The IAMRA Institute Philadelphia 26 September 2010 FROM THE TRENCHES: INNOVATIVE PROGRAMS THAT PROTECT THE PUBLIC The AMC Competent Authority Model of Assessment: An Alternative Approach to Assessment for Licensure Ian Frank Chief Executive Officer Australian Medical Council The AMC Competent Authority Model Overview Principles of the CA Assessment Model Criteria for Approval of the Competent Authority Approved CA Examinations / Qualifications Assessment Outcomes Characteristics of the CA Assessment Model The AMC Competent Authority Assessment Model Principles of CA Model: 2005 IAMRA Review of Licensing Examinations identified common characteristics of national examinations Premise – o Identified assessments competent evaluation of basic knowledge and skills o If passed should exempt from local (AMC) exam o Requires workplace-based performance evaluation before full licensure The AMC Competent Authority Assessment Model Criteria for CA Model: Legal authority to conduct assessment for licensure Healthcare system consistent with Australia o Medical education o Burdens of disease o Levels of technology o Professional standards – non-discriminatory treatment and respect for rights of patients Accreditation processes comply with WFME Guidelines The AMC Competent Authority Assessment Model Approved Authorities and Qualifications: GMC – PLAB Exam and UK accredited qualifications Qualifying Examination of the Medical Council of Canada MCI accredited medical qualifications in Ireland USMLE Parts 1,2 and 3 NZREX Examination Healthcare system PLUS Foundation Year / Residency / Rotating Internship in a CA designated country post qualification The AMC Competent Authority Assessment Model Assessment Outcomes for CA Model: 4,400 applications processes since 2007 2680 (61%) eligible to proceed (Advanced Standing) 1,768 (40%) completed and qualified for general registration (full licensure) 4 exam systems and 2 accreditation processes approved – 54 countries of training The AMC Competent Authority Assessment Model Characteristics of the CA Assessment Model: Does not rely on MR, bilateral or multilateral agreements Recognises prior examination or assessment Not “equivalency” but “competent” assessment Includes final workplace-based performance assessment prior to licensure BUT Not re-examination of basic knowledge and skills The AMC Competent Authority Assessment Model Conclusion: Required “leap of faith” for regulatory bodies Not dependent on reciprocity Positive response by employers and health services Exposure to CA environment post-exam a contributing factor to successful outcome Implementation not possible without 2005 IAMRA Review of Licensing Examinations