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Standardized assessment of IMG’s in the Netherlands

Standardized assessment of IMG’s in the Netherlands. Lourens R. Kooij MD PhD chairman committee foreign degree holders health care IAMRA 9th Conference on Medical Regulation, September 26, 2010. 1. Assessment IMG’s in the Netherlands. Set of knowledge and skills exams:

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Standardized assessment of IMG’s in the Netherlands

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  1. Standardized assessment of IMG’s in the Netherlands Lourens R. Kooij MD PhD chairman committee foreign degree holders health care IAMRA 9th Conference on Medical Regulation, September 26, 2010 1

  2. Assessment IMG’s in the Netherlands Set of knowledge and skills exams: General (premedical) knowledge and skills exam Professional (medical) knowledge and skills exam 2 Committee Foreign Degree Holders Health Care

  3. What’s new? Assessing quality <> passing/failing Language proficiency conditional for admission to medical exam Tailor-made additional training program based on established deficiencies in knowledge/skills Observation professional behaviour during clinical supervision period 3 Committee Foreign Degree Holders Health Care

  4. General knowledge and skills exam Dutch (medical) language English reading proficiency Dutch health care system ICT basics 4 Committee Foreign Degree Holders Health Care

  5. Medical knowledge and skills exam Basic medical knowledge Clinical knowledge Clinical skills 5 Committee Foreign Degree Holders Health Care

  6. 1. Basic medical knowledge examin. a sample of 320 basis medical science items from the interfaculty database of study progress tests 160 ‘true-false’ items + 160 multiple choice items reference group: 6th year medical students (n >1,000) 6 Committee Foreign Degree Holders Health Care

  7. 2. Clinical knowledge examination 100 patient cases key feature approach reference group: 4-6th year medical students (n > 250) 7 Committee Foreign Degree Holders Health Care

  8. 3. Clinical skills examination OSCE format one-day clinical skills examination in 10 stations with simulated patients (20 minutes/patient, 10 minutes for reporting) reference group: 6th year medical students (n > 25) 8 Committee Foreign Degree Holders Health Care

  9. 3. Clinical skills Assessing the competency of: History taking Physical examination Professional behaviour Communication with patients Report Problem list Differential diagnosis Management policy 9 Committee Foreign Degree Holders Health Care

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  11. Outcome examinations limited number of alternative decisions: no additional training necessary Licensing after 12 week clinical supervision period with observation of professional behaviour additional training necessary 0.5 year / 1 year / 2 years / 3 years additional training not possible full course of 6 years medical education necessary 11 Committee Foreign Degree Holders Health Care

  12. Results general (premedical) exam 12 Committee Foreign Degree Holders Health Care

  13. Results medical exam 13 Committee Foreign Degree Holders Health Care

  14. Region of qualification Duration additional training (months) 14 Committee Foreign Degree Holders Health Care

  15. Is it a better procedure? Objective method of assessing deficiencies Language proficiency leads to better adaptation in additional training programs No time lost on themes already mastered Mean duration additional training program is now 16 months (was 3 years) 15 Committee Foreign Degree Holders Health Care

  16. Thank you for your attention More information: lr.kooij@minvws.nl w.davidse@minvws.nl 16 Committee Foreign Degree Holders Health Care

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