Just to clarify, you werent referring to the 3 sources cited to make the argument. I know thats what you said, but that cant be what you meant cause the sources are from 2006, 2006 and 2008. I'm assuming you mean you randomly plucked three sources out from the notes page, regardless of where they were cited, and identified two of them as from the 80s. Then yes. you're correct.
Now if you looked at the resources cited and did a little look into the authors, you'd see they do this specialty society comparison, or something which addresses it, every 3-5 years. 1981, 1986, 1989, 1993, 1997... all the way up to the latest one being 2008. Most of them are cited right in the article, not sure why you chose to point out that two (actually three) of them are from the 80s and ignore that there were multiple clear follow up studies right in the notes section on the same topic every few years and they are also cited alongside the 80's ones. The journal assesses something about IMG education pretty much every year. I guess you could argue that the journal is biased? idk. I'm trying to play devil's advocate against myself I guess.
Also Medical Education in the Caribbean: A Longitudinal Study of United States Medical Licensing Examination Performance,
20002009. Marta van Zanten and John R. Boulet, PhD
that article had no issue delineating out each school of the 61 carribbean schools open in the last decade.
? No, I took the exact citations, I didn't previously see the 8th reference, here it is, 2 out of 4. And here is the statement with its references:
"International graduates who are U.S. citizens,
especially those who attended medical schools
in the Caribbean, do not perform as well as U.S.
graduates or international graduates who are not
U.S. citizens on the USMLE or on specialty board
exams.8,1315"
8 Norcini J, Anderson MB, McKinley
DW. The medical education of
United States citizens who train
abroad. Surgery. 2006;140(3):
33846.
13 Boulet JR, Swanson DB, Cooper RA,
Norcini JJ, McKinley DW. A com-
parison of the characteristics and
examination performances of U.S.
and non-U.S. citizen international
medical graduates who sought Edu-
cational Commission for Foreign
Medical Graduates certification:
19952004. Acad Med. 2006;
81(10 Suppl):S1169.
14 Benson JA, Meskauskas JA, Grosso
LJ. Performance of U.S. citizen-
foreign medical graduates on
certifying examinations in internal
medicine. Am J Med.
1981;71(2):
2703.
15 Shea JA, Norcini JJ, Day SC, Webster
GD, Benson JA Jr. Performance of U.
S. citizen Caribbean medical school
graduates on the American Board of
Internal Medicine certifying exami-
nations, 19841987. Teach Learn
Med.
1989;1(1):105.
The other studies that you mention come out every 4 or 5 years do not make any such claims that the performance of USMGs & FMGs is better than USIMGs. The only ones that do are the above and it's the same author, I'd be curious to see what exact criteria he uses.
This article "
Medical Education in the Caribbean: A Longitudinal Study of United States Medical Licensing Examination Performance,
20002009. Marta van Zanten and John R. Boulet, PhD" also does not confirm your statement, it breaks down the Caribbean USMLE step 1 & 2 pass rates and again shows that SGU's has consistently been on top. If you remove SGU from the stats in these studies, the average pass rates for the Caribbean fall way down, which is again why I stress that you shouldn't be lumping all of them together to make your points.