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Medical education accreditation in Mexico and the Philippines: Impact on student outcomes

机译：墨西哥和菲律宾的医学教育认证：对学生成绩的影响

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Context Accreditation of medical education programmes is becoming increasingly prevalent worldwide, but beyond the face validity of these quality assurance methods, data linking accreditation to improved student outcomes are limited. Mexico and the Philippines both have voluntary systems of medical education accreditation and large numbers of students who voluntarily take components of the United States Medical Licensing Examination (USMLE). We investigated the examination performance of Mexican and Philippine citizens who attended medical schools in their home countries by medical school accreditation status. Methods The sample included 5045 individuals (1238 from Mexico, 3807 from the Philippines) who took at least one of the three USMLE components required for Educational Commission for Foreign Medical Graduates (ECFMG) certification. We also separately studied 2702 individuals who took all three examinations (589 from Mexico, 2113 from the Philippines). The chi-squared statistic was used to determine whether the associations between outcomes (first attempt pass rate on USMLE components and rate of ECFMG certification) and medical school accreditation (yeso) were statistically significant. Results For the sample of registrants who took at least one USMLE component, first attempt pass rates on all USMLE components were higher for individuals attending accredited schools, although there were differences in pass rates among the components and between the two countries. The distinction was greatest for USMLE Step 1, for which attending an accredited school was associated with increases in first attempt pass rates of 15.9% for Mexican citizens and 29.2% for Philippine citizens. In registrants from the Philippines who took all three examinations, attending an accredited medical school was also associated with increased success in obtaining ECFMG certification. Conclusions These findings support the value and usefulness of accreditation in Mexico and the Philippines by linking accreditation to improved student outcomes.
机译：背景医学教育计划的认证在世界范围内越来越普遍，但是，除了这些质量保证方法的有效性之外，将认证与改善的学生成绩联系起来的数据也很有限。墨西哥和菲律宾都有自愿性的医学教育认证系统，并且有大量学生自愿参加美国医学许可考试（USMLE）。我们通过医学院认证资格调查了在其本国就读医学院的墨西哥和菲律宾公民的考试成绩。方法样本包括5045名个人（墨西哥1238名，菲律宾3807名），他们至少接受了外国医学毕业生教育委员会（ECFMG）认证所要求的三个USMLE组件之一。我们还分别研究了参加全部三项考试的2702名个人（墨西哥为589人，菲律宾为2113人）。卡方统计量用于确定结果（USMLE组件的首次尝试通过率和ECFMG认证率）与医学院校认证（是/否）之间的关联是否具有统计学意义。结果对于参加了至少一个USMLE考试的注册者样本，所有上过USMLE考试的人的首次通过及格率都高于接受认证学校的个人，尽管这两个国家之间以及两国之间的通过率存在差异。对于USMLE步骤1而言，这一区别是最大的，因为在USMLE步骤1中，参加认证学校的墨西哥公民的首次尝试通过率增加了15.9％，菲律宾公民的首次尝试通过率增加了。在参加了全部三项考试的菲律宾注册人中，进入获得认可的医学院也与获得ECFMG认证的成功率增加有关。结论这些发现通过将认证与提高学生的学习成绩联系起来，支持了认证在墨西哥和菲律宾的价值和有用性。

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