presentation of the carms process and canadians studying

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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318297291294369

487591

775915

1065

12581393

0

200

400

600

800

1000

1200

1400

16001

99

5

19

96

19

97

19

98

19

99

20

00

20

01

20

02

20

03

20

04

20

05

20

06

20

07

20

08

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




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



2 All Surgery 10.8


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

presentation of the carms process and canadians studying

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