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The National IMG Database

This presentation explores the National International Medical Graduate (IMG) Database's role in tracking the assessment, certification, and licensing of IMGs in Canada. Led by Steve Slade and Tamara Brown, it highlights historical trends from 1994-2008, the foundational activities of the IMG Database, and the collaborative efforts among key organizations. Key outcomes and indicators for evaluating IMG pathways to licensure are discussed, underscoring the importance of standardization and ethical recruitment practices in enhancing the integration of IMGs into the Canadian healthcare system.

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The National IMG Database

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  1. 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

  2. Tracking Successful Practices and Outcomes The History Behind the IMG Database

  3. 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

  4. Data in an Evolving ContextNumber of IMGs in the Active Physician Workforce, Canada, 1994-2008

  5. History of the National IMG Database Canadian Task Force on the Licensure of International Medical Graduates 2004 2005-2009 Phase 1: Foundational Activities Phase 2: Development of an Analytical Agenda and Increasing Project Visibility 2010-2013

  6. 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

  7. 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

  8. Tools and Strategies to Track IMGs

  9. 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

  10. Number of IMGs who passed MCC Examinations, 2005-2010

  11. Data in an Evolving Context Increased Number of First Year Post-MD Trainees Source: CAPER, AFMC, 2010. Note: Excludes visa trainees.

  12. Following a Cohort of Canadian Citizen IMGs 1491 MCCEE ASSESSEMENT 114 461 MCCQEI & MCCQEII 322 PGME 144 CFPC/RCPSC/CMQ 41 LICENSURE

  13. 2008-2010 CERTIFICATION WITH RCPSC/CFPC/CMQ 2522 PGME 1681 EE 1147 QEI 1530 Licensed 829 QEII 1245

  14. 2008-2010 LICENSED 2604 EE 1647 PGME 377 QEI 1256 Certified 633 QEII 763

  15. Data Gaps versus KnowledgeGaps

  16. 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?

  17. Knowledge Gaps – Plans for Future Analysis CROSS-JURISDICTIONAL ANALYSIS PREDICTORS OF SUCCESS PREDICTORS OF RETENTION ALTERNATIVES FOR UNSUCCESSFUL IMGs PATHWAYS AND PROCESSES

  18. Thank you. The IMGs in Canada Project Team: Steve Slade, VP, Research and Analysis CAPER-ORIS Tamara Brown, Project Manager, tbrown@afmc.ca Linda Bourgeois, Research Associate, lbourgeois@afmc.ca

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