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Foreign graduates as observers

Lisa Francovich, Anteo Di Napoli, Paolo Giorgi Rossi, Lidia Gargiulo, Barbara Giordani, Alessio Petrelli
OBJECTIVES: to compare Pap test and mammography uptake in 2005 and 2013 between Italian and immigrant women residing in Italy and to evaluate factors associated with probability of being up-to-date with screening testing in immigrant women. DESIGN: cross-sectional study based on data of "Multipurpose survey on health and use of health services" conducted in 2005 and 2013 by the Italian National Institute of Statistics (Istat). SETTING AND PARTICIPANTS: the analysis includes the interviews of women included in the target age group for Pap test (25-64 years: No...
May 2017: Epidemiologia e Prevenzione
Yusuke Tsugawa, Anupam B Jena, E John Orav, Ashish K Jha
OBJECTIVE:  To determine whether patient outcomes differ between general internists who graduated from a medical school outside the United States and those who graduated from a US medical school. DESIGN:  Observational study. SETTING:  Medicare, USA. PARTICIPANTS:  20% national sample of data for Medicare fee-for-service beneficiaries aged 65 years or older admitted to hospital with a medical condition in 2011-14 and treated by international or US medical graduates who were general internists...
February 2, 2017: BMJ: British Medical Journal
Sharma Anjali, Zodpey Sanjay, Batra Bipin
BACKGROUND: India's current estimated doctor-population ratio of 1:1700 against targeted ratio of 1: 1000 shows a clear shortage. A mismatch in number of medical aspirants and available seats, intense competition and unaffordable costs of medical education prompt many Indian students to pursue training opportunities abroad. Many later return to India, and these foreign medical graduates (FMGs) must pass a qualification test which is a required to practice medicine in India. This review undertakes a situational analysis of FMGs in India and suggests a roadmap to better utilize this resource pool of physicians...
January 2016: Education for Health: Change in Training & Practice
William F Rushton, J Priyanka Vakkalanka, James H Moak, Nathan P Charlton
OBJECTIVE: Numerous reputable sources for healthcare providers advocate routine imaging to rule out an embedded tooth or fang after a snake bite. The objective of this study was to determine whether these foreign bodies can be reliably excluded by bedside ultrasonography. METHODS: All emergency medicine (EM) residents and faculty at a single institution were invited to participate. Two sets of 5 ultrasound gel phantoms were prepared using a method previously validated to have the same density as human tissue...
June 2015: Wilderness & Environmental Medicine
Sina N Arnold, Nikolaos Pandis, Raphael Patcas
AIM: Several surveys evaluate different retention approaches among orthodontists, but none exist for general dentists. The primary aim of this survey was to record the preferred fixed retainer designs and retention protocols amongst general dentists and orthodontists in Switzerland. A secondary aim was to investigate whether retention patterns were associated with parameters such as gender, university of graduation, time in practice, and specialist status. METHODS: An anonymized questionnaire was distributed to general dentists (n = 401) and orthodontists (n = 398) practicing in the German-speaking part of Switzerland...
November 2014: Journal of Orofacial Orthopedics, Fortschritte der Kieferorthopädie
John J Norcini, John R Boulet, Amy Opalek, W Dale Dauphinee
PURPOSE: The Step 2 Clinical Knowledge (CK) examination of the United States Medical Licensing Examination sequence is a requirement for the certification of international medical graduates (IMGs) by the Educational Commission for Foreign Medical Graduates. An association between scores on the test and the quality of care later provided by those who take it is central to its use in certification and licensure. The purpose of this study was to determine whether there is a relationship between scores on Step 2 CK and patient outcomes for IMGs...
August 2014: Academic Medicine: Journal of the Association of American Medical Colleges
Paul A Tiffin, Jan Illing, Adetayo S Kasim, John C McLachlan
OBJECTIVE: To determine whether use of the Professional and Linguistic Assessments Board (PLAB) examination system used to grant registration for international medical graduates results in equivalent postgraduate medical performance, as evaluated at Annual Review of Competence Progression (ARCP), between UK based doctors who qualified overseas and those who obtained their primary medical qualification from UK universities. DESIGN: Observational study linking ARCP outcome data from the UK deaneries with PLAB test performance and demographic data held by the UK General Medical Council (GMC)...
April 17, 2014: BMJ: British Medical Journal
C Hey, P Pluschinski, Y Zaretsky, A Almahameed, D Hirth, B Vaerst, J Wagenblast, T Stöver
BACKGROUND: The Penetration-Aspiration Scale was developed by Rosenbek et al. to enable standardized documentation of this cardinal symptom of a swallowing disorder. OBJECTIVES: The objective was to create and validate a German version of the Penetration-Aspiration Scale according to the guidelines governing the translation of foreign language measurement tools. MATERIALS AND METHODS: Both reliability and validity were examined based on the ratings of 80 randomized endoscopically evaluated swallows, 10 for each severity level...
April 2014: HNO
Beatriz González Lopez-Valcarcel, Vicente Ortún, Patricia Barber, Jeffrey E Harris
OBJECTIVE: To determine if there are significant differences between universities in the proclivity to choose Family and Community Medicine (FCM), given the constraints imposed by the number of choice. To test the hypothesis that the Schools of Medicine that have the FCM as a compulsory subject in the degree (3 of 27) had the highest preference for this specialty. DESIGN: Observational study on the data file of all the individuals taking the MIR examination between 2003 and 2011...
March 2014: Atencion Primaria
Simon Low, Zoë A Sheppard, Stephen Tomkins
BACKGROUND: The Clinical Skills Assessment (CSA) exam is a required component to obtain Membership to the Royal College of General Practitioners (MRCGP). This initial study was part of a wider initiative to reduce the first-time failure rates of the real CSA exam with further follow-up studies planned. METHODS AND ANALYSIS: Second-year GP specialty trainees (ST2) took part in a mock CSA exam. GP trainers from Dorset were invited to help facilitate the session as part of a 'trainers' education day'...
September 2013: Education for Primary Care
Esperanza Diaz, Ali Raza, Hogne Sandvik, Stefan Hjorleifsson
BACKGROUND: More than 10% of the population and nearly 20% of all general practitioners (GPs) in Norway have an immigrant background. There are reasons to believe that immigrant GPs have different demographic characteristic and serve different populations than native GPs. OBJECTIVES: To describe the characteristics of the lists and population subscribed to immigrant GPs in Norway and compare them with those of Norwegian-born GPs. METHODS: Immigrant GPs were defined as persons born abroad with both parents from abroad...
June 2014: European Journal of General Practice
Luisa M Pettigrew, Dinusha Perera, Val Wass
BACKGROUND: The UK's Royal College of General Practitioners accredits overseas examinations in family medicine through MRCGP[INT] rather than exporting MRCGP UK. There is limited research on the motivating factors and outcomes of this practice on candidates. AIM: To explore factors motivating Sri Lankan doctors to pursue the South Asian MRCGP[INT] and their perceived benefits and barriers to sitting the examination. METHODS: Qualitative semi-structured 1:1 interviews with 14 successful past MRCGP[INT]SA candidates were undertaken in Sri Lanka...
July 2013: Education for Primary Care
Angel T Brown, Victor O Kolade, Lisa J Staton, Neha K Patel
OBJECTIVES: More than 22 million Americans are living with addiction, including nearly seven million who misuse prescription medications. However, most medical schools and residency programs provide little to no education addressing alcohol and drug addiction. Implementation of a new addiction medicine curriculum at a single internal medicine program provided an opportunity for knowledge assessment in a select population of health professionals. We hypothesized that knowledge of addiction medicine would not differ by training level or geographical location of medical school, but that knowledge would improve following a structured curriculum...
March 2013: Tennessee Medicine: Journal of the Tennessee Medical Association
Mark Zimmerman, Rabina Shakya, Bharat M Pokhrel, Nir Eyal, Basista P Rijal, Ratindra N Shrestha, Arun Sayami
OBJECTIVE: To determine, in one low income country (Nepal), which characteristics of medical students are associated with graduate doctors staying to practise in the country or in its rural areas. DESIGN: Observational cohort study. SETTING: Medical college registry, with internet, phone, and personal follow-up of graduates. PARTICIPANTS: 710 graduate doctors from the first 22 classes (1983-2004) of Nepal's first medical college, the Institute of Medicine...
August 13, 2012: BMJ: British Medical Journal
Nyapati R Rao, Rahul Kodali, Ayesha Mian, Ujjwal Ramtekkar, Chella Kamarajan, Michael D Jibson
OBJECTIVE: The authors report on a pilot study of the experiences and perceptions of foreign international medical graduate (F-IMG), United States international medical graduate (US-IMG), and United States medical graduate (USMG) psychiatric residents with the newly mandated Clinical Skills Verification (CSV) process. The goal was to identify and suggest remedies to any problems with the implementation of CSV in order to facilitate its success as an evaluation tool with all the three groups of residents...
July 1, 2012: Academic Psychiatry
Hesham M Hamoda, Diane Sacks, Andres Sciolla, Mantosh Dewan, Antony Fernandez, Rama Rao Gogineni, Jeffrey Goldberg, Milton Kramer, Ramotse Saunders, Jacob Sperber, Nyapati R Rao
OBJECTIVE: International medical graduates (IMGs) constitute a significant proportion of the psychiatric workforce in the United States. Observership programs serve an important role in preparing IMGs for U.S. residency positions; yet there are limited resources with information available on establishing these observerships, and none specific to psychiatry. In this article, authors present a roadmap for observership programs in psychiatry for IMGs. METHOD: This article draws on the experience of the IMG committee of the Group for Advancement of Psychiatry in establishing observership programs...
July 1, 2012: Academic Psychiatry
Nobukatsu Ishikawa, Naohiro Nagayama
Current tuberculosis (TB) problems are reflections of Japanese society. Living or dying alone among the elderly, difficulty in finding jobs or withdrawal into themselves among the youths are features of modem society. The future needs for TB care were discussed on specific topics of TB among the elderly, foreigners and the homeless. Presenters showed the importance of the patient-centered care in collaboration with public health and welfare services. Both patients and staffs will see others shining, as they touch each other in the deep part of human existence...
April 2012: Kekkaku: [Tuberculosis]
Hiram C Polk, Kirby I Bland, E Christopher Ellison, Jay Grosfeld, Donald D Trunkey, Steven C Stain, Courtney M Townsend
OBJECTIVE(S): The goals of this focused meeting were to verify and clarify the causes and extent of the general surgery (GS) workforce shortfalls. We also sought to define workable solutions within the existing framework of medical accreditation and certification. BACKGROUND: Numerous peer-reviewed and lay reports describe a current and worsening availability of GS services, affecting rural areas as well as large cities, academia, and the military. METHOD: Primary recommendations were broadly agreed upon by attendee surgeons who were selected from numerous different professional scenarios and included 2 nonmedical observers...
April 2012: Annals of Surgery
Maria R Dahm
BACKGROUND: Depending on their previous training, international medical graduates (IMGs) may be unfamiliar with patient centred care (PCC). This study explores the PCC skills that IMGs demonstrated during observed role play. METHODS: Qualitative observational data were collected during an IMG communication skills course and IMGs' perceptions of PCC were explored in semistructured interviews. Analysis followed principles of grounded theory and focused specifically on the elements of Candlin's (2002) quality of discourse...
November 2011: Australian Family Physician
Raul Neghina, Crenguta Livia Calma, Adriana Maria Neghina
As travel has become easier and faster, the rate of tropical infections across the world is expected to increase; more students working abroad are going to encounter these diseases more often. Disorders of parasitic etiology play an important role in travel and tropical medicine. The aim of our study was to assess the preclinical students' knowledge regarding parasitic diseases, tropical and travel medicine in the broad context of their professional background. A total of 346 Romanian medical students completed a 13-item questionnaire on the above-mentioned topics...
October 2011: Acta Tropica
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