Exam Structure

The exit examination is a comprehensive assessment conducted at the end of the fellowship (with an interim appraisal at one year):

• Theory Examination:
  1. A written test comprising Multiple-choice questions (MCQs) & short answer type question covering the syllabus prepared by LTSI.
  2. A question bank managed by a Panel of Examiners will ensure standardized assessment.
• Clinical/Viva Examination:
  1. A one-day clinical assessment conducted at a center chosen by LTSI, evaluating clinical knowledge, application and research familiarity (including long case and short case presentation)
  2. The viva voce is conducted by examiners from the Panel, including possibly one examiner from the host center.
  3. It will be a day long examination. The format of the exam will be:
     1. Written test - MCQs and Short answer type questions, followed by
     2. One Long Case
     3. Two Short case presentations
     4. a viva voce
     5. log book evaluation
• Logbook Documentation & evaluation:
  1. A logbook, attested by the trainer, documenting all procedures performed/assisted, academic activities, presentations, and publications.
  2. Logbook evaluation will be part of exit exam.

Assessment:

• Quarterly formative and annual internal assessment – Portfolio review, direct observation, case-based discussion, MCQs.

Examiner Selection

• Criteria for Examiners:
• LTSI members from high-volume centers with at least five years of experience in liver transplant surgery.
Examiners are rotated on a two-year cycle initially, transitioning to an annual rotation thereafter.

• Re-Attempts:
• Candidates are allowed a maximum of four re-attempts to pass the exit examination.

• Examination Fee::
• Candidates are required to pay Rs. 20,000 to LTSI for the Exit Examination and certification process