Describes and evaluates academic problems of international medical graduates (IMGs) within one community-based residency program. Suggests that many problems may be caused by difficulty with English, differences in medical education, length of time since previous training, different life stage, or cultural differences in beliefs about…

The Clinical Skills Assessment Examination was constructed to test the clinical skills of foreign medical graduates. A pilot test of 635 foreign graduates, including 35 United States citizens, and 123 graduates of U.S. medical schools found 28 percent of foreign graduates deficient in clinical skills, consistent with previous research. (MSE)

Increased involvement by state and federal government in graduate medical education is related to the academic medical community's unwillingness to address issues of: manpower supply and specialty distribution, limited effectiveness of minority enhancement programs, and foreign medical graduates. Medical educators are urged to initiate solutions…

A study compared the 1984-88 test performances of United States osteopathic medical school graduates and Canadian medical school graduates with those of U.S. and foreign medical school graduates during the same period. Findings, limitations, and implications for recruitment and training of internal medicine specialists are discussed. (Author/MSE)

A study of the use of the Medical Education Evaluation Program, established by Ohio to evaluate clinical competencies of medical graduates of non-accredited schools, found the test to meet psychometric standards of certifying and licensing examinations. Potential problems with the test are discussed. (MSE)

A 1990 study of domain-referenced scores from a multiple-station clinical examination for foreign medical graduates investigated identification of essential checklist items, setting of minimum passing scores, consistency of candidate classification, and perceived appropriateness of the number of candidates classified as competent. Results and…

The performance of foreign medical school graduates on multistation standardized patient-based tests was used to determine the validity and generalizability of global ratings of their clinical competence made by expert examiners. Results suggest that these ratings can be used as an effective form of assessment in this context. (Author/MSE)

Comparisons are made of the results of administering the same Objective Structured Clinical Examination-type clinical skills tests to two cohorts of the Ontario Pre-Internship Program. A description is provided of entry-exit comparisons between the test results of the two cohorts. (GLR)

A study investigated test-taking patterns and pass rates on the National Board of Medical Examiners test (NBME) and Foreign Medical Graduate Examination in the Medical Sciences (FMGEMS), including trends in pass rates, proportion of candidates taking each test, and proportions of repeaters for each test. (MSE)

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)

This bibliography is divided into 2 parts: literatures citations and abstracts/annotations of State Reports. Part I contains 7 sections: General, Foreign Medical Graduates, Biomedical Scientists, Physician Performance, Minorities and Women, Graduate Medical Education, and Other Bibliographies. Part 2 contains 71 reports of surveys of physician…

Steps in the process of hiring alien physicians to teach in medical schools and health sciences universities are outlined for department heads and division chairs to help in dealing with school administrators, attorneys, and immigration officials encountered. Common errors and pitfalls are emphasized. (Author/MSE)

A study investigated observable differences in results, not attributable to student competence, in administrations of the same 16-station clinical skills screening examination (Ontario International Medical Graduates Program) to approximately 200 foreign medical graduates and University of Toronto fourth-year medical students. Results indicated…

A study investigated the use of a clinical competency test for foreign medical graduates applying for medical residency. The test, developed by the Educational Commission for Foreign Medical Graduates (ECFMG) consists of integrated clinical encounters with 10 standardized patients, 60 laserdisc pictorials, and analysis of previously completed…

A survey of 702 fourth-year medical students at 18 diverse medical schools investigated student attitudes about residency program reputation and proportion of foreign medical graduates in a residency program as a factor in their program preference. Results suggest that a higher proportion of foreign graduates lessened the program's appeal, while…