Professor of Health Policy and Health Care Delivery in the Division of Community Health and Humanities in the Faculty of Medicine at Memorial University of Newfoundland in St John's.
Research assistant for the Canadian Post-MD Education Registry of the Association of Faculties of Medicine of Canada in Ottawa, Ont.
Can Fam Physician. 2017 Oct;63(10):776-783.
To describe the postgraduate medical education (PGME) examination outcomes and work locations of international medical graduates (IMGs); and to identify differences between Canadians studying abroad (CSAs) and non-CSAs.
Cohort study using data from the National IMG Database and Scott's Medical Database.
Canada.
All IMGs who had first entered a family medicine residency program between 2005 and 2009, with the exclusion of US graduates, visa trainees, and fellowship trainees.
We examined 4 outcomes: passing the Medical Council of Canada Qualifying Examination Part 2 (MCCQE2), obtaining Certification in Family Medicine (CCFP), working in Canada within 2 years of completing PGME training, and working in Canada in 2015.
Of the 876 residents in the study, 96.1% passed the MCCQE2, 78.1% obtained a specialty designation, 37.7% worked in Canada within 2 years after their PGME, and 91.2% worked in Canada in 2015. Older graduates were more likely (odds ratio [OR] = 3.45; 95% CI 1.52 to 7.69) than recent graduates were to pass the MCCQE2, and residents who participated in a skills assessment program before their PGME training were more likely (OR = 9.60; 95% CI 1.29 to 71.63) than those who had not were to pass the MCCQE2. Women were more likely (OR = 1.67; 95% CI 1.20 to 2.33) to obtain a specialty designation than men were. Recent graduates were more likely (OR = 1.36; 95% CI 1.03 to 1.79) than older graduates were to work in Canada following training. Residents who were eligible for a full licence were more likely (OR = 3.72; 95% CI 2.30 to 5.99) to work in Canada in 2015 than those who were not eligible for a full licence were.
While most IMGs who entered the family medicine PGME program passed the MCCQE2, 1 in 5 did not obtain Certification. Most IMG residents remain in Canada. Canadians studying abroad and non-CSA IMGs share similar examination success rates and retention rates.
描述国际医学毕业生（IMG）的研究生医学教育（PGME）考试结果和工作地点；并确定在国外学习的加拿大医学生（CSAs）和非 CSAs 之间的差异。
使用国家 IMG 数据库和 Scott's Medical Database 中的数据进行队列研究。
加拿大。
所有在 2005 年至 2009 年间首次进入家庭医学住院医师培训计划的 IMG，不包括美国毕业生、签证培训生和奖学金培训生。
我们检查了 4 个结果：通过加拿大医学委员会资格考试第 2 部分（MCCQE2）、获得家庭医学认证（CCFP）、在 PGME 培训完成后 2 年内在加拿大工作、以及在 2015 年在加拿大工作。
在研究的 876 名居民中，96.1%通过了 MCCQE2，78.1%获得了专业认证，37.7%在 PGME 培训后 2 年内在加拿大工作，91.2%在 2015 年在加拿大工作。年龄较大的毕业生比最近的毕业生更有可能（优势比[OR] = 3.45；95%CI 1.52 至 7.69）通过 MCCQE2，参加 PGME 培训前参加技能评估计划的居民比没有参加的居民更有可能（OR = 9.60；95%CI 1.29 至 71.63）通过 MCCQE2。女性比男性更有可能（OR = 1.67；95%CI 1.20 至 2.33）获得专业认证。与年龄较大的毕业生相比，最近的毕业生更有可能（OR = 1.36；95%CI 1.03 至 1.79）在培训后在加拿大工作。有资格获得完整执照的居民比没有资格获得完整执照的居民更有可能（OR = 3.72；95%CI 2.30 至 5.99）在 2015 年在加拿大工作。
虽然大多数进入家庭医学 PGME 计划的 IMG 通过了 MCCQE2，但有 1/5 没有获得认证。大多数 IMG 住院医师仍留在加拿大。在国外学习的加拿大医学生和非 CSA IMG 具有相似的考试成功率和保留率。
