FAIMER President and CEO John Norcini, Ph.D., was honored to receive an Honorary Fellowship of the Royal College of General Practitioners (RCGP) on May 15, 2015. The RCGP is the professional membership body and guardian of standards for family doctors in the United Kingdom, which works to promote excellence in primary health care. Fellowship is the highest level of membership granted by the RCGP, and is awarded in recognition of a significant contribution to medicine—particularly general practice/family medicine.
FAIMER President and CEO John Norcini, Ph.D., was honored to receive a gold medal from the Saudi Commission for Health Specialties (SCFHS), in recognition of his services to medical and postgraduate education. The medal was awarded during the 2nd SCFHS International Conference, held April 11-13, 2015, in Riyadh, Saudi Arabia.
The SCFHS is the organization responsible for supervising and evaluating training programs, issuing professional classification certificates for health care practitioners, qualifying trainees, and setting controls and standards for the practice and development of health professions in Saudi Arabia. Its aim is to meet international standards by improving professional performance, developing and encouraging skills, and enriching scientific theory and practice in the health professions.
FAIMER President and CEO John Norcini, Ph.D., was recently awarded an Honorary Fellowship of the Academy of Medical Educators (AoME) during an Awards Ceremony at the Annual Academic Meeting of the AoME on October 22, 2014, at The Royal College of Obstetricians & Gynaecologists in the United Kingdom. Honorary Fellowship is the highest award of the AoME and is bestowed upon individuals who have made an outstanding contribution to both medical education and to the Academy.
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 President and CEO John Norcini, Ph.D., has been selected to receive the 2014 Karolinska Institutet Prize for Research in Medical Education for his important contributions to research in medical education, especially his pioneering research on knowledge decay, specialty certification, and the development of new methods of assessment.
Dr. Norcini will receive the award and a prize amount of €50,000 at a ceremony in Stockholm, Sweden, on October 17.
This international prize is awarded for outstanding research in medical education. The purpose of the prize is to recognize and stimulate high-quality research in the field and to promote long-term improvements of educational practices in medical training. “Medical” includes all education and training for any health science profession. The prize is made possible through financial support from the Gunnar Höglund and Anna-Stina Malmborg Foundation. It is currently awarded every second year.
“Professor Norcini’s research output is consistently of the highest originality and quality, and his empirical work has improved the practice of medical education around the globe. His work has had a widespread, positive impact on the research and practice of medical education and has resulted in many subsequent studies by other researchers. He is one of the key contributors to the entire field of research in medical education,” says Professor Sari Ponzer, Chair of the Prize Committee.
For more information, please read the full press release.
On December 16, 2012, FAIMER and King Abdulaziz University (KAU) signed an agreement to develop a Master’s in Health Professions Education (MHPE) program. According to the terms of the agreement, FAIMER and the University of Illinois at Chicago (UIC) will assist the KAU Faculty of Medicine in the development of a MHPE program aimed at preparing leaders in health professions education. The signing ceremony took place at KAU and was attended by FAIMER President and CEO Dr. John J. Norcini, FAIMER faculty member and Associate Dean of International Affairs at the UIC College of Medicine Dr. Ara Tekian, KAU President Prof. Osama S. Tayyeb, Dean of KAU Graduate Studies Dr. Adnan Al-Homaidan, and Dean of the KAU Faculty of Medicine Dr. Mahmoud Al-Ahwal.
Omayma Hamed (PHIL 2011) of King Abdulaziz University won the Best Oral Presentation Prize at the 2012 Saudi International Medical Education Conference (SIMEC 2012), which took place April 22-26 in Riyadh, Saudi Arabia. Dr. Hamed’s presentation, co-authored by Adnan A. Al-Mazrooa and Mahmoud S. Al-Ahwal, was titled “A Structured Assessed Longitudinal Procedural Skills Training Course in the Undergraduate Medical Curriculum Can Predict Residents’ Performance.”
SIMEC 2012 brought together educators from around the world to discuss recent innovations, trends, and research in health professions education. The goals of the conference were to:
- Exchange best practices and experiences with international experts in health professions education
- Explore the current and future challenges in health professions education
- Strengthen the relationships among multidisciplinary health professionals
Also participating in the conference were FAIMER President and CEO John Norcini; FAIMER faculty members Wagdy Talaat (PHIL 2007), Huseyin Cahit Taskiran (PHIL 2003), and Ara Tekian; and FAIMER Fellow Ayhan Caliskan (PHIL 2008).
Dr. Norcini served as a member of the SIMEC 2012 Advisory Committee, conducted a pre-conference workshop on “Assessment in the Workplace,” and delivered a plenary address titled “Medical Education as a Vehicle for Improving Healthcare.” Dr. Talaat co-conducted a pre-conference workshop on “Accreditation in the Eastern Mediterranean Region, Revisiting the Practice and Basic Concepts” and served as a panel discussant in a symposium on “Accreditation and International Dimensions of Medical Education.” Dr. Tekian organized a workshop on “How to Integrate and Measure the ACGME Core Competencies at the Undergraduate Medical Education Level” and gave a presentation titled “Does Faculty Development Develop Faculty” as part of a symposium on “Innovations in Medical Education.” Drs. Norcini, Talaat, and Tekian each received an award for their invaluable contributions as honored international guest speakers at the conference.
Internationally trained physicians are key members of the U.S. physician workforce. The United States has not produced enough nationally educated physicians to meet the country’s health care demands for some time, and internationally trained physicians have made up for this shortfall, comprising approximately 25% of the total U.S. physician workforce. Despite a rigorous certification process, questions have persisted concerning the quality of care that these physicians provide. A new study, published in the August issue of Health Affairs and authored by a team led by FAIMER President and CEO John Norcini, examines the performance of internationally trained physicians compared to their U.S. counterparts, and addresses those concerns:
“Evaluating the quality of care provided by graduates of international medical schools” (Health Affairs, 29(8):1461-1468)
John J. Norcini, Ph.D., FAIMER President and CEO
John R. Boulet, Ph.D., FAIMER Associate Vice President for Research and Data Resources
W. Dale Dauphinee, M.D., FAIMER Senior Scholar
Amy Opalek, M.S., FAIMER Data Resource Specialist
Ian D. Krantz, M.D., Member, FAIMER Board of Directors and Chair, Educational Commission for Foreign Medical Graduates Board of Trustees
Suzanne T. Anderson, Trustee-at-Large, Educational Commission for Foreign Medical Graduates Board of Trustees
The study analyzed 244,153 hospitalizations of patients with congestive heart failure or acute heart attack in Pennsylvania from 2003 to 2006. Patients were treated by physicians who specialized in family medicine, internal medicine, or cardiology. Each physician fell into one of three groups: U.S. medical graduates, U.S. citizen international medical graduates, and non-U.S. citizen international medical graduates. The composition of physicians in the study closely matched that of the total U.S. physician workforce: Approximately 75% of the 6,113 doctors were U.S. medical graduates, with the remaining 25% educated abroad. Of the physicians educated abroad, approximately 75% were non-U.S. citizens and 25% were U.S. citizens.
The study examined both mortality rates and hospital lengths-of-stay as indicators of the quality of care that physicians provide. Among the three groups, in-hospital death rates differed significantly. Non-U.S. citizen international graduates were associated with a 16% decrease in mortality relative to U.S. citizen international graduates and a 9% decrease relative to U.S. graduates. Patients of U.S. medical graduates had the shortest hospital lengths-of-stay, while patients of U.S. citizen international graduates had the longest. The length-of-stay of patients of non-U.S. citizen international graduates was only slightly higher than that of U.S. graduates, indicating little practical difference.
These results provide a measure of confidence in the care provided by non-U.S. citizen internationally educated physicians and highlight the important contribution that they make to the U.S. health care system. As Dr. Norcini points out, “It is reassuring to know that patients of these doctors receive the same quality of care that they would receive from a physician trained in the United States.” He adds, “These findings bring attention to foreign-trained doctors and the valuable role they have played in responding to the nation’s physician shortage.”
Still, the findings concerning internationally trained U.S. citizens elicit a moment of pause. Why did these physicians fare less well in the study? The authors speculate that some of them may seek their education abroad because they were unable to enter U.S. medical schools due to lower grades and/or test scores. Alternately, the quality of education provided at some of the schools attended by these physicians may be of a lower standard than at schools attended by physicians in the other two groups. There may be other explanations as well, and additional research is warranted. Regardless, as U.S. medical schools expand enrollment to combat the shortage of home-educated physicians, some of the students who might have otherwise gone abroad may apply to medical schools in the United States. If that happens, U.S. schools will need to maintain high admission standards to ensure the quality of the physician pool. Further compounding the issue is a lack of proportionate growth in graduate training programs to complement the expansion of medical schools. As Dr. Norcini points out, “If this continues, the current physician shortages will persist and the numbers of foreign-trained doctors will likely decrease significantly.”
In addition to its findings concerning the three separate groups of medical graduates, the study also provided insights applicable to the general physician population. The authors found that in-hospital mortality rates and hospital lengths-of-stay increase with the number of years following graduation from medical school, whereas specialty board certification was associated with lower mortality and shorter hospital stays. These findings point to the need for ongoing training and periodic assessment throughout a physician’s career to maintain a high level of competence, an important consideration for all doctors, regardless of where they received their education.
FAIMER President John J. Norcini, Ph.D., was awarded the 2010 Richard Farrow Gold Medal at the Association for the Study of Medical Education (ASME) 2010 Scientific Meeting, “Medical Education: Innovation in a Traditional World,” which took place July 21-23, at Robinson College, University of Cambridge, Cambridge, United Kingdom. The Richard Farrow Gold Medal was established to recognize and honor individuals for their contributions to the goals of ASME, which include: promoting high quality research into medical education, providing opportunities for developing medical educators, disseminating good evidence-based educational practice, informing and advising governmental and other organizations on medical education matters, and developing relationships with other organizations and groupings in health care education.
Presented by the Association for the Study of Medical Education (ASME), Understanding Medical Education: Evidence, Theory and Practice is a new, comprehensive textbook on medical education scheduled to be available from Wiley-Blackwell publishers in August 2010. Edited by Tim Swanwick, Director of Professional Development in the London Deanery, Visiting Fellow at the Institute of Education, and Visiting Professor of Medical Education at the University of Bedfordshire, the book is designed to be an accessible reference for students and practitioners of medical education at all levels: from undergraduates to those pursuing continuing professional development.
Understanding Medical Education includes chapters on teaching and learning, problem-based learning, personal development, e-learning, mentoring, group encounters, simulation, test design, research, assessment, and leadership, among others. Also included are three chapters contributed by FAIMER staff and faculty:
“Principles of Curriculum Design”
Janet Grant (Professor of Education in Medicine at The Open University, FAIMER faculty member)
John Norcini (FAIMER President and Chief Executive Officer)
“Structured Assessments of Clinical Competence”
Kathy Boursicot, Trudie Roberts, and Bill Burdick (FAIMER Associate Vice President for Education and Co-Director of the FAIMER Institute)
For more information, including a complete table of contents, please visit http://www.wiley.com/WileyCDA/WileyTitle/productCd-1405196807.html.