Bangladeshi Chinese Indian

Pakistani Other

Black or Black British:African Caribbean Other

Mixed:White & Black African White & Black Caribbean

White & Asian Other

White:British English

Gypsy or Irish Traveller Irish Northern Irish

Other

Scottish Welsh

Other Ethnic Group:Arab Any Other Ethnic Group

Prefer not to say

Is English your first language? Yes No Prefer not to say

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EQUAL OPPORTUNITIES MONITORING QUESTIONNAIREAPPENDIX A


Your gender: Female Male Prefer not to say

Your religion or belief (please select the group you most identify with):Buddhist Christian Hindu

Jewish Muslim Sikh

Any other religion or belief No religion or belief Prefer not to say

Your sexual orientation: Bisexual Gay man Gay woman / lesbian

Heterosexual / straight Other Prefer not to say

Do you consider yourself to have a disability according to the terms given in the Equality Act 2010? Yes No Prefer not to say

The College is committed to ensure that all applicants are given equal opportunity to demonstrate their ability to carry out the role of examiner in accordance with the Equality Act 2010.

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The first sitting of the Fellowship of the Faculty of Pain Medicine of the Royal College of Anaesthetists Examination was held in September and November 2012, although preparations for the examination have been ongoing since July 2009. Two further MCQ and SOE examinations have been held in January/April 2014 and September/October 2014.

The examinations questions are held in secure and professionally designed question bank system using a Filemaker Pro interface. Controlled within the Faculty examiners and question writers have remote access via a secure server. Question development can be conducted via a question writing platform which allows a forum to be formed to gather comments during the development phase. All questions are created to strict guidelines and directly mapped to the curriculum ensuring wide and even spread. This guides the further commissioning of questions and demonstrates the examination is clearly and adequately related to the required professional knowledge base.

The regulations of the examination are published and are available on the Faculty website http://www.rcoa.ac.uk/faculty-of-pain-medicine/training-examination-and-assessment/ffpmrca-examination

There are two sittings of the examination each academic, normally Feburary and September (MCQ) and April and October (SOE).

The MCQ is invigilated in-house so does not require attendance. Examiners are required to attend the SOE, which runs on a single day followed by a formal dinner. The examination begins early so examiners with far to travel may want to consider staying in London overnight where all examinations will be held.

In addition to the examination, all examiners can expect to be involved in the development of the examination (including question writing). Associated additional work is considered an essential part of an examiner’s commitment.

The timetable for future examination dates are being agreed as part of the wider project.

Please see the appendices of the appointment regulations for the full person specification and job descriptions for both the FFPMRCA Examiner and the FFPMRCA Question Writer.

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NOTES FOR APPLICANTSAPPENDIX B

INTRODUCTION

SCHEDULES

PROCEDURE FOR REVIEWING APPLICATION FORMS

PERSON SPECIFICATION & JOB DESCRIPTION


At the closing date for applications, the completed application forms will be collated and Circulated to the Chairman and key members of the Court of Examiners. Following a structured scoring process, recommendations will be made to the Faculty Training and Assessment Committee.

Applicants will be notified as soon as possible following the above process and confirmation of each appointment by the Board of the Faculty of Pain Medicine

COMMITMENT

It is expected that this duty will take precedence over all other commitments unless there are exceptional circumstances.

After successful completion of the probationary year, examiners must be prepared to commit at least 7 days per academic year to examination and core group activities, as well as additional work in their own time.

TERMS OF OFFICE

FFPMRCA Examiners are expected to complete a term of 10 years Examinership and commit at least 6 days per academic year or part time equivalent and on application have the approval from their Trust to achieve this.

FFPMRCA Question Writers are expected to complete a term of 2 years and commit at least 6 days per academic year or part time equivalent and on application have the approval from their Trust to achieve this.

PROBATION

New examiners shall initially be appointed for a one year probationary period (including a minimum of two examinations). New Question Writers shall initially be appointed for a six month probationary period.

Please note that any examiner retiring from clinical practice during an academic year is also required to retire from examining.

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COMMITMENT / TERMS OF OFFICE / PROBATION

RETIRING

STRUCTURE OF THE EXAMINATION


WrittenThere are two sub-sections to the written examination comprising an MCQ paper of 90 questions in 3 hours.

Structured Oral Examination (SOE)There are two sub-sections to the SOE comprising:

Clinical Pain Medicine : 50 minutes duration comprising 10 minutes to view clinical material, 20 minutes devoted to 3 questions based on the clinical material and 20 minutes devoted to 3 questions on clinical pain medicine unrelated to the clinical material; followed by:

Clinical Science : 30 minutes duration consisting of 4 questions on the application of basic science to anaesthesia, intensive care medicine and pain management.

Before taking up their appointment duties all successful applicants are required to attend an examiner training day at the College. This takes place on 22nd October 2018. New examiners who are unable to attend this training day will have their appointment deferred until the following year.

If you require any further information, please do not hesitate to contact us:

THE FACULTY OF PAIN MEDICINE ofThe Royal College of AnaesthetistsChurchill House35 Red Lion SquareLondon WC1R 4SG

By phone: 020-7092-1682 By e-mail: [email protected]: www.fpm.ac.uk Twitter: @FacultyPainMed

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TRAINING DAY

THE FACULTY

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