International Medical School Expansion

New ECFMG Certification Accreditation Requirement Characteristics of Polish Medical School Graduates Marta van Zanten, Ph.D.

Foundation for Advancement of International Medical Education and Research (FAIMER) Educational Commission for Foreign Medical Graduates (ECFMG)

FAIMER®

Overview of presentation  New ECFMG Certification Requirement  Description of World Federation for Medical Education (WFME) Recognition Program

 Demographic characteristics of Polish medical school graduates in the United States  USMLE performance of Polish medical school graduates

FAIMER®

Current ECFMG Certification Requirements  Medical Education Credentials  Completion of a curriculum of at least 4 years  School and graduation year listed as “current” in the International Medical Education Directory (IMED) 

School recognized to grant the MD degree (or equivalent) by local government

 Primary-source verification of medical diploma and transcript(s) by ECFMG

 USMLE Exams  Step 1 Basic Science  Step 2 Clinical Knowledge (CK)  Step 2 Clinical Skills (CS)

FAIMER®

New ECFMG Certification Requirement  Effective in 2023, ECFMG applicants will be

required to graduate from an appropriately accredited medical school  Recognition of the accrediting agency by the World Federation for Medical Education (WFME) will fulfill this new 2023 requirement

FAIMER®

Purpose of WFME Recognition Program Develop a mechanism for WFME to “recognize” accrediting agencies  Not a substitute for national accreditation  Facilitates quality improvement and quality assurance  Ensures trustworthiness of the quality of a medical school accredited by a recognized accreditation system  Similar, but not the same as the National Committee on Foreign Medical Education and Accreditation (NCFMEA) US DoE process

FAIMER®

WFME Recognition Documents Policies and Procedures for Recognition of an Accrediting Agency • Describes responsibilities and composition of WFME Recognition Committee, policies, procedures for conducting a review, appeals, etc. Criteria for Recognition of an Accrediting Agency • Describes the standards used by WFME to evaluate an accrediting agency Application for Recognition of an Accrediting Agency • “Self-study” template

www.wfme.org

FAIMER®

WFME Recognition Criteria • Scope of authority • Existence and availability of standards • Type / appropriateness of standards • Appropriate accreditation process and procedures • Site visits • Qualifications and training of accreditation agency staff • Appropriate process for accreditation decisions • Controls against conflicts of interest • Controls against inconsistent application of standards • Due process • Availability and dissemination of information

FAIMER®

WFME Recognition Process 1. Accrediting agency contacts WFME to determine

2. 3.

4. 5.

eligibility Accrediting agency completes the Application for Recognition WFME Recognition Team observes accrediting agency • conducting a site visit of one medical school • meeting to make accreditation decision of the medical school WFME Recognition Team writes a report describing the accrediting agency’s compliance with the Recognition Criteria WFME Recognition Committee makes decision on recognition of accrediting agency

• Process takes 6 months - 1 year • Recognition term is 10 years

FAIMER®

Implementation of the Recognition Program 2010  WFME Recognition process created 2011  Pilot project with CAAM-HP (Regional Caribbean) 2012  Recognition process open to other accrediting agencies 2013  TEPDAD (Turkey)  LCME / CACMS (United States and Canada)

FAIMER®

Characteristics of Polish Medical Graduates Practicing in the United States

FAIMER®

Polish Medical Graduates in the United States All physicians in the US who graduated from Polish medical schools and are listed as active in the current AMA Masterfile: 3,394 Citizenship:  Non-US citizen 75%  US citizen 23%  Unknown 2% Native Language:  Not English 78%  English 22% Gender:  Males 51%  Females 49%

FAIMER®

Polish Medical Graduates in the United States Top 10 Specialties Specialty

Number

Percent

Internal Medicine

731

22%

Family Medicine

523

15%

Pediatrics

256

8%

Anesthesiology

204

6%

Clinical Pathology

99

3%

OB-GYN

92

3%

Cardiovascular Disease

82

3%

Neurology

75

2%

General Surgery

63

2%

Physical Medicine & Rehabilitation

51

2%

FAIMER®

Polish Medical Graduates in the United States Top 10 Practice Locations State

Number

Percent

New York

552

16%

Illinois

463

14%

New Jersey

225

7%

Florida

197

6%

California

181

5%

Pennsylvania

180

5%

Texas

127

4%

Michigan

117

3%

Massachusetts

116

3%

Wisconsin

11

3%

FAIMER®

Polish Medical Graduates in the United States Medical School Attended Medical School Name

Medical University of Warsaw Jagiellonian University Medical College Wroclaw Medical University

Medical University of Lublin Medical University of Silesia, School of Medicine in Katowice Medical University of Gdansk Poznan University of Medical Sciences, Faculty of Medicine I Poznan University of Medical Sciences Center for Medical Education In English

Akademia Medyczna, Lodz Medical University of Bialystok Pomorski Uniwersytet Medyczny w Szczecinie Medical University of Lodz Faculty of Medicine and Dentistry in Zabrze Collegium Medicum im. Ludwika Rydygiera, Uniwersytet Mikolaja Kopernika Military Medical Academy

Number

Percent

676 20% 658 20% 311 9% 305 9% 301 9% 240 7% 230 7% 190 6% 152 5% 145 4% 86 3% 15