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The National IMG Database - CAPER

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The National IMG Database - CAPER Powered By Docstoc
					The National IMG Database
Tracking the Assessment, Certification
and Licensing of International Medical
Graduates in Canada

                      Steve Slade, VP Research and Analysis
                      Tamara Brown, Project Manager
                      Canadian Post-MD Education Registry
                      Association of Faculties of Medicine of Canada
 Tracking Successful Practices
        and Outcomes

The History Behind the IMG Database
Primary Drivers of FQR for Physicians

• Increased immigration of medical
  graduates to Canada
• Balancing our need for physicians with
  public safety
• Growing emphasis on foreign credential
  recognition and standardization
• Ethical recruitment and treatment of IMGs
Data in an Evolving Context
Number of IMGs in the Active Physician Workforce, Canada, 1994-2008
History of the National IMG Database


   2004      Canadian Task Force on the Licensure of
             International Medical Graduates


 2005-2009   Phase 1: Foundational Activities



 2010-2013   Phase 2: Development of an Analytical
             Agenda and Increasing Project Visibility
Phase 1: Building Partnerships


               •   Medical Council of Canada (MCC)
               •   7 IMG assessment centres
               •   17 Faculties of Medicine
               •   The College of Family Physicians of
                   Canada (CFPC)
               •   The Royal College of Physicians and
                   Surgeons of Canada (RCPSC)
               •   Collège des médecins du Québec (CMQ)
               •   9 regulatory authorities
Phase 2: Outcomes and Indicators

For Example…

Outcome: Transparent, appropriate and expeditious
pathways to practice
   • Indicator: numbers traversing various pathways
   • Indicator: average time between milestone events
Outcome: Increased standardization across jurisdictions
  • Indicator: frequency of milestone events across
     jurisdictions
  • Indicator: frequency of migration across jurisdictions
Tools and Strategies to Track IMGs
Effective Indicators for Evaluating Progress
towards Outcomes

Four critical indicators along the path to licensure:

•Success on Medical Council of Canada (MCC) Exams
        MCCQEE          MCCQEI          MCCQEII

•Entry into postgraduate training (residency)

•Certification with the CFPC, CMQ, or RCPSC

•Licensure with a Canadian Regulatory Authority
Number of IMGs who passed MCC
Examinations, 2005-2010
   Data in an Evolving Context
   Increased Number of First Year Post-MD Trainees




Source: CAPER, AFMC, 2010. Note: Excludes visa trainees.
Following a Cohort of Canadian Citizen IMGs

                    1491            MCCEE

  ASSESSEMENT
                     461       MCCQEI & MCCQEII
     114

                     322            PGME


                     144       CFPC/RCPSC/CMQ

                     41           LICENSURE
2008-2010



                 CERTIFICATION WITH
     EE           RCPSC/CFPC/CMQ              PGME

    1147              2522                    1681



          QEI                         Licensed

          1530                          829
                        QEII

                       1245
2008-2010



     EE          LICENSED           PGME

    1647          2604                  377



          QEI               Certified

          1256                633
                   QEII

                   763
Data Gaps versus Knowledge Gaps
 Data Gaps

• Country where MCCEE is written (many write the EE abroad)
• When was citizenship gained
• Pre-medical experiences/education
• MD program experiences
   Ø Clerkship component?
   Ø Clinical elective in Canada?
Knowledge Gaps – Plans for Future Analysis




                                           CROSS-
 PREDICTORS OF        PREDICTORS OF
                                       JURISDICTIONAL
    SUCCESS             RETENTION
                                          ANALYSIS




                                      ALTERNATIVES
                                           FOR
                                      UNSUCCESSFUL
                                          IMGs
             PATHWAYS AND
               PROCESSES
Thank you.

The IMGs in Canada Project Team:
Steve Slade, VP, Research and Analysis CAPER-ORIS
Tamara Brown, Project Manager, tbrown@afmc.ca
Linda Bourgeois, Research Associate, lbourgeois@afmc.ca




This project is funded by the Government
of Canada's Foreign Credential
Recognition Program.

				
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