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J Educ Eval Health Prof > Epub ahead of print
J Educ Eval Health Prof. 2017; 14: 25.
Published online October 24, 2017.
DOI: https://doi.org/10.3352/jeehp.2017.14.25
[Epub ahead of print]
Evaluation of a course to prepare international students for the United States Medical Licensing Examination Step 2 Clinical Skills Exam
Rachel B Levine1  , Andrew P. Levy2  , Robert Lubin2  , Sarah Halevi2  , Rebeca Rios1  , Danelle Cayea1 
1Johns Hopkins University School of Medicine, Department of Medicine, Baltimore, Maryland, USA
2Technion Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel
Correspondence  Rachel B Levine ,Email: rlevine@jhmi.edu
Editor:  Sun Huh, Hallym University, Korea
Submitted: August 29, 2017  Accepted after revision: October 24, 2017
Abstract
Purpose:
United States (US) and Canadian citizens attending medical school abroad often desire to return to the US for residency and therefore must pass US licensing exams. We describe a 2 day United States Medical Licensing Examination (USMLE) Step 2 Clinical Skills (CS) preparation course for students in the Technion American Medical School (TEAMS) program (Haifa, Israel) between 2012 and 2016.
Method:
Students completed pre- and post- course questionnaires. Paired t-tests measured student’s perceptions of knowledge, preparation, confidence, and competence in clinical skills pre- and post-course. To test for differences by gender or country of birth, ANOVAS were used. We compared USMLE Step 2 CS pass rates for 5 years prior and 5 years during the course.
Results:
Ninety students took the course between 2012 and 2016. Course evaluation began in 2013. Seventy-three students agreed to participate in the evaluation and 64 completed pre and post surveys. Of the 64 students, 58% were US born and 53% male. Students reported statistically significant improvements in confidence and competence in all areas. There were no differences by gender or country of origin. The average pass rate for the 5 years prior to the course was 82% and the average pass rate for the 5 years of the course was 89%.
Conclusion:
A clinical skills course, delivered at an international medical school may help to close the gap between US and International Medical Graduates pass rates on a high stakes licensing exam. More experience is needed to determine if this model is replicable.
Keywords: Curriculum, Educational measurement, Foreign Medical Graduates, Clinical competence
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