Title
Refresher course for thrice-failed medical exam
Law
Prc Board No. 153
Decision Date
Dec 3, 1990
Candidates who fail the medical licensure examination three times must complete a one-year refresher course at a recognized medical school, focusing on essential competencies and passing simulated board exams to qualify for retaking the licensure exam.

Legal basis under the Medical Act

  • Section 21 of the Medical Act, as amended requires a candidate who fails for the third time in the complete or final examination to take a refresher course prescribed by the Board.
  • The refresher course must be completed before the candidate is allowed to take subsequent examinations.
  • The refresher course must be taken in a recognized medical school or college and must be at least one year.

Purpose and policy of the course

  • The Board establishes the refresher course as a remedial program to develop the competencies needed to pass the board examination.
  • The Board determines that the refresher course content shall follow the emphasis of the undergraduate medical curriculum focusing on areas relevant to developing the basic physician.
  • The Board replaces the earlier one-year implementation approach because of non-availability of a medical school to implement the earlier course model.

Coverage for three-time flunkers

  • The refresher course prescribed applies to a candidate who fails for the third time in the complete or final examination.
  • Candidates subject to the refresher course must complete the prescribed program in the required structure and manner before being allowed to take subsequent examinations.
  • Course acceptance and progression are governed by the evaluation and certification requirements stated in this resolution.

Refresher course structure and strategy

  • The course establishes acceptance requirements requiring candidates to undergo physical and psychiatric evaluation to determine and correct any underlying disorder that may prevent adequate profit from the course (Strategy 1).
  • The course targets adult learning competencies, emphasizing information and application through:
    • lectures and readings for information input,
    • explanations of basic principles and concepts and their application in common problems,
    • practice tests (oral and written) with immediate feedback, and
    • repeated retesting of earlier learned principles with opportunities for continuous use (Strategy 2).
  • The course schedules a One calendar year program distributed into 4 quarters of 10 weeks each for instruction, 2 weeks for examinations, and 10 weeks for Lenten, Christmas interquarter breaks, and holidays (Strategy 3).
  • The total instruction hours are fixed at 1200 at 6 hours/day and 5 days/week (Strategy 3).
  • The hour allocation is fixed as follows (Strategy 3):
    • Medicine (including Psychiatry, Neurology, etc.) = 180 hours,
    • Surgery (including EENT) = 180 hours,
    • Pediatrics = 120 hours,
    • OB-Gyne, Preventive Medicine, Anatomy, Physiology, Biochemistry, Micro-Parasitology, Pathology and Pharmacology = 84 hours each,
    • Legal Medicine = 48 hours.

Ongoing and final examinations; remedial controls

  • Following each quarter, the course requires a simulated board examination (Evaluation 1).
  • Candidates who fail a simulated board examination after a quarter must be given remedial work (Evaluation 1).
  • Individual instruction must focus on specific weaknesses for candidates who fail (Evaluation 1).
  • At the end of the course, the program requires a final simulated board examination (Evaluation 2).
  • Candidates who fail the final simulated board examination must not be certified as having passed the course (Evaluation 2).

Certification requirement to take the examination

  • Only examinees who submit a certificate of completion signed by the Dean of the medical school of the refresher course may be allowed to take the examination (Certification).
  • The certificate submission requirement is absolute for eligibility to take the examination under the refresher course regimen (Certification).

Rescission, implementation, and administrative effect

  • The resolution completely rescinds Board Resolution No. 173 dated June 17, 1988.
  • After approval by the Commission, this resolution becomes effective for examinations scheduled in 1991.

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