Variation in examiner stringency is a recognised problem in many standardised summative assessments of performance such as the OSCE. The stated strength of the OSCE is that such error might largely balance out over the exam as a whole. This study uses linear mixed models to estimate the impact of different factors (examiner, station, candidate and…

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…

Criticism of specific-purpose language (LSP) tests is often directed at their limited ability to represent fully the demands of the target language use situation. Such criticisms extend to the criteria used to assess test performance, which may fail to capture what matters to participants in the domain of interest. This paper reports on the…

The aim of this paper is to investigate from a discourse analytic perspective task authenticity in the speaking component of the Occupational English Test (OET), an English language screening test for clinicians designed to reflect the language demands of health professional-patient communication. The study compares the OET speaking sub-test…

International Medical Graduates (IMGs) make up a significant portion of the United States and Canadian workforce, and are well represented in psychiatry residency training programs. A review of the literature indicates that before entering residency training, many IMGs have minimal exposure to the behavioral sciences and poor communication…

Objective: International medical graduates (IMGs) make up a substantial proportion of the United States physician workforce, including psychiatrists in practice. The purpose of this study was to describe, based on current data, the characteristics and qualities of IMG psychiatrists who provide patient care in the US. Method: Physician data from…

Objectives: International medical graduates (IMGs) account for a significant proportion of residents in psychiatric training in the United States. Many IMGs may have previously completed psychiatry residency training in other countries. Their experiences may improve our system. Authors compared and contrasted psychiatry residency training in the…

Canada, like other first-world countries, relies in large part on professional immigrants trained in other cultures and languages to complement its workforce in a wide range of professions, including medicine. International medical graduates (IMGs) who are nonnative English-speaking (NNES) and who have trained in different medical contexts are…

"Preparing International Medical Graduates (IMGs) for Psychiatry Residency: A Multi-Site Needs Assessment" (1) addresses the needs of IMGs entering psychiatry residency training in Canada. On the basis of a survey of five psychiatric residency training programs, the authors report that respondents ranked (in order of importance)…

Objective: Despite the growing number of international medical graduates (IMGs) training in medicine in Canada and the United States, IMG-specific challenges early in psychiatry residency have not been fully explored. Therefore, the authors conducted a needs-assessment survey to determine the needs of IMGs transitioning into psychiatry residency.…

The cultural, legal and ethical aspects of medical practice in Canada can be problematic for International Medical Graduates (IMGs) to access and learn. The professional behaviours that depend on effective communication often challenge IMGs as they attempt to enter the Canadian medical system. The Communication and Cultural Competence Program…

Improving content and consistency on developmental disabilities in undergraduate medical curricula has been recommended as a means of improving health outcomes for people with developmental disabilities. Although often the subject of studies in Western countries, little is known about content on developmental disabilities in undergraduate…

This study identifies a unique context for exploring lay understandings of language testing and, by extension, for characterizing the nature of language assessment literacy among non-practitioners, stemming from data in an inquiry into the registration processes and support for overseas trained doctors by the Australian House of Representatives…

The College of Physicians and Surgeons of Saskatchewan tracked a cohort of 39 international medical graduates (IMGs) in rural Saskatchewan and discovered that 51% left the province within five years (personal communication). A study by Basky, Mathew, Edwards, and Rourke (2007) found that half a cohort of IMGs in rural Newfoundland and Labrador…

Describes how the Latin American Medical School in Cuba attracts foreign students, including Americans, with a free course of study. Supporters say it shows Castro's commitment to humanitarian ideals, while critics see it as an attempt to curry favor with Central and Latin America. (EV)