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The unfair nature of the CASC Examination

The unfair nature of the CASC Examination

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Started by Anonymous 15 years, 9 months ago

Dear Prof Dinesh Bhugra(RCPsych President),

I would like to draw your attention to the current CASC examination format,in which the trainee has to carry out 16 clinical scenarios with each station having one actor and one examiner.

A source of concern for me is the subjectivity of the whole process.The former Part 2 examination had at least 2 examiners marking the candidate independently.With the current CASC format,we have only one examiner thereby creating room for subjective scoring.Also,if the trainee is not satisfied with the outcome of the examination and appeals against it,the outcome will ALWAYS inevitably end up against the petitoner as there is no video recording to refer back to.

Another area of concern for me is that the CASC passing rate has remained consistently around 30 percent(apart from the first CASC examination in 2008 which had over 60 percent of candidates passing).After that,the pass rate has remained between 32 and 37 percent.Does this imply that current trainees are now worse than the ones in 2008?Or,does it also imply that training standards have fallen?If the candidates are given final scores in the booth as they complete the station how is it possible that the pass rate has not changed much.One would expect big variations between results,given that examiners,clinical scenarios and candidates change with every exam.

I would appreciate it if you could urgently look at employing video recording in each CASC booth.This will greatly increase objectivity in scoring and aid a more transparent appeals process.

I also suggest we have a minimum of two examiners in each booth,numerically scoring candidates.The average should then be the score of candidates in each booth.This should then be summed up and converted to percentage.The RCPsych can then set a pass mark(in percentage)afterwards.This method is currently in use by other bodies organising clinical examinations.

Finally,the CASC pass rate has shown a huge disparity between locally trained graduates and foreign graduates.I would be grateful if you could look into any failing in the training system that could have led to this.

I believe the high standard of fairness the United Kingdom is known for will be reflected in your judgement with regard to my petition

Yours Faithfully,

Updates

January 15, 2011

I have documented the recurring concerns regarding examiner subjectivity and the lack of video evidence for appeal processes. These findings are currently being synthesized into a formal correspondence for the RCPsych office. We are prepared to request a meeting to discuss specific structural changes to the examination format.

6 Comments

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Amit Sullivan
15 years ago Featured

30 percent pass rate is a joke. They are clearly just failing people to make money on repeats. Sort it out.

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Rachel Tate
15 years ago Featured

so stressful. please fix this process

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Sarah Jensen
15 years ago Featured

The lack of recording is just absurd. How can we have any faith in a system that refuses to back itself up with actual proof when someone appeals?

D
David Tran
15 years ago Featured

Ridiculous pass rates. Either the exams are rigged or the training has gone down the drain. Change it now.

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Emily Farah
15 years ago Featured

Totally unfair. You spend years preparing and then it all comes down to one person's mood on the day. Get cameras in there.

J
James Chavez
15 years ago Featured

One examiner is not enough. Too much room for personal bias. Needs to be two people marking again like the old days.

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