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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.
[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:
Editor:  Sun Huh, Hallym University, Korea
Submitted: August 29, 2017  Accepted after revision: October 24, 2017
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.
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.
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%.
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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