presentation of the carms process and canadians studying
TRANSCRIPT
Presentation of the CaRMS Process and Canadians Studying Abroad
May 11, 2011
Sandra Banner
Executive Director/CEO
Canadian Resident Matching Service
CaRMS Facts
• A National application and matching process
• Match assures transparency, fairness and best practices
• Competitive selection process of the programs
• Decisions of quota, distribution and criteria are purview
of faculties and government
IMGs in the CaRMS Match
An International Medical Graduate (IMG) is a physician
who received a medical degree outside of a Canadian or
United States (LCME/CACMS) accredited medical school
For the purposes of CaRMS they must be a Canadian
citizen or permanent resident
An increasing cohort of IMGs continue to apply for
residency positions in Canada, this increase is largely due
to Canadians studying medicine abroad
IMGs in the Match
• Since 2007, IMGs have participated in the
first iteration of the match
• There are about 250 positions dedicated
exclusively to IMGs, most of these are in
Ontario
• IMGs can also apply in Manitoba,
competing with Canadian graduates
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Source: Canadian Post-MD Education Registry
IMGs in Ministry funded positions across
all rank levels (excludes visa trainees)
Canadians Studying Abroad
A resident of Canada who goes
abroad for a medical education.
Many are first generation
Canadians returning to their family
homeland.
Project Goal of the Canadian
Students Studying Abroad Study Fill a knowledge gap by providing information on
Canadians studying medicine abroad:
Career plans
Factors influencing career decisions
Details of current medical training and satisfaction
Motivation to return or not to return to Canada
Sample Size 1,030 respondents as of June, 2010
Gender and Age of CSAs
n = 541 n = 489
Age by Medical School Location
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Western Europe (n = 272)
Eastern Europe (n = 79)
Carribean (n = 449)
Australia (n = 206)
Middle East (n = 23)
24 and under 25-29 30-34 35-44 45 and over
Marital Status by Medical School Region
n = 1029
Province of Residence Before Moving Abroad
n = 1030
CSAs Going Abroad Compared to Population
Baseline by Province
0%
10%
20%
30%
40%
50%
60%
70%
NL PE NS NB QC ON MB SK AB BC
Province of Residence (%)
Population Baseline (%)
(Statistics Canada , 2009)
Important Criteria for Choosing
Medical School Abroad
7.1%
8.3%
33.0%
34.2%
50.8%
77.3%
88.9%
Other
Proximity to Canada
Attractiveness of country
Cost
Course taught in a language I understand
Likelihood of obtaining some clerkships in NorthAmerica
Reputation
n = 1030
How CSAs Learned About Current
Medical School
7.7%
4.0%
6.6%
18.1%
40.5%
72.2%
Other
Newspaper/magazine article
School’s advertisement posted in a university
Attended the school’s presentation in Canada
Searched on internet
From a friend/relative/graduate from the school
n = 1030
Top 10 Medical Schools Where Canadians
are Studying Abroad 22.2%
14.8%
11.1%
10.1%
5.0%
4.9%
4.6%
4.5%
4.5%
3.1%
St. Georges University
Saba University School of Medicine
University of Queensland
Royal College of Surgeons in Ireland
University of Sydney
Jagiellonian University Medical College
Ross University
Trinity College, University of Dublin
University College Dublin
University College Cork
n = 1030
* According to survey respondents.
Planning to Return to Canada to Pursue
Postgraduate Medical Training
73.8%
24.5%
9.8%
Yes, all of my postgraduate training
Yes, a portion of my postgraduate training
No
n = 1030
Intention to Stay in Canada to
Practice Medicine After Canadian
Postgraduate Training
Stay in Canada to practice
medicine after postgraduate
training?
Yes/No/Undecided
n = 929
Yes
87.8%
No
0.7%
Undecided
11.6%
Average Number of Clinical
Electives Done in Canada
Mean Median Min Max
1.73 1.00 0 12
Over half of CSAs did more than 1 clinical elective
29.7% did not do any
clinical electives
21.0% did one clinical
elective
24.4% did two clinical
electives
13.3% did three
clinical electives
11.8% did four or
more clinical
electives
Average Number of Clinical Electives
by Medical School Region
0.67
1.63
1.89
1.61
2.18
1.18
Asia CentralAmerica/Caribbean
Western Europe Eastern Europe Oceania/PacificIslands
Other
Length of Clinical Electives Done in
Canada (Number of Weeks)
Median Mode Min Max
8.00 8.00 1 83
Over half of CSAs had acquired more than 8 weeks of
clinical clerkship experience.
The most frequent length was 8 weeks.
84.2%
57.7%
15.8%
42.3%
Matched Unmatched
At least 1 Elective
No Elective
Clinical Electives & Matching 2010
n = 183 n = 194
2.10
1.38
Matched Unmatched
Average Number of Clinical
Electives & Matching
n = 377
CSA EXAMINATION RESULTS
- A STUDY BY I.M. BOWMER, MCC
Countries / Regions educating students born in Canada
Region / Country Selected Count
AUSTRALIA 152
CARIBBEAN 893
EGYPT 931
INDIA 991
IRELAND 361
POLAND 171
UNITED KINGDOM 284
MCCEE Overall Pass Rate for Selected Countries
MCEE Pass Rates by University - Western European Country
MCCEE Pass Rates & Country of Birth – Western European Country
MCEE – Pass Rates Caribbean Region
Conclusions
• Considerable variation of pass rate from country
to country
• Considerable variation in pass rates among
universities within countries or regions
• Recent graduates have higher pass rates in
most countries
•Canadian born students studying abroad have
higher pass rates
0%
20%
40%
60%
80%
100%
Before1990
1990 to1999
2000 to2008
2009 or2010
2011
8% 11% 16%
33% 50%
Unmatched
Matched
International Medical Graduates Match Results
by Year of Graduation in 2011
International Medical Graduates
2011 Match Results by Provincial Assessments
33%
67%
Unmatched
Have provincial assessment
1540
IMGs
24%
76%
Matched
Have NO provincial assessment
380
IMGs
Match Results of Canadians Studying Abroad
by Region of Graduation 2011
0 50 100 150 200 250 300
Africa
Asia
Central America/Caribbean
Europe
Middle East
North America
Oceania/Pacific Islands
# Final CSA Participants # Matched CSAs
Matched International Medical Graduates in 2011
MCC Examination Status
0
50
100
150
200
Passed MCCEE Passed MCCEE &QE1
Passed MCCEE,QE1 & QE2
190 IMGs
121 IMGs 69
IMGs
380 Matched
1st Choice Discipline %
1 Family Medicine 34.0
2 All Surgery 16.9
3 Internal Medicine 14.6
4 Pediatrics 6.9
5 Anesthesiology 5.3
1st Choice Discipline %
1 Family Medicine 47.6
2 Internal Medicine 13.5
3 All Surgery 9.4
4 Psychiatry 5.9
5 Other 4.1
Canadian Medical Graduates Canadians Studying Abroad
Other IMGs
Top Five Choice Disciplines 2011
CMGs vs. Other IMGs vs. CSAs
1st Choice Discipline %
1 Family Medicine 46.5
2 All Surgery 10.8
3 Internal Medicine 10.0
4 Other 5.9
5 Psychiatry 5.2
2011 Match Results of Canadians Studying Abroad
by Year of Graduation
0
50
100
150
200
250
Up to2006
2007 2008 2009 2010 2011
# Final CSA Participants # Matched CSAs
Participating in U.S. and Canadian Match
• Applicants can apply and submit rank lists in both the U.S. and Canada simultaneously
• Canada runs their match first
• The 30% expansion of US undergraduate and lack of expansion of postgraduate will mean fewer CSA and other IMG will successfully match in US in future
Questions and comments