Information de reference pour ce titreAccession Number: | 00005855-199906000-00012.
|
Author: | Ben-David, Miriam Friedman 1; Klass, Daniel J 2; Boulet, Jack 1; De Champlain, Andre 2; King, Ann M 2; Pohl, Henry S 3; Gary, Nancy E 1
|
Institution: | (1)The Educational Commission for Foreign Medical Graduates (ECFMG), Philadelphia, USA, (2)National Board of Medical Examiners (NBME), Philadelphia, USA, and (3)Albany Medical College, Albany, NY, USA
|
Title: | The performance of foreign medical graduates on the National Board of Medical Examiners (NBME) standardized patient examination prototype: a collaborative study of the NBME and the educational Commission for Foreign Medical Graduates (ECFMG).[Miscellaneous Article]
|
Source: | Medical Education. 33(6):439-446, June 1999.
|
Abstract: | Objectives: The purpose of the study was to explore foreign medical graduates' (FMGs) performance on a clinical skills (SPX) examination. The National Board of Medical Examiners (NBME) is in the process of developing an SPX for potential use in the United States Medical Licensing Examination (USMLE). The Educational Commission for Foreign Medical Graduates (ECFMG) is developing the Clinical Skills Assessment (CSA) as an additional requirement for FMGs who wish to be certified by ECFMG.
Design: Thirty-three FMGs and 151 United States medical students (USMSs) took the SPX during the winter of 1996 as part of the ongoing pilot studies conducted by the NBME. Four clinical skill areas were assessed: history-taking, physical examination, communication and interpersonal skills. The examination used in this research consisted of 12 cases. The examination utilizes standardized patients (SPs) who are trained to document examinee behaviours and evaluate the communication component of the test. The SPs were also trained to evaluate the English proficiency of the candidates. Candidates were also administered the Test of Spoken English developed by the Educational Testing Services (ETS).
Setting: The examination was conducted in one medical school which served as an SPX centre for NBME pilot studies.
Subjects: Thirty-three foreign medical students and 151 US medical students.
Results: The indications were that the majority of candidates in both groups felt the examination was moderately fair but 78% of FMGs felt moderately pressed for time, vs. 80% of the USMSs who did not feel pressed for time. Reliabilities obtained for the various SPX components were somewhat higher for the FMGs reflecting the heterogeneity of this group.
Conclusions: The NBME-ECFMG collaborative study yielded important information regarding the NBME SPX prototype as a performance measure for FMGs.
(C) 1999 Blackwell Science Ltd.
|
Author Keywords: | [black star]Clinical competence; communication; [black star]educational measurement; [black star]foreign medical graduates; medical history-taking; physician-patient relationship; physical examination; USA.
|
References: | 1 Sutnick AI, Friedman M, Stillman PL, Norcini JJ, Wilson MP. International use of standardized patients. Teach Learn Med 1994;6:33-5.
2 Ziv A, Friedman Ben-David M, Sutnick AI, Gary NE. Lessons learned from six years of international administrations of the ECFMG's SP-based clinical skills assessment. Acad Med 1998;73(1):17-24.
3 ECFMG. 1997 Information Booklet: ECFMG certification and application Step 1 and Step 2 of the United States Medical Licensing Examination (USMLE) and ECFMG English Test. Philadelphia: ECFMG; 1996.
4 Klass D, De Champlain A, Fletcher E, King A, Macmillan M. Development of a performance-based test of clinical skills for the United States Medical Licensing Examination. Proceedings of the 8th International Ottawa Conference on Medical Education and Assessment, Philadelphia, PA, July 1998. In press.
5 Bidese CM. US Medical Licensure Statistics and Current Licensure Requirements (1996 edition). Chicago: American Medical Association; 1996.
6 Boulet JR, Friedman Ben-David M, Ziv A, Burdick WP, Curtis M, Peitzman S, Gary NE. Using standardized patients to assess the interpersonal skills of physicians. Acad Med 1998;73(10):72-74.
7 Ross LP, Clauser BE, Margolis MJ, Orr N, Klass DJ. An Expert-judgment approach to setting standards for a standardized-patient examination. Acad Med 1996;71:S4-6.
8 Educational Testing Service. TSE Score User's Manual (1995 edition). Princeton NJ: Educational Testing Service; 1995.
9 Stillman PL, Swanson DB, Regan MB, et al. The assessment of clinical skills of residents utilizing standardized patients: a follow-up study and recommendations for application. Ann Intern Med 1991;114:158-9.
10 Friedman M, Sutnick AI, Stillman PL, et al. The use of standardized patients to evaluate the spoken-English proficiency of foreign medical graduates. Acad Med 1991;66:S61-3.
|
Language: | English.
|
Document Type: | Assessment.
|
Journal Subset: | Clinical Medicine.
|
ISSN: | 0308-0110
|
NLM Journal Code: | mz3, 7605655
|
Annotation(s) | |