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.

Simon to Join FAIMER as Senior Scholar

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Frank A. Simon, M.D. has been appointed to the position of Senior Scholar of the Foundation for Advancement of International Medical Education and Research (FAIMER). Dr. Simon will assume his duties on January 2, 2007.

Dr. Simon comes to FAIMER with extensive experience as an author, educator, administrator, and physician. He has held several positions at the American Medical Association (AMA) including Director of the Division of Undergraduate Medical Education Policy and Standards, Director of the Division of Graduate Medical Education, and Secretary to the Council on Medical Education. He also served as Co-Secretary of the Liaison Committee on Medical Education (LCME), sponsored by the AMA and the Association of American Medical Colleges (AAMC).

Prior to joining the AMA, Dr. Simon served as Vice Dean and Professor of Pediatrics at the University of Medicine and Dentistry of New Jersey (UMDNJ), Robert Wood Johnson Medical School, where he was responsible for all academic operations. He has also served in positions with the AAMC Northeast Group on Educational Affairs and the National Board of Medical Examiners (NBME), and is Adjunct Professor of Pediatrics at Northwestern University Feinberg School of Medicine.

Dr. Simon received his undergraduate degree from the University of Pennsylvania and his medical degree from New York University School of Medicine. Following his residency in Pediatrics at Johns Hopkins Hospital, he served two years as Chief of Pediatrics at Craig Air Force Base.

“FAIMER is pleased to have recruited Dr. Simon, and we believe that he will be an excellent addition to the staff in advancing FAIMER’s mission,” said James A. Hallock, M.D., Chair, FAIMER Board of Directors, and President and CEO, ECFMG.

NBME® Evaluation Fellowship Program

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This fall, FAIMER® and the National Board of Medical Examiners® (NBME) continue their collaboration to expand the NBME’s Evaluation Fellowship Program. The NBME is an independent, not-for-profit organization that provides high-quality examinations for the health professions, including the United States Medical Licensing Examination™ (USMLE™). The NBME’s Evaluation Fellowship Program, with funding provided by FAIMER, allows international participants to study aspects of NBME’s operations, such as test administration, medical school services, psychometrics and scoring, test design and development, test construction, and information technology. The goal of the program is to enable Fellows to serve as resident experts in such topics at their home country institutions.

The NBME recently welcomed to Philadelphia its second Evaluation Fellow from the National Medical Examination Center in Beijing, People’s Republic of China. Mr. Chen Shengyu arrived approximately one month ago and will remain in residence until mid-December 2006. Mr. Chen is a colleague of Ms. He Ju (Julia), the first Evaluation Fellow hosted by the NBME, who completed her own residency in 2005. Upon arriving in Philadelphia, Mr. Chen completed an orientation period, during which he met with staff of NBME, the Educational Commission for Foreign Medical Graduates (ECFMG), and the Clinical Skills Evaluation Collaboration (CSEC). In addition, he attended a faculty development workshop on clinical skills, led by Ann King and Ruth Hoppe. In the coming months, Mr. Chen will be embedded among CSEC teams, where he will become familiar with case development procedures and quality assurance processes. Mr. Chen will complete a project during his residence as well. He is being supervised by Ann King and Anthony LaDuca from NBME’s Measurement Consulting Services.

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.

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.

EfH: Focus on Community-based Health Education

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Education for Health (EfH) is the journal of Network: Towards Unity for Health (TUFH). First published in 1988 and originally titled The Annals of Community-Oriented Education, the journal has served as a main source of discussion and dissemination of research and scholarly work related to Network: TUFH mission and objectives. Starting in 2006, with volume 19:1 of EfH, the journal has encouraged submission of manuscripts in five major topic areas:

  1. describe innovative models for the community-based education of health professionals, and research into the effectiveness of these models;
  2. describe models of community-based health care delivery and demonstrate the impact and effectiveness of these models;
  3. describe programs and research on collaborations between academia and health services, with the objective of community health improvement;
  4. describe and demonstrate multi- and interdisciplinary approaches to health professions education and service delivery;
  5. describe models and systems of education, research, and service delivery that link, and have implications for, both developing and developed countries.

The journal specifically encourages papers on community-based health education and research about and from developing countries.

In 2004, EfH obtained status as a Medline journal. This has contributed to an increased number of manuscript submissions over the past two years. This growth and the continued attention to serving the international community related to research and educational evaluation studies has resulted in transitioning to an on-line journal. The new publishing format will allow for open access for all readers, on-line submission, much wider and more rapid dissemination of information, and opportunities for news and article alerts to engage and inform readers.

The future of EfH is based in collaboration to increase the breadth and quality of the journal and to appeal to a larger audience of health service providers, public health practitioners, policy makers, and researchers. Currently the journal is informed and supported by: Network: TUFH; the Department of Medical Education, Maastricht University, The Netherlands; FAIMER; Global Health through Education, Training and Service (GHETS); Pan American Health Association/WHO; Department of Family Medicine, University of New Mexico; and the University of Illinois College of Medicine at Rockford. Additionally, special theme issues are being developed, such as “Integration of Medicine and Public Health in Practice through a Unity of Purpose and Action” (to be published in 2007).

For more information on the journal, its content, and instructions for manuscript submission, please visit “Education for Health” at: www.the-networktufh.org/home/index.asp.

Brazilian Ministry of Health Signs Agreement to Fund Brazil-FAIMER Regional Institute

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Dr. Francisco Campos describes his experience with change management in the Brazilian government’s Pro Saúde project to GSMC-FAIMER Regional Institute Fellows in Mumbai.

The Ministry of Health in Brazil has signed an agreement to fund the Brazil-FAIMER Regional Institute. Management of the funding will be provided by the Pan American Health Organization. The agreement was drafted after Francisco Campos, Brazil’s Secretary for Health Manpower, attended the planning meeting of the Brazil-FAIMER Regional Institute in May, 2006, and soon after accompanied Bill Burdick and Page Morahan, Co-Directors of the Philadelphia FAIMER Institute, to the GSMC-FAIMER Regional Institute in Mumbai. In Mumbai, Dr. Campos observed the Regional Institute in action, and participated in the session on Change Management. Capacity building in health manpower is a priority of the government of Brazil and fits with the recent Pro Saúde Program to increase access to primary health care throughout the country. The experience of Regional Institute development in India will be used to support the development process in Brazil. Further South-South collaboration efforts between South America, Africa, and India are being pursued using the Brazil-Mumbai interaction as a model.

Early Registration Deadline Nears for IAMRA’s 7th International Conference on Medical Regulation

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The deadline for early registration discounts for the International Association of Medical Regulatory Authorities’ 7th International Conference on Medical Regulation, “Medical Regulation: Global Issues – Shared Solutions,” which will be conducted in New Zealand Nov. 11-14 is Sept. 15. The biennial event draws hundreds of attendees from around the world and features an array of educational events and forums for medical regulators to share information and best practices in international medical regulation.

Among the many topics speakers will address during the four-day conference: international trends in medical regulation, the movement of doctors from country to country, global and emerging threats and ensuring cultural differences do not jeopardize effective medical interventions.

Social events include tours to various parts of New Zealand, including a trip to the locations where “Lord of the Rings” was filmed. For more information or to register, visit www.iamra2006.co.nz/index.htm.

NOTE: James A. Hallock, M.D., Chair of the FAIMER Board of Directors and President and CEO of the Educational Commission for Foreign Medical Graduates (ECFMG) and John J. Norcini, Ph.D., President and CEO of FAIMER are conference speakers.

GSMC-FAIMER Regional Institute

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A returning Fellow presents the results of her curriculum innovation project at an interactive poster session to this small group which then discusses the project.

Sixteen new Fellows and 24 returning Fellows met at King Edward Memorial Hospital – Seth Gordhandas Sunderdas Medical College (GSMC) in Mumbai, India, from June 13-19, 2006 for the second GSMC-FAIMER Regional Institute. One of the highlights was the poster presentation session, a highly interactive day during which returning Fellows presented and discussed the curriculum innovation projects they have been working on since the first session of the Regional Institute last year. Projects included: a survey of teaching methods for cardiopulmonary resuscitation in Maharastra, which found that only 35% of schools used mannequins; a pilot program in problem-based learning; and use of checklists for formative assessment in performance assessment of occupational therapy students. Another highlight was a discussion of concepts related to scholarship and professional advancement by Nilima Kshirsagar, Dean of KEM-GS Medical Center, and Page Morahan, Co-Director, FAIMER Institute. The GSMC-FAIMER Regional Institute is under the direction of Dr. Avinash Supe, Professor and Head of the Medical Education and Technology Unit and GI Surgical Unit at Seth G.S. Medical College, and a member of the Institute 2002 class.

Regional Institute Perspectives

Adkoli Balachandra, Observer
Medical Education Unit, All-India Institute of Medical Sciences
Chandrakant Patankar, Faculty
Department of Microbiology, KEM-GSMC

Adkoli Balachandra, Observer

Dear friends,

The GSMC-FAIMER meeting gave an opportunity to strengthen our ties, and to look forward. Though I was not directly involved in taking a session, I enjoyed sitting back, observing, facilitating group process and sharing some lighter moments with the group. More than that, I was humbled by the warm hospitality extended by everyone in the GSMC team.

I also learned much from Bill Burdick and Page Morahan to restrain faculty intervention so as to encourage and empower the participants for self-directed learning.

It was a great break from routine, a stress buster, a rejuvenating experience and great fun, and what else is needed?

Thanks for everything. Well done GSMC team!!

Chandrakant Patankar, Faculty

I underwent metamorphosis as an educator over the past year as I worked on the conception, birth and delivery of the GSMC-FAIMER Regional Institute. The continuous discussions and deliberations between team members of the two institutions (FAIMER and Seth GS Medical College [GSMC] in Mumbai, India) helped me understand the process of evolving a working partnership between two organisations that are culturally different but inspired by common goal. This on-going cross-cultural experience has enriched my vision of the world.

I joined the Medical Education Technology (MET) unit of Seth GS Medical College & King Edward Memorial Hospital in 1995. MET had been active since 1993, training over 2000 medical school faculty from Mumbai and across the state of Maharashtra (population 90 million), with workshops on management, research, medical sciences, and other education projects. We have experimented with designs and methods for teaching these workshops and training modules through continuous evaluation of our efforts.

The discussions to develop the GSMC-FAIMER Regional Institute were goal-oriented and sharply focused on feasibility. Interactions with Bill Burdick, Avinash Supe and my colleagues in the MET unit during this process enabled me to make contributions that became more purposeful and fruitful. I can better appreciate the difference between the desirable and doable objectives. It has also greatly increased my degree of empathy for those doing this type of development.

Use of the GSMC-FAIMER listserv, GSMC Yahoo! discussion group, and WebCT has given me greater expertise in electronic interactions. All these were new to me. As a result of this experience, I have been able to start two additional Yahoo! groups on my own, “medicaleducationunit” for our MET group and “fungushunters” for my colleagues in mycology, both of which are now active electronic discussion groups. The Internet has become a daily part of my professional activities. GSMC-FAIMER Regional Institute brought new people, new ideas, new vision and a new dimension to my life. It helped me explore what was within and trained me to acquire and assimilate what was without!

Working with Institute Fellows on their curriculum innovation projects has also been a treasure of learning. Conceptualisation, development and implementation of their education projects through continuous interactions with Institute Fellows and Institute faculty was a new experience. I was introduced to the program evaluation concept of the “Logic Model” for the first time. Discussions with the fellows helped refine my own concepts and thoughts on medical education. I find myself much more confident in dealing with project planning, development, and evaluation. This experience has benefited my work in other areas as well.

Networking with like-minded educators across the country was one of the stated goals of the Institute. Through my role on the Institute faculty, I am part of that envisaged network. Free exchange of useful information across India in the field of medical education has been possible through the Institute. Working with our GSMC-FAIMER Institute Fellows has enhanced my skills of communication, teamwork, fellowship and scholarship. I am pleased that I could contribute to the growth of medical educators in India.