CAAM-HP Capacity Building Workshop€¦ · Educational Commission for Foreign Medical Graduates 3...

Copyright © 2018 by the Educational Commission for Foreign Medical Graduates. All rights reserved. 1

Preparing for 2023

CAAM-HP Capacity Building WorkshopJuly 26, 2018

Elizabeth M. IngrahamAssistant VP, Communications & External Affairs

ECFMG

Copyright © 2018 by ECFMG. All rights reserved.2

Today’s Topics

• About ECFMG® & FAIMER®

• Accreditation 2023

o Implementation Plan

• WFME Recognition Programme

o Agency Recognition Status

• FAIMER’s Role

• Resources

• Questions & Discussion

Copyright © 2018 by ECFMG. All rights reserved.

Educational Commissionfor Foreign Medical Graduates

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Foundation for Advancementof International Medical Education and Research

Partnering to Improve Medical Educationand Health Care Worldwide

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Mission

The ECFMG promotes quality health care for the public by certifying international medical graduates for entry into U.S. graduate medical education, and by participating in the evaluation and certification of other physicians and health care professionals nationally and internationally. In conjunction with its Foundation for Advancement of International Medical Education and Research (FAIMER), and other partners, it actively seeks opportunities to promote medical education through programmatic and research activities.

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• Non-profit

• Private, non-governmental

• Established in 1956

• Founded to evaluate international medical graduates (IMGs) for entry into U.S. graduate medical education

o “ECFMG Certification”

About ECFMG

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• Non-profit foundation of ECFMG

• Established in 2000

• Enhances world health through education

o Trains health professions educators

o Conducts research

o Builds data resources on medical education

• Supports ECFMG in enhancing medical education and promoting quality health care worldwide

About FAIMER

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About ECFMG & FAIMERAreas of Expertise

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• Physician credentials related to medical education, training, and licensure

• Primary-source verifying authenticity of credentials

• Assessing clinical skills

• Medical education systems

• Education methods and assessment

• Accreditation

• Migration of physicians

• Contributions and quality of IMGs


Accreditation 2023

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Why Accreditation?Some definitions

Accreditation is a process by which a designated authority reviews and evaluates an educational institution or program against a clearly defined set of standards.

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“…a system for recognizing…programs for a level of performance, integrity and quality that entitles them to the confidence of the educational community and the public”

American Dental Associationwww.ada.org

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http://www.ada.org/


“…a means of self-regulation and peer review adopted by the educational community… intended to strengthen and sustain the quality and integrity of higher education, making it worthy of public confidence.”

Middle States Commission on Higher Educationwww.msche.org


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http://www.msche.org/


“…a collegial process of self-review and peer review for improvement of academic quality and public accountability of institutions and programs”

Council on Higher Education Accreditationwww.chea.org


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http://www.chea.org/


Why Accreditation?Key Themes

Improvement

Self-assessment

External review

Public accountability

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Why Accreditation?Variability Harmonized Standards

• 170+ countries/territories have operating medical schools

• 100+ countries have accreditation systems

o Some have more than one

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Why Accreditation?Variability Harmonized Standards

Global variation in

• Duration and levels

• Standards and availability of standards

• Evaluation process and availability of description of procedures

• Outcomes/consequences

• Governance of accrediting agency

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Doctor Shortages16

Medical Tourism

Medical Volunteerism Immigration Policies

Economic Issues

Professional Development Opportunities

Educational Exchange

Global

competition

for physicians

Escape from

Conflict Zones

Globalization of MedicineMigration

Why Accreditation?: Physicians Crossing Borders

Growth in Number of Medical Schools


Accreditation 2023ECFMG 2010 Board Resolution

Applicants for ECFMG Certification must graduate from a medical school

that has been “appropriately accredited,” and the accrediting agency must be “recognized.”

Takes effect in 2023

“Accreditation 2023”17


Goals

• Catalyze international accreditation efforts

• Develop universally accepted standards for evaluating undergraduate medical education internationally

• Enhance quality of medical education

• Protect the public

Accreditation 2023

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Accreditation 2023Milestones

• 2010—ECFMG announces requirement

• 2011—World Federation for Medical Education (WFME) launches pilot recognition process

• 2012—WFME approves Programme for Recognition of Accreditation Agencies

• 2012—WFME recognizes first accrediting agency

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Accreditation 2023Process to Satisfy ECFMG Requirement

World Federation of Medial Education (WFME)

Caribbean Accreditation Authority for Medicine & Health Professions• 10 agencies recognized as of June 2018

Saint Georges University, Grenada

Example:

Example:

Meaningful Recognition Program

Recognition of Accrediting Agency

Accreditation of Medical School

Graduate Eligible for ECFMG Certification

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Accreditation 2023 Phased Implementation


• Link to Accrediting Agencies recognized by WFME

• Link to NCFMEA listing of schools eligible for U.S. federal loans

• “Tips” on selecting a medical school

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Phase 1-2018

ECFMG Web Resource to Help Students Make

Better/More Informed Decisions on Medical

School Selection

Accreditation 2023Phased Implementation


• Medical Schools that are accredited by

an organization recognized by WFME will be annotated in the World Directory

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Phase 2-2020

World DirectoryIncludes the

Accreditation Status of the Medical School



• Reports to residency programs, employers, state boards, and MRAs will include a statement on the accreditation status of the medical school. For example, “This Medical School was Accredited in [Year] by an Organization Recognized by WFME”

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Phase 3-2021

Student/Graduate Reports Include

Information on the Accreditation Status of the

Medical School

Accreditation 2023Phased Implementation


• ECFMG will only certify graduates from a medical school accredited by an organization recognized by WFME

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Phase 4-2023

Eligibility for Certification is Tied to the Accreditation

Status of the Medical School



Accreditation 2023: Phased Implementation


WFME Recognition Programme

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WFME Standards

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Mission and Objectives

Educational Program Assessment

of Students

Students

Academic Staff and Faculty

Educational Resources

Program Evaluation

Governance and

Administration

Continuous Renewal



• “Recognizes” accrediting agencies

oWFME does not accredit medical schools

• Agencies include

oGovernment entities

oEntities authorized or recognized by the government

oEntities authorized or recognized by a professional or scientific association

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• Assures Quality and Harmonization of Standards through centralized recognition of national/regional accrediting agencies using globally-accepted criteria

• Assures Input by Local Experts and Relevance to Local Health Care Needs through decentralized accreditation of medical schools by those national/regional agencies

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WFME Recognition ProgrammeProcess

Expression of interestApplication:

Documentation against criteria

Site visit team assembled,

application reviewed, on-site visit conducted

Report written with recommendation

Report considered by the Recognition

Committee (Presidents of WFME and Regions)

Results are published

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• 2012 - Caribbean Accreditation Authority for Education in Medicine and other Health Professions

• 2013 - Association for Evaluation and Accreditation of Medical Education Programs, Turkey

• 2014 - Liaison Committee on Medical Education (USA) and the Committee on Accreditation of Canadian Medical Schools

• 2016 - Korean Institute of Medical Education and Evaluation• 2016 - Accreditation Commission on Colleges of Medicine• 2017 - Japan Accreditation Council for Medical Education• 2018 - Australian Medical Council• 2018 - Independent Agency for Accreditation and Rating (Kazakhstan)• 2018 - Sudan Medical Council

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Accrediting Agencies Recognized by WFME (n=10)


Accrediting Agencies in the Process of WFME Review (n=5)

• Brazil - Accreditation System for Medicine Courses

• Netherlands - Netherlands-Flemish Accreditation Organization

• Indonesia - Independent Accreditation Body for Health Professional Education

• Thailand - Institute for Medical Education Accreditation

• Georgia - National Center for Educational Quality Enhancement

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Accrediting Agencies That Have Recently Initiated the Process (n=5)

• Egypt - National Authority for Quality Assurance and Accreditation of Education

• Israel - Council for Higher Education

• Mexico - Mexican Board for Accreditation of Medical Education

• Taiwan - Taiwan Medical Accreditation Council

• Tunisia & Cameroon / Francophone countries - International Conference of Deans and Faculties of Medicine of French Language

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Accrediting Agencies Close to Application/in Discussion with WFME (n=5)

• Costa Rica - National System for Higher Education Accreditation

• Cyprus - Cyprus Agency of Quality Assurance and Accreditation in Higher Education

• Iran - National Council for Undergraduate Medical Education

• Iraq - National Council for Accreditation of Medical Colleges

• Pakistan - Pakistan Medical and Dental Council

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Accrediting Agencies In Discussion with WFME, but with More Distant Plans (n=11)

• Bahrain - National Authority of Qualifications and Quality Assurance for Education and Training

• Colombia - National Council of Accreditation• Dominican Republic - Ministry of Higher Education, Science and Technology• Germany - various private agencies• Jordan - Ministry of Higher Education and Scientific Research / Higher Education

Accreditation Commission• Lebanon - in discussion regarding appropriate agency• Malaysia - Malaysian Qualifications Agency• Myanmar - Ministry of Health / Myanmar Medical Council• Sweden - Swedish Higher Education Authority• United Arab Emirates - Commission for Academic Accreditation• United Kingdom - General Medical Council

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FAIMER’s Role

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FAIMER’s Role

ECFMG has directed FAIMER to support accreditation efforts

• FAIMER’s Support for WFME Recognition Programme

o Assisted in developing standards, policies, and procedures and contributes to ongoing refinement

o Supported pilot

o Team secretary on recognition reviews

o Assists in training new WFME team members

o Collaborates to increase program capacity

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FAIMER’s Role

ECFMG has directed FAIMER to support accreditation efforts

• Offers Certificate, Diploma, and Master’s degree in conjunction with Keele University and CenMEDIC

o Health Professions Education: Accreditation and Assessment

• Holds workshops and programs tailored to local needs

o Medical schools and accrediting agencies

• Conducts research

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Resources

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Resources

• Updates from ECFMG:

o www.ecfmg.org/accreditation

o Focus—e-mail newsletter for medical schools, subscribe at www.ecfmg.org/focus/index.html

• WFME Recognition Programme

o http://wfme.org/accreditation

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http://www.ecfmg.org/accreditation

http://www.ecfmg.org/focus/index.html

http://wfme.org/accreditation


Resources

• Accrediting Agencies

o Directory of Organizations that Recognize/Accredit Medical Schools (DORA) at https://www.faimer.org/resources/dora/index.html

• Medical Schools

o World Directory of Medical Schools at www.wdoms.org

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https://www.faimer.org/resources/dora/index.html

http://www.wdoms.org/


ResourcesFAIMER Education Programs

• For health professions educators

• Regional Institutes and Education Centers catalyze and sustain local curricular improvement

• Distance Learning in accreditation and assessment, in partnership with Keele University and CenMEDIC in UK

• Fellowships to earn master’s degrees in health professions education

• Alignment of educational programs to create pathways for development of outstanding leaders

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www.faimer.org/education

http://www.faimer.org/education


ResourcesProfessional Meetings

• Association for Medical Education in Europe (AMEE) 2018, August 25-29, Basel, Switzerland

o ECFMG-FAIMER Panel Session on Accreditation 2023

• 2nd Accreditation in Health Professions Summit, August 29-30, Basel, Switzerland

o ECFMG Oral Report on Accreditation 2023

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Informationwww.ecfmg.org |

[email protected]

Questions & Discussion

CAAM-HP Capacity Building Workshop€¦ · Educational Commission for Foreign Medical Graduates 3...

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