procedures are not important....in any case, other than venesection, there isn't any other procedure students will be allowed to do....most places will not allow catheterisation even...
a lack of apprenticeship denotes a poor medical school....apprenticeship is the close observation of how senior doctors think, behave, interact, manage, communicate, mentor etc...and the close observation of how patients progress through the entire encounter with the health delivery team....
factual knowledge is NOT important...
because it is a given in good med schools with carefully selected students, that they WILL have acquired all the necessarily theoretical knowledge freely available in text books and online...because if that is even a problem, you have chosen the WRONG student...
hence in uk, many junior doctors will have already obtained their mrcp part 1 easily within the fy years...with some completing paces in pgy3....
Is it because its a UK based exam that UK graduates have a better success rates than overseas graduates?