Interaction of Policy and Methodology in Standard Setting | Richard Tannenbaum

Healthcare professionals are in short supply in Ontario and globally, a situation exacerbated by the pandemic. Ontario has one of the lowest ratios of doctors to population in Canada and continues facing shortages in health human resources due to retirements, fatigue, and dissatisfaction. Strategies to increase the supply of healthcare workers are vital to building a resilient system to cope with the health sector challenges that Ontario will face in the future. There has been a historical reliance on internationally educated health professionals (IEHPs) to fill the gap. They are here but are often underutilized or face lengthy pathways to acceptance and registration. More effective strategies to integrate them into the workforce are needed. Competency assessments are a proven method that is efficient and effective.

This study compared the modified borderline group method to two adaptations namely, regression-based, and four-facet Rasch model borderline group methods. Results indicated that the two adaptations may be more defensible than modified BGM in the context of a smaller OSCE.