Fundamentals of Assessment in Medical Education (FAME)

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Fundamentals of Assessment in Medical Education (FAME) is a joint project of the Foundation for Advancement of International Medical Education and Research (FAIMER) and the National Board of Medical Examiners (NBME), which debuted at the 2007 Association for Medical Education in Europe (AMEE) meeting in Trondheim, Norway, August 23-29. FAME is a collaborative activity following from FAIMER and NBME’s Memorandum of Understanding, signed in July 2006, to develop a framework for working together to improve global health professions education.

FAME is a basic-level course on educational assessment geared toward medical school faculty who are new to teaching and assessment and individuals who have assumed new responsibilities for assessment. In this first year, 22 registrants from 12 countries participated in FAME.

FAME is designed around two complementary dimensions of assessment themes (Test Design; Test Material Development; Standard Setting; and Scoring, Analysis, and Reporting) and assessment frames (Assessment of Knowledge and Reasoning, Assessment of Clinical Skills, Assessment of Workplace Performance, and Assessment of Programs).The course schedule includes one and one-half pre-conference days consisting of plenary and small group sessions. Small group work was organized around the four frames, culminating with each participant, together with faculty facilitators, preparing a conference itinerary to guide their attendance at AMEE conference sessions in a way that would supplement and extend their assessment knowledge and skills. During the conference, faculty and participants met daily over lunch to review sessions attended. At the conclusion of the AMEE conference, faculty and participants met again to sum up the course experience, address remaining questions, and discuss possible future study.

Course faculty are internationally-recognized experts drawn from the sponsoring organizations and from around the world. The Course Director is Tony LaDuca, Ph.D., formerly Principal Assessment Scientist at NBME. Other faculty included John (Jack) R. Boulet, Ph.D., Associate Vice President for Research, FAIMER; W. Dale Dauphinee, M.D., F.R.C.P.C.; Carol Morrison, Ph.D., Associate Vice President, Scoring Services, NBME; David B. Swanson, Ph.D., Deputy Vice President of Professional Services, NBME; Helena Davies, M.B.Ch.B. (Hons), M.D., F.R.C.P.C.H., clinical academic in Medical Education/Late Effects (of Cancer therapy), University of Sheffield (Honorary Consultant, Sheffield Children’s Hospital); Ann King, M.A., Assessment Scientist in Measurement Consulting Services, NBME; Marina R. Mrouga. M.D., Ph.D., Deputy Director of Testing Board of Professional Competence Assessment, Ukraine; Ingrid Philibert, M.H.A., M.B.A., Senior Vice President, Department of Field Activities, Accreditation Council for Graduate Medical Education (ACGME); and Professor Dame Lesley Southgate, D.B.E., D.Sc., F.R.C.S., F.R.C.G.P., Professor of Medical Education, St. George’s Hospital Medical School. Leading the FAME faculty team are John Norcini, Ph.D., President of FAIMER, and Donald Melnick, M.D., President of NBME.

Evaluations have been received from 19 of the 22 participants. For the most part, these were very positive, but, as expected, several weaknesses were identified. Follow-up discussions with course faculty have confirmed several suggestions for improvements and these are being devised for a subsequent offering in 2008.

FAME Course to be Held at AMEE Meeting

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Fundamentals of Assessment in Medical Education (FAME), a basic-level course on educational assessment, will be introduced at the next Association for Medical Education in Europe (AMEE) meeting August 25-29, 2007 in Trondheim, Norway. FAME targets individuals who are members of medical faculties and who are likely to be relatively new to teaching and assessment. Persons who have assumed new responsibilities for assessment are also likely to benefit from the course. FAME is designed around two complementary dimensions, five assessment themes (Test Design; Test Material Development; Standard Setting; and Scoring, Analysis, and Reporting) and four assessment frames (Assessment of Knowledge and Reasoning, Assessment of Clinical Skills, Assessment of Workplace Performance, and Assessment of Programs).

The course schedule will include one and one-half pre-conference days consisting of plenary and small group sessions. Small group work will be organized around the four frames listed above, culminating with faculty facilitators preparing a conference itinerary for the participants in each of the frames. During the AMEE conference, faculty and participants will meet daily over lunch to review sessions attended. At the conclusion of the AMEE conference, faculty will sum up the course experience, address remaining questions from participants, and discuss possible future study.

For registration information, visit the AMEE website or access the AMEE 2007 Provisional Programme PDF.

(posted April 2, 2007; updated May 17, 2007)

2007 AERA Annual Meeting

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The 2007 Annual Meeting of the American Educational Research Association (AERA), The World of Educational Quality, took place from April 9-13 in Chicago, Illinois. The meeting highlighted significant research around the globe to improve educational systems, address access and opportunity, and strengthen student learning and achievement. Through approximately 2,400 peer-reviewed research symposia, panels, and other scholarly sessions, some of the most important work being done across disciplines and areas of inquiry were presented and considered at the meeting. Presidents and others in the leadership of many international research associations presented to more than 1,500 international participants.

FAIMER staff presentations (with FAIMER staff listed in bold) included:

Evaluating the spoken English proficiency of international medical graduates as part of the USMLE™ Step 2 CS exam.
*Marta J. Van Zanten, John R. Boulet, Danette W. McKinley, Andre F. de Champlain

The relationship between patient satisfaction and clinical competence in a standardized patient assessment.
*Danette W. McKinley, John R. Boulet, Marta J. Van Zanten

*Presenter

The Network: Towards Unity for Health to Hold International Conference in Kampala, Uganda, September 15-20, 2007

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The 2007 conference of The Network: Towards Unity for Health will be held at Hotel Africana in Kampala, Uganda from September 15 to 20, 2007, in cooperation with the Faculty of Medicine, Makerere University, Uganda. The theme of the conference is “Human Resources for Health: Recruitment, Education and Retention.” The Network states that the primary goal of the conference is to explore ways in which innovative approaches by academic health institutions, through their educational, service, and research missions, in collaboration with community partners, can address the challenges to improve the education, recruitment, and retention of human resources for health.

At the conclusion of the conference, there will be an excursion to Mbarara, Uganda, from September 21 to 23. Participants will visit the Mbarara University of Science and Technology, where they will focus on the educational approach of the Faculty of Medicine.

The Network invites abstracts containing empirical, theoretical, or descriptive studies relevant to the field, as well as proposals for mini-workshops and/or didactic sessions. The deadline for abstracts and proposals is June 1, 2007.

For detailed information on the 2007 conference, visit www.the-networktufh.org/conference/.

AAMC Panel Discussion Spotlights Developments in India and Brazil

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Francisco Campos, Brazilian Minister of Health Manpower; Kamal Dwivedi, Counselor of Science and Technology, Embassy of India; and Rosemary Fernandes, CEO, Phoenix Rose LLC, presented their visions of health manpower development in India and Brazil at the ECFMG/FAIMER Update Session at this year’s AAMC Annual Meeting in Seattle, Washington. Francisco Campos, whose Ministry is funding the Brazil-FAIMER Regional Institute, emphasized the relationship between the Brazilian Pro Saudé program of the Brazilian Ministry of Health to increase access to health care services throughout the country and the Brazil-FAIMER Regional Institute. Kamal Dwivedi talked about the interest of the Indian Ministry of Health and Family Welfare to deepen education methodology and leadership skills of health professions educators through expansion of FAIMER Regional Institutes in that country. Ms. Fernandes currently has a project with the Indian health ministry to develop a network of community health centers in India and proposed alignment of FAIMER faculty development with India’s health center expansion efforts.

7th International Conference on Medical Regulation – November 11-14, 2006 Wellington, New Zealand

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The International Association of Medical Regulatory Authorities (IAMRA) 7th International Conference on Medical Education was hosted by the Medical Council of New Zealand from November 11-14 in Wellington, New Zealand. The conference, titled Medical Regulation: Global Issues – Shared Solutions, featured a number of presentations, panel discussions, and workshops on topics such as cultural competence, physician migration, medical education and training, public expectations, and physician regulation. As part of a program titled, The A, B, C of Regulating Doctors, FAIMER President and CEO, John J. Norcini, Ph.D., gave a presentation on Resources to Help Regulators Understand Medical Schools. Dr. Norcini’s presentation focused on current resources, needs of medical regulators, challenges to creating and maintaining international resources, and strategies for the future. To read Dr. Norcini’s presentation, click here.

AAMC 2006 Annual Meeting

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The Association of American Medical Colleges’ (AAMC) Annual Meeting was held October 27-November 1, 2006 in Seattle, Washington. The following is a list of sessions that FAIMER staff participated in as speakers and/or contributed to as authors. FAIMER staff are listed in bold.

Abstract Presentation

Clinical clerkship experiences of IMGs
Danette W. McKinley, Ph.D., John J. Norcini, Ph.D., M. Brownell Anderson, M.Ed.

Exhibit

Innovations in Medical Education (IME) exhibit
Foundation for Advancement of International Medical Education and Research (FAIMER)

RIME Research Paper Presentations

Assessing the underlying structure of the USMLE Step 2 test of clinical skills using confirmatory factory analysis
Andre de Champlain, Ph.D., Kimberly Swygert, Ph.D., David Swanson, Ph.D., John R. Boulet, Ph.D.

Comparing traditional and computer-based training methods for standardized patients
Anthony M. Errichetti, Ph.D., John R. Boulet, Ph.D.

Comparison of characteristics and exam performance: Performance of U.S. and non-U.S. IMGs
John R. Boulet, Ph.D., Danette W. McKinley, Ph.D., John J. Norcini, Ph.D., David B. Swanson, Ph.D.

ECFMG certification and specialty board certification among graduates of Caribbean medical schools
John R. Norcini, Ph.D., Danette W. McKinley, Ph.D., John R. Boulet, Ph.D., M. Brownell Anderson, M.Ed.

Evaluating the measures
Hugh Stoddard, Ph.D., M.Ed. (Moderator), John J. Norcini, Ph.D. (Discussant)

Examinee use of encounter time in a high-stakes SP exam
Danette McKinley, Ph.D., David B. Swanson, Ph.D., Kimberly Swygert, Ph.D., Colette Scott, M.Ed., John R. Boulet, Ph.D.

Modeling longitudinal performances of the USMLE and impact of socio-demographic characteristics
Andre F. de Champlain, Ph.D., Laurel Sample, M.A., Gerard F. Dillon, Ph.D., John R. Boulet, Ph.D.

Relationships among subcomponents of USMLE Step 2 CS and Step 2 CK exams
Polina Harik, M.A., Brian E. Clauser, Ed.D., Irina Grabovsky, Ph.D., Melissa J. Margolis, M.S., Gerard F. Dillon, Ph.D., John R. Boulet, Ph.D.

Sessions

ECFMG and FAIMER update
James A. Hallock, M.D., John J. Norcini, Ph.D., Stephen S. Seeling, J.D.

Making your work, work for you
Ann Brown, M.D. (Moderator), Page Morahan, Ph.D., Roberta Sonnino, M.D., Archana Chatterjee, M.D., Judith K. Katz, Ed.D.

The Network: Towards Unity for Health Conference – September 9-13, 2006 Ghent, Belgium

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The crisis in human resources for health was highlighted at the annual conference of The Network: Towards Unity for Health (TUFH), recently held in Ghent, Belgium (September 9-13), where the conference theme was improving social accountability in education, research and service delivery. Although numerous health-related topics were discussed, the shortage of health professionals, including physicians and nurses in many developing countries was of particular concern. Effective service delivery requires good governance and a system of accountability – one that better manages and balances the global market of health professionals. FAIMER was represented at this meeting by Jack Boulet, Ph.D., Director of Research and Data Resources.

FAIMER staff is currently engaged in several research projects aimed at quantifying the global migration of physicians as well as understanding the underlying reasons for emigration. These activities, in conjunction with various Network resources, can ultimately help to ensure that the global market for health professionals does not deprive poor communities of essential medical services.

More information about the meeting in Ghent, including presentations, is available at http://www.the-networktufh.org/conferences/previousconferences.asp. The next Network:TUFH meeting will be in Kampala, Uganda, September 15-20, 2007 (http://www.the-networktufh.org/conferences/futureconferences.asp).

Humanitarian Healthcare Conference: Challenges and Opportunities in Disaster Relief – September 8-10, 2006 Dartmouth College, Hanover, NH

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The concepts of human capacity building featured prominently in the discussions of the Humanitarian Healthcare Conference held this fall at Dartmouth College. Over 20 aid agencies and organizations gathered in Hanover, NH for two days to discuss ways to improve humanitarian relief efforts. The meeting, jointly sponsored by Dartmouth College, Harvard University, and the International Rescue Committee, was the inaugural event of an anticipated annual conference to be alternately hosted by Dartmouth and Harvard. FAIMER Education Assistant Vice President William Burdick participated in the two-day conference, serving on the Human Resources workgroup led by Karen Hein, of Child Fund International.

4th Asia Pacific Medical Education Conference (APMEC) February 8-11, 2007, Singapore

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Following the overwhelming success of the past three APMECs, the Medical Education Unit, Yong Loo Lin School of Medicine, National University of Singapore, will once again be organizing and hosting the 4th APMEC from February 8-11, 2007 at the National University of Singapore, Singapore.

The theme for the 4th APMEC is Outcomes in Medical Education – Trends, Issues, Priorities, Strategies. Several world renowned medical educators have accepted invitations to speak and run workshops at the conference.

The National University of Singapore reports that, as in past years, this conference has attracted considerable local and international participation, with 350 to 400 medical educators from and beyond the Asian region expected to attend.

Early bird conference registration closes on November 15, 2006. For more information, please visit the conference website.