National Credentialing Forum Update February 2, 2018 Copyright © 2018 by the Educational Commission for Foreign Medical Graduates. All rights reserved.

IMGs comprise about 25% of US Physician Workforce ECFMG Overview IMGs comprise about 25% of US Physician Workforce US-Based Programs ECFMG Certification – 20,000 Applicants per year J-1 Visa Sponsorship Program – 10,000 physicians per year Domestic Credentials Services (FCVS)– 5,000 verifications per year International Programs EPIC & International Credentials Services – 30,000 verifications per year Foundation for the Advancement of Medical Education & Research (FAIMER®)

Certification Verification Service (CVS) Confirmation Report includes: Whether an individual is ECFMG certified; Date the certificate was issued and the date(s) through which the certificate remains valid for the purpose of entry into graduate medical education; Date of most recently passed CSA; and Name of medical school, medical school country, and degree year. Satisfies The Joint Commission's requirement for primary-source verification of IMGs medical education. Fee = $45 (January 2018)

Irregular Behavior Process Sub-Committee of Board of Trustees: Physicians Healthcare executives Medical Educators Lawyers Applicant can: Make a personal appearance Have legal counsel present Comprehensive review of evidence and Applicant Case File 2000-2017 Decision # % Yes 217 74% Insufficient Evidence 38 14% No 32 12% Total 295 100% Source: ECFMG Database

Irregular Behavior Process If there is a finding of irregular behavior… Sanctions Notifications ECFMG partner organizations IAMRA Members Medical School, if appropriate US Governmental Agencies US Graduate Training Programs US Federation of State Medical Boards US House of Medicine Organizations USMLE Program Other interested parties Permanent Annotation on ECFMG Verification Reports sent to hospitals, MRAs, etc. and Bar/Revocation of ECFMG Certification Bar from examination, if applicable

Confirmation Report – Certified with Annotation

2018 Initiatives ECFMG Accreditation Requirement Required use of online notary for Certification of Identity Forms Notarization is currently required In 2018 applicants must use online notary service (Notarycam.com) ECFMG Accreditation Requirement Beginning 2023 to be eligible for ECFMG Certification, applicants must graduate from a medical school that has been accredited by an agency that has been recognized by the World Federation for Medical Education ECFMG is in the process of developing policies and procedures to implement this requirement

2018 Initiatives EMSWP Expansion EPIC Expansion In 2017 ECFMG Medical School Web Portal increased from 300 to over 1,000 verification credentials Expanding EMSWP to also include post-graduate training institutions and medical regulatory authorities EPIC Expansion Since 2014 PSV for MRA increase of 50% Adding 2 new clients in 2018 and in ongoing talks with 8 others Exploring expansion to other medical professions with needs assessment 2018 (Dentistry and Respiratory Therapy)

Questions? Mark Malachesky, Manager, ECFMG Certification and Examination Support Services mmalachesky@ecfmg.org