Workforce Reform, International Medical Graduates, and the In-Training Examination
Authors: Herbert S. Waxman
Journal: Annals of Internal Medicine (1997)

Editorials15 May 1997Workforce Reform, International Medical Graduates, and the In-Training ExaminationHerbert S. Waxman, MDHerbert S. Waxman, MDAmerican College of Physicians, Philadelphia, PA 19106Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-126-10-199705150-00011 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The Internal Medicine In-Training Examination (ITE) is a self-assessment resource intended for use midway through the medical residency (the winter of postgraduate year 2 [PGY-2]). It is taken each year by almost all PGY-2 residents in the United States and by most PGY-1 and PGY-3 residents as well. Psychometric analysis shows that the examination is highly reliable [1], and it is predictive of subsequent performance on the certifying examination of the American Board of Internal Medicine [2, 3].Although only a surrogate for clinical ability or performance, the results of highly reliable standardized examinations are among the few readily available ...References1. Garibaldi RA, Trontell MC, Waxman HS, Holbrook JH, Kanya DT, Khoshbin S, et al. The In-Training Examination in internal medicine. Ann Intern Med. 1994; 121:117-23. Google Scholar2. Waxman HS, Braunstein G, Dantzker D, Goldberg S, Lefrak S, Lichstein E, et al. Performance on the internal medicine second-year residency in-training examination predicts the outcome of the ABIM certifying examination. J Gen Intern Med. 1994; 9:692-4. Google Scholar3. Grossman RS, Fincher RE, Layne RD, Seelig CB, Berkowitz LR, Levine MA. Validity of the in-training examination for predicting American Board of Internal Medicine certifying examination scores. J Gen Intern Med. 1992; 7:63-7. Google Scholar4. Sutnick AI, Stillman PL, Norcini JJ, Friedman M, Regan MB, Williams RG, et al. ECFMG assessment of clinical competence of graduates of foreign medical schools. Educational Commission foreign Medical Graduates. JAMA. 1993; 270:1041-5. Google Scholar5. Waxman HS, Garibaldi RA, Subhiyah RG. Performance of U.S. and international medical graduates on the 1995 internal medicine in-training examination [Letter]. Ann Intern Med. 1996; 125:158. Google Scholar6. Final Report of the 1996 Internal Medicine In-Training Examination. Philadelphia: National Board of Medical Examiners; 1996. Google Scholar7. Rivo ML, Mays HL, Katzoff J, Kindig DA. Managed health care. Implications for the physician workforce and medical education. Council on Graduate Medical Education. JAMA. 1995; 274:712-5. Google Scholar8. Iglehart JK. The quandary over graduates of foreign medical schools in the United States. N Engl J Med. 1996; 334:1679-83. Google Scholar9. Critical Challenges: Revitalizing the Health Professions for the Twenty-First Century. The Third Report of the Pew Health Professions Commission. San Francisco: Pew Health Professions Commission; 1995. Google Scholar10. Rivo ML, Jackson DM, Clare FL. Comparing physician workforce reform recommendations. JAMA. 1993; 270:1083-4. Google Scholar11. Rivo ML, Kindig DA. A report card on the physician workforce in the United States. N Engl J Med. 1996; 334:892-6. Google Scholar12. Varki A. Of pride, prejudice and discrimination. Why generalizations can be unfair to the individual. Ann Intern Med. 1992; 116:762-4. Google Scholar13. Mullan F, Politzer RM, Davis CH. Medical migration and the physician workforce. International medical graduates and American medicine. JAMA. 1995; 273:1521-7. Google Scholar14. Whitcomb ME, Miller RS. Participation of international medical graduates in graduate medical education and hospital care for the poor. JAMA. 1995; 274:696-9. Google Scholar Author, Article, and Disclosure InformationAffiliations: American College of Physicians, Philadelphia, PA 19106Corresponding Author: Herbert S. Waxman, MD, American College of Physicians, Independence Mall West, Sixth Street at Race, Philadelphia, PA 19106. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byA Prospective Study of the Relationship between Medical Knowledge and Professionalism among Internal Medicine ResidentsINTERNATIONAL MEDICAL GRADUATESThe In-Training Examination in Internal MedicineRobin Dibner, MD, Julia Andrieni, MD, and Lawrence Smith, MDEffectiveness of Medical Resident Education in Mechanical VentilationRESIDENCY TRAINING IN PHYSIATRY DURING A TIME OF CHANGE 15 May 1997Volume 126, Issue 10Page: 803-805KeywordsContinuing medical educationFellowshipsGraduate medical educationMedicarePatientsPopulation statisticsPsychometricsResidencySub-specialty care Issue Published: 15 May 1997 Copyright & PermissionsCopyright © 1997 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...