The Network: Towards Unity for Health Annual Meeting took place in Kampala, Uganda in September. FAIMER leaders were among those in attendance. John Norcini, FAIMER President; John Boulet, Associate Vice President for Research; and William Burdick, Associate Vice President for Education and Co-Director of the FAIMER Institute, presented a full-day workshop on changing student assessment. Sixteen participants from sub-Saharan Africa spent the day learning about validity, reliability, standard setting, and new methods of assessment as they considered the best ways to introduce change in their institutions. Sarah Kiguli, a 2004 FAIMER Institute Fellow and chair of the local meeting organizing committee, was elected to The Network’s Executive Council.
The 2007 conference, held August 25-29 in Trondheim, Norway, focused on teaching and learning in medicine, medical education, and health care needs and assessment. FAIMER staff (whose names appear in bold) and Fellows (whose names appear in blue) participated in the following course, workshops, symposia, short communications, and posters:
FAME (Fundamentals of Assessment in Medical Education)
Tony LaDuca, Jack Boulet, Dale Dauphinee, Helena Davies, Ann King, Marina Mrouga, Dave Swanson, Carol Morrison, John Norcini
International medical education opportunities: cross-cultural exchanges John Norcini, M. Brownell Anderson
Assessing the written communication skills of physicians
Thomas Rebbecchi, Jack Boulet, Gerald Whelan
FAIMER Education Programs: five year impact William Burdick, Page Morahan, Summers Kalishman, Stewart Mennin, MaryAnn Eklund, Debby Diserens*, John Norcini
Postgraduate Medical Education (PMED) Project – a comprehensive web-based international directory Frank A Simon*, Gerald P Whelan, Danette McKinley, John Norcini
Accreditation processes throughout the world: The FAIMER directory of organizations that recognize/accredit medical schools Marta van Zanten*, John Norcini, Frank Simon
Peer teaching in Family Medicine – experience of facilitators Marietjie van Rooyen*, David Cameron, Julia Blitz, Glynis Pickworth
CanMEDS for South African pathology training Juanita Bezuidenhout*, Vanessa Burch, S Nayler W Grayson, E Wasserman, R Erasmus, E van Rensburg, J Mahlangu, J Vellema, M Altini, Meyer, Moodly, M Senekal, I Loftus
Students’ clinical performance on technical and humanistic skills: comparison between faculty and self assessment
RCL Domingues, AMB Zeferino, SS Morais, E Amaral
FAIMER staff presentations (with FAIMER staff in bold) will include:
Sunday, November 4, 2007
8:30 am – 10:00 am
RIME Symposium Presentations: The Educational Realities of Increasing Class Size John Norcini, Ph.D.
9:00 am – 1:00 pm 3:30 pm – 6:30 pm
Innovations in Medical Education and Commercial Exhibits (Booth #1602)
Monday, November 5, 2007
9:00 am – 1:30 pm
Innovations in Medical Education and Commercial Exhibits (Booth #1602)
2:00 pm – 3:30 pm Educational Commission for Foreign Medical Graduates (ECFMG) and Foundation for Advancement of International Medical Education and Research (FAIMER) Update
James A. Hallock, M.D., John Norcini, Ph.D., Stephen S. Seeling, J.D., John R. Boulet, Ph.D., William P. Burdick, M.D.
2:45 pm – 4:15 pmResearch Paper Presentations: Assessing Clinical Skills Assessing the Communication and Interpersonal Skills of Graduates of International Medical Schools as Part of the USMLE Step 2 Clinical Skills (CS) Exam Marta van Zanten, M.Ed., John R. Boulet, Ph.D., Danette W. McKinley, Ph.D., Andre De Champlain, Ph.D., Ann C. Jobe, M.D., M.S.N.
Wednesday, November 7, 2007
8:00 am – 9:30 am Abstract Presentations: Prediction International Medical Graduates & Step 2 CS Outcome Danette McKinley, Ph.D., John R. Boulet, Ph.D., David B. Swanson, Ph.D., Kimberly Swygert, Ph.D.
9:45 am – 11:15 amAbstract Presentations: Graduate Medical Education The Certification of International Medical Graduates John R. Boulet, Ph.D., Stephen S. Seeling, J.D., Danette W. McKinley, Ph.D.
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.
In mid-August, FAIMER welcomed to Philadelphia the Directors and key faculty members from all five of FAIMER’s Regional Institutes in Brazil, India, and Southern Africa. Twenty-three representatives from the Regional Institutes joined eight FAIMER staff and consultants to convene the first ever “DAFFRI” workshop: an intensive five-day program designed to create opportunities for all participants to develop mutual understanding of the common values and needs of FAIMER Regional Institutes, contribute to crafting a shared vision and strategy for future development and sustainability, enhance their knowledge and skills as educators, and build an active, supportive global network of FAIMER Regional Institute stakeholders.
The program, entitled “Strengthening and Sustaining Regional Institutes: Vibrant Communities for Education and Health,” combined an “Appreciative Inquiry” planning process facilitated by FAIMER Institute Co-Director Page Morahan with knowledge building sessions on adult learning theory led by Bill Burdick, FAIMER Institute Co-Director and Associate Vice President for Education. Both were accompanied in presenting by Stewart Mennin, a health professions education consultant who has also served as an international faculty member at FAIMER Regional Institutes in India and Brazil.
A high-point of the program was a lively “Interactive Presence” workshop in which stage actor and arts educator Mary Beth Scallen guided participants in a series of exercises that raised their awareness of their own behaviors in the classroom and encouraged them to consciously use their own behaviors as teaching tools. This was followed by opportunities for all to practice interactive teaching techniques in presentation and feedback sessions.
Participants are now following up on action plans generated by “concept teams” in the workshop. The action plans address priority areas such as program development, faculty development, sustainability, standard operating procedures, and evaluation.
(posted September 24, 2007, updated September 28, 2007)
Sixteen international health professions educators who represent academic institutions from 11 countries around the world have been selected as Fellows of FAIMER Institute 2007. Fellows will begin their program by traveling to Philadelphia to attend the fellowship’s three-week session one, which begins on October 7, 2007.
The FAIMER Institute fellowship program is designed for international health professions educators who have the potential to play key roles at their schools. The program serves two main purposes, to: (1) provide participants with the tools and skills to serve as resources for their individual institutions and (2) create an environment for cross-cultural exchange of educational expertise and experiences. The ultimate goal is to improve the health of local communities by improving health professions education programs. The program will help Fellows develop curricula appropriate to their own schools and communities.
At the end of October, the incoming Institute 2007 Fellows will be joined by returning Institute 2006 Fellows as they complete their final residential session. When the 2007 Fellows complete their final residential session next year, they will meet the incoming Institute 2008 Fellows. These opportunities for interaction between classes of Fellows support the development of a community of international health professions educators dedicated to the improvement of health professions education and the health of their communities.
The FAIMER Institute 2007 Fellows are:
Payal Bansal, M.B.B.S., M.S. (Surgery), P.G. Dip. (Health Education)
Bharati Vidyapeeth Medical College
Mary Bermudez-Gomez, M.D., M.Sc.
Pontificia Universidad Javeriana
Jugesh Chhatwal, M.B.B.S., M.D.
Christian Medical College, Ludhiana
Venkatesh Doreswamy, M.B.B.S., M.D. (Physiology)
M.S. Ramaiah Medical College
Yucel Gursel, M.D.
Dokuz Eylul Universitesi
Enoch Kwizera, M.B.Ch.B., M.Sc., Ph.D.
Walter Sisulu University
Zahra Ladhani, R.N., R.M., B.Sc.N., M.P.H.
Shifa College of Medicine
Amam Mbakwem, M.B.B.S., F.W.A.C.P.
University of Lagos
Leilanie Nicodemus, M.D.
University of the Philippines College of Medicine
Gboyega Ogunbanjo, M.B.B.S., M.Fam.Med., F.C.F.P. (S.A.), F.A.C.T.M., F.A.C.R.R.M.
University of Limpopo
Bishnu Hari Paudel, M.D., D.G.O., F.C.C.P., Ph.D.
B.P. Koirala Institute of Health Sciences
Yinusa Raji, Ph.D., M.Sc., B.Sc.
University of Ibadan
Si Mui (Debra) Sim, B.Sc., Ph.D.
Ivan Solarte, M.D.
Pontificia Universidad Javeriana
Astrid Valenzuela, M.D.
Universidad del Desarrollo
Wagdy Youssef, M.D., Ph.D.
Suez Canal University
(posted March 21, 2007, updated April 4, 2007, April 30, 2007, June 15, 2007, September 20, 2007)
The CMCL-FAIMER Regional Institute is a two-year part-time fellowship program designed for health professions faculty from South Asia who have the potential to play a key role in improving education at their schools. The program is uniquely designed to teach education methods and leadership skills, as well as to develop strong professional bonds with other health professions educators in the region. Residential sessions take place in Ludhiana, India. The first residential session will be held January 14 to 23, 2008. A proposal for an education innovation project, supported by the applicant’s school, is required for consideration, and projects that demonstrate a link to improved health in the community will be given higher priority.
Deadline for application submission is October 15, 2007.
FAIMER’s first Regional Institute, the GSMC-FAIMER Regional Institute, turned three years old in June 2007, as Seth G.S. Medical College in Mumbai, India welcomed 16 new Fellows for the beginning session of their two-year program, and welcomed back 16 Fellows from the 2006 class as they began their second on-site session. The new Fellows brought with them their ideas for education innovation projects to further develop with the help of a team of experienced local and international faculty. They were also able to benefit from the project development experiences of the 2006 Fellows, who presented final reports on their projects in poster sessions.
In addition to project work, Fellows participated in highly interactive instructional sessions on a variety of topics related to leadership, management, adult learning, research, and scholarship. They explored aspects of teamwork by crossing a snake-infested pit, learned about methods of conflict management that included an arm-wrestling contest, and developed their time-management skills by planning a mountain trek. The adventure continues in the intersession as the two groups and members of the faculty are providing mutual support and assistance while further developing projects, research, scholarship, and learning through a listserv and on-line discussion groups.
Applications are now being accepted for the FAIMER Institute 2008. The FAIMER Institute is a two-year part-time fellowship program designed for international health professions faculty from South Asia, Africa, and Latin America who have the potential to play a key role in improving health professions education at their schools. The program, conducted in English, is uniquely designed to teach education methods and leadership skills, as well as to develop strong professional bonds with other health professions educators around the world. Residential sessions take place in Philadelphia, Pennsylvania with the first residential session (three weeks) beginning October 5, 2008. A proposal for an education innovation project, supported by the applicant’s school, is required for consideration, and projects that demonstrate a link to improved health in the community will be given higher priority. Apply now.
A Memorandum of Understanding between FAIMER and the International Clinical Epidemiology Network Trust International (INCLEN Trust) was completed in June 2007. This memorandum expresses the organizations’ mutual commitment to engage in projects focused on research in medical education, faculty development, and the creation of data resources for and about international medical schools. By way of this agreement, FAIMER and INCLEN Trust intend to partner together in addressing issues and conducting activities related to international education and research.
INCLEN Trust is a non-profit organization that seeks to strengthen health care systems and improve health practices globally by providing professionals in the field with the tools to analyze the efficacy, efficiency, and equity of interventions and preventive measures. Targeting local, national, regional, and global health care needs, the organization’s goal is to improve the health of disadvantaged populations by promoting equitable health care through its global network of health professionals, by conducting collaborative interdisciplinary research on high-priority health problems, and by educating future generations of leaders in health care research. INCLEN Trust has Executive Offices in New Delhi, India, and Philadelphia, Pennsylvania. Its global network consists of seven regional networks: CanUSACLEN, ChinaCLEN, Euro-Mediterranean CLEN, INCLEN-Africa, INCLEN-Southeast Asia, IndiaCLEN, and LatinCLEN. These seven regional networks are made up of over 1,500 members, representing 79 clinical epidemiology units that span 33 countries.
In signing this Memorandum of Understanding, FAIMER and INCLEN Trust hope to initiate cooperation in the areas of capacity building and targeted research. This collaboration is designed to capitalize on the broad expertise and network of international contacts built separately by each organization, with the aim of enhancing the activities of both organizations and better achieving their common goal of improving health in regions of greatest need. The objectives of the collaboration will initially include, but not be limited to, the following:
development of educational programs for educators, especially in developing regions of South Asia, Latin America, and Africa, with the goal of improving the integration of knowledge of local community health needs and health professions education;
strengthening the capacity of both organizations’ networks; and
development of common proposals for initiating educational programs and targeted research, and exploration of funding opportunities for this purpose.