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首页> 外文期刊>JAMA: the Journal of the American Medical Association >The changing pool of international medical graduates seeking certification training in US graduate medical education programs.
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The changing pool of international medical graduates seeking certification training in US graduate medical education programs.

机译:在美国研究生医学教育计划中寻求认证培训的国际医学毕业生人数不断变化。

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International medical graduates (IMGs) consistently represent approximately one fourth of both the physician workforce and the graduate medical education (GME) population of the United States. To enter into accredited US GME programs, IMGs must be certified by the Educational Commission for Foreign Medical Graduates (ECFMG). Changes in the number and characteristics of those seeking certification directly affect the GME population and the future physician workforce in the United States. In July 1998, in response to concerns that IMGs might be lacking in basic clinical skills (eg, history taking, physical examinations, communicating with patients in spoken English), the ECFMG initiated a requirement that IMGs pass a clinical skills assessment (CSA) to achieve ECFMG certification. In this study we examined the pool of IMGs seeking certification, using databases reporting on all individuals beginning the certification process from 1995 through 2001. For this period, we found that the number of IMG candidates taking the Step 1 examination decreased by 45.5% (36,983 vs 16,828), and the number of IMGs registered to take Step 2 decreased by 38.1% (31 751 vs 12 122). The number of ECFMG certificates issued annually decreased, from a range of 9000 to 12,000 (1995-1998) to fewer than 6000 (1999-2001). Although the number of IMGs annually seeking and receiving certification has decreased, the quality of the applicants appears to have improved and the number of IMGs certified annually continues to adequately fill GME positions not taken by US medical graduates.
机译:国际医学毕业生(IMG)始终代表着美国医师队伍和研究生医学教育(GME)人口的大约四分之一。要进入获得认可的美国GME计划,IMG必须经过外国医学毕业生教育委员会(ECFMG)的认证。寻求认证的人员数量和特征的变化直接影响了GME人群和美国未来的医生队伍。 1998年7月,出于对IMG可能缺乏基本临床技能(例如病史,体格检查,以英语口语与患者沟通)的担忧,ECFMG提出了一项要求IMG通过临床技能评估(CSA)的要求。取得ECFMG认证。在这项研究中,我们使用了报告从1995年到2001年开始认证过程的所有个人的数据库,检查了寻求认证的IMG池。在此期间,我们发现参加第一步测试的IMG候选人数量减少了45.5%(36,983对比16828例),注册进行第二步的IMG数量减少了38.1%(31 751对比12 122)。每年颁发的ECFMG证书数量从9000个减少到12,000个(1995-1998年),减少到不足6000个(1999-2001年)。尽管每年寻求和获得认证的IMG的数量有所减少,但申请人的质量似乎有所提高,并且每年认证的IMG的数量仍在继续填补美国医学毕业生没有担任的GME职位。

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