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New ECFMG Certification Accreditation Requirement Characteristics of Polish Medical School Graduates Marta van Zanten, Ph.D. Foundation for Advancement of International Medical Education and Research (FAIMER) Educational Commission for Foreign Medical Graduates (ECFMG) .

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  1. New ECFMG Certification Accreditation RequirementCharacteristics of Polish Medical School Graduates Marta van Zanten, Ph.D. Foundation for Advancement of International Medical Education and Research (FAIMER) Educational Commission for Foreign Medical Graduates (ECFMG)

  2. Overview of presentation • New ECFMG Certification Requirement • Description of World Federation for Medical Education (WFME) Recognition Program • Demographic characteristics of Polish medical school graduates in the United States • USMLE performance of Polish medical school graduates

  3. Current ECFMG Certification Requirements • Medical Education Credentials • Completion of a curriculum of at least 4 years • School and graduation year listed as “current” in the International Medical Education Directory (IMED) • School recognized to grant the MD degree (or equivalent) by local government • Primary-source verification of medical diploma and transcript(s) by ECFMG • USMLE Exams • Step 1 Basic Science • Step 2 Clinical Knowledge (CK) • Step 2 Clinical Skills (CS)

  4. New ECFMG Certification Requirement • Effective in 2023, ECFMG applicants will be required to graduate from an appropriately accredited medical school • Recognition of the accrediting agency by the World Federation for Medical Education (WFME) will fulfill this new 2023 requirement

  5. Purpose of WFME Recognition Program Develop a mechanism for WFME to “recognize” accrediting agencies • Not a substitute for national accreditation • Facilitates quality improvement and quality assurance • Ensures trustworthiness of the quality of a medical school accredited by a recognized accreditation system • Similar, but not the same as the National Committee on Foreign Medical Education and Accreditation (NCFMEA) US DoE process

  6. WFME Recognition Documents • Policies and Procedures for Recognition of an Accrediting Agency • Describes responsibilities and composition of WFME Recognition Committee, policies, procedures for conducting a review, appeals, etc. • Criteria for Recognition of an Accrediting Agency • Describes the standards used by WFME to evaluate an accrediting agency • Application for Recognition of an Accrediting Agency • “Self-study” template • www.wfme.org

  7. WFME Recognition Criteria • Scope of authority • Existence and availability of standards • Type / appropriateness of standards • Appropriate accreditation process and procedures • Site visits • Qualifications and training of accreditation agency staff • Appropriate process for accreditation decisions • Controls against conflicts of interest • Controls against inconsistent application of standards • Due process • Availability and dissemination of information

  8. WFME Recognition Process • Accrediting agency contacts WFME to determine eligibility • Accrediting agency completes the Application for Recognition • WFME Recognition Team observes accrediting agency • conducting a site visit of one medical school • meeting to make accreditation decision of the medical school • WFME Recognition Team writes a report describing the accrediting agency’s compliance with the Recognition Criteria • WFME Recognition Committee makes decision on recognition of accrediting agency • Process takes 6 months - 1 year • Recognition term is 10 years

  9. Implementation of the Recognition Program 2010 • WFME Recognition process created 2011 • Pilot project with CAAM-HP (Regional Caribbean) 2012 • Recognition process open to other accrediting agencies 2013 • TEPDAD (Turkey) • LCME / CACMS (United States and Canada)

  10. Characteristics of Polish Medical Graduates Practicing in the United States

  11. Polish Medical Graduates in the United States All physicians in the US who graduated from Polish medical schools and are listed as active in the current AMA Masterfile: 3,394 Citizenship: • Non-US citizen 75% • US citizen 23% • Unknown 2% Native Language: • Not English 78% • English 22% Gender: • Males 51% • Females 49%

  12. Polish Medical Graduates in the United StatesTop 10 Specialties

  13. Polish Medical Graduates in the United StatesTop 10 Practice Locations

  14. Polish Medical Graduates in the United StatesMedical School Attended

  15. USMLE Performance (1993 – 2012)First Attempt Pass RatesStep 1 (Basic Science) 1993 1996 1999 2002 2005 2008 2012

  16. USMLE Performance (1993 – 2012)First Attempt Pass RatesStep 2 (Clinical Knowledge) 1993 1996 1999 2002 2005 2008 2012

  17. USMLE Performance (1993 – 2012)First Attempt Pass RatesStep 2 (Clinical Skills) 1993 1996 1999 2002 2005 2008 2012

  18. Graduates of Polish Medical Schools Applicants to ECFMG 1993 1997 2001 2005 2009 2012

  19. Graduates of Polish Medical Schools ECFMG Certificate Holders 1993 1997 2001 2005 2009 2012

  20. Thank you Marta van Zanten mvanzanten@faimer.org mvanzanten@ecfmg.org

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