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The new MRCS examination was introduced in October 2008. One major change was the integration of viva voce, clinical and communication skills components into the Part B objective structured clinical examination (OSCE). This was partly in response to changes to surgical training resulting in 'earlier specialisation [and] less exposure to the range of surgical specialties'.

The trainee-led MRCS mock OSCE: a useful and inexpensive adjunct in exam preparation