International Association of Medical Regulatory Authorities IAMRA

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International Association of Medical Regulatory
Authorities (IAMRA)

• Evaluating Applicants Medical School Education
  and Training
• Tim Knettler, MBA
• Vice President
• Member Resource Centers and Service
• Federation of State Medical Boards of the
  United
• States, Inc. (FSMB)

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State Medical Boards
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Elements of Licensure (Registration)
Demonstration of skills via examination
Medical education
Experience or postgraduate training
Assessment of current competence
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U.S. Licensure (Registration) Requirements

• Graduation from an accredited U.S. medical school
  or
• Educational Commission for Foreign Medical
  Graduates (ECFMG) certification for International
  Medical Graduates (IMG)
• Passage of board-approved examination(s)
• 1-3 years of Post-Graduate Training
• Application - Credentials Verification
• State Specific Requirements

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Medical Board Participation in USMLE

• Item Writing and Test Development
• Standard setting
• Governance committees
• Quality Assurance Program
• Special committees and projects

Tests clinical competency with MCQs case
simulations
Step 2 CS assesses clinical and communication
skills Step 2 CK assesses clinical knowledge
(MCQs)
MCQ test of basic medical sciences
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ECFMG Certification Requirements

• International medical student or graduate
• Credentials
• 4 academic years of medical school curriculum
• School listed in the International Medical
  Education Directory (IMED)
• Direct verification with medical school of
  diploma and final transcript
• Examination
• Pass USMLE Step1 and Step 2

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ECFMG certifications 1992-2004US citizens as
percentage of all certificates issued
Percentage
Year
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ECFMG Certifications By country of citizenship

• 1992
• India
• Pakistan
• Philippines
• USA
• USSR

• 2004
• India
• USA
• Pakistan
• China
• Philippines

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USMLE Step 1 IMG Pass Ratesfor First Takers
1992-2004
Percentage
Year
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USMLE Step 2 IMG Pass Ratesfor First Takers
1993-2004
Percentage
Year
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FSMBs Special Committee on the Evaluation of
Undergraduate Medical EducationU.S. Medical
School Accreditation

• Liaison Committee on Medical Education (LCME)
• American Osteopathic Associations Commission on
  College Accreditation (COCA)

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FSMBs Special Committee on the Evaluation of
Undergraduate Medical Education (continued)

• Findings
• Sufficiency of the current U.S. system
• Research
• Balancing outcomes vs. processes in making
  licensure (registration) decisions
• Inability to compare accreditation standards
  internationally

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Special Committee on the Evaluation of
Undergraduate Medical Education (continued)

• Recommendations
• Monitor international accreditation efforts
• Review state statutes regulations
• Criteria for clinical clerkships
• National Clearinghouse

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National Clearinghouse Workgroup

• Charge FSMB and ECFMG to develop a national
  clearinghouse containing information and data on
  international medical schools that will assist
  state medical boards to evaluate the medical
  education received by applicants for licensure.

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National Clearinghouse Workgroup (continued)

• To accomplish its charge, the workgroup will
• Help expand the information contained in the
  International Medical Education Directory (IMED)
• Develop and obtain international medical school
  quality indicators and
• Evaluate the feasibility of establishing criteria
  or a process that could be utilized by state
  medical boards to classify international medical
  schools

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International Medical School Evaluation/Accreditat
ion Efforts and Resources

• WHO - World Health Organization
• WFME - World Federation for Medical Education
• FAIMER ECFMGs Foundation for Advancement of
  International Medical Education and Research
• IIME Institute for International Medical
  Education

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International Medical School Evaluation/Accreditat
ion Efforts and Resources (continued)

• NCFMEA - National Council on Foreign Medical
  Education and Accreditation
• CAAM Caribbean Accreditation Authority for
  Education in Medicine Other Health Professions
• IAMRAs Exam Review Working Group
• Others

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Tim Knettler, MBA Vice President Member Resource
Centers Services PO Box 619850 Dallas, TX
75261- 9850 Tel [phone] ? Fax
817.868.4152 Email tknettler_at_fsmb.org