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  1. Medical migration and the physician workforce : international medical graduates and American medicine.

    Article - En anglais

    Objective

    - Because of the size and growth of the international medical graduate (IMG) contribution to graduate medical education (GME) in the United States, and subsequently to the US physician workforce, it is essential to understand the demographics and patterns of IMG training and practice as well as the routes of entry into the United States.

    Data Sources

    - Published data from the American Medical Association, the American Osteopathic Association, and the Association of American Medical Colleges ; tabular runs of county-level data contained on the Bureau of Health Professions'Area Resource File.

    Results

    - The majority of IMGs who participate in GME in the United States ultimately enter US practices.

    A significant proportion of exchange visitors eventually enter into permanent practice in the United States, contrary to the intent of the J-1 visa-based GME training as an international educational exchange program.

    International medical graduates gravitate toward initial residency programs in internal medicine and pediatrics, many of which have unfilled positions ; however, IMGs subspecialize at a disproportionately high rate, reducing their net contribution to the generalist pool.

    Patterns of ultimate practice location of IMGs parallel the patterns of US medical graduates (USMGs).

    Conclusions

    - In recent years, participation of IMGs in GME and practice has increased significantly.

    Mots-clés Pascal : Evaluation, Population, Médecin, Origine, International, Participation, Système santé, Etats Unis, Résultat, Homme, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Evaluation, Population, Physician, Origin, International, Participation, Health system, United States, Result, Human, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0339414

    Code Inist : 002B30A05. Création : 01/03/1996.