FAIMER President and CEO John J. Norcini, Ph.D., was an invited speaker, along with members of the Liason Committee on Medical Education (LCME) Secretariat, at a workshop on accreditation conducted at the International Conference on Medical Education and Accreditation, July 27–28, 2009, in Taiwan. The invitation was extended by Chi-Wan Lai, M.D., Executive Secretary, Medical Education Committee, Ministry of Education in Taiwan, and CEO, Taiwan Medical Accreditation Council (TMAC). TMAC was created in July 1999 to improve the quality of medical education in Taiwan. The workshop was organized to share information about how medical education accreditation systems function in Taiwan, the United States, and other countries, and to help TMAC with future planning. Dr. Norcini spoke on accreditation from the global perspective, as well as on how the medical education systems in different countries handle repatriated foreign medical graduates.
On July 1, 2009, N. Emmanuel G. Cassimatis, M.D., became President and Chief Executive Officer of the Educational Commission for Foreign Medical Graduates (ECFMG). In this role, Dr. Cassimatis also serves as Chair of FAIMER’s Board of Directors.
Before joining ECFMG and FAIMER, Dr. Cassimatis had been with the Uniformed Services University of the Health Sciences (USU) in Bethesda, Maryland since 1995, serving most recently as Vice President for Affiliations and International Affairs. He was also Associate Dean for Clinical Affairs and Professor of Psychiatry at the F. Edward Hébert School of Medicine of USU. Dr. Cassimatis has had a long and distinguished career in medicine with the U.S. Army. Prior to joining USU in 1995, Dr. Cassimatis held a number of positions with the U.S. Army’s Office of the Surgeon General and with U.S. Army hospitals in Germany and the United States, including Walter Reed Army Medical Center in Washington, D.C.
In recent years, Dr. Cassimatis served as Chair of the Accreditation Council for Graduate Medical Education and the American Medical Association’s Council on Medical Education. For more than a decade, he represented the Association of Military Surgeons of the United States in the AMA’s House of Delegates.
Dr. Cassimatis earned his medical degree from Harvard Medical School and is certified in Psychiatry by the American Board of Psychiatry and Neurology. He is a Distinguished Life Fellow of the American Psychiatric Association and has been the recipient of many other honors, including the Nancy C. A. Roeske Certificate of Recognition for Excellence in Medical Student Education from the American Psychiatric Association (2004), The Defense Superior Service Medal from the Department of Defense (2001), and the Year 2000 “Young at Heart” Award from the AMA Young Physicians’ Section, “in recognition of invaluable support and guidance to the Section and Young Physicians.”
Speaking on behalf of FAIMER, President and Chief Executive Officer John J. Norcini, Ph.D., said: “We are delighted by the appointment of Dr. Cassimatis. His long years of involvement with medical education and his international experience complement the needs of the Foundation as we continue to grow and develop.”
The Office of Educational Development at the Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, in Santiago, Chile, invited FAIMER President and CEO, John Norcini, Ph.D., to conduct workshops on student certification and assessment, June 23-25, 2009. Many faculty members from the university, including FAIMER Institute Fellows, were in attendance.
Dr. Norcini led workshops for faculty in the Health Professions Education Diploma program, members of the Office of Educational Development, and others responsible for teaching and assessing students in the health professions. The Health Professions Education Diploma program was established by the Office of Educational Development. FAIMER Institute 2005 Fellow Ricardo Ronco, M.D., is the Head of Development. Working with Dr. Ronco are 2007 FAIMER Institute Fellow Astrid Valenzuela, M.D., and 2009 FAIMER Institute Fellow Janet Bloomfield, M.D.
While in Santiago, Dr. Norcini also participated in a question-and-answer session on assessment at the university’s teaching hospital, Hospital Padre Hurtado. The session was led by Dr. Ricardo Lillo, Educational Coordinator of the hospital.
More information on the workshops is available, in Spanish, on the website of the Facultad de Medicina Clínica Alemana, Universidad del Desarrollo (http://www.udd.cl/prontus_docencia/site/artic/20090625/pags/20090625114044.html).
FAIMER President and CEO John Norcini, Ph.D., is the 2009 recipient of the prestigious National Board of Medical Examiners (NBME) John P. Hubbard Award. Established in 1983, in honor of the late John P. Hubbard, M.D., long-time esteemed CEO of the NBME, the award is presented to individuals who have made distinguished contributions to the field of evaluation in medicine. The Hubbard award recognizes Dr. Norcini’s commitment to excellence in medical education, his rigorous pursuit of high standards in scholarship, his broad and prolific publications and presentations history, and his tireless work on behalf of FAIMER. Dr. Norcini’s accomplishments in the field of assessment are considered both wide-ranging and pioneering.
The award was announced on March 26, 2009 at the Annual Meeting of the NBME Membership. For more information, please visit http://www.nbme.org/about/Hubbard/2009-hubbard-recipient.html.
Education for Health (EfH), the peer-reviewed, MEDLINE-indexed journal of The Network: Towards Unity for Health, recently publicized the top five most frequently visited articles published in the journal in 2007. Two of the articles were authored by FAIMER staff and FAIMER Institute Fellows. The top five articles, listed in descending order by number of “hits,” were:
Application of the Health Belief Model for Osteoporosis Prevention among Middle School Girl Students, Garmsar, Iran
S.M. Hazavehei, M.H. Taghdisi, M. Saidi
Capacity Building in Medical Education and Health Outcomes in Developing Countries: the Missing Link
W.P. Burdick, P.S. Morahan, J.J. Norcini
Research on Medical Migration from Sub-Saharan Medical Schools: Usefulness of a Feasibility Process to Define Barriers to Data Collection and Develop a Practical Study
A. Longombe (PHIL 2003), V. Burch (PHIL 2001), S. Luboga (PHIL 2003), C. Mkony (PHIL 2003), E. Olapade-Olaopa (PHIL 2002), B. Otieno-Nyunya (PHIL 2001), B. Afolabi (PHIL 2002), E. Nwobodo (PHIL 2004), S. Kiguli (PHIL 2004), W.P. Burdick, J.R. Boulet, P.S. Morahan
Gender Sensitization among Health Providers and Communities through Transformative Learning Tools: Experiences from Karachi, Pakistan
B.T. Shaikh, S. Reza, M. Afzal, F. Rabbani
DREEM and beyond; studies of the educational environment as a means for its enhancement
S.R. Whittle, B. Whelan, D.G. Murdoch-Eaton
The Network: Towards Unity for Health is a global consortium of health professions schools committed to improving the education of health professionals with a focus on strategies that improve responsiveness to the needs of communities. EfH is dedicated to the dissemination of scholarship that reflects the Network’s mission and goals, goals that FAIMER shares. FAIMER has provided financial support to EfH and two FAIMER staff members, Jack Boulet and Bill Burdick, are members of the EfH Editorial Board. EfH publishes “original contributions of interest to health and clinical practitioners, educators, policy makers, administrators, and learners in the health professions. Specifically this focus is on global models of health system integration and health professions education that lead to improved health and health care delivery.”
The 13th Ottawa International Conference on Clinical Competence was held March 5-8, 2008 in Melbourne, Australia. Australians, famous for their ubiquitous slang, call their country “Oz,” and therefore this conference has from the initial planning stages affectionately been referred to as “Ozzawa.” Melbourne, pronounced “Mel-bin” by the locals, is the capital of the state of Victoria and is situated on the picturesque tree-lined banks of the Yarra River. Melbourne is a cosmopolitan city with a unique balance of graceful old and new architecture surrounded by parks and gardens.
The conference was organized by three overarching and interacting themes: The Life of the Patient, The Life of the Professional, and The Life of the Program. The scientific program was large and varied, and included six renowned invited speakers, 17 pre-conference workshops, more than 450 oral presentations, 26 symposia, 29 workshops, and 300 posters.
FAIMER was well represented at the conference. Dr. John Norcini presented a short communication overview of an assessment of FAIMER education programs entitled Evaluation of an International Education Leadership Fellowship Program and participated as a speaker in two symposia: Reporting the UK Foundation Assessment Programme and Novel Assessments and Services for Medical Schools, Students and Professionals: A Perspective from Several Organizations. Dr. Norcini also co-conducted two workshops: Mini-CEX – How it Works in Surgery? Is it a General Method for Work Based Assessment? and Medical Education Databases. Dr. John Boulet presented a full-length paper entitled Setting Performance Standards for Mannequin-Based Acute-Care Scenarios: An Examinee Centered Approach. FAIMER and the World Federation for Medical Education (WFME) organized a symposium entitled International Recognition and Accreditation of Medical Schools’ Programmes. As part of this symposium, Marta van Zanten presented on Gathering Accreditation Data: The FAIMER Directory of Organizations that Recognize / Accredit Medical Schools. Dr. Norcini moderated this symposium, which also contained presentations by WFME, the Australian Medical Council, and Harbin Medical University in China.
In addition to these presentations by FAIMER staff, Mobeen Iqbal, FAIMER Institute class of 2007, of Shifa College of Medicine in Pakistan, gave two presentations, Medical Students’ Perceptions of Teaching Evaluationsand Health Related Quality of Life in a Pakistan Medical School; and Enoch Kwizera, FAIMER Institute class of 2007, of Walter Sisulu University in South Africa, co-authored the poster Evaluating Students’ Generic Learning Skills Early in their Undergraduate Careers – Valuable for Course Organisers?.
The “Ozzawa” conference, the first Ottawa conference to be hosted in Australia, was an excellent opportunity for FAIMER to present its work to an international audience. Additional information can be found on the conference website.
(posted April 10, 2008; updated May 6, 2008)
Interactive teaching in a multi-cultural context was the theme of a two-day workshop at the Karolinska Institute (KI) in Stockholm conducted by Bill Burdick, Associate Vice President for Education, FAIMER, and Jonas Nordquist, Director, Medical Case Center, KI, during the first week in June. Engaging adult learners in discussions that push them to their frontiers of knowledge is a challenging, but essential role for educators. It values and uses the knowledge they bring to the endeavor of learning, and allows them to move to areas of authentic interest and concern, while recognizing the vulnerability of adult learners. The challenge of discussion leadership is even greater when participants are from different cultures. Through a combination of case discussions, appreciative inquiry, and personal project discussions, participants developed strategies for achieving this ambitious goal.
In May 2007, a two-day workshop was held at Jordan University of Science and Technology (JUST) that focused on assessment in the medical school. The agenda for the workshops was developed in collaboration with the Dean of the medical school and the topics addressed included 1) the mini-Clinical Evaluation Exercise (mini-CEX), 2) the structured oral examination, 3) setting standards, and 4) the assessment of professionalism. Ara Tekian, Ph.D., Associate Professor of Medical Education and Director of International Affairs in the Department of Medical Education, University of Illinois at Chicago, and John Norcini, Ph.D., FAIMER President, conducted the workshops.
Approximately 40 JUST medical school faculty members attended the workshops, representing all of the basic and clinical departments as well as the administration. The workshops included large and small group discussions, role playing, and analysis of videotaped examinations. Throughout the small group sessions, participants were given the opportunity to apply their newly acquired concepts in their own environment and reflect on their applicability and usefulness.
During the two days, the participants were encouraged to ask questions about these or other relevant assessment topics in both the undergraduate and postgraduate arenas. Participants were also given an opportunity at the end of the workshop to reflect and develop an action plan for both the short and the long term.
Improvements in the assessment system at JUST might have a positive influence well beyond the medical school. JUST is one of the leading institutions in Jordan and advances are likely to be noted by others in the region.
As a side benefit of the workshop, the faculty met with the Jordanian Medical Council and presented information on assessment in the postgraduate setting.
(posted June 11, 2007; updated March 17, 2008)
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
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.
Clinical clerkship experiences of IMGs
Danette W. McKinley, Ph.D., John J. Norcini, Ph.D., M. Brownell Anderson, M.Ed.
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.
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.