Flexner's global influence: medical education accreditation in countries that train physicians who pursue residency in the United States

Academic Medicine : Journal of the Association of American Medical Colleges
Marta van ZantenFrank A Simon

Abstract

Abraham Flexner's report on medical education, published 100 years ago, remains influential in the United States today, although its international impact is unclear. In addition to global variability in content and delivery of medical education programs, systems of quality assurance oversight are not universal, and there are variations in the scope of the reviews, protocols, and standards used. The authors used the process and elements of medical school evaluation that Flexner regarded as important for ensuring quality to create a framework for describing aspects of the accreditation systems used in the 10 countries that supply the greatest numbers of international medical graduates (IMGs) to the United States. Of these 10 countries, most have an accreditation system, although the review in some is voluntary. Globally, there is variability in the use of Flexner's system. Prerequisite entrance requirements vary according to the degree offered. Faculty involvement in research is frequently encouraged but seldom required. Almost all standards mention the need for adequate facilities for experiential learning in the basic sciences. Three accrediting organizations require that clinical facilities be under the direct control of the m...Continue Reading

References

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Feb 1, 1992·Academic Medicine : Journal of the Association of American Medical Colleges·D G Kassebaum
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Aug 5, 2008·Medical Teacher·Rita Sood
Aug 13, 2008·Medical Education·Marta van ZantenFrank Simon
Sep 11, 2008·JAMA : the Journal of the American Medical Association·Sarah E Brotherton, Sylvia I Etzel
May 29, 2009·Academic Medicine : Journal of the Association of American Medical Colleges·Marta van ZantenJames A Hallock

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Citations

Dec 18, 2010·Intensive Care Medicine·UNKNOWN CoBaTrICE Collaboration
Feb 1, 2012·Medical Teacher·Marta van ZantenIan Greaves
Oct 27, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Ming-Jung HoKevin Shaw
Jul 6, 2019·Academic Medicine : Journal of the Association of American Medical Colleges·Sean TackettMarta van Zanten
Oct 10, 2013·International Journal of Nursing Education Scholarship·Janice L ThompsonKathy Wilson

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