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. 2024 Dec 12;51:e20243861. doi: 10.1590/0100-6991e-20243861-en
INDICATORS CBO SBOT FBG SBA ABORL/CCF FEBRASGO
Year of Society's creation 1941 1935 1949 1948 1948 1959
Starting year of specialist title exam 1986 1970 1957 1983 1971 1967
Starting year of resident assessment exam 1986 1972 2024 1983 2012 2018
Differences in exam applications for R1, R2, and R3? Currently none. Before 2025, two assessments: a simulated one - TARO - applied to all years; and the title exam - TEOT - only for R3.
From January 2025 - TEPOT - for R1 and R2
There is not, as a progress test is applied Obtaining the title includes quarterly tests and an annual test.
The quarterly tests are mandatory, address topics of each quarter, prepared by the Anesthesiology Certification Commission (CCA).
The quarterly tests will be held exclusively online remotely at the CET.
The physician in specialization (ME) who does not submit to the quarterly test, due to force majeure, may, through the Person in Charge of the CET who is studying, request the performance of a substitute test, on the date established by SBA, after sending the pertinent original documentation.
If authorized by CCA/SBA to take the substitute test, it must be applied in February of the current academic year and will be conducted in electronic format (online), as decided by SBA.
The annual test at the beginning of each year, on a Sunday, from 10 am to 12 pm exclusively online, through a secure browser, contracted by SBA with eduCAT, installed on the candidate’s personal computer, with internet access and equipped with webcam and microphone.
The realization and application of the test are governed by the public notice under the coordination of the Specialist Title Committee, being aimed at all residents and post-graduates in Otorhinolaryngology in services accredited and recognized by ABORL-CCF. R1 and R2 get a bonus of 0.2 points if they reach the score determined by the Committee.
R3 only participates in the annual exam to obtain the Specialist Title, after completing and being approved in the three years of medical residency in services accredited by the MEC or recognized by ABORL.
Single test for R1, R2, and R3, leveled by the finishers (R3)
Types of evaluation (enter year of start and number of questions/cases/stations of each):
- Cognitive (multiple-choice, discursive tests)
- Oral (discussion of clinical cases)
- Simulated stations
- Other types of assessment
200 multiple-choice questions distributed in 3 tests (Theoretical I, Theoretical II, and Theoretical-Practical) applied online to R1 and R2 (progress test) and R3 (PNO- title test) Start year/current number of questions:
- Written Cognitive Test - 1972 / 100 questions
- oral - 1972 / 16 situations
- Physical Examination Test - 1994 / 04 situations
- Skills Test 2011/05 Situations
- Attitudes in the physical examination - 2016 / 01 (one) situation
- Anatomy Assessment - 2018 / 20 questions
Progress test (PT): Multiple choice test (MCQ) 120 items with 4 assertions (1 correct and 3 distractors) based on clinical situations. Title Test - MCQ with 100 questions. (70% of the grade) + curriculum analysis with Barema (30% of the grade) 15 questions for each year of MR, totaling 45 questions, with five items of V or F each question.
Annual test with 120 questions, multiple choice.
Year of start: 2012.
Theoretical test with Otorhinolaryngology content, lasting three hours, consisting of 100 (one hundred) multiple-choice questions with four alternatives each and only one correct option. Each question will correspond to the value of 0.1 (zero point one) point, totaling 10 points;
PROGRESS TEST
THEORETICAL TEST, multiple-choice test, with 60 questions of Gynecology and 60 questions of Obstetrics based on the Competency Matrix.
According to the Legislation, it is up to the programs to carry out other evaluations of the resident such as Internship Test, Oral Test, Practical Tests, including simulated stations.
Exam’s frequency of application Annual Annual, at the end of R3 PT: twice a year (we had a pilot test)
Title test: once a year
4 quarterly exams + 1 annual exam Annual Annual
Exam preparation Exam Committee, based on the competency matrix Teaching and Training Commission, composed of 12 full members of the SBOT, who meet monthly during the year to discuss, format, and approve the exam. Items considering thematic matrix distributed according to epidemiological relevance, classified into subareas, considering service scenarios, type of competence (pathophysiological bases, diagnosis, etc.), degree of difficulty. The matrix is the same for all tests. Shared Test prepared by a committee appointed by the SBA. Theoretical test with multiple choice questions. The preparation and review of the items is done by the Specialist Title Commission (CNTEGO)
elaboration. Title test uses the same thematic matrix.
Approval Criteria The candidate who obtains an arithmetic average in the Theoretical I, Theoretical II, and Theoretical-Practical Tests equal to or greater than 6.5, will be considered approved, worthy of the Specialist Title in Ophthalmology, provided that he/she also obtains a minimum score of 6.0 in each of the Tests and a minimum of 7.0 in the Practical Test. Grade 6.0 Title test: Not considered (formative assessment) In each year of the Specialization course, the resident must obtain a minimum average for approval equal to or greater than 6.0.
The final grade of each academic year will be calculated as follows: the arithmetic average of the grades of the four quarterly evaluations conducted by the CCA (including the theoretical tests and the skills and behavioral evaluations), will be added to the grade obtained by the resident in the annual test prepared by the Anesthesiology Certification Commission - CCA.
Equal/Greater than 7 PROGRESS TEST - there is no pass or fail. The exemption and bonus in the Theoretical Test of the Specialist Title of the following year depend on the attendance and performance of the candidate in the Progress Test such as R1, R2, and R3.
FOR WAIVER: participation in the 3 applications, performance greater than or above 60th percentile in at least 2 versions, including R3, and correct answers in at least 65% of the Gynecology and Obstetrics questions in R3.
FOR BONUS: participation in the 3 applications, performance greater than or above 30th percentile in all versions, and correct answers in at least 50% of the Gynecology and Obstetrics questions in R3.
Evaluators Selection and training Appointment by the Teaching Commission and Executive Board of the CBO Recruited as observers and then become examiners. Academic interest, teaching, choice of regionally based management Members of the examining committee are elected in a specific assembly and submitted to training and qualification courses. The Examining Board will be composed of members of the ABORL-CCF Specialist Title Committee. There are no raters for the Progress Test. The test is applied online, and candidates are monitored.
Results publication CBO Platform List of approved published on website. PT - confidential disclosure for candidates and services, not ranking. Title test - list of approved The final grade of each Physician in Specialization will be made available to them and to those responsible for their CET, in a specific area on the SBA portal ABORL-CCF communication channels Online through the FEBRASGO platform
Form of feedback to residents and services Coordinators have access to their students’ grades, and each student has access to their individual grades Individualized performance report, with a copy to the program supervisor. . Detailed performance analysis by the matrix criteria, comparative to the regional and national pool, with performance and evolution graphs Through those responsible and in a specific area on the SBA portal. Charter and communication channels. The individual performance of each resident in the PROGRESS TEST is confidential, accessed by the resident through a password. The consolidated results of the residents of the same program are provided to the supervisor, provided that at least 3 residents of each category have applied to the Test
Way of approaching the appeals and questions about the various exam types Online test applied through a specific platform contracted with a specialized company For 2025 there will be resources according to the guidelines in the notice. Title test- Referral of applicants to the board
PT- no appeals. Local discussion by supervisors
SBA website or company hired to apply the test. Appeals The appeals are evaluated and responded to by CNTEGO and the FEBRASGO Residency Commission
Is there a training course offered to residents? Yes SBOT encourages continuing education for all residents and the Progress Test (TEPOT) is an institutional initiative to this end. SBOT supports regional subsidiaries that conduct local preparatory courses for residents. Yes, not mandatory. Annual Gastroenterology Course, Young Gastro Program with cases and updating topics; FAPEGE (Foundation for Research Support in Gastroenterology) classes, Gastrotalk program (podcasts) Yes. Continuing Medical Education Platform FEBRASGO offers online programming for updating resident doctors in the specialty (CONECTA-GO)
Is there a training course offered to preceptors? Yes Yes, annually the Forum of Preceptors, sessions at the Annual Congress specific to preceptors, and training and improvement courses in preceptorship have already been held. TTT (Train the Trainers) in partnership with the World Gastroenterology Organization (WGO) with 2 training centers in Brazil (RG and CE) Yes Course for the Training of Preceptors. Periodically, FEBRASGO offers a training program for preceptors
Does the Society have a residence-like course (not MEC, certified by itself)? Yes Yes They are not from FGB but it accredits courses if they have a prerequisite fulfilled in Internal Medicine, theoretical, and practical workload equal to that of MR Yes Specialization 3 years No
Does the Society require an end-of-course completion work/publication? Does this have weight in the evaluation? Can occur in each course separately but is not a CBO requirement Yes, to register for the title test, it is necessary to send a scientific work, which is mandatory. A note of this item is provided for in the notice. Not applicable Yes No No
Does the residents’ exam have any value for the Society specialist title exam? Yes The 2025 initiative provides that, depending on performance, there will be a bonus for the TEOT theoretical test. Not now. Under study
Yes Yes, with a score. Yes, depending on performance and attendance in the Progress Test, the resident can obtain exemption or bonus in the Theoretical Test of the Specialist Title in GO (TEGO).
Limitations not yet resolved Discuss periodic revalidation We believe that there is an adaptation in the Competency-Based Teaching model, Maintenance of members of the Commissions, Adhesion to MR Programs, Title Deepening in the evaluation of technical and non-technical skills and in simulation centers. Introduction of practical tests No
with the implementation of the Matrix, which was updated by SBOT and needs to be endorsed by MEC. We are also developing models for categorizing the performance of residency programs, structuring a logbook, and developing APCs. test litigations, financing of the PT
Validity Time and Recognition of Title No expiration date It does not expire. No renewal Lifelong. There is no validity and recognition time for the Specialist Title. There is no revalidation or recertification
Revalidation/recertification of Title There is no revalidation No need to No renewal SBA Continuing Education Program.
Certificate of Permanent Education in Anesthesiology (CEPE-A).
None. There is no revalidation and recertification

SBA - Sociedade Brasileira de Anestesiologia; SBOT - Sociedade Brasileira de Ortopedia e Traumatologia; CBO - Conselho Brasileiro de Oftalmologia; ABORL-CCF - Associação Brasileira de Otorrinolaringologia e Cirurgia Craniofacial; FBG - Federação Brasileira de Gastroenterologia; FEBRASGO - Federação Brasileira das Associações de Ginecologia e Obstetrícia.