Workforce reform, international medical graduates, and the in-training examination

Article Abstract:

Other solutions may better correct the imbalance among medical residency specialty programs than preventing better qualified international students from entering the programs. One option is to force and fund a mix of specialties based on the nation's medical and research needs, particularly for society's most vulnerable populations. Another option is to allow the market economy to naturally regulate this system. International students have consistently scored higher than United States medical residents on an examination called the Internal Medicine In-Training Examination.

Editorial, Medical students, Medical students, Foreign

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Methods for evaluating the clinical competence of residents in internal medicine: a review

Article Abstract:

Clinical competency testing, evaluation by senior physicians, and clinical exercises can effectively supplement final certification examinations in the evaluation of internal medicine medical residents. Researchers reviewed In-Training Examination, the American Board of Internal Medicine rating scale, the clinical evaluation exercise (CEX), standardized patients, and medical chart audit. None of the evaluation tools adequately met all assessment goals, but a combination of programs can be valuable in evaluating physicians in training. Better assessment tools are needed.

Study and teaching, Clinical competence, Internal medicine

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The generalist/cardiovascular specialist: a proposal for a new training track

Article Abstract:

Developing a program that allows doctors to obtain combined cardiology and internal medicine specialty training may be economically prudent in a cost-conscious health care environment. The first and last two years of a five-year combined training program would involve concentrated study in one of the two specialties with the third year spent in combined specialty training. Doctors trained in such a program would officially graduate with a specialty in internal medicine and a subspecialty in cardiology.

Cardiologists, Internists

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