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Enhancing Pathways for International Medical Graduates in Canada

Explore the history, challenges, and successful practices of licensing IMGs in Canada through an in-depth analysis of data gaps, predictors of success, and alternatives for unsuccessful applicants. Follow the evolution of the IMG Database and its impact on standardization and outcomes.

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Enhancing Pathways for International Medical Graduates in Canada

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  1. The National IMG Database Tracking the Assessment, Certification and Licensing of International Medical Graduates in Canada Steve Slade, VP Research and Analysis Tamara Brown, Project Manager Canadian Post-MD Education Registry Association of Faculties of Medicine of Canada

  2. Tracking Successful Practices and Outcomes The History Behind the IMG Database

  3. Primary Drivers of FQR for Physicians • Increased immigration of medical graduates to Canada • Balancing our need for physicians with public safety • Growing emphasis on foreign credential recognition and standardization • Ethical recruitment and treatment of IMGs

  4. Data in an Evolving ContextNumber of IMGs in the Active Physician Workforce, Canada, 1994-2008

  5. History of the National IMG Database Canadian Task Force on the Licensure of International Medical Graduates 2004 2005-2009 Phase 1: Foundational Activities Phase 2: Development of an Analytical Agenda and Increasing Project Visibility 2010-2013

  6. Phase 1: Building Partnerships • Medical Council of Canada (MCC) • 7 IMG assessment centres • 17 Faculties of Medicine • The College of Family Physicians of Canada (CFPC) • The Royal College of Physicians and Surgeons of Canada (RCPSC) • Collège des médecins du Québec (CMQ) • 9 regulatory authorities

  7. Phase 2: Outcomes and Indicators • For Example… • Outcome: Transparent, appropriate and expeditious pathways to practice • Indicator: numbers traversing various pathways • Indicator: average time between milestone events • Outcome: Increased standardization across jurisdictions • Indicator: frequency of milestone events across jurisdictions • Indicator: frequency of migration across jurisdictions

  8. Tools and Strategies to Track IMGs

  9. Effective Indicators for Evaluating Progress towards Outcomes • Four critical indicators along the path to licensure: • Success on Medical Council of Canada (MCC) Exams • Entry into postgraduate training (residency) • Certification with the CFPC, CMQ, or RCPSC • Licensure with a Canadian Regulatory Authority MCCQEE MCCQEI MCCQEII

  10. Number of IMGs who passed MCC Examinations, 2005-2010

  11. Data in an Evolving Context Increased Number of First Year Post-MD Trainees Source: CAPER, AFMC, 2010. Note: Excludes visa trainees.

  12. Following a Cohort of Canadian Citizen IMGs 1491 MCCEE ASSESSEMENT 114 461 MCCQEI & MCCQEII 322 PGME 144 CFPC/RCPSC/CMQ 41 LICENSURE

  13. 2008-2010 CERTIFICATION WITH RCPSC/CFPC/CMQ 2522 PGME 1681 EE 1147 QEI 1530 Licensed 829 QEII 1245

  14. 2008-2010 LICENSED 2604 EE 1647 PGME 377 QEI 1256 Certified 633 QEII 763

  15. Data Gaps versus KnowledgeGaps

  16. Data Gaps • Country where MCCEE is written (many write the EE abroad) • When was citizenship gained • Pre-medical experiences/education • MD program experiences • Clerkship component? • Clinical elective in Canada?

  17. Knowledge Gaps – Plans for Future Analysis CROSS-JURISDICTIONAL ANALYSIS PREDICTORS OF SUCCESS PREDICTORS OF RETENTION ALTERNATIVES FOR UNSUCCESSFUL IMGs PATHWAYS AND PROCESSES

  18. Thank you. The IMGs in Canada Project Team: Steve Slade, VP, Research and Analysis CAPER-ORIS Tamara Brown, Project Manager, tbrown@afmc.ca Linda Bourgeois, Research Associate, lbourgeois@afmc.ca

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