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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. - PowerPoint PPT Presentation
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The National IMG DatabaseTracking the Assessment, Certification and Licensing of International Medical Graduates in Canada
Steve Slade, VP Research and AnalysisTamara Brown, Project ManagerCanadian 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 ContextNumber of IMGs in the Active Physician Workforce, Canada, 1994-2008
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 20085000
5500
6000
6500
7000
7500
8000
8500
9000
9500
IMGs from countries with higher doc:pop ratio than CanadaIMGs from countries with lower doc:pop ratio than Canada
Source: Physician counts : Canadian Medical Association Masterfile as of January 1 of each year. Doc:Pop ratios : Organization for Economic Cooperation and Development and WHO
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
• Entry into postgraduate training (residency)
• Certification with the CFPC, CMQ, or RCPSC
• Licensure with a Canadian Regulatory Authority
MCCQEE MCCQEI MCCQEII
Number of IMGs who passed MCC Examinations, 2005-2010
10280
57623693
3462
2135
1521
0
2000
4000
6000
8000
10000
12000
14000
16000
MCCEE MCCQEI MCCQEII
Num
ber o
f IM
Gs
Medical Council of Canada (MCC) Exams
Canadian Citizens
Non-Canadian Citizens
Data in an Evolving Context Increased Number of First Year Post-MD Trainees
Source: CAPER, AFMC, 2010. Note: Excludes visa trainees.
1471 1436 1447 1579 1640 1799 1894 1976 20882273 2419
77 138 197185
289259
360404
416467
426
0
500
1000
1500
2000
2500
3000
2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11
Number of PGY1 Post-MD Trainees by Place of MD Graduation, Canada, 2000-01 to 2010-11
MD Outside Canada (up 453%) MD in Canada (up 64%)
MCCEE
MCCQEI & MCCQEII
PGME
CFPC/RCPSC/CMQ
LICENSURE
Following a Cohort of Canadian Citizen IMGs
ASSESSEMENT
114
1491
461
322
144
41
CERTIFICATION WITH RCPSC/CFPC/CMQ
2522EE
1147
QEI
1530 QEII
1245
Licensed
829
PGME
1681
2008-2010
LICENSED
2604
EE
1647
QEI
1256QEII
763
Certified
633
PGME
377
2008-2010
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 Clerkship component? Clinical elective in Canada?
PREDICTORS OF SUCCESS
PREDICTORS OF RETENTION
CROSS-JURISDICTIONAL
ANALYSIS
PATHWAYS AND PROCESSES
Knowledge Gaps – Plans for Future Analysis
ALTERNATIVES FOR
UNSUCCESSFUL IMGs
Thank you.
This project is funded by the Government of Canada's Foreign Credential Recognition Program.
The IMGs in Canada Project Team:Steve Slade, VP, Research and Analysis CAPER-ORISTamara Brown, Project Manager, [email protected] Bourgeois, Research Associate, [email protected]
