Lillis Steven, Van Dyk Valencia
J Contin Educ Health Prof. 2014 Fall;34(4):260-4. doi: 10.1002/chp.21251.
Medical regulatory authorities need efficient and effective methods of ensuring the competence of immigrating international medical graduates (IMGs). Not all IMGs who apply for specialist vocational registration will have directly comparable qualifications to those usually accepted. As general licensure examinations are inappropriate for these doctors, workplace-based assessment (WBA) techniques would appear to provide a solution. However, there is little published data on such outcomes.
All cases of WBA (n = 81) used for vocational registration of IMGs in New Zealand between 2008 and 2013 were collated and analyzed.
The successful completion rate of IMGs through the pathway was 87%. The majority (64%) undertook the year of supervised practice and the final assessment in a provincial center. For those unsuccessful in the pathway, inadequate clinical knowledge was the most common deficit found, followed by poor clinical reasoning.
A WBA approach for assessing readiness of IMGs for vocational registration is feasible. The constructivist theoretical perspective of WBA has particular advantages in assessing the standard of practice for experienced practitioners working in narrow scopes than traditional methods of assessment. The majority of IMGs undertook both the clinical year and the assessment in provincial hospitals, thus providing a workforce for underserved areas.
医疗监管机构需要高效且有效的方法来确保移民国际医学毕业生（IMGs）的能力。并非所有申请专科职业注册的IMGs都具备与通常被认可的资格直接可比的资质。由于普通执照考试不适用于这些医生，基于工作场所的评估（WBA）技术似乎提供了一种解决方案。然而，关于此类结果的公开数据很少。
整理并分析了2008年至2013年间在新西兰用于IMGs职业注册的所有WBA案例（n = 81）。
通过该途径的IMGs成功完成率为87%。大多数（64%）在省级中心进行了为期一年的监督实践和最终评估。对于那些未通过该途径的人，临床知识不足是最常见的缺陷，其次是临床推理能力差。
一种用于评估IMGs是否准备好进行职业注册的WBA方法是可行的。与传统评估方法相比，WBA的建构主义理论视角在评估从事特定领域工作的经验丰富从业者的实践标准方面具有特别的优势。大多数IMGs在省级医院进行了临床年和评估，从而为服务不足的地区提供了劳动力。
