The Scandal of Foreign Medical Doctors in the U.S.

Worldview ◽  
1974 ◽  
Vol 17 (12) ◽  
pp. 41-44
Author(s):  
George A. Silver

Professional and lay articles now appearing on immigrant physicians in the U.S. leave the impression that this is a quite new problem. In fact the earliest doctors in America were foreign medical graduates (FMGs), and for a couple of hundred years after that they were the most sought after practitioners in the Colonies. American medical school graduates date only from the 1760's, and until the beginning of this century the native-trained products of proprietary medical schools were viewed with considerable distrust. Respectable doctors had at least some European training.

PEDIATRICS ◽  
1990 ◽  
Vol 85 (3) ◽  
pp. 364-365
Author(s):  
JAMES E. STRAIN

The results of the recent residency matching program revealed a decline in the number of US medical school graduates applying for positions in pediatric training programs. In 1987, 1366 graduating seniors, 10% of the graduating class, applied for 2009 PL 1 positions. In 1989, 1256, 9.3% of those graduating, applied for 2068 positions. Sixty-eight percent of PL 1 positions were filled by graduates of US medical schools in 1987, and an additional 14% (284) by foreign medical graduates.


PEDIATRICS ◽  
1973 ◽  
Vol 51 (4) ◽  
pp. 754-754
Author(s):  
Robert J. Haggerty

Dr. Haggerty replies as follows: Dr. Darby makes a very important point about the U.S. overdependence on foreign medical graduates that I neglected. I believe that we should continue to provide educational opportunities for such graduates but not be dependent upon them for our own population's needs. If my calculations that we have increased recruitment by at least 50% during the past five years are correct, an increase that is just now beginning to be seen in the cohort entering practice, the 20% of pediatricians who are graduates of foreign medical schools will be more than compensated for.


2019 ◽  
Vol 105 (4) ◽  
pp. 8-16 ◽  
Author(s):  
Christine D. Shiffer ◽  
John R. Boulet ◽  
Lisa L. Cover ◽  
William W. Pinsky

ABSTRACT Certification by the Educational Commission for Foreign Medical Graduates (ECFMG®) is required for international medical graduates (IMGs) to enter U.S. graduate medical education (GME). As a gatekeeper to the U.S. health care system, ECFMG has a duty to verify that these individuals have met minimum standards for undergraduate medical education. Historically, ECFMG has focused on evaluating individual graduates, not medical schools. However, in response to the rapid growth of medical schools around the world and increasing physician migration, ECFMG decided in 2010 to institute medical school accreditation as a future requirement for ECFMG certification. More specifically, beginning in 2023, individuals applying for ECFMG certification will be required to be a student or graduate of a medical school that is accredited by an agency recognized by the World Federation for Medical Education (WFME). By requiring accreditation by an agency that has met WFME's standards, ECFMG seeks to improve the quality, consistency and transparency of undergraduate medical education worldwide. The 2023 Medical School Accreditation Requirement is intended to stimulate global accreditation efforts, increase the information publicly available about medical schools, and provide greater assurance to medical students, regulatory authorities, and the public that these future physicians will be appropriately educated.


2021 ◽  
pp. 155982762110081
Author(s):  
Jennifer L. Trilk ◽  
Shannon Worthman ◽  
Paulina Shetty ◽  
Karen R. Studer ◽  
April Wilson ◽  
...  

Lifestyle medicine (LM) is an emerging specialty that is gaining momentum and support from around the world. The American Medical Association passed a resolution to support incorporating LM curricula in medical schools in 2017. Since then, the American College of Lifestyle Medicine Undergraduate Medical Education Task Force has created a framework for incorporating LM into medical school curricula. This article provides competencies for medical school LM curriculum implementation and illustrates how they relate to the Association of American Medical College’s Core Entrustable Professional Activities and the LM Certification Competencies from the American Board of Lifestyle Medicine. Finally, standards are presented for how medical schools may receive certification for integrating LM into their curriculum and how medical students can work toward becoming board certified in LM through an educational pathway.


2015 ◽  
Vol 7 (4) ◽  
pp. 595-602 ◽  
Author(s):  
James S. Yeh ◽  
Kirsten E. Austad ◽  
Jessica M. Franklin ◽  
Susan Chimonas ◽  
Eric G. Campbell ◽  
...  

ABSTRACT Background Medical students attending schools with policies limiting industry/student interactions report fewer relationships with pharmaceutical representatives. Objective To investigate whether associations between students' medical school policies and their more limited industry interaction behaviors persist into residency. Methods We randomly sampled 1800 third-year residents who graduated from 120 allopathic US-based medical schools, using the American Medical Association Physician Masterfile. We surveyed them in 2011 to determine self-reported behavior and preferences for brand-name prescriptions, and we calculated the strength of their medical schools' industry interaction policies using the 2008 American Medical Student Association and Institute on Medicine as a Profession databases. We used logistic regression to estimate the association between strength of school policies and residents' behaviors with adjustments for class size, postresidency career plan, and concern about medical school debt. Results We achieved a 44% survey response rate (n = 739). Residents who graduated from schools with restrictive policies were no more or less likely to accept industry gifts or industry-sponsored meals, speak with marketing representative about drug products, attend industry-sponsored lectures, or prefer brand-name medications than residents who graduated from schools with less restrictive policies. Residents who correctly answered evidence-based prescription questions were about 30% less likely to have attended industry-sponsored lectures (OR = 0.72, 95% CI 0.56–0.98). Conclusions Any effect that medical school industry interaction policies had on insulating students from pharmaceutical marketing did not persist in the behavior of residents in our sample. This suggests that residency training environments are important in influencing behavior.


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