The International Association of Medical Regulatory Authorities (IAMRA) 7th International Conference on Medical Education was hosted by the Medical Council of New Zealand from November 11-14 in Wellington, New Zealand. The conference, titled Medical Regulation: Global Issues – Shared Solutions, featured a number of presentations, panel discussions, and workshops on topics such as cultural competence, physician migration, medical education and training, public expectations, and physician regulation. As part of a program titled, The A, B, C of Regulating Doctors, FAIMER President and CEO, John J. Norcini, Ph.D., gave a presentation on Resources to Help Regulators Understand Medical Schools. Dr. Norcini’s presentation focused on current resources, needs of medical regulators, challenges to creating and maintaining international resources, and strategies for the future. To read Dr. Norcini’s presentation, click here.
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.
In early 2007, a new resource will be available on the FAIMER website. A Postgraduate Medical Education Directory (PMED) will provide information on formal medical education beyond the basic medical school curriculum on a country by country basis.
For each country, the directory will provide:
- A narrative overview of PME,
- listings of the medical and surgical specialties and subspecialties,
- the duration of training, and
- the number of training programs and positions available.
There will also be information regarding:
- oversight of training programs,
- methods of application and selection, and
- examinations leading to registration, certification, and/or licensure.
Other categories of data will also be provided, including:
- listings and links to professional medical, educational, and oversight organizations, and
- articles and references regarding PME.
The directory should provide valuable information to a variety of users. Medical educators can compare PME in their country with other countries around the world, assessing equivalency of training. Data in the directory could serve as a stimulus for refinement or implementation of elements of PME based on models in place in other countries. Researchers and policymakers in the area of medical workforce could also find this information quite useful. Students and junior doctors seeking particular specialty training could determine where training is available and gain knowledge of the admissions and selection processes.
Compilation of all this information is a work in progress and will continue to be so once PMED is available.
FAIMER continues to seek individuals to contribute to PMED. To provide the kind of data and information that will appear in PMED, contributors must have broad knowledge of PME at the national level within their country. Individuals who believe that they may have the appropriate knowledge of PME in their country can actually participate in this effort right now by using this link to complete an on‑line survey. This survey data will be reviewed and, once verified, added to the growing database.
There is a special need for individuals who can provide narrative descriptions of their country’s PME. If you feel that you could help in this area, contact the PMED developers at email@example.com.
We are pleased to announce that applications are now being accepted for the Brazil-FAIMER Regional Institute.
The Brazil-FAIMER Regional Institute is a two-year part-time fellowship program designed for health professions faculty from Latin America who have the potential to play a key role in improving medical education at their schools. The program, conducted in Portuguese, is uniquely designed to teach education methods and leadership skills, as well as to develop strong professional bonds with other medical educators in the region. Residential sessions take place in Fortaleza, Brazil. The first residential session will be held from February 1 to 10, 2007. A proposal for a curriculum 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 December 8, 2006 (midnight, Brazil time).
(posted October 26, 2006, updated November 9, 2006, November 27, 2006, December 5, 2006)
Faculty representing six of the eight medical schools in South Africa, including five FAIMER Fellows, as well as a FAIMER Fellow from Uganda, representing the anticipated development of an East Africa FAIMER Regional Institute, came together on November 6-7 in Cape Town, South Africa, to discuss plans for a Southern Africa-FAIMER Regional Institute (SAFRI) for health professions educators. Attendees discussed the existing strengths of health professions education in Southern Africa, as well as key areas in which they feel it can be changed and improved. Goals of the Southern Africa-FAIMER Regional Institute, developed by participants at the meeting, will include deepening faculty knowledge and skills in leadership, planning and policy development, program evaluation, student assessment, learning and teaching methods in resource-limited environments, and education research. In addition, an important outcome of SAFRI will be greater funding and promotion of health professions education in Southern Africa.
The Southern Africa-FAIMER Regional Institute is expected to begin in May 2008. Interested individuals should monitor the FAIMER website for additional information, which will be released as it becomes available.
Sixteen 2006 Fellows and 11 2005 Fellows came to Philadelphia in September and October, respectively, for the 2006 FAIMER Institute. Fellows came from 12 countries in Latin America, Africa, and South Asia, representing 22 health professions schools. Highlights of the Institute include the poster session presentations of 2005 Fellows’ innovation projects and Jerry and Monique Sternin’s International Medical Education Day workshop on Positive Deviance.
The crisis in human resources for health was highlighted at the annual conference of The Network: Towards Unity for Health (TUFH), recently held in Ghent, Belgium (September 9-13), where the conference theme was improving social accountability in education, research and service delivery. Although numerous health-related topics were discussed, the shortage of health professionals, including physicians and nurses in many developing countries was of particular concern. Effective service delivery requires good governance and a system of accountability – one that better manages and balances the global market of health professionals. FAIMER was represented at this meeting by Jack Boulet, Ph.D., Director of Research and Data Resources.
FAIMER staff is currently engaged in several research projects aimed at quantifying the global migration of physicians as well as understanding the underlying reasons for emigration. These activities, in conjunction with various Network resources, can ultimately help to ensure that the global market for health professionals does not deprive poor communities of essential medical services.
More information about the meeting in Ghent, including presentations, is available at http://www.the-networktufh.org/conferences/previousconferences.asp. The next Network:TUFH meeting will be in Kampala, Uganda, September 15-20, 2007 (http://www.the-networktufh.org/conferences/futureconferences.asp).
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.
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.
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.