AMEE 2006

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The Association for Medical Education in Europe (AMEE) annual meeting is recognized as the largest annual international event focusing entirely on medical and health care professions education.

The 2006 conference, held September 14-18, 2006 in Genoa, Italy, focused on teaching and learning in medicine, medical education, and health care needs and assessment. FAIMER was well represented at AMEE. Staff participated in the following workshops, symposia, and short communications:

Workshops

A practical guide to setting defensible performance standards on OSCEs and clinical skills examinations
André F. De Champlain (National Board of Medical Examiners), John R. Boulet, and Marta van Zanten

Assessing the written communication skills of physicians
Thomas Rebbecchi (Educational Commission for Foreign Medical Graduates (ECFMG)), John R. Boulet, and Gerald Whelan (ECFMG)

Mini CEX: A method for assessment and feedback in training
John J. Norcini and Reinhard Westkämper (IAWF, University of Bern, Switzerland)

Work based assessment: Practical lessons from experience with a large national work based assessment programme
Helena Davies (University of Sheffield, UK), Lesley Southgate (University of London, UK), and John J. Norcini

Symposium

The assessment of work
John J. Norcini (Chairperson), Dale Dauphinée (Medical Council of Canada), Bob Galbraith (National Board of Medical Examiners), Val Wass (University of Manchester, UK), and Cees van der Vleuten (University of Maastricht, Netherlands)

Short Communications

Acculturation issues for immigrant physicians
Gerald Whelan*, Marta van Zanten, Eleanor Fitzpatrick, and Barbara Hoekje

Clinical education of graduates of European medical schools
Danette W. McKinley*, John J. Norcini, and M. Brownell Anderson

Development of a compulsory national clinical skills examination in Peru
William P. Burdick*, Pedro Mendoza, Peter Scoles, and John J. Norcini

Do international medical graduates contribute to a culturally and linguistically diverse physician workforce in the United States?
Marta van Zanten* and John R. Boulet

* Presenter

Medical Education in Iran Undergoing Reform

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iran
John J. Norcini, Ph.D., (seated, 4th from left) pictured with conference attendees.

Medical education in Iran is moving towards curricular reform and competency-based postgraduate medical education. As part of this reform, FAIMER President, John J. Norcini, Ph.D., received an invitation from the Council for Graduate Medical Education of Iran to run a series of workshops on assessment.

In July 2006, faculty from universities of medical sciences throughout Iran attended a week long conference held in Tehran. Also in attendance were Dr. Mohagheghi, Deputy Minister for Educational and Student Affairs of the Ministry of Health and Medical Education; Dr. Einollahi, Chair of the Council for Graduate Medical Education; and a number of other important educational authorities.

Dr. Norcini conducted five workshops on key issues in assessment for participants who were members of Curriculum Development Committees and Chairs of the medical specialties Boards of Examiners. He also conducted three plenary sessions for faculty from Tehran University of the Medical Sciences and Shahid Beheshti University of Medical Sciences. The Ministry of Health and Medical Education also attended the plenary sessions.

Meetings to discuss possibilities for collaboration were held with Dr. Larijani, President of Tehran University of the Medical Sciences; Dr. Hosseini, Vice-Chancellor for Educational Affairs, Shahid Beheshti University of Medical Sciences; and other representatives from both universities.

Dr. Norcini noted that workshop attendees were knowledgeable, committed to high quality assessment, and enthusiastic (see picture) and that, going forward, there is a good basis for collaboration in a wide range of areas.

Travel to the conference was funded by the Joint Program Review Mission of the World Health Organization. Drs. Zali, President of Shahid Beheshti University of Medical Sciences, and Hosseini, Vice-Chancellor for Educational Affairs, provided the facilities for the conference.

FAIMER President Participates in 3rd Indonesian Medical Education Meeting and Expo

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John J. Norcini, Ph.D., FAIMER President, served as a guest speaker and faculty member at the 3rd Indonesian Medical Education Meeting and Expo that was held on June 5-7, 2006 in Bali, Indonesia. Dr. Norcini taught in one workshop entitled Assessment of Clinical Competencies/Mini-CEX and made presentations at the Clinical Competence Assessment and Clinical Specialist Training symposia. He also participated in a Meet the Expertsession.

The meeting and expo is a forum of the Association of the Indonesian Medical Education Institutions and is used to share experience and knowledge among medical schools in Indonesia. Led by the deans of the medical schools, the Association is working to improve the quality of medical education and to stimulate licensure and accreditation in the country.

Indonesia ranks fourth in world population, with about 250 million people, and has approximately 52 operating medical schools.

FAIMER Represented at World Health Organization’s SEDCAP Planning Meeting

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John Boulet, Ph.D., FAIMER Director of Research and Data Resources, participated in the World Health Organization (WHO) sponsored meeting on strengthening educational capacity in the prevention and treatment of HIV/AIDS in five African countries (SEDCAP), May 29-31, 2006, in Gaborone, Botswana. In addition to Dr. Boulet, Professor Sam Luboga (WHO Uganda) and Dr. Dan Kayongo (University of Transkei, South Africa), both former FAIMER Institute Fellows, were in attendance.

The goal of SEDCAP is to strengthen the human and institutional resources of schools of health professionals in Botswana, Burkina Faso, Malawi, Mozambique, and Uganda. By doing this, their graduates will be better equipped to prevent and treat HIV/AIDS.

Hosted by the Department of Nursing Education of the University of Botswana, WHO Collaborating Centre, the event attracted more than 60 attendees, including deans and members of the faculty development committees in the project countries, WHO staff, partners, and donor organizations. Presentations were made to familiarize all participants with the educational capacity and performance needs of the local African institutions, and small group discussions were held aimed at delimiting the relevant local educational challenges and developing specific needs assessment measurement tools. On the final day, country teams were formed and asked to devise country-specific action plans. These detailed plans will be used to initiate the second phase of the SEDCAP project.

FAIMER Research Scientist Leads Roundtable on Brain Drain

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Danette W. McKinley, Ph.D., Research Scientist, led a roundtable session at the Global Health Council’s 33rd Annual International Conference on Global Health on June 1, 2006 in Washington, D.C. Dr. McKinley’s presentation, Measuring Brain Drain: Combining Data Sources for Effective Analysis, examined the migration of highly skilled health care workers from less developed countries to more developed countries.

The session was based on a current investigation describing the characteristics and workforce pathways of physicians educated in sub-Saharan Africa who applied for ECFMG Certification between 1990 and 2004. Several data sources were used to quantify the emigration of physicians educated in Africa to the United States over this 15-year period. The study provides an example of how a combination of data sources can be used to inform “brain drain” discussions.

FAIMER Holds Symposium at 12th International Ottawa Conference

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FAIMER staff members presented on various research projects and initiatives at the FAIMER Symposium of International Medical Education Issues at the 12th International Ottawa Conference on Clinical Competence, May 20-24, 2006 in New York City. Topics included: accreditation processes throughout the world, characteristics of the world’s medical schools, migration from Africa to the United States, and immigration from South Asia. Other presentations by FAIMER staff included a workshop on the Mini-CEX conducted by John Norcini, Ph.D., FAIMER President; a workshop on building a state-of-the-art clinical skills simulation center co-presented by John Boulet, Ph.D., FAIMER Director of Research and Data Resources; and presentations at the National Board of Medical Examiners symposium, United States Medical Licensing Examination (USMLE): Performance of International Medical Graduates.

The 12th Annual Ottawa Conference was the largest Ottawa Conference to date, with over 1,000 medical school faculty, health educators, policy makers, and researchers from around the world in attendance.

Medical Educators-FAIMER Staff Plan for Launch of Brazil-FAIMER Regional Institute

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William Burdick, M.D., M.S.Ed., FAIMER’s Director of Education, and FAIMER Institute Faculty Member, Stewart Mennin, Ph.D., traveled to Universidad Federal do Ceara in Fortaleza, Brazil, in May to meet with local medical educators about the upcoming Brazil-FAIMER Regional Institute. The planning session included a number of FAIMER Institute Fellows from South America, including Henry Campos, M.D., M.Sc., Ph.D., Dean, Faculdade de Medicina, Universidade Federal do Ceara, who will direct the new Institute. The Brazilian Secretary for Health Manpower, the Associate Director of the Brazilian Medical Education Association, and representatives from local medical schools were also in attendance.

The Brazil-FAIMER Regional Institute, expected to begin in February 2007, is FAIMER’s third such collaboration. Regional Institutes in Mumbai, India, and Ludhiana, India, began in 2005 and 2006, respectively. Based on the model of the FAIMER Institute, established in Philadelphia in the United States in 2001, Regional Institutes provide opportunities for international medical school faculty to learn education methods and leadership skills, and to develop professional relationships. Applications to participate in the Brazil-FAIMER Regional Institute will be accepted beginning in the fall of 2006.

Perspectives from Mendoza

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The School of Medical Sciences, Universidad Nacional de Cuyo, in Mendoza, Argentina, hosted the XI International Meeting of Medical Education on March 29-30, 2006. Organized by Dr. Ana Lía Vargas, a 2001 Fellow of the FAIMER Institute and former Institute Global Faculty Advisor, the meeting was attended by more than 40 individuals, including faculty from medical schools in Chile and Argentina. FAIMER representatives, John Boulet, Ph.D., Director of Research and Data Resources, and Marta van Zanten, M.Ed., Research Associate, also participated. Like their predecessors in 2003 and 2005, the conference centered on the assessment of clinical skills.

Dr. Boulet rated the conference as highly successful in promoting FAIMER’s mission of providing opportunities for the cross-cultural exchange of experience and expertise in the fields of physician training and assessment. Participants gave very positive feedback to the meeting organizer and expressed appreciation for the opportunity to network with each other and enhance their skills in clinical competence evaluation, as reflected in the feedback of Kristina Weil, M.D., Institute 2002 Fellow:

I traveled to Mendoza with two other faculty members from Universidad de los Andes (Santiago, Chile), who are working very hard on OSCE…and with two other Chilean medical doctors from the Medical School of Universidad del Desarrollo, where I am also teaching. It was a very good opportunity to share experiences and to promote new teaching techniques and FAIMER in Chile. All four colleagues were fascinated by the course and increased their interest in medical education. We are strongly thinking on the organization of a similar meeting in Santiago de Chile, probably next year.

FAIMER President Delivers Plenary at 2006 Medical Education Conference

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FAIMER President, John J. Norcini, Ph.D., was Keynote Speaker at a Plenary Session entitled Future of Assessment Across the Education Continuum at the 2006 Medical Education Conference, held April 29 – May 3 in London, Ontario, Canada. Dr. Norcini presented an overview of assessment in medical education at this year’s conference, which was themed Partnerships for Improving Health Care.

FAIMER President at MedBiquitous

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John J. Norcini, Ph.D., FAIMER President, served as a panelist at the MedBiquitous Consortium Annual Conference, held April 25-27, 2006, in Baltimore, Maryland. During the Self Assessment and Quality Improvement Panel, Dr. Norcini with representatives of the National Board of Medical Examiners discussed innovative uses of self assessment for improving quality of care.