Making the grade: licensing examination performance by medical school accreditation status

Abstract Background Accreditation systems strive to ensure the quality of undergraduate (basic) medical education and encourage ongoing improvements. Despite increasing global emphasis on quality assurance activities, there is limited research linking accreditation of medical education to improved s...

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Main Authors: Marta van Zanten, John R. Boulet, Christine D. Shiffer
Format: Article
Language:English
Published: BMC 2022-01-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-022-03101-7
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author Marta van Zanten
John R. Boulet
Christine D. Shiffer
author_facet Marta van Zanten
John R. Boulet
Christine D. Shiffer
author_sort Marta van Zanten
collection DOAJ
description Abstract Background Accreditation systems strive to ensure the quality of undergraduate (basic) medical education and encourage ongoing improvements. Despite increasing global emphasis on quality assurance activities, there is limited research linking accreditation of medical education to improved student and graduate outcomes. The purpose of this study is to compare the United States Medical Licensing Examination® (USMLE®) performance of students and graduates who attended international medical schools accredited by an agency recognized by the World Federation of Medical Education (WFME) to individuals who attended schools that did not meet this criterion. Methods During the 2018-2020 study period, 39,650 individuals seeking Educational Commission for Foreign Medical Graduates® (ECFMG®) certification took one or more USMLE examinations. We cross-tabulated USMLE performance (first-attempt pass/fail result) and medical school accreditation status. Results Individuals seeking ECFMG certification who attended international medical schools accredited by an agency recognized by WFME had higher or comparable USMLE first-attempt pass rates compared to individuals who attended medical schools that did not meet this criterion. Conclusions Implementing and maintaining meaningful accreditation systems requires substantial resources. These results provide important positive evidence that external evaluation of educational programs is associated, on average, with better educational outcomes, including in the domains of basic science, clinical knowledge, and clinical skills performance.
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spelling doaj.art-bfa94dd9a452404ca55e5e49e026cc4b2022-12-21T21:20:14ZengBMCBMC Medical Education1472-69202022-01-012211810.1186/s12909-022-03101-7Making the grade: licensing examination performance by medical school accreditation statusMarta van Zanten0John R. Boulet1Christine D. Shiffer2Foundation for Advancement of International Medical Education and Research (FAIMER)Foundation for Advancement of International Medical Education and Research (FAIMER)Educational Commission for Foreign Medical Graduates (ECFMG)Abstract Background Accreditation systems strive to ensure the quality of undergraduate (basic) medical education and encourage ongoing improvements. Despite increasing global emphasis on quality assurance activities, there is limited research linking accreditation of medical education to improved student and graduate outcomes. The purpose of this study is to compare the United States Medical Licensing Examination® (USMLE®) performance of students and graduates who attended international medical schools accredited by an agency recognized by the World Federation of Medical Education (WFME) to individuals who attended schools that did not meet this criterion. Methods During the 2018-2020 study period, 39,650 individuals seeking Educational Commission for Foreign Medical Graduates® (ECFMG®) certification took one or more USMLE examinations. We cross-tabulated USMLE performance (first-attempt pass/fail result) and medical school accreditation status. Results Individuals seeking ECFMG certification who attended international medical schools accredited by an agency recognized by WFME had higher or comparable USMLE first-attempt pass rates compared to individuals who attended medical schools that did not meet this criterion. Conclusions Implementing and maintaining meaningful accreditation systems requires substantial resources. These results provide important positive evidence that external evaluation of educational programs is associated, on average, with better educational outcomes, including in the domains of basic science, clinical knowledge, and clinical skills performance.https://doi.org/10.1186/s12909-022-03101-7AccreditationInternational medical schoolsInternational medical graduatesMedical licensure examinations
spellingShingle Marta van Zanten
John R. Boulet
Christine D. Shiffer
Making the grade: licensing examination performance by medical school accreditation status
BMC Medical Education
Accreditation
International medical schools
International medical graduates
Medical licensure examinations
title Making the grade: licensing examination performance by medical school accreditation status
title_full Making the grade: licensing examination performance by medical school accreditation status
title_fullStr Making the grade: licensing examination performance by medical school accreditation status
title_full_unstemmed Making the grade: licensing examination performance by medical school accreditation status
title_short Making the grade: licensing examination performance by medical school accreditation status
title_sort making the grade licensing examination performance by medical school accreditation status
topic Accreditation
International medical schools
International medical graduates
Medical licensure examinations
url https://doi.org/10.1186/s12909-022-03101-7
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