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March 2, 1979, Vol 241, No. 9 >
ARTICLE | March 2, 1979

The Foreign Medical Graduate Issue and US Hospitals: Title and subTitle BreakIn Regard to Public Law 94-484 FREE

Bernard M. Weinstein, MPH
[+] Author Affiliations

Read before the 74th Congress on Medical Education, Chicago, Feb 5, 1978.

Reprint requests to Westchester County Medical Center, Valhalla, NY 10595 (Mr Weinstein).


JAMA. 1979;241(9):917-919. doi:10.1001/jama.1979.03290350037019
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References

THE HEALTH Professions Educational Assistance Act of 1976 (Public Law 94-484) was intended to decrease the role of the foreign medical graduate (FMG) in American medicine and to increase the production and availability of American physicians. However, certain hospitals and the communities they serve have developed a dependence on FMGs. That US medical graduates, group practitioners, or middle-level health professionals can replace these FMGs does not appear real, at least in the near future.

To avoid any substantial disruption of health services during the transition period, Congress included a waiver for those purposes in Public Law 94-484. This was originally administered as a blanket waiver and now apparently will be extended on a case-by-case basis until 1980 in accordance with Public Law 95-83. Plans beyond 1980 are unclear.

According to a recent study by the American Medical Association, 23% of house staff positions surveyed were filled, as of July 1977,

REFERENCES

1 +
The Role of the Foreign Medical Graduates in Graduate Medical Education Programs in the United States: Statistical Summary . Chicago, Center for Health Services Research and Development, American Medical Association, 1977;.
2 +
Williams KN, Lockett BA:  Migration of foreign physicians to the United States: The perspective of health manpower planning . Int J Health Serv 4:213-243, 1974;.
3 +
Murray RH:  Little evidence to suggest end to physician shortage . Hospitals 50:58-60, 1976;.
4 +
Medicare-Medicaid Reimbursement Policies: Foreign Medical Graduates in Graduate Medical Education . Institute of Medicine, National Academy of Sciences, 1976;, pp 361-389.
5 +
Physician Manpower and Distribution: The Role of the Foreign Medical Graduate . Chicago, Coordinating Council on Medical Education, 1976;, pp 1-22.
6 +
Dublin TD:  Foreign physicians: Their impact on U.S. health care . Science 185:407-414, 1974;.
7 +
 Graduates of foreign medical schools in the United States: A challenge to medical education, Task Force on Foreign Medical Graduates, Association of American Medical Colleges . J Med Educ 49:811-822, 1974;.
8 +
Williams KN, Brook RH:  Foreign medical graduates and their impact on the quality of medical care in the United States . Milbank Mem Fund Q 53:549-575, 1975;.
9 +
Meskouskas JA, Benson JA, Hopkins E:  Performance of graduates of foreign medical schools on the examinations of the American Board of Internal Medicine . N Engl J Med 297:808-810, 1977;.
10 +
Dasco MM, Antler L, Rusk HA:  The foreign medical resident training in the United States . Ann Intern Med 68:1105-1113, 1968;.
11 +
Shires GT:  The foreign graduate as a surgical resident . Surgery 70:549-550, 1971;.
12 +
Saywell RM, Studnicki J: The USMG-FMG Quality of Care Study , HRA 106-74-164, Baltimore, The Johns Hopkins University, 1976;.
13 +
Margulies H, Block LS, Chalka FK:  Random survey of U.S. hospitals with approved internships and residencies: A study of the professional qualities of foreign medical graduates . J Med Educ 43:706-716, 1968;.
14 +
Weiss RJ, Kleinman JC, Brandt UC, et al:  Foreign medical graduates and the medical underground . N Engl J Med 290:1408-1413, 1974;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
The Role of the Foreign Medical Graduates in Graduate Medical Education Programs in the United States: Statistical Summary . Chicago, Center for Health Services Research and Development, American Medical Association, 1977;.
2 +
Williams KN, Lockett BA:  Migration of foreign physicians to the United States: The perspective of health manpower planning . Int J Health Serv 4:213-243, 1974;.
3 +
Murray RH:  Little evidence to suggest end to physician shortage . Hospitals 50:58-60, 1976;.
4 +
Medicare-Medicaid Reimbursement Policies: Foreign Medical Graduates in Graduate Medical Education . Institute of Medicine, National Academy of Sciences, 1976;, pp 361-389.
5 +
Physician Manpower and Distribution: The Role of the Foreign Medical Graduate . Chicago, Coordinating Council on Medical Education, 1976;, pp 1-22.
6 +
Dublin TD:  Foreign physicians: Their impact on U.S. health care . Science 185:407-414, 1974;.
7 +
 Graduates of foreign medical schools in the United States: A challenge to medical education, Task Force on Foreign Medical Graduates, Association of American Medical Colleges . J Med Educ 49:811-822, 1974;.
8 +
Williams KN, Brook RH:  Foreign medical graduates and their impact on the quality of medical care in the United States . Milbank Mem Fund Q 53:549-575, 1975;.
9 +
Meskouskas JA, Benson JA, Hopkins E:  Performance of graduates of foreign medical schools on the examinations of the American Board of Internal Medicine . N Engl J Med 297:808-810, 1977;.
10 +
Dasco MM, Antler L, Rusk HA:  The foreign medical resident training in the United States . Ann Intern Med 68:1105-1113, 1968;.
11 +
Shires GT:  The foreign graduate as a surgical resident . Surgery 70:549-550, 1971;.
12 +
Saywell RM, Studnicki J: The USMG-FMG Quality of Care Study , HRA 106-74-164, Baltimore, The Johns Hopkins University, 1976;.
13 +
Margulies H, Block LS, Chalka FK:  Random survey of U.S. hospitals with approved internships and residencies: A study of the professional qualities of foreign medical graduates . J Med Educ 43:706-716, 1968;.
14 +
Weiss RJ, Kleinman JC, Brandt UC, et al:  Foreign medical graduates and the medical underground . N Engl J Med 290:1408-1413, 1974;.

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