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Accumulating evidence to defend decisions based on scores from evaluations is an ongoing process. The purpose of this investigation was to gather additional data to support the validity of inferences made from scores on the Educational Commission for Foreign Medical Graduates' Clinical Skills Assessment (CSA). This was accomplished by contrasting CSA(More)
Performance assessments are subject to many potential error sources. For performance-based assessments, including standardized patient (SP) examinations, these error sources, if left unchecked, can compromise the validity and reliability of scores. Quality assurance (QA) measures, both quantitative and qualitative, can be used to ensure that candidate(More)
BACKGROUND The ability to communicate effectively with patients is an essential element of a physician's clinical expertise. METHOD As part of the USMLE Step 2 Clinical Skills exam, standardized patients (SPs) provided ratings of communication and interpersonal skills (CIS) along three dimensions. Assessment data from a one-year (2006) cohort of graduates(More)
Recently, standardized patient assessments and objective structured clinical examinations have been used for high-stakes certification and licensure decisions. In these testing situations, it is important that the assessments are standardized, the scores are accurate and reliable, and the resulting decisions regarding competence ar equitable and defensible.(More)
The ECFMG Clinical Skills Assessment (CSA) was developed to evaluate whether graduates of international medical schools (IMGs) are ready to enter graduate training programs in the United States. The patient note (PN) exercise, conducted after a 15-minute interview with a standardized patient (SP), is specifically used to assess a candidate's ability to(More)
BACKGROUND International health experiences have been shown to increase students' and residents' interest in public health, their likelihood of choosing a career in primary care, and their commitment to serving the underserved. The purpose of the current study is to describe the international experiences available to students and residents at U.S.(More)
PURPOSE Since 1998, over 30,000 international medical graduates (IMGs) have taken the ECFMG CSA. Although candidate background variables have been shown to predict basic and clinical science performance, little work has focused on the relationships between candidate characteristics and clinical skills performance. The purpose of this study was to(More)
The ECFMG Clinical Skills Assessment (CSA) was developed to evaluate whether graduates of international medical schools (IMGs) are ready to enter graduate training programs in the United States. The patient note (PN) exercise is specifically used to assess a candidate's ability to summarize and synthesize the data collected in a simulated patient interview.(More)
BACKGROUND Graduates of international medical schools (IMGs) make up approximately one-quarter of the physician population and play a key role in the provision of health care in the United States. This study investigated whether they differ from U.S. medical graduates (USMGs) in specialty board certification. METHOD The study compared USMGs, U.S. citizen(More)