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The IAMRA Institute Philadelphia 26 September 2010 FROM THE TRENCHES:

The IAMRA Institute Philadelphia 26 September 2010 FROM THE TRENCHES: INNOVATIVE PROGRAMS THAT PROTECT THE PUBLIC The AMC Competent Authority Model of Assessment: An Alternative Approach to Assessment for Licensure Ian Frank Chief Executive Officer Australian Medical Council.

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The IAMRA Institute Philadelphia 26 September 2010 FROM THE TRENCHES:

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  1. The IAMRA Institute Philadelphia 26 September 2010 FROM THE TRENCHES: INNOVATIVE PROGRAMS THAT PROTECT THE PUBLIC The AMC Competent Authority Model of Assessment: An Alternative Approach to Assessment for Licensure Ian Frank Chief Executive Officer Australian Medical Council

  2. The AMC Competent Authority Model • Overview • Principles of the CAAssessment Model • Criteria for Approval of the Competent Authority • Approved CA Examinations / Qualifications • Assessment Outcomes • Characteristics of the CA Assessment Model

  3. The AMC Competent Authority Assessment Model • Principles of CA Model: • 2005 IAMRA Review of Licensing Examinations identified common characteristics of national examinations • Premise – • Identified assessments competent evaluation of basic knowledge and skills • If passed should exempt from local (AMC) exam • Requires workplace-based performance evaluation before full licensure

  4. The AMC Competent Authority Assessment Model • Criteria for CA Model: • Legal authority to conduct assessment for licensure • Healthcare system consistent with Australia • Medical education • Burdens of disease • Levels of technology • Professional standards – non-discriminatory treatment and respect for rights of patients • Accreditation processes comply with WFME Guidelines

  5. The AMC Competent Authority Assessment Model • Approved Authorities and Qualifications: • GMC – PLAB Exam and UK accredited qualifications • Qualifying Examination of the Medical Council of Canada • MCI accredited medical qualifications in Ireland • USMLE Parts 1,2 and 3 • NZREX Examination Healthcare system PLUS Foundation Year / Residency / Rotating Internship in a CA designated country post qualification

  6. The AMC Competent Authority Assessment Model • Assessment Outcomes for CA Model: • 4,400 applications processes since 2007 • 2680 (61%) eligible to proceed (Advanced Standing) • 1,768 (40%) completed and qualified for general registration (full licensure) • 4 exam systems and 2 accreditation processes approved – 54 countries of training

  7. The AMC Competent Authority Assessment Model • Characteristics of the CA Assessment Model: • Does not rely on MR, bilateral or multilateral agreements • Recognises prior examination or assessment • Not “equivalency” but “competent” assessment • Includes final workplace-based performance assessment prior to licensure BUT • Not re-examination of basic knowledge and skills

  8. The AMC Competent Authority Assessment Model • Conclusion: • Required “leap of faith” for regulatory bodies • Not dependent on reciprocity • Positive response by employers and health services • Exposure to CA environment post-exam a contributing factor to successful outcome • Implementation not possible without 2005 IAMRA Review of Licensing Examinations

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