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E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
Surgical Oncology Exam
Update
Lynda Wyld, Chair of the Exam
Committee and the Education and
Training Committee of ESSO
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
Exam Committee: the ETC of ESSO
Name Gender Nationality
Specialty
Lynda Wyld f UK
Breast, sarcoma
Beate Rau f German HIPEC, pelvic, sarcoma and lung
Michel Rivoire m French Upper GI/HPB
Geerard Beets m Netherlands Colorectal
Marjut Leidenius f Finnish
Breast
Odysseas Zoras m Greek Melanoma, sarcoma
Joost van der Vorst m Dutch
Trainee Representative
Ibrahim Edhemovic m Slovenian GI
Sergio Sandrucci m Italian
Sarcoma, upper GI
Daniel Perez m Swiss Upper GI/HPB
Isabel Rubio F Spanish Breast
Dawid Murawa m Polish
Upper GI and Breast
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
The EBSQ Surgical Oncology
Examination
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
Applications
19 applicants
3 candidates were rejected due to inadequate
training/experience to comply with the eligibility criteria.
2 were unable to attend due to the unrest in Egypt and 1
due to the Syrian civil war: all 3 plan to attend next year
and have been allowed to carry over their fee if they do.
2candidates cancelled after acceptance.
In total therefore, 11 candidates sat the written
examination. 1 failed the written. 1 failed the oral so 9
passed.
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
Examiner Training for the Oral Exam
Examiners must observe an examination before taking
part.
Examiners meeting to standard set before each oral
exam
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
Standardised Viva Questions
2 vivas, 25 minutes each, 2 experienced examiners.
One based on review of 2 controversial academic papers
with a question and answer guide.
Second based on case reports to test applied knowledge
and decision making. Cases and questions and answers
predefined.
Numeric and categorical scores.
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
MCQ Examination
Completely new bank of questions.
All extensively revised by the exam board (the ETC
committee of ESSO)
Standard setting using Anghoff referencing
2 papers:
Paper 1: 40 MCQs, Basic surgical oncology (basic principles of
surgical oncology, genetics, radiation oncology, medical
oncology, genetics).
Paper 2: 20 MCQs, Applied surgical Oncology testing critical
thinking and applied decision making at a higher level on
Bloom’s taxonomy
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
Example of Anghoff Scoring
8 If limited peritoneal carcinomatosis is incidentally found during laparotomy for
resectable rectal cancer, the best treatment option would be:
a To proceed with resection of the rectum, remove the affected peritoneum and
subsequently treat the patient with chemotherapy including molecularly targeted drugs
(biologicals)
b To proceed with the resection of the rectum without removing the affected peritoneum
and subsequently treat the patient with chemotherapy including molecularly targeted
drugs (biologicals)
c To do nothing (or stoma only, if necessary) and refer the patient to the institution
where the resection of the rectum with simultaneous peritonectomy and HIPEC are
feasible.
d To proceed with the resection of the rectum and subsequently send the patient to the
institution where the peritonectomy and HIPEC are feasible.
e To consider the patient as untreatable, do nothing or create a stoma only, if necessary.
Correct
Angoff 60, 60%, 90%, 60%, 60%, 80%, 50%, 60%, 70%, 20%, 50%, 50%
Mean
score
66%
Pass
mark
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
Review of MCQ quality and validity
Scores reviewed.
Low scoring questions checked
for accuracy and intelligibility and
modified or removed
High scoring questions reviewed
and modified or removed.
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
Oral Papers
Increased structure to questions with different levels of
questions at different levels of Bloom’s taxonomy
Good feedback from examiners
1 candidate failed oral exam
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
Core Curriculum
Core Curriculum: Fully
revised, collaborative between
ESMO, ESTRO, SSO, and
ESSO. Published in the
European Journal of Surgical
Oncology and available on the
web site.
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
Textbook of Surgical Oncology
First published in 2007
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
Second Edition
Based on the previous book but themed to reflect the
Core curriculum
Maximal input from ESSO board and committee
members
Recommended reading for the exam
Hard cover, PDF and ‘handbook’ version
E U R O P E A N S O C I E T Y O F S U R G I C A L O N C O L O G Y
Next Steps
Critical review of questions
Develop bank so minimise repetition
Hopefully will have increase in numbers after Core
Curriculum publication
Exam to be held as a stand alone in Brussels, no longer
linked to the Congress for logistical reasons.
To have a medal and a prominent award of the
prize/certificates at the main ECCO/ESSO congress
(prize is free congress registration).
Develop specific exams in specialist areas: Peritoneal
Surface Oncology
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