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International Association of Medical Regulatory Authorities (IAMRA)

International Association of Medical Regulatory Authorities (IAMRA). Evaluating Applicants’ Medical School Education and Training Tim Knettler, MBA Vice President Member Resource Centers and Service Federation of State Medical Boards of the United

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International Association of Medical Regulatory Authorities (IAMRA)

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  1. International Association of Medical Regulatory Authorities (IAMRA) Evaluating Applicants’ Medical School Education and Training Tim Knettler, MBA Vice President Member Resource Centers and Service Federation of State Medical Boards of the United States, Inc. (FSMB)

  2. State Medical Boards

  3. Elements of Licensure (Registration) Demonstration of skills via examination Medical education Experience or postgraduate training Assessment of current competence

  4. U.S. Licensure (Registration) Requirements • Graduation from an accredited U.S. medical school or • Educational Commission for Foreign Medical Graduates (ECFMG) certification for International Medical Graduates (IMG) • Passage of board-approved examination(s) • 1-3 years of Post-Graduate Training • Application - Credentials Verification • State Specific Requirements

  5. Item Writing and Test Development Standard setting Governance committees Quality Assurance Program Special committees and projects Medical Board Participation in USMLE • Tests clinical competency with MCQs & case simulations • Step 2 CS assesses clinical and communication skills; Step 2 CK assesses clinical knowledge (MCQs) MCQ test of basic medical sciences

  6. ECFMG Certification Requirements • International medical student or graduate • Credentials: • 4 academic years of medical school curriculum • School listed in the International Medical Education Directory (IMED) • Direct verification with medical school of diploma and final transcript • Examination • Pass USMLE Step1 and Step 2

  7. ECFMG certifications 1992-2004:US citizens as percentage of all certificates issued Percentage Year

  8. ECFMG Certifications: By country of citizenship • 1992 • India • Pakistan • Philippines • USA • USSR • 2004 • India • USA • Pakistan • China • Philippines

  9. USMLE Step 1 IMG Pass Ratesfor First Takers 1992-2004 Percentage Year

  10. USMLE Step 2 IMG Pass Ratesfor First Takers 1993-2004 Percentage Year

  11. FSMB’s Special Committee on the Evaluation of Undergraduate Medical EducationU.S. Medical School Accreditation • Liaison Committee on Medical Education (LCME) • American Osteopathic Association’s Commission on College Accreditation (COCA)

  12. FSMB’s Special Committee on the Evaluation of Undergraduate Medical Education(continued) • Findings: • Sufficiency of the current U.S. system • Research • Balancing outcomes vs. processes in making licensure (registration) decisions • Inability to compare accreditation standards internationally

  13. Special Committee on the Evaluation of Undergraduate Medical Education(continued) • Recommendations: • Monitor international accreditation efforts • Review state statutes & regulations • Criteria for clinical clerkships • National Clearinghouse

  14. National Clearinghouse Workgroup Charge: FSMB and ECFMG to develop a national clearinghouse containing information and data on international medical schools that will assist state medical boards to evaluate the medical education received by applicants for licensure.

  15. National Clearinghouse Workgroup (continued) To accomplish its charge, the workgroup will: • Help expand the information contained in the International Medical Education Directory (IMED); • Develop and obtain international medical school quality indicators; and • Evaluate the feasibility of establishing criteria or a process that could be utilized by state medical boards to classify international medical schools

  16. International Medical School Evaluation/Accreditation Efforts and Resources • WHO - World Health Organization • WFME - World Federation for Medical Education • FAIMER – ECFMG’s Foundation for Advancement of International Medical Education and Research • IIME – Institute for International Medical Education

  17. International Medical School Evaluation/Accreditation Efforts and Resources (continued) • NCFMEA - National Council on Foreign Medical Education and Accreditation • CAAM – Caribbean Accreditation Authority for Education in Medicine & Other Health Professions • IAMRA’s Exam Review Working Group • Others

  18. Tim Knettler, MBA Vice President Member Resource Centers & Services PO Box 619850 Dallas, TX 75261- 9850 Tel: 817.868.4006  Fax: 817.868.4152 Email: tknettler@fsmb.org

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