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Bachelor of Medicine and Bachelor of Surgery (Revised Regulations): Final M.B. Examination

(Statutes and Ordinances, p. 437)

With immediate effect

The structure of the Final M.B. Examination (Revised Regulations) has been revised to combine Parts II and III into one Part, II, which will cover the content of the clinical specialities as a whole. It will comprise five separate components, each one covering all disciplines but with distinct objectives: (i) factual knowledge and its application in a clinical context; (ii) clinical problem-solving skills; (iii) written communication skills and ethics; (iv) history-taking and other interpersonal skills; and (v) practical clinical skills and physical examination skills. The regulations have been amended as follows:

Regulation 2.

By deleting from lines 1 and 2 the words 'and in both sections of Part III'.

Regulation 3(f).

By amending the list of specified subjects so as to read:

For Part I:
For Part II:
pathology and epidemiology.
obstetrics and gynaecology, medicine, surgery, paediatrics, psychiatry, clinical pharmacology and therapeutics, the care of the elderly, radiology, anaesthetics, general practice, community medicine, ethics, and legal medicine.

Regulations 15 and 16.

By amending the regulations so as to read:

15. The Final M.B. Examination shall consist of two Parts, Parts I and II; Part II shall be divided into five components. Part I shall be held in the Lent Term and in June and December, and Part II shall be held in June and December, in accordance with the timetable that shall be published by the Board of Examinations, after consultation with the Faculty Board, before the division of the Easter Term each year for the calendar year next following.

16. The Parts of the Final M.B. Examination shall consist of the following components:

Part I: two written papers, one of two hours and one of two hours and twenty minutes, and a practical examination. The Examiners at their discretion may examine any candidate viva voce.
Part II: three written papers, two of three hours and one of two hours, and two clinical examinations.

In order to satisfy the Examiners a student shall produce evidence of a satisfactory performance in the pelvic examination of gynaecological patients.

Regulations 17 and 18.

By replacing in line 1 of each regulation the words 'any Part' by the words 'each Part'.

Regulations 19-21.

By amending the regulations so as to read:

19. (a) Subject to the provisions of sub-paragraph (d)(ii) and Regulation 21 below, Parts I and II of the Final M.B. Examination shall be taken separately;
(b) a student shall not be a candidate for the first time for Part I until at least fourteen months have elapsed since the beginning of the student's course of clinical study;
(c) a student who is a candidate for the first time for Part II shall offer all components;
(d) a student shall not be a candidate for the first time for Part II unless

 (i) he or she has completed three years of preclinical medical study in the University or elsewhere, and two years and two months of clinical study in the University or provides evidence of having satisfactorily completed the first eighteen months of the Cambridge Graduate Course in Medicine,

and unless

  (ii) the student either has previously passed in Part I or in exceptional circumstances has been granted permission by the Faculty Board to be a candidate for Parts I and II on the same occasion;

(e) except by special permission of the Faculty Board in exceptional circumstances, no student shall be a candidate for the first time for Part I later than three years after beginning his or her course of clinical study and no student shall be a candidate for the first time for Part II later than five years after beginning his or her or course of clinical study;

20. The following provisions shall apply to M.B./Ph.D. Programme students:

(a) such a student shall not be a candidate for the first time for Part II unless he or she has completed three years of preclinical medical study in the University or elsewhere, and one year and eight months of clinical study in the University together with such other part-time clinical study as may be prescribed by the Faculty Board;
(b) except by special permission of the Faculty Board in exceptional circumstances, such a student shall not be a candidate for the first time for Part II later than eight years after beginning his or her course of study.

21. If at the first attempt a student fails to satisfy the Examiners in Part I or Part II or in a component of Part II he or she shall be eligible for re-examination in the relevant Part or component, taking them separately or together, provided that

(a) a candidate for re-examination in Part II

  (i) shall already have passed in Part I unless in exceptional circumstances he or she is granted permission by the Faculty Board to be a candidate on the same occasion for Parts I and II or for Part I and a component of Part II;
  (ii) shall offer all components of Part II unless he or she has already satisfied the Examiners in one component;

(b) a candidate shall not be re-examined in any part or in any component of Part II later than two years after his or her first candidature for that Part or that component, except by special permission of the Faculty Board in exceptional circumstances;
(c) if a candidate fails to satisfy the Examiners in any Part or in any component of Part II on two occasions subsequent to his or her first candidature for that Part or that component, he or she shall not be re-examined in that Part or that component again except by special permission of the Faculty Board in exceptional circumstances.

Regulation 23(b).

By replacing in line 5 the words 'Part I and Part II, and for each section of Part III of the Final M.B. Examination' by the words 'Part I and for each component of Part II of the Final M.B. Examination'.

Regulation 24.

By amending the final sentence so as to read:

The Collectors and Assistant Collectors of Cases shall invite such patients and shall make such arrangements as may be required for the clinical examinations in Part II of the Final M.B. Examination.

Regulation 26.

By amending the final sentence so as to read:

The list for Part II of the Final M.B. Examination shall indicate the components of the examination in which the candidate has passed. On the occasion of a candidate's first attempt at either Part of the Final M.B. Examination, but not on any subsequent occasion, special merit may be recognized by the award of a mark of merit or distinction in Part I or in Part II.

Temporary Regulation

By inserting the following Temporary Regulation.

30. Notwithstanding the provisions of the following regulations a student who was a candidate for any Part of the Final M.B. Examination before 30 September 2003 shall be eligible, if unsuccessful in any Part or section, for re-examination under the regulations that were in force on that date.

SUPPLEMENTARY REGULATIONS

(Statutes and Ordinances, p. 444)

By inserting the following supplementary regulations for the Final M.B. Examination:

Final M.B. Examination

PART I. Pathology

The examination in this part will be concerned with the application to human disease of the principles of pathology. It will cover morphology and clinical aspects of pathology, including haematology, microbiology, chemical pathology, epidemiology, and preventive medicine. There are two written papers; one paper will consist of multiple part objective questions and one will consist of essay questions.

Part II

The examination in this Part will be concerned with the principles and practice of medicine and surgery with clinical pharmacology and therapeutics, general practice, public health medicine, paediatrics, and other medical and surgical specialities covered in the curriculum. The examination will be designed to assess the candidate's knowledge and experience of medicine and surgery in their widest sense; her or his ability to apply that knowledge and experience to the management of patients; her or his ability to communicate effectively with patients and to respect their autonomy; and her or his experience of ethical problems in clinical medicine.

The examination will consist of five components testing all areas of the curriculum: Component 1 will consist of no fewer than 100 multiple choice questions covering factual knowledge and its application in a clinical context. Component 2 will consist of no fewer than 25 extended matching questions covering application of knowledge and clinical problem solving skills. Component 3 will consist of not less than five short structured-answer questions covering written communication skills, ethics, and law in clinical medicine. Components 4 and 5 will be clinical examinations in which students will be assessed on their clinical performance; Component 4 will consist of not less than 10 stations covering clinical history-taking, clinical reasoning, and interpersonal communication skills; Component 5 will consist of not less than 18 stations covering clinical examination and practical skills.


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Cambridge University Reporter, Wednesday 22 October 2003
Copyright © 2003 The Chancellor, Masters and Scholars of the University of Cambridge.