Assessment Strategy Review Survey sample 2600 international candidates that sat MRCPsych qualifications between 20182022 800 respondents 31 1 How would you describe your gender Trainee response ID: 1037080
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1. International Candidate Survey 2022Assessment Strategy ReviewSurvey sample: 2600 international candidates that sat MRCPsych qualifications between 2018-2022. 800 respondents (31%)
2. 1. How would you describe your gender?Trainee response% of overall respondents (800)Male46.3%Female52.63%Non-Binary0.125%Prefer not to say1%
3. 2. How would you describe your ethnic originEthnic OriginNumber of responsesAsian or Asian British - Indian238Asian or Asian British - Chinese114Other - Arab100Any other Asian background85Asian or Asian British - Pakistani56Black or Black British - African56White - Irish45Any other White background26Any of Black/African/Caribbean21Ethnic OriginNumber of responsesAny other ethnic group17Mixed - White and Black African9Other Mixed/Multiple background4White - English/Welsh/Scottish3Black or Black British - Caribbean2Mixed - White and Black Caribbean2White - Roma1Asian or Asian British - Bangladeshi1Prefer not to say20
4. 3. Is English your first language?Trainee % of overall respondents (800)Yes26.5No73.5
5. 4. What country do you live in?CountriesNumber Malaysia175India174Ireland115Egypt55Nigeria34Pakistan34Saudi Arabia32Hong Kong31UAE22Singapore17UK11Malta9Qatar9Sudan7Kuwait6Australia5Canada4Iraq4Sri Lanka4Trinidad and Tobago4Jordan3CountriesNumber Nepal3Palestine3Bahrain2Brunei2China2Italy2Maldives2Myanmar2Turkey2Bangladesh1Cayman Islands1Germany1Greece1Jamaica1Mauritius1New Zealand1South Africa1Taiwan1Yemen1Zimbabwe1Other10
6. 5. In which country did you take your PMQ?Country of PMQNumber of ResponsesCounty of PMQNumber of RespondersIndia202Nepal3Malaysia108Palestine3Egypt106Taiwan3Ireland65UAE3Pakistan56Germany2Nigeria44Myanmar2Sudan31Saudi Arabia2Hong Kong28Turkey2Romania16Bahrain1Australia9Barbados1China9Greece1Malta9Jamaica1UK7Kuwait1Jordan5Mauritius1Singapore5New Zealand1Italy4Oman1South Africa4Yemen1Sri Lanka4Zimbabwe1Bangladesh3Other52Iraq3
7. 6. Was your undergraduate medical degree in English?Response% of overall respondents (800)Yes96%No4%
8. 7. If no, please rate your level of proficiency in spoken and written English.n~36Poor and AverageGood and Very GoodSpoken English19.5%80.5%Written English21.7%79.3%
9. 8. Which exam(s) have you taken?Exam% of overall respondents (800)Paper A89%Paper B72%CASC28%
10. 9. Is MRCPsych a recognised postgraduate qualification by your country’s regulator?Recognised by regulator% of respondersYes65%No12%Not Sure22%Other1%
11. 10. If yes for Q9, please state the name of the regulator in your country.Most mentioned regulatorsIndia medical council Malaysia medical councilEgyptian medical syndicateIrish medical councilHong Kong medical councilSaudi medical councilMedical and dental council NigeriaPakistan medical councilSingapore medical CouncilSudanese medical council508 respondents confirmed MRCPsych is recognised in their country.
12. 11. If other for Q9, please expand on your answer belowExpansion on otherNumber of respondents Equivalent for country used10Not the top certification4Partial Exemption1Requires added proof of training1Trainee must have studied in the UK1Written Papers only accepted3
13. 12. What is your main reason for taking MRCPsych qualifications?ReasonRespondents%Work / study in the UK17322%Career14716%Recognition 7810%Specialist progression678%Knowledge and skills456%Further study446%Training requirement385%Work internationally385%GMC192%Personal172%Job requirement162%RCPsych membership101%
14. 13. How important to you are the following statements regarding your motivations for taking MRCPsych qualifications?n =MotivationNot applicableNot important andLess ImportantNeutralImportant andVery Important746To improve your skills and experience0.32.9492.7750To increase your job prospects or salary1.29.412.776.1714To work in the UK2.413.519.963.6754To work in your country of residence1.719.41959.9747To progress to the next stage of your training in the UK12.913.117.356.7717To work in another country4.918.122.954.1
15. 14. If you're taking MRCPsych qualifications to work outside the UK, what country are you planning to work in?CountriesNumber of respondersIreland115Australia107Malaysia92UAE50Singapore35India33Canada24Saudi Arabia15Egypt14Hong Kong13New Zealand10Pakistan10Qatar10USA9Malta7Oman4CountriesNumber of respondersItaly3Sudan3Brunei2China2Kuwait2Nepal2Palestine2Bangladesh1Iraq1Jordan1Mauritius1Myanmar1Trinidad and Tobago1Zambia1Other16
16. 15. Based on your perception and/or experience with digital and face-to-face exam delivery, how do the following factors compare? %FactorsFace to face is betterSame/ similarDigital is betterDon’t know / NAAccessibility (location)1512667Convenience (travel time)75863Cost (transport/hotel/exam fee)46873Exam conditions (quiet, comfortable, free from distractions)2216594Health and Safety (e.g., social distancing, sanitation)59834Invigilation (ability to obtain help if experience issues)4423258Information/support pre-exam (registration etc.)1738378Information/support during exam (guidance/instruction/time remaining/ announcements)3133306Ability to take a break (i.e.. toilet, breastfeeding, religious practices)20333611Quality of access to computer hardware (speed, monitor size, readability, font size, colour...)27184511Ability to manage anxiety and stress before and during the exam1625546Being sure that I will be able to complete the exam3427327
17. 15.Based on your perception and/or experience with digital and face-to-face exam delivery, how do the following factors compare. Filtered to show only candidates who have sat the CASC.FactorsFace to face is betterSame/ similarDigital is betterDon’t know / NAAccessibility (location)1411716Convenience (travel time)44892Cost (transport/hotel/exam fee)14921Exam conditions (quiet, comfortable, free from distractions)2315602Health and Safety (e.g., social distancing, sanitation)25912Invigilation (ability to obtain help if experience issues)4226229Information/support pre-exam (registration etc.)1442377Information/support during exam (guidance/instruction/time remaining/ announcements)2636288Ability to take a break (i.e.. toilet, breastfeeding, religious practices)1232498Quality of access to computer hardware (speed, monitor size, readability, font size, colour...)26124715Ability to manage anxiety and stress before and during the exam1525565Being sure that I will be able to complete the exam4025269
18. 16. How well do you think you are able to demonstrate the clinical skills below through the different exam delivery methods?SkillFace to face exam is betterSame/similarDigital is betterDon’t know / NACommunication Skills47261711Management Skills31372012Examination (mental state, cognitive, physical and capacity assessment)54191511History taking (including risk assessment)41301712
19. 16. How well do you think you are able to demonstrate the clinical skills below through the different exam delivery methods? Filtered to show only candidates who have already sat the CASC (F2f and/or Online). SkillFace to face exam is betterSame/similarDigital is betterDon’t know / NACommunication Skills5428126Management Skills2848177Examination (mental state, cognitive, physical and capacity assessment)6320124History taking (including risk assessment)3344185
20. 16. How well do you think you are able to demonstrate the clinical skills below through the different exam delivery methods? Filtered to show only candidates who have already sat the CASC online. SkillFace to face exam is betterSame/similarDigital is betterDon’t know / NACommunication Skills5030146Management Skills2451214Examination (mental state, cognitive, physical and capacity assessment)6021162History taking (including risk assessment)3044233
21. 17. How important are the following factors to you?FactorsImportant and Very Important %Which is better?Being sure that I will be able to complete the exam96.4 Face to faceThe ability to demonstrate my clinical skills94.5 Face to faceExams conditions (quiet, comfortable, free from distractions)93.3 DigitalConvenience (travel time)91.7 DigitalAccessibility (location)90.9 DigitalCost (transport/hotel)89.6 DigitalInformation/support during exam (guidance/instruction/time88 Same/similarInvigilation (ability to obtain help if experiencing issues)87.5 Face to faceQuality of access to computer hardware (speed, monitor size, readability, font size, colour rendition)86.9 DigitalInformation/support pre-exam (registration etc.)85.4 Same/similarHealth and safety (e.g. social distancing, sanitation)80.3 DigitalAbility to take a break (i.e. toilet, breastfeeding, religious practices)68.8 Digital
22. 18. Have you taken the online version of the CASC?Online Version% taken online versionYes24.6No67.1NA8.4
23. 19. Which location(s) if any would you be willing to travel to for the CASC exam? (select all that apply)RegionPopularity of locations based on total respondentsSoutheast Asia35%Europe30%South Asia26%Not willing to travel28%Middle East and North Africa15%
24. 20. Would you be willing to travel internationally to take the CASC exam face to face?Willing to travel internationally% of responsesYes40%No 29%Not sure32%
25. 20. Would you be willing to travel internationally to take the CASC exam face to face?Countries of Respondents not willing to travel Number not willing to travel%India52 22%Ireland34 15%Malaysia3415%Nigeria19 8%Egypt19 8%Hong Kong12 5%Pakistan10 4%Saudi Arabia10 4%Total230100%
26. 21. If not willing to travel internationally for the CASC, why not?ReasonResponses%Cost14753.26%Covid Travel Restrictions186.52%Covid Risk176.15%Prefers Digital155.43%Time134.71%Visa application113.98%Work Commitment103.62%Stress72.53%Family Commitment51.81%Political Situation41.44%Other2910.5%Total276100%
27. 22. If the College were to develop an international qualification incorporating an alternative to the CASC exam how important is the recognition of the qualification?Type of recognitionNot and less importantNeutralImportant and very importantOfficially recognised in your country by the regulator 5.2%10.7%89.6%Officially recognised in the UK by the General Medical Council (GMC)2.8%7.6%84%Officially recognised as in another country by the local regulator4%12.7%83.3%
28. 23. The college is exploring developing other qualifications it can offer including post-graduate sub-specialty qualificationsWould this be of interest?Yes – 757No – 30
29. 25. Doctors working in the UK are evaluated during their higher training using workplace based assessments such as case based discussions. Is this a feature of the training where you are currently studying?Response% of overall respondents (785)Yes94%No6%
30. 26. If no for Q25, please tell us what is used in the country where you are studying.Types of ExamsAd-hocAnnual AppraisalAnnual ExamsBi-Annual ExamsCase based AssessmentCase presentation and Log bookClinical and Viva Voce ExamsCME PointsDetailed history, examination, and managementDissertation and Viva VoceExam and PerformanceExaminationExaminations, Viva/OSPE and Exit ExamExams and rotationExams and ThesisFinal ExamLocal Systemno official evaluationPhD styleSame as UKSeminars and Supervised workThesis Research Project
31. 27. Do you have any other suggestions regarding international candidates taking MRCPsych qualificationsMain themes for suggestionsNumber of responsesContinuation of Online Delivery (both CASC and Paper A/B)53Demand for Training Resources26Cost of the MRCPsych20Ensuring local delivery of CASC (if moved to F2F)17Recommendations on CASC Exam Improvement16Recommendations on Written Exam Improvement16International Inclusivity15Feedback on problems with Pearson14Return to Face to Face11Difficulty of MRCPsych11Entry Requirement to take MRCPsych9Positive/Thanks6More Diet’s per year6Hybrid Approach4Improve Exam Feedback4Other – various24
32. Key findingsQualification developmentRecognition of the MRCPsych qualifications by GMC is critical.96% of respondents were interest in post graduate speciality qualifications. Delivery methodSignificant benefits of online delivery including accessibility, exam conditions, ability to manage anxiety. Ability to demonstrate clinical skills is perceived to be better through face-to-face exams. Most candidates who have sat the online CASC believe Communication skills and Examination can better demonstrated through face-to-face. Whereas management and history skills are the same/similar. Candidate entries29% of candidates would not be willing to travel internationally.32% of candidates are not sure if they would travel.
33. Appendix
34. 15. Based on your perception and/or experience with digital and face-to-face exam delivery, how do the following factors compare?Face to face is betterSame /similarDigital is betterDon’t know /NAAccessibility (location)15.21266.16.7Convenience (travel time)6.54.785.92.9Cost (transport/hotel/exam fee)4.2686.63.2Exam conditions (quiet, comfortable, free from distractions)21.715.858.54Health and Safety (e.g. social distancing, sanitation)4.78.582.93.9Invigilation (ability to obtain help if experience issues)43.922.925.47.8Information/support pre exam (registration etc.)17.237.537.47.9Information/support during exam (guidance/instruction/time remaining/ announcements)313329.76.3Ability to take a break (i.e. toilet, breastfeeding, religious practices)20.132.636.211.1Quality of access to computer hardware (speed, monitor size, readability, font size, colour)27.117.544.910.5Ability to manage anxiety and stress before and during the exam16.324.653.65.6Being sure that I will be able to complete the exam33.727.431.87.1
35. 17. How important are the following factors to you?Not important at allNot that importantNeutralImportantVery ImportantAccessibility (location)0.31.96.937.353.6Convenience (travel time)0.41.86.134.457.3Cost (transport/hotel)02.97.531.358.3Exams conditions (quiet, comfortable, free from distractions)00.36.432.261.1Health and safety (e.g. social distancing, sanitation)0.83.315.641.638.7Invigilation (ability to obtain help if experiencing issues)0.10.911.543.743.8Information/support pre-exam (registration etc.)0.11.912.542.542.9Information/support during exam (guidance/instruction/time0.31.210.544.343.7Ability to take a break (i.e. toilet, breastfeeding, religious practices)1.35.624.240.927.9Quality of access to computer hardware (speed, monitor size, readability, font size, colour)00.912.24244.9The ability to demonstrate my clinical skills00.15.331.762.8Being sure that I will be able to complete the exam00.13.527.469