RT Journal Article SR Electronic T1 A critique of the specialty certificate examinations of the Federation of Royal Colleges of Physicians of the UK JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 141 OP 144 DO 10.7861/clinmedicine.10-2-141 VO 10 IS 2 A1 John Cookson YR 2010 UL http://www.rcpjournals.org/content/10/2/141.abstract AB The Federation of Royal Colleges of Physicians of the UK has developed a programme to deliver specialty certificate examinations. These are knowledge-based examinations to be passed by all senior trainees in most medical specialties seeking a Certificate of Completion of Training (CCT). These examinations have been evaluated on their validity, reliability, educational impact, cost effectiveness, acceptability and standard setting methodology on the basis of internal evidence and the results of a published pilot. The evidence so far suggests that though reasonable reliability (reproducibility) can be achieved, validity (testing what is intended) may be lacking. Educational impact, cost effectiveness, and acceptability require more evidence. Consistency in standard setting is difficult.