The purpose of this study was to examine the effectiveness of using a Competency-based Achievement System (CBAS) (a formative tool) in the practice ready assessment (PRA) of internationally-trained physicians seeking licensure to practice in Canada (summative assessment). The study was a retrospective analysis of over 5,000 FieldNotes completed…

Noting that approximately one third of the medical internships and residencies in the United States are filled by foreign medical graduates (FMGs), this paper argues that institutions where FMGs are administering care have failed to deal with the communication gaps created by language deficiencies and cultural barriers. The paper identifies…

A study supported use of the objective structured clinical examination for screening foreign medical graduates (n=67) wishing to enter a preinternship program in at the University of Toronto. However, it also showed that appropriate training for the candidates was the internship, not preinternship, program. (MSE)

An actuarial model applied to the selection process of a special medical school program at the University of Maryland School of Medicine was tested. The 77 students in the study sample were admitted to the university's Fifth Pathway Program, which is designed for U.S. citizens who completed their medical school training, except for internship and…

A study found that trained standardized patients could provide a reliable assessment of English proficiency of foreign medical graduates by comparison with a standardized language test, but further research is needed to determine whether it is necessary to provide a clinical context for language assessment. (MSE)

Over a 4-year period moral reasoning and performance data were studied on 350 resident pediatricians, internists, and practitioners of family medicine from seven different institutions. Clinical performance was measured by faculty ratings, and integrity (moral reasoning) was measured by Kohlberg's Standard of Moral Judgement Interview and Rest's…

A graduate level course offered to foreign medical graduates (FMGs) at Wayne State University in Michigan was developed after a needs assessment indicated the desirability of improving the speaking fluency, pronunciation, and cultural understanding of FMGs. It was found that weaknesses in those areas, which are not assessed in the Test of English…

Research on the quality of foreign medical graduates (FMG) in terms of their competence or manifest abilities as measured by examinations, and their performance or actual behavior is briefly reviewed. In addition, some of the methodological problems that make research on foreign medical graduates difficult to interpret are critiqued, and…

A multistation clinical examination using standardized patients was used over 4 years to assess the interpersonal skills of 346 fourth year medical students, 51 internal medicine residents, and 71 foreign medical graduates seeking admission to graduate study. Results indicate that a reliable assessment of interpersonal skills can be achieved this…

The quality of hospital medical records, which are usually maintained by transcribing from doctors' dictation, was found to suffer because of foreign medical graduates' phonological problems and lack of familiarity with good dictation procedure. As a step in correcting this situation, eight taped discharge summaries were subjected to an analysis…

An intensive 3-week training program in medical communications skills for foreign native medical graduates (FNMG) is described. The program incorporates language and acculturation training via medically relevant, situational dialogues and role playing; training in medical interviewing skills with patient simulations; instruction in…