Group-level differences in performance at the Intercollegiate Membership of the Royal Colleges of Surgeons (MRCS) examinations have been identified but are yet to be investigated.
Several independent predictors of MRCS success were identified, but only ethnicity and stage of training were found to be common predictors of both Part A and B.Ī recent independent review on diversity and inclusivity highlighted concerns that barriers to surgical career progression exist for some groups of individuals and not others. The odds of passing each part of the MRCS decreased by 14% (OR 0.86, 95% CI 0.80-0.92) for Part A and 30% for Part B (OR 0.70, 95% CI 0.61-0.81) with each additional attempt that was made. In addition to ethnicity and stage of training, Part A performance (number of attempts and score) was also identified as an independent predictor for Part B.
mature graduates, OR 2.60, 95% CI 1.81-3.63) were all found to be independent predictors of Part A success. Foundation Year 1 doctors, OR 0.50, 95% CI 0.32-0.77) and maturity (young vs. Black Minority and Ethnic, OR 1.70, 95% CI 1.52-1.89), stage of training (e.g. female, odds ratio (OR) 2.78, 95% confidence interval (CI) 1.83-4.19), ethnicity (white vs. A positive correlation was found between Part A and B first attempt score (r = 0.41, P < 0.001).
We included all UK medical graduates who attempted either part of MRCS between 20.ħ896 candidates made 11,867 attempts at Part A and 4310 made 5738 attempts at Part B. Pearson correlation coefficients were used to examine the linear relationship between MRCS Part A and B and logistic regression analysis to identify potential independent predictors of MRCS success.
We describe the relationship between both parts of MRCS and several independent predictors of MRCS success. The Membership of the Royal College of Surgeons examination (MRCS, Parts A and B) is one of the largest postgraduate surgical exams in the world, but little is known about the factors that affect candidate performance.
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