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U.S. Department of Education

 

Special Report

 
Prepared April 2016
 
Background
 
In March 1997, the National Committee on Foreign Medical Education Accreditation (NCFMEA or the Committee) first determined that the accreditation standards used by the Pakistan Medical and Dental Council (the Council or Pakistan) to evaluate medical schools in Pakistan were comparable to those used in the United States. In 2003 and again in 2009, the NCFMEA reaffirmed its prior determination that the standards and processes used by the Council for the evaluation of medical schools remained comparable. The NCFMEA also requested that the Council submit periodic reports describing its continuing accreditation activities.

Based on a review of the report submitted by Pakistan at the March 2014 NCFMEA meeting, it was concluded that the country had provided most of the information requested by the NCFMEA and that its actions since its last review appear to be largely consistent with the NCFMEA Guidelines but that more information was needed related to the USMLE test results for the graduates of the country's accredited schools.

The NCFMEA requested that the country provide a special report, on test score data of medical students attending Pakistani medical schools. Specifically, trend data analysis on USMLE scores with a disaggregate of the Clinical Skills assessment data to determine whether or not there are regional differences in medical education, and to also provide an analysis of performance for test takers who are U.S. citizens (including, U.S. nationals, and/or permanent U.S. residents).

That country's special report is the subject of this report.

 
Summary of Findings
 
Additional information is requested for the following questions. These issues are summarized below and discussed in detail under the Staff Analysis section.

-- The country needs to report on Pakistan's plans to develop a system and establish processes to collect and maintain trend data on USMLE scores with a disaggregation of the Clinical skills assessment. []

-- The country needs to report on Pakistan's plans to develop a system and establish processes to collect and maintain USMLE test score data of performance for test takers who are U.S. citizens (including, U.S. nationals, and/or permanent U.S. residents). []

 
Staff Analysis
 
.
 
Outstanding Issues
Please report on test score data of medical students attending Pakistani medical schools. Specifically, trend data analysis on USMLE scores with a disaggregation of the Clinical Skills assessment data to determine whether or not there are regional differences in medical education.
 
Country Narrative
In response to your queries pertaining to test score data of medical students attending Pakistani medical schools, it is informed that Pakistan Medical and Dental Council (PM&DC) does not maintain such data and hence cannot compile an evidence based report on trend data analysis on USMLE scores with a dis aggregation of the Clinical skills assessment, however relevant data obtained from FAIMER for the year 2012(Annexure-I) already submitted is enclosed for your kind perusal. Latest available data may be submitted when received from FAIMER.
 
Analyst Remarks to Narrative
The Country continues to report that that Pakistan Medical and Dental Council (PM&DC) does not maintain USMLE test score data or have the process in place to collect specific trend data analysis on USMLE scores (with a disaggregate of the Clinical Skills assessment data) so that a determination can be made of whether or not there are regional differences in medical education. The country did; however, provide as documentation, a Special Report of Aggregate Performance on United States Medical Licensing Examination (USMLE) for Pakistan prepared by the Foundation for Advancement of International Medical Education and Research (FAIMER) dated March 20, 2014, that includes a performance report for Step 1, Step 2 Clinical Knowledge (CK), and Step 2
Clinical Skills (CS) for the 2012 cycle.

Department staff request additional information regarding if Pakistani has plans (or not) to develop a system and establish processes to collect and maintain trend data on USMLE scores with a disaggregation of the Clinical skills assessment. In addition, the NCFMEA may want to review a special report demonstrating more current information as the information provided is 2014 data. .



 
Country Response
PM&DC has plan to develop and establish a system to collect and maintain USMLE Test score data with a disaggregate of clinical skills assessment data to determine regional difference in medical education of U.S. citizen(U.S. nationals and permanent U.S resident) and Pakistani nationals.
PM&DC has already written letters to the Deans of all medical schools and colleges to provide all the detail information since 2010 till todate regarding this matter.

We will provide the most current information which is already requested to the FAIMER and will be provided before the NCFMEA spring meeting 2016.
 
Analyst Remarks to Response
The country has notified the Department that it is in the process of developing mechanism to maintain USMLE test score data or have the process in place to collect specific trend data analysis on USMLE scores so that a determination can be made of whether or not there are regional differences in medical education. Pakistan is prepared to report on the most current data which they have requested from FAIMER at the Spring 2016 NCFMEA meeting. The country provide as documentation, a letter to one of its medical schools requesting test score data.

The country needs to report on Pakistan's plans to develop a system and establish processes to collect and maintain trend data on USMLE scores with a disaggregation of the Clinical skills assessment.
 
Please give an analysis of performance for test takers who are U.S. citizens (including, U.S. nationals, and/or permanent U.S. residents).
 
Country Narrative
In response to your above query it is informed that PM&DC has allocated 10% quota to foreign nationals (mostly from U.S.A./UK) for admission into MBBS Course in each medical school, however we do not maintain any record of USMLE data. In this regards we contacted FAIMER to provide the requisite information. Reply received from FAIMER is enclosed as Annexure-II. Performance data for year 2013-2014 downloaded from the official website of USMLE is attached as Annexure-III.
 
Analyst Remarks to Narrative
The Country continues to report that that Pakistan Medical and Dental Council (PM&DC) does not maintain USMLE test score data or have the process in place to collect data of performance for test takers who are U.S. citizens (including, U.S. nationals, and/or permanent U.S. residents). The country did; however, provide as documentation, performance data results of U.S. and Canadian schools and separately the results of non-U.S. and Canadian schools. The data was provided by Educational Commission for Foreign Medical Graduates (ECFMG), Foundation for Advancement of International Medical Education and Research (FAIMER). The most current data is based on USMLE examination for 2014. Data for 2015 examination administrations will not be available until mid-April 2016.

FAIMER also informed the country that they would not be able to report information regarding the performance of test takers who are U.S. citizens. However, pass rates on the examinations based on the performance of those attending or graduating from US medical schools is available on the USMLE website:

Department staff request additional information regarding if Pakistan has plans (or not) to develop a system and establish processes to collect and maintain USMLE test score data for test takers who are U.S. citizens (including, U.S. nationals, and/or permanent U.S. residents) In addition, the NCFMEA may want to review a special report demonstrating the more current results as they are made available to Pakistan by FAIMER, as the information provided is 2014 data.
 
Country Response
PM&DC has plan to develop and establish a system to collect and maintain USMLE Test score data with a disaggregate of clinical skills assessment data to determine regional difference in medical education of U.S. citizen(U.S. nationals and permanent U.S resident) and Pakistani nationals.
PM&DC has already written letters to the Deans of all medical schools and colleges to provide all the detail information since 2010 till todate regarding this matter
 
Analyst Remarks to Response
The country has notified the Department that it is in the process of developing a mechanism to collect and maintain USMLE test score data of performance for test takers who are U.S. citizens (including, U.S. nationals, and/or permanent U.S. residents). The country provide as documentation, a letter to one of its medical schools requesting test score data.

The country needs to report on Pakistan's plans to develop a system and establish processes to collect and maintain USMLE test score data of performance for test takers who are U.S. citizens (including, U.S. nationals, and/or permanent U.S. residents).