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…

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…

Objective: Currently in the United States, more than one in three psychiatric residents are international medical graduates (IMGs). In light of forecasts of physician shortages, this proportion is likely to continue growing. Although central to psychiatric care, sexual health competence levels of IMGs may be lower than those of U.S. graduates.…

The ECFMG[R] Clinical Skills Assessment (CSA[R]) was developed to evaluate whether graduates of international medical schools are ready to enter graduate training programs in the United States. The performance-based patient note exercise is specifically used to assess an examinee's ability to summarize, synthesize and interpret the data collected…

Considers the tension between non-American physicians' ability to control topics in interaction with patients and American expectations of equality and shared topic control. Focuses on the difficulties that foreign medical graduates have in adapting their interactive style to American expectations. Suggests that role distancing, role change, and…

Because of concern about the communication skills of dentists from countries of the European Economic Community wishing to practice in England, a project was undertaken to develop a pilot test of English language skills focusing on listening and speaking skills in dental practice contexts. This report is a descriptive statement of the nature of…

Because of concern about the communication skills of dentists from countries of the European Economic Community wishing to practice in England, a project was undertaken to develop a pilot test of English language skills focusing on listening and speaking skills in dental practice contexts. This report consists of two proposals for developing pilot…

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…

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…