Mick S S, Mou T W
School of Public Health, University of Michigan, Ann Arbor 48109-2029.
Med Care. 1991 Mar;29(3):229-42. doi: 10.1097/00005650-199103000-00005.
This report examines the experience of 48,509 (40,393 foreign nationals and 8,116 U.S. citizens) foreign medical students and graduates (FMGs) who took any part of the first seven Foreign Medical Graduate Examination in the Medical Sciences (FMGEMS) administered by the Educational Commission for Foreign Medical Graduates. The pass rate on all three sections (basic science, clinical science, and English) was 23.0%. Almost one-half (47.2%) of all FMGEMS examinees were between 25 and 29 years of age, 73.9% were men, 71.5% took FMGEMS after medical school graduation, and 79.7% claimed as their native tongue languages other than English. Correlates of pass rates included taking FMGEMS before medical school graduation (30.0% pass) and being a native English speaker (37.5% pass). The rates for foreign national FMGs (FNFMGs) and United States FMGs (USFMGs) were 22.5% and 25.2%, respectively. Native English-speaking FNFMGs achieved a 43.3% pass rate; native English-speaking USFMGs, 32.6%; non-native English-speaking FNFMGs, 19.9%; and non-native English-speaking USFMGs, 11.2%. Whereas FMGs were educated in 114 countries, 74.2% of USFMGs were educated in just eight countries, all located in the West Indies and Mexico. Logistical regression analysis showed that the strongest factors predicting full pass rates were being both younger than 30 years of age and a native English speaker. Conclusions are that approximately 3,200 FMGs per year pass FMGEMS and that FMGs with the highest probability of passing share characteristics of U.S. and Canadian medical graduates who pass the National Board medical examinations, which suggests that the latter examinations, when offered to FMGs, may have limited effect on overall pass rates.
本报告考察了48,509名外国医学生及毕业生（FMG，其中40,393名是外国公民，8,116名是美国公民）的经历，这些人参加了外国医学毕业生教育委员会举办的前七次医学科学外国医学研究生考试（FMGEMS）的任何部分。所有三个部分（基础科学、临床科学和英语）的通过率为23.0%。几乎一半（47.2%）的FMGEMS考生年龄在25至29岁之间，73.9%为男性，71.5%在医学院毕业后参加FMGEMS，79.7%称其母语不是英语。通过率的相关因素包括在医学院毕业前参加FMGEMS（通过率30.0%）以及以英语为母语（通过率37.5%）。外国籍FMG（FNFMG）和美国籍FMG（USFMG）的通过率分别为22.5%和25.2%。以英语为母语的FNFMG通过率为43.3%；以英语为母语的USFMG，32.6%；非英语母语的FNFMG，19.9%；非英语母语的USFMG，11.2%。虽然FMG在114个国家接受教育，但74.2%的USFMG仅在八个国家接受教育，这些国家都位于西印度群岛和墨西哥。逻辑回归分析表明，预测完全通过率的最强因素是年龄小于30岁且以英语为母语。结论是每年约有3200名FMG通过FMGEMS，并且最有可能通过的FMG具有通过美国国家委员会医学考试的美国和加拿大医学毕业生的共同特征，这表明后一种考试提供给FMG时，对总体通过率的影响可能有限。
