The association between medical education accreditation and the examination performance of internationally educated physicians seeking certification in the United States

Global (n countries = 118)

First-attempt pass rates for students/graduates from accredited medical schools (n countries = 77)

75.4 % (n = 56,094)

82.5 % (n = 47,701)

76.4 % (n = 49,898)

First-attempt pass rates for student/graduate from non-accredited medical schools (n countries = 41)

63.3 % (n = 10,974)

79.6 % (n = 7901)

70.1 % (n = 8370)

Unadjusted OR

1.8

1.2

1.4

Adjusted OR^a

1.8

1.3

1.3

Caribbean (n countries = 19)

First-attempt pass rates for students/graduates from accredited medical schools (n countries = 11)

74.0 % (n = 14,676)

76.8 % (n = 11,758)

85.2 % (n = 12,431)

First-attempt pass rates for students/graduates from non-accredited medical schools (n countries = 8)

38.4 % (n = 3654)

59.0 % (n = 1510)

71.9 % (n = 1794)

Unadjusted OR

4.6

2.3

2.3

Adjusted OR^a

4.9

2.3

2.4

Non-Caribbean (n countries = 99)

First-attempt pass rates for students/graduates from accredited medical schools (n countries = 66)

75.9 % (n = 41,418)

84.3 % (n = 35,943)

73.5 % (n = 37,467)

First-attempt pass rates for students/graduates from non-accredited medical schools (n countries = 33)

75.8 % (n = 7320)

84.5 % (n = 6391)

69.6 % (n = 6576)

Unadjusted OR

1.0

1.0

1.2

Adjusted OR^a

1.0

1.0

1.1