1. In-Service Evaluation
   
   This component of evaluation is a continuous on-going process; each trainee will be evaluated by the Tutor/Supervisors both in hospital and in primary health care set-up at the end of each training period. It consists of:
   
   

   Hospital End-Rotation Evaluation	20%
   Family Medicine End rotation Evaluation	15%
   Community Medicine Examination	15%
   Total	50%

   
   
   

2. Part I Summative Clinical Examination
   
   The summative clinical examination is considered to be the key point to shift from Part I to Part 2 training. The examination takes place at the end of year 2 of the training. This component consists of different evaluation strategies and is distributed as:
   
   

   Objective Structured Clinical Examination (OSCE)	30%
   Oral Examination	20%
   Total	50%

   Part I General roles

    

   1. Part I examination shall be held at least once a year at the end of the 2nd year of the program.
   2. Candidates are eligible to sit Part I examination after successful completion of required period of residency training including passing majority of End-Rotation evaluation and getting a satisfactory evaluation from the supervisor stating that a trainee has completed successfully all training requirement.
   3. Candidates are allowed two attempts for passing Part I examination with a gap period of one year between 1st and 2nd attempt. Those failing in the second attempt will be dismissed from FPRP.
   4. The minimum passing score for Part I evaluation is an aggregate of 65% of all components of evaluations; that are the In-Service evaluation and Part I Summative Examination i.e. the OSCE and Oral.

   Part I Score Distribution Summary

   In-Service Evaluation 50 %	Hospital ERE Evaluation (Year 1 & 2) Family Medicine Evaluation (Y1 & Y2) Community Medicine	20 15 15
   Part I Summative Clinical Evaluation 50 %	OSCE Oral Examination	30 20
   The final pass mark is the aggregate of 65 % or more of all the above evaluations

1. Hospital End-Rotation Evaluation (ERE)
   
   This component of evaluation is an essential part of the on-going evaluation. Each trainee will have to sit the ERE at the end of each hospital rotation. The ERE is presented in the form of written, clinical and tutor's ongoing evaluations. The pass mark is the cumulative score of 65% from the ongoing, clinical and written examinations according to the following distribution:

   Ongoing Supervisor evaluation	20%
   End rotation clinical examination	30%
   End-rotation written examination	50%

   
   
2. Family Medicine Evaluation:
   Each trainee at the end of the training year will be evaluated by the family physician tutor; the evaluation consists of on-going clinical, tutor's evaluation and written examination at the end of the year. The score distribution as follows:

   Clinical examination	30 %
   Tutor evaluation	30 %
   Written examination	40 %

    

3. Part I Community Medicine Evaluation: The evaluation consist of an on-going evaluation and a final written examination in he form of MCQs and Short Essay Questions (SEQ) which tests the following domains:
   
   • Problem solving epidemiological scenarios.
   • Data analysis and interpretation
   • Critical thinking.
   • Knowledge of different epidemiological terms and definitions.
   • Research critical appraisal
   The exam covers all community medicine subjects taken in year 1 and 2 of the program; it consists of:
   • Epidemiology
   • Basic statistics
   • Healthcare management
   • Health education
   • Nutrition

    

4. Part I Objective Structured Clinical Examination (OSCE):
   This component involves 15 stations; each station is 7 minutes long and there is 1 minute gap for shifting from one station to another. Each station is designed to assess skills and applied knowledge in the field of family medicine and tests the following domains:
   
   • Defining clinical problem
   • Gathering and interpreting clinical data
   • Doctor-patient communication
   • Performing physical examination
   • Management strategies
   • Counseling skills
   • Prevention, health promotion and anticipatory care
   • Interpretation of lab reports, x-ray & ECGS, photos etc.

    

5. Part I Oral Examination:
   The oral examination is conducted by two panels. Each panel has two examiners. Each examiner will test the candidate in 3 different areas approximately five-minutes per question, covering various area of clinical competence. The aim of the oral examination is to explore candidate's depth of knowledge, clinical application and decision making skills in Family Medicine. The oral examination tests curriculum covered in the 1st and 2nd year of the program and focus on the following domains:
   
   • Problem definition
   • Management
   • Communication skill
   • Prevention
   • Practice organization
   • Professional values
   • Personal and professional growth.

Part II Score Distribution

Part II General Roles:
 

1. Part II Summative Clinical Examination:
   1. Part II summative clinical evaluation is held at least once a year at the end of the 4th year of the program.
   2. Candidates are eligible to sit Part II summative clinical examination after completion of the required period of residency training including passing all End-Rotation evaluations and getting a satisfactory evaluation from the supervisor stating that a trainee has completed successfully all training requirements.
   3. Candidates are allowed a total of two attempts for passing Part II summative clinical examination with a gap period of one year between 1st and 2nd attempt. Those failing in the second attempt will be dismissed from FPRP.
   4. The minimum passing score for Part II in-service evaluation and summative clinical examination is the aggregate of 65% of all components of the evaluation (e.g. 32.5 out of 50).

    

2. Part II Written Examination:
   1. Candidates are eligible to sit Part II written examination after completion of the required period of residency training including passing In-Service evaluation and Part II Clinical Summative Examination (Oral and OSCE examinations).
   2. Candidates are allowed a total of three attempts for passing Part II Written Examination with a gap period of six months between the attempts with a maximum of two years period.
    

   Description of the Part II Evaluation Components:

   1. Hospital End-Rotation Evaluation (ERE)
      This component of evaluation is an essential part of the on-going evaluation. Each trainee will have to sit the ERE at the end of each hospital rotation. The ERE is composed of written, clinical and tutor ongoing evaluations. The pass mark is the cumulative score of 65% from the ongoing, clinical and written examinations according to the following distribution:
      

      Ongoing Supervisor evaluation	20 %
      End rotation clinical examination	30 %
      End-rotation written examination	50 %

       
      
   2. Family Medicine Evaluation: Each trainee at the end of the training year will be evaluated by the family physician tutors; the evaluation consists of on-going clinical and tutor evaluation and written examination at the end of the year. The score distribution is as follows:

      Clinical examination	30 %
      Tutor evaluation	30 %
      Written examination	40 %

       

   3. Part II Community Medicine Evaluation: The evaluation consists of an on-going evaluation and a final written examination in the form of MCQs and Short Essay Questions (SEQ) which tests the following domains:
      
      • Problem solving epidemiological scenarios.
      • Data analysis and interpretation
      • Critical thinking.
      • Knowledge of different epidemiological terms and definitions.
      • Research critical appraisal.
      The exam takes place at the end of year 4; covers all community medicine subjects taken in year 3 and 4 of the program; it consists of:
      • Epidemiology
      • Biostatistics
      • Healthcare management
      • Evidence-based medicine
      • Research project/or audit

       

   4. Periodic Year 4 Family Practice Evaluation: This component of the evaluation is a purely clinical evaluation, aiming at checking trainee’s clinical performance in the practice. It consists of clinical practice management, tutors’ evaluation and oral examination. The time frame for practice management is one hour; each trainee will be evaluated in his clinic. Three patients are taken randomly from the FPRP catchment area. The candidate is supervised and evaluated by an examiner. A consultation evaluation sheet will be filled by the examiner/s that will reflect trainee’s performance in the following domains:
      
      •  History taking
      •  Interviewing skills
      •  Physical examination
      •  Problem assessment
      •  Management and record keeping
      •  Explanation skills
      •  Attitude and ethics
      •  Practice management
   5. Objective Structured Clinical Examination (OSCE): This component involves 15 active stations; among them some are clinical interactive stations. Each station is 7 minutes long and there is 1 minute gap for shifting from one station to another. Each active station is designed to assess skills and applied knowledge in the field of family medicine and tests the following domains:
      •  Defining clinical problem
      •  Gathering and interpreting clinical data
      •  Doctor-patient communication
      •  Performing physical examination
      •  Interpretation of lab reports, x-ray & ECGS, photos etc.
      •  Dealing with difficult clinical situation
      •  Management strategies
      •  Counseling skills
      •  Prevention, health promotion and anticipatory care
      •  Breaking bad news
   6. Oral Examination: It consists of 2 orals each lasting 30 minutes and is conducted by 2 examiners. Each examiner will test the candidate in 3 different areas approximately five-minutes per question, each covering various area of clinical competence. The aim of the oral examination is to explore candidates' depth of knowledge, clinical application and decision making skills in Family Medicine. The oral examination tests the following domains:
      
      •  Problem definition
      •  Management
      •  Communication skill
      •  Prevention
      •  Practice organization
      •  Professional values
      •  Personal and professional growth.
   7. Written Examination:
      Paper 1 Multiple Choice Questions (MCQ) is an objective-based written evaluation. The MCQ paper is used to assess recall of factual knowledge and solving clinical problems relevant to family practice. It is designed to assess width of knowledge. Questions are constructed according to variety of clinical context in family practice. Each MCQ question stem is followed by 4 - 5 responses only one of which is correct.
      Paper 2 Patient Management Problems (PMPs) this paper consists of clinical problems. This test is used to assess clinical reasoning skills and the ability to solve clinical problems encountered in family practice. The candidate is presented with clinical scenarios; each scenario includes patient's presenting symptoms, some background data and information about the patient's health status. Each scenario is followed by 4 – 5 multiple choice questions.
      

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