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  1. Participation of international medical graduates in graduate medical education and hospital care for the poor.

    Article - En anglais

    Objective

    - To determine the impact of limiting international medical graduate (IMG) participation in US graduate medical education (GME) on the delivery of hospital care to the poor.

    Methods

    - To ascertain the pattern of IMG participation in GME and the degree to which the principal teaching hospitals with programs with large IMG enrollments provide care to the poor, we used data from the American Medical Association 1993 Annual Survey of Graduate Medical Education Programs and Teaching Institutions to analyze the pattern of IMG participation in GME in the six core specialties of internal medicine, family practice, obstetrics and gynecology, surgery, pediatrics, and psychiatry.

    Main Outcome Measures

    - Programs were identified as IMG dependent if at least 50% of the resident physicians enrolled in the first year of the program were IMGs.

    Results

    - Of the 20 170 first-year resident physicians in the six core specialties, 31.8% were IMGs.

    The proportion of programs dependent on IMG enrollment was 27.7%, ranging from 5.2% in obstetrics and gynecology programs to 49.5% in psychiatry programs.

    Of the 688 hospitals serving as principal teaching sites for programs in at least one of the six core specialties, 106 were categorized as dependent on IMG programs, but only 77 of those provided a disproportionate amount of care to the poor.

    Conclusions

    - Based on this analysis, 77 hospitals can arguably be considered dep.

    Mots-clés Pascal : Système santé, Résident, Médecin, Rôle professionnel, Soin, Population, Pauvreté, Homme

    Mots-clés Pascal anglais : Health system, Resident, Physician, Occupational role, Care, Population, Poverty, Human

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

    Cote : 95-0528377

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