Do International Medical Graduates Reduce Rural Physician Shortages?

Medical Care

Volumn 36, Issue 11, 1998, Pages 1534-1544

  Baer, Leonard D ^a,b   Ricketts, Thomas C ^a   Konrad, Thomas R ^a,c   Mick, Stephen S ^d  

^a UNIVERSITY OF NORTH CAROLINA   (United States)

^b University of North Carolina at Chapel Hill   (United States)

^c UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

^d UNIVERSITY OF MICHIGAN   (United States)

Author keywords

International medical graduates; Rural; Underservice

Indexed keywords

ARTICLE; FOREIGN WORKER; GENERAL PRACTITIONER; HEALTH CARE MANPOWER; HEALTH CARE PLANNING; HUMAN; MANPOWER; PRIMARY HEALTH CARE; PROFESSIONAL PRACTICE; RURAL HEALTH CARE; STATISTICS; UNITED STATES;

FOREIGN MEDICAL GRADUATES; HEALTH MANPOWER; HUMANS; MEDICALLY UNDERSERVED AREA; PHYSICIANS, FAMILY; PRIMARY HEALTH CARE; PROFESSIONAL PRACTICE LOCATION; RURAL HEALTH SERVICES; UNITED STATES;

EID: 0032214157     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005650-199811000-00003     Document Type: Article

References (25)

1. American Medical Association. AMA Physician Masterfile. Chicago, IL: AMA, 1996.
2. Mullan F. National Health Service Corps and inner-city hospitals. N Engl J Med 1997;336:1601.
3. Iglehart JK. The quandary over graduates of foreign medical schools in the United States. N Engl J Med 1996;334:1679.
4. Mullan, F. Graduate medical education and water in the soup. N Engl J Med 1996;334:916.
5. Mullan F, Rivo ML, Politzer RM. Doctors, dollars, and determination: Making physician work-force policy. Health Affairs 1993;12(Suppl):138.
6. Council on Graduate Medical Education. Third report: Improving access to health care through physician workforce reform: Directions for the 21st Century. Washington, DC: US Department of Health and Human Services, 1992.
7. Council on Graduate Medical Education. Tenth report: Physician distribution and health care challenges in rural and inner-city areas. Washington, DC: US Department of Health and Human Services, 1998.
8. Mick SS, Pfahler MN. Review and synthesis of the literature on foreign medical graduates/international medical graduates, 1980-1994. Washington, DC: US Department of Health and Human Services, 1995.
9. Mick SS, Comfort ME. The quality of care of international medical graduates: How does it compare to that of US medical graduates? Med Care Res Rev 1997;54:379.
10. US General Accounting Office. Foreign physicians: Exchange visitor program becoming major route to practicing in US underserved areas. GAO/HEHS-97-26. Washington, DC: US General Accounting Office, 1996.
11. Mullan F, Politzer RM, Davis CH. Medical migration and the physician workforce. JAMA 1995:273;1521.
12. Mick SS, Lee SD. Addendum 2 to final report: Nonmetropolitan and metropolitan location of IMGs and USMGs in US states' counties characterized by measures of potential need or under service. A report to the Council on Graduate Medical Education and the Bureau of Health Professions, Health Resources and Services Administration, DHHS. Ann Arbor, MI: Department of Health Services Management and Policy, School of Public Health, University of Michigan, 1997.
13. Mick SS, Sutnick AI. International medical graduates in rural America: The 1987 distribution of physicians who entered the US medical system between 1969 and 1982. J Rural Health 1996:12;423.
14. Area Resource File (ARF). Office of Research and Planning. Rockville, MD:Bureau of Health Professions, US Department of Health and Human Services, 1997.
15. Taylor DH, Ricketts TC, Kolimaga JT. Defining underservice and physician shortage areas in historical and future contexts. Chapel Hill, NC: Cecil G. Sheps Center for Health Services Research, North Carolina Rural Health Research Program, Working Paper No. 30, 1994.
16. Kohrs FP, Mainous AG. The relationship of Health Professional Shortage Areas to health status. Arch Fam Med 1995;4:681.
17. Rosenblatt RA, Whitcomb ME, Cullen TJ, Lishner DM, Hart LG. The effect of federal grants on medical schools' production of primary care physicians. Am J Public Health 1993;83:322.
18. Grumbach K, Becker SH, Osborn EHS, Bindman AB. The challenge of defining and counting generalist physicians'. An analysis of Physician Masterfile data. Am J Public Health 1995;85:1402.
19. IMG Caucus of the American Medical Association. Retrieved from Internet, http://www.ama-assn.org/mem-data/special/img/imgmain.htm, 1997.
20. Dorner FH, Burr RM, Tucker SL. The geographic relationships between physicians'residency sites and the locations of their first practices. Acad Med 1991;66:540.
21. Stefanu C, Pate ML, Chapman JS. Hospitals and medical schools as factors in the selection of location of practice. J Med Educ 1979;54,379.
22. Verghese A. The cowpath to America. New Yorker 1997;73:70.
23. Xu G, Veloski J, Hojat M, Politzer RM, Rabinowitz HK, Rattner SL. Factors influencing primary care physicians' choice to practice in medically underserved areas. Acad Med 1997;72(Suppl 1):S109.
24. Council on Graduate Medical Education. 1997 recommendations to the Congress and the Secretary of Health and Human Services on graduate medical education payment reform. Washington, DC: Health Resources and Services Administration, US Department of Health and Human Services, 1997.
25. Whitcomb ME, Miller RS. Participation of international medical graduates in graduate medical education and hospital care for the poor. JAMA 1995:274;696.