Enclosure C - Instructions for completing consumer information 2022

Enclosure C

Instructions for Completing the Foreign Medical School Consumer Information Form
Reporting Requirements and Definition of U.S. Student:
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Reporting. The Foreign Medical School Consumer Information Form, issued by the Secretary and
included as Attachment A, should be mailed to the Department by April 30 of each year,
accompanied by a certification on letterhead stationery signed by the President/CEO/Chancellor, in
accordance with the certification instructions included in Attachment A.
U.S. Student. The definition of U.S. Student for the purposes of this consumer information collection
is in 34 CFR 668.33
o (a)(1) “Be a citizen or national of the United States; or”
o
(2) “Provide evidence from the U.S. Immigration and Naturalization Service that he or she
– (i) Is a permanent resident of the United States; or
o
(ii) Is in the United States for other than a temporary purpose with the intention of
becoming a citizen or permanent resident;…”.

Information to Report to the U.S. Department of Education
The following is a summary of the information that must be reported by a foreign institution for each of its
approved graduate medical programs.
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The on-time completion rate for U.S. students completing the program
The median and mean Title IV loan debt incurred by U.S. students who completed the program
The median and mean private loan debt incurred by U.S. students who completed the program
The median and mean institutional financing debt incurred by U.S. students who completed the
program
The combined median and mean debt incurred by U.S. students who completed the program

Foreign graduate medical institutions are required to report to the Department the consumer information
listed above. The Department will publish this information on a Departmental consumer Web site. The data
used for the calculations is that for the cohort of U.S. students that completed all the requirements for the
medical degree in the prior calendar year. The reporting data due on April 30, 20XX would include information
applicable to U.S. students who completed all the requirements for the medical degree during the calendar
year that ended December 31, 20XX.

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Calculation of Data Elements
Below is some information on each of the data elements included on the reporting form.
1) Loan Definitions
For the purposes of the median and mean Title IV loan debt, all loans provided under the Federal
Family Education Loan (FFEL) Program and the William D. Ford Federal Direct Loan (Direct Loan)
Program are to be included in the calculation of Title IV loan debt.
For the median and mean private educational loan debt, the Truth-in-Lending regulations, at 12 CFR
226.46(b)(5), provide the definition of a private education loan. Examples of private education loans
include, but are not limited to, loans made expressly for educational expenses by financial institutions,
credit unions, institutions of higher education or their affiliates, and States and localities.
For the median and mean institutional education loan debt, institutions must include any loan (other
than an FFEL or Direct Loan or a loan that would be considered a private education loan), extension of
credit, payment plan, or other financing mechanism that results in a debt obligation that a student
must pay to an institution after completing the program and that is outstanding at the time that the
student completes the program.
For the median and mean combined education loan debt, the combined education loan debt includes
all loans provided under the FFEL and Direct Loan Programs, private education loans, as defined above,
and institutional education loan debt, as defined above.
2) On-Time Completion Rate
Normal completion time is defined as the amount of time necessary for a student to complete all
requirements for the degree or certificate as provided in the institution’s catalog or other promotional
materials. Note that “normal time” is not 150% of the published time.
To calculate the on-time completion rate, divide the number of U.S. students who completed the
program during the most recently completed calendar year within normal time by the total number of
U.S. students who completed the program in the most recently completed calendar year and multiply
the result by 100.
Example: During the 2018 calendar year, 100 U.S. students completed the program but only 75 of them
completed in normal time. Divide 75 by 100 to get .75. Then multiply .75 times 100 to get 75. Thus for
this program, 75% is the “on time completion rate”.
Leaves of absence are to be included when determining whether a student completed a program
within normal time. For example, if the normal time to compete a Medical Program is 2 years and a
student took 2.5 years to complete because of a 6 month leave of absence, the student would NOT be
one that can be included as having completed the Medical Program within normal time when
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Enclosure C
calculating the Medical Program’s completion rate. Thus, students who do not complete the Medical
Program in normal time because of a leave of absence (or any other reason) are to be included in the
denominator of the completion rate fraction but not in the numerator.

3) Calculating Median Loan Debt
The median is the middle value in a distribution of values, above and below which lie an equal number
of values. To calculate the median loan debt for a program, an institution would follow these steps.
Step 1: Determine which U.S. students completed the Medical Program in the most recently completed
calendar year.
Step 2: Arrange each student’s debt in ascending order, including students with zero debt.
Step 3: Identify the middle value since the median is the middle value in the distribution of all values. If
there is an even number of values in the distribution and thus there is no middle value, calculate the
mean (average) of the two values at the halfway point.
Example A: The following are the loan debt values for nine (9) U.S. students who completed the
Medical Program in the 20XX calendar year listed in ascending order:
1.
2.
3.
4.
5.
6.
7.
8.
9.

$0
$0
$1000
$1750
$2343
$4709
$6881
$6881
$9995

Since this distribution includes an odd number of values, the median loan debt is $2343 because the
fifth value is the “middle” number when these debts are ranked in ascending order.
Example B: The following are the loan debt values for twelve (12) U.S. students who completed the
Medical Program in the 20XX calendar year listed in ascending order:
1.
2.
3.
4.

$0
$0
$500
$1674
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5.
6.
7.
8.
9.
10.
11.
12.

$2126
$3000
$4000
$4000
$6524
$8326
$8591
$10000

Since this distribution includes an even number of values, to determine the median loan debt for these
twelve students the institution must calculate the mean of the sixth and seventh values ($3000 +
$4000 = $7000; $7000 ÷ 2 = $3500). The median loan debt for this cohort of twelve students is $3500.
When calculating the median Title IV debt and private educational loan debt for a Medical Program’s
reporting information, the total amount that each U.S. student received for attendance in the Medical
Program, without regard to how much went to institutional charges, is to be included.
For example, a U.S. student may have received a loan totaling $10,000 for attendance in a Medical
Program where $6,000 went to pay institutional charges and $4,000 was provided to the U.S. student
to meet other educational expenses (e.g., books and supplies, living expenses). When calculating the
median loan debt for the report, this U.S. student would be considered to have $10,000 in loan debt.
For debt from institutional financing, the amount to be used in the calculation is the amount the U.S.
student has outstanding upon leaving the program.
4) Calculating Mean Loan Debt
The mean is the average value of a distribution of values. To calculate the mean loan debt for a
program, an institution would follow these steps.
Step 1: Determine the number of U.S. students who completed the Medical Program in the most
recently completed calendar year.
Step 2: Add the amount of each U.S. student’s Title IV debt, private education loan debt, and
institutional loan debt, including students with zero loan debts.
Step 3: Divide the total amount of each type of debt determined in Step 2 by the number of U.S.
students determined in Step 1.
The outcome from Step 3 is the mean loan debt.
An institution must include in its reporting its own calculation of median and mean debt - separately
showing Title IV debt and other educational debt as well as the combined debt.

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Enclosure C
Attachment A
To satisfy the annual consumer information reporting requirement, complete the following information
and submit to the Foreign Schools Participation Division by emailing it to [email protected] .

Foreign Graduate Medical School Consumer Information Reporting Form

Expiration Date: Under Review

OMB No.: 1845-0117

Institution name
OPEID
Name of medical program
Length of medical program
Most recently completed Calendar Year
Number of U.S. students completing medical program on-time in the most
recently completed calendar year
Number of U.S. students completing medical program in the most recently
completed calendar year
On-time completion rate for U.S. students completing medical program in
the most recently completed calendar year
Median Title IV loan debt incurred by U.S. students who completed the
medical program in the most recently completed calendar year
Median private education loan debt incurred by U.S. students who
completed the medical program in the most recently completed calendar
year
Median institutional education loan debt incurred by U.S. students who
completed the medical program in the most recently completed calendar
year
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Median combined educational loan debt incurred by U.S. students who
completed the medical program in the most recently completed calendar
year
Mean Title IV loan debt incurred by U.S. students who completed the
medical program in the most recently completed calendar year
Mean private education loan debt incurred by U.S. students who completed
the medical program in the most recently completed calendar year
Mean institutional education loan debt incurred by U.S. students who
completed the medical program in the most recently completed calendar
year
Mean combined educational loan debt incurred by U.S. students who
completed the medical program in the most recently completed calendar
year
Certification of Information Required on Institution’s Letterhead Stationery
You must also include a signed certification on your institution’s letterhead that includes the following
information on the data being provided. Please have the President/CEO/Chancellor or appropriate designee
review, sign, and date this document:
I hereby certify, to the best of my knowledge and belief that all the information provided on on-time
completion rates, and mean and median debt for U.S. students is true and correct. I understand that if my
institution provides false or misleading information, the U.S. Department of Education can take an
administrative action to end our participation in the U.S. student loan program.
Signature of President/CEO/Chancellor
_______________________________________________

Date: ______________

Printed Name: _______________________________________________
PRA Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such
collection displays a currently valid OMB control number. The valid OMB control number for this collection is 1845-0117. Public
reporting burden for this collection of information is estimated to average 16 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. The obligation to respond to this collection is required to obtain or retain a benefit, 34 CFR 668.14(b)(7).
If you have comments or concerns regarding the status of your individual submission of this form, please contact the Multi-Regional
and Foreign Schools Participation Division directly at 202-377-3168 or e-mail [email protected].

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