The new global medical education system, marked by its growing size and complexity, has led to greater concerns about quality assurance of individual graduates and their educational programs.

Assuring a quality medical education varies considerably from country to country, as do training standards. Traditionally there have been two ways to assure quality, assessment of the individual practitioner (e.g., licensure examinations) and accreditation of a school or educational program.

The globalisation of the medical workforce and evidence that suggests that foreign medical graduates perform more poorly on standardized exams than graduates from local schools is leading to an interest in more uniform ways to conduct each quality assurance process.

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