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1. How international medical education programs for physician are accredited
One of the boards responsible for accrediting international medical education programs for physician is The American Board of Surgery which can only grant credit to the students who have completed surgical education in United States or Canada. (American Medical Association, & Accreditation Council for Graduate Medical Education (US) 1987). The individual is observed by the program directors for not less than six months to ensure that the clinical performance is in line with credit being requested. To get these credits the program director must provide the following:

a. Satisfactory finalizing of foreign medical institutes and foreign residency training.
b. Achieved specialty certification in foreign venue
c. Listing of past foreign and United States practice training
d. Listing of all U.S training in chronological order.
e. If one is a resident then ABSITE is important.

2. Foreign medical education programs for physicians compared to medical education programs in the United States
In United States, medical schools have an obligation of educating physician in the United States field of medicine. The admission in this school requires a completion of previous degree with a 3 year premed courses at the university as a medical degree is classified as secondary entry degree. The degree is a five year program divided into pre-clinical and clinical components. After this, the degree holder can practice medicine on completing accredited

 The internship is provided at completion of a postgraduate degree for one year in categorical residence. This varies on the field of specialization where some there is no internship and instead there is a specialty. In some instances, there is fellowship aimed at arranging training programs for specialty that vary from one to three years. Then the board of certification such as the attending physicians test on written and oral exams that prove that one is board certified.

In other foreign medical education programs for physicians, an international body has to approve the qualification. In other foreign countries, the program takes more than 5 years and then there is a permit entry for secondary school matriculation. The applicants are qualified by the high school living certificate performance to get qualified for an undergraduate medicine and health science admission. This is in British and Australia. The method of teaching is nowadays changing to problem based learning pedagogy and objective structured clinical examination. There is follow up of one year internship which is a supervised practice taken in hospitals. On completion, they get a certificate from the medical board of the territory to get the license for independent medical practice. For specialist training, there are specific colleges for specification. The continuing medication education is done in professional colleges (Peck, McCall, McLaren & Rotem, 2000).

3. How differences impact the quality and cost of health care in the United States
The Education Commission for Foreign Medical Graduates is a world body that makes sure that there is improved world health through excellence in medical education. Programs are used to certify readiness of international medical graduate. Providing primary source of medical

These programs are different, and they have to be approved so as to be deemed qualified to carry out activities in the medical sector. Due to these and other reasons the medical cost in United States has been very expensive. This has led to the urge to have insurance covers for the resident and citizens in United States which will cover for the expense of the patient. The government has seen this and also has introduced some laws make sure that medical services are affordable for everyone. For quality, there has been great improvement that has been made possible by the board of certification. It makes sure every health practitioner is qualified to give the right service for quality health (Whelan, Gary, Kostis, Boulet, & Hallock, 2002).


American Medical Association, & Accreditation Council for Graduate Medical Education (US). (1987). Directory of graduate medical education programs. American Medical Association.
Whelan, G. P., Gary, N. E., Kostis, J., Boulet, J. R., & Hallock, J. A. (2002). The changing pool of international medical graduates seeking certification training in US graduate medical education programs. JAMA, 288(9), 1079-1084.
Peck, C., McCall, M., McLaren, B., & Rotem, T. (2000). Continuing medical education and continuing professional development: international comparisons. BMJ: British Medical Journal, 320(7232), 432.

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