Exam Structure

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

• Objective Theory Examination:
• An online multiple-choice question (MCQ) paper covering the syllabus prepared by LTSI.
• A question bank managed by a Panel of Examiners will ensure standardized assessment.

• Clinical/Viva Examination:
• A one-day clinical assessment conducted at a center chosen by LTSI, evaluating clinical knowledge, application, and research familiarity.
• The viva voce is conducted by examiners from the Panel, including possibly one examiner from the host center.

• Logbook Documentation:
• An E-logbook, attested by the trainer, documenting all procedures performed/assisted, academic activities, presentations, and publications.

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 three re-attempts to pass the exit examination.