ECFMG|FAIMER Research Finds Drop in Interest From Muslim-Majority Country Physicians

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Applications for ECFMG Certification from citizens of Muslim-majority countries have decreased since 2016 which could exacerbate gaps in the U.S. physician workforce, according to an article co-authored by ECFMG|FAIMER executives and published July 6 in the JAMA Network Open, an on-line publication of the Journal of the American Medical Association.

The article, Prevalence of International Medical Graduates from Muslim-Majority Nations in the U.S. Physician Workforce from 2009 to 2019, was authored by John Boulet, PhD, Vice President for Research and Data Resources for ECFMG|FAIMER; William W. Pinsky, MD, President and CEO of ECFMG|FAIMER; and Robbert J. Duvivier, MD, PhD of the Parnassia Psychiatric Institute in The Hague, Netherlands.

According to the article, citizens from Muslim-majority nations made up 4.5 percent of the U.S. physician workforce in 2019. Applications for ECFMG Certification from citizens of these countries increased from 2009 to 2015 but decreased considerably from 2016 to 2018, especially for citizens of Pakistan, Egypt, Iran, and Saudi Arabia.

The article has generated significant coverage in the news media internationally, including articles in The Arab WeeklyArabian BusinessFree Malaysia Today, and The Daily Mail to name a few.

FAIMER Research Scientist Marta van Zanten Authors Two Papers on Accreditation Issues

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FAIMER Research Scientist Marta van Zanten recently authored two papers on accreditation issues. This research advances the FAIMER goals of maintaining accurate, publicly-available data resources that promote an understanding of the world’s health professions education systems and helping to inform Educational Commission for Foreign Medical Graduates (ECFMG®) policy.

The first paper, written in conjunction with partners at Johns Hopkins, is entitled Describing the evidence-base for accreditation in undergraduate medical education internationally: A scoping review. The authors evaluated over 1,000 abstracts and subsequently read over 200 full text articles for possible inclusion in this scoping review. Of the full text articles reviewed, 36 met the criteria of scholarship on the topic and 85 were classified as non-scholarship. This manuscript summarizes the findings of these articles and provides an analysis of some of the difficulties in conducting research in this domain. These results can be used to guide best practices in accreditation, recommend areas for future research, and inform preparations for ECFMG’s 2023 accreditation requirement.

Paper citation:  Tackett, Sean MD, MPH; Zhang, Christiana MD; Nassery, Najlla MD, MPH; Caufield-Noll, Christine MLIS, AHIP; van Zanten, Marta PhD, Med, Academic Medicine: December 2019 – Volume 94 – Issue 12 – p 1995-2008.

More information can be found here: https://journals.lww.com/academicmedicine/Abstract/2019/12000/Describing_the_Evidence_Base_for_Accreditation_in.39.aspx

A copy of the article can be requested from mvanzanten@faimer.org.

The second paper, entitled Using DEQAR data to enhance the World Directory of Medical Schools, compares World Federation for Medical Education (WFME) Recognition Program results and related medical school accreditation data with European Quality Assurance Register (EQAR) accreditation data.  The purpose of this study was to review accreditation data included in the Database of External Quality Assurance Results (DEQAR) to help inform planned enhancements to the World Directory of Medical Schools. The search of DEQAR revealed 109 non-expired evaluation or accreditation reports from 91 higher education institutions or programs located in 21 countries that provide undergraduate (basic) medical education. Three accrediting agencies are included in DEQAR and recognized by WFME. These results will help inform planned enhancements to the World Directory of Medical Schools, including addition of accreditation data at the school level beginning in 2020.

Dr. van Zanten recently presented this paper at the Database of External Quality Assurance Results (DEQAR) Conference and European Quality Assurance Register (EQAR) Members’ Dialogue, October 2019, in Madrid, Spain, and it is published on the EQAR website: https://cloud.eqar.eu/s/3GDReeJTrGQBH5e#pdfviewer.

Recent IFMSA Report: Attacks on Medical Education

Posted on Categories health professions education, publicationsTags

International Federation of Medical Students AssociationsThe International Federation of Medical Students’ Associations (IFMSA) recently published a pilot report exploring the impact of wars and violence on medical education and health care, titled Attacks on Medical Education. The report focuses on attacks on medical education in seven countries: Libya, Palestine, Ukraine, Sudan, Syria, Venezuela, and Yemen. It examines the impact of violence on specific components of medical education, such as facilities, teaching hospitals, libraries, academic staff, and students; as well as the consequences these attacks can have for health care delivery and the sustainability of health care systems.

For more information or to access the report, visit https://ifmsa.org/2018/04/21/medical-education-is-notatarget/.

IFMSA is a non-profit, non-governmental organization representing associations of medical students worldwide. Founded in 1951, IFMSA currently maintains 137 National Member Organizations from 127 countries across six continents, representing a network of more than 1.3 million medical students. IFMSA is recognized as a non-governmental organization within the United Nations’ system and the World Health Organization, and works in collaboration with the World Medical Association. IFMSA also supports the Health Care in Danger (HCID) project, an initiative of the International Red Cross and Red Crescent Movement aimed at addressing violence against patients, health workers, facilities, and vehicles, and ensuring safe access to and delivery of health care in armed conflict and other emergencies.

For more information on IFMSA, visit www.ifmsa.org.

FAIMER Research Scientist Marta van Zanten Publishes Article on Recognition of Accrediting Agencies

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An article about the evaluation and recognition of agencies that accredit medical education programs authored by FAIMER Research Scientist Marta van Zanten was recently published online by the journal Quality in Higher Education. Accreditation provides a level of legitimacy to medical education programs; however, the agencies responsible for accreditation may vary in their scope, governance, and the robustness and transparency of their decision-making processes. To enhance validity and comply with governmental and/or medical professional regulations, some agencies undergo external evaluations of their standards and protocols, a process commonly referred to as recognition. Dr. van Zanten’s article compares six European and United States-based recognition organizations that evaluate agencies that accredit medical education, highlighting similarities and differences in scope, processes, and consequences of review.

The article, titled “Recognition organisations that evaluate agencies accrediting medical education programmes: Quis custodiet ipsos custodes?” was published on August 30, 2017. The first 50 people to access the article will receive a free download of the entire manuscript.

WFME and FAIMER Staff Publish Article about the World Directory of Medical Schools

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An article about the World Directory of Medical Schools, coauthored by FAIMER Research Assistant Sarah Williams Leng and Barbora Hrabalová of the World Federation for Medical Education (WFME), was recently published on the European Consortium for Accreditation’s (ECA) online QAzette. To access the article, click here.

The World Directory of Medical Schools (World Directory) was launched in April 2014 by WFME and FAIMER, as the result of a March 2012 agreement to merge the organizations’ respective directories—FAIMER’s International Medical Education Directory (IMED) and WFME’s Avicenna Directory—to produce a single comprehensive resource on undergraduate medical education worldwide.

The World Directory is freely available at www.wdoms.org. Those interested can search for medical schools listed in the directory. In June 2016, WFME and FAIMER announced the launch of the World Directory Subscription Service. This service allows regulatory authorities, researchers, and other interested subscribers access to download a wealth of information from the World Directory for an annual fee. Available information includes medical schools’ years of operation, academic affiliations, and curriculum details. Data files are available for download in CSV or XML format and are updated daily.

Questions and new listing requests may be sent to the World Directory staff at info@wdoms.org.

FAIMER-Authored Article Is Subject of Recent Key Literature in Medical Education (KeyLIME) Podcast

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An article authored by FAIMER President John Norcini and several other FAIMER staff members was the subject of a recent Key Literature in Medical Education (KeyLIME) podcast by the Royal College of Physicians and Surgeons of Canada. The article, titled “The Relationship Between Licensing Examination Performance and the Outcomes of Care by International Medical School Graduates,” appeared in the August 2014 issue of Academic Medicine. The 20-minute podcast can be accessed on the Royal College of Physicians and Surgeons of Canada website.

FAIMER Fellows Collaborate to Publish New Book on Community Based Education

Posted on Categories FAIMER faculty, Fellows, publicationsTags

cover of Community Based Education in Health Professions: Global Perspectives bookFAIMER is proud to announce the publication of a new book on community based education (CBE) authored by Wagdy Talaat, M.D., Ph.D., and Zahra Ladhani, Ph.D., both FAIMER faculty members and Fellows of the 2007 FAIMER Institute. Titled Community Based Education in Health Professions: Global Perspectives, the book was published in January 2014 by the World Health Organization: Regional Office for the Eastern Mediterranean.

To compile experiences of CBE, the authors invited contributions from health professions education institutions in six countries: Bangladesh, Brazil, Egypt, India, Pakistan, and South Africa. The selected institutions were invited to share stories about the implementation of CBE at their schools, to illustrate how different tools and approaches have worked in a variety of local circumstances. By documenting and sharing these varied experiences, the authors hope that their book will help guide and inspire other educators and community workers interested in implementing CBE programs.

The book’s contributors include FAIMER Fellows Valdes Bollela (PHIL 2006) from Brazil, Dina El-Metwally (PHIL 2010) from Egypt, and Ben van Heerden (PHIL 2006) from South Africa. “The publication of this book marks a major collaborative project led by our Fellows,” says Page Morahan, Ph.D., Co-Director of the FAIMER Institute.

To learn more about and/or access the book, click here.

Study Highlights Contribution of Caribbean-Educated Physicians to U.S. Primary Care Workforce

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The projected shortage of primary care physicians in the United States is well documented, and current trends indicate that the numbers of graduates of U.S. medical schools may not be sufficient to fill these roles. FAIMER Research Scientist Marta van Zanten and FAIMER Associate Vice President for Research and Data Resources John R. Boulet quantify the contribution that graduates of Caribbean medical schools make to the U.S. primary care workforce in their recently published paper:

van Zanten M, Boulet JR. Medical education in the Caribbean: The contribution of Caribbean-educated physicians to the primary care workforce in the United States. Academic Medicine. 2013;88(2):276-81

Findings in the study indicate that graduates of Caribbean medical schools make an important contribution to the U.S. primary care workforce. Specifically, the authors used the American Medical Association Physician Masterfile and ECFMG data to determine the numbers of physicians providing direct patient care. They classified these physicians according to type of medical school from which they graduated, and then calculated frequencies and percentages of self-designated primary care specialties for each physician classification. Results of the study show that graduates of Caribbean medical schools had the highest proportion of physicians practicing primary care, followed by D.O., all other IMGs, and lastly, graduates of U.S. M.D.-granting schools.

FAIMER Faculty Members Tejinder Singh and Anshu Publish Book on Assessment in Medical Education

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FAIMER faculty members Tejinder Singh (Director, CMCL-FAIMER Regional Institute; PHIL 2003; IFME 2006) and Anshu (CMCL 2007, PHIL 2009, IFME 2012) served as co-editors of the book Principles of Assessment in Medical Education, published by Jaypee Brothers in March 2012. The book, a sequel to an earlier book entitled Principles of Medical Education, provides a scientific approach to the assessment of clinical competence, with particular emphasis on the use of assessment to promote learning in Indian medical schools. The book contains a foreword written by Bill Burdick (FAIMER Associate Vice President for Education and Co-Director of the FAIMER Institute), as well as chapters authored by FAIMER President and CEO John Norcini, and FAIMER faculty members B.V. Adkoli, Payal Bansal (PHIL 2007, IFME 2010), Janet Grant, Zahra Ladhani (PHIL 2007), Ciraj Ali Mohammed (CMCL 2008, PHIL 2010), Supten Sarbadhikari (PSG 2007), Avinash Supe (Director, GSMC-FAIMER Regional Institute; PHIL 2002; IFME 2007), Ara Tekian, and Rashmi Vyas (PHIL 2003, IFME 2005).

For more information on Principles of Assessment in Medical Education, visit:http://jaypeebrothers.com/pgDetails.aspx?cat=s&book_id=978-93-5025-885-9#.

FAIMER Fellows Continue to Work on “Really Good Stuff”

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The November 2010 issue of Medical Education contains the latest collection of “Really Good Stuff,” a peer-reviewed compilation of short, structured reports, published semiannually, on new ideas in medical education, including curriculum design, teaching practice, and assessment. Included in the current issue are six reports on the innovation projects of FAIMER Fellows (bold font):

“A Way to Assess Students’ Clinical Reasoning”
Iêda M. B. Aleluia (BRAZ 2009), Paulo M. Carvalho, Jr. (PHIL 2006), Marta S. Menezes (BRAZ 2007)

“Community-based Cervical Cancer Prevention in the Western Amazon”
José O. Ferrari (BRAZ 2009)

“Using Appreciative Inquiry on Learning Styles to Facilitate Student Learning”
Latha Rajendra Kumar (PSG 2009), Thomas V. Chacko (PHIL 2004, IFME 2006)

“Teaching Community-based Palliative Care to Medical Students”
Sairu Philip (PSG 2009), Ayshabeevi Remlabeevi

“Virtual Microscopy as a Teaching Tool Adjuvant to Traditional Microscopy”
Seema Raja (PSG 2009)

“Identification of Social Determinants of Health Components for Teaching: A Pilot Process”
Yegnanarayanaiyer S. Sivan (PSG 2009), Thomas V. Chacko (PHIL 2004, IFME 2006), Pandian Subramaniyan