Canada: article supports graduated medical licensure

An article in the Canadian Medical Association Journal proposes replacing high-stakes summative examinations with graduated medical licensure. The article states that there is no evidence supporting the effectiveness of current licensure exams in ensuring patient safety. The authors also note that directing resources toward passing an exam could detract from actual preparation for practice. Instead, the authors propose graduated licensure, a model of assessment that "integrates both training programs’ competency-based assessments and clinical practice data derived from trainees’ clinical work would better align with evidence-informed educational practices, underscore the importance of continuous quality improvement for practitioners and refocus licensure on real-world clinical practice."

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