Physician Shortages and Our Increasing Dependence on the International Medical Graduate: Is There a Mutually Beneficial Solution?

Journal of Surgical Education

Volumn 66, Issue 1, 2009, Pages 51-57

  Terhune, Kyla P ^a   Abumrad, Naji N ^a  

^a VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

System Based Practice

Indexed keywords

ARTICLE; FOREIGN WORKER; HEALTH CARE AVAILABILITY; HEALTH CARE DELIVERY; HEALTH CARE MANPOWER; HEALTH CARE NEED; HEALTH CARE PERSONNEL MANAGEMENT; HEALTH CARE QUALITY; HEALTH ECONOMICS; MEDICAL EDUCATION; PHYSICIAN; PRIORITY JOURNAL; RESIDENCY EDUCATION;

FOREIGN MEDICAL GRADUATES; GENERAL SURGERY; HUMANS; PHYSICIANS; UNITED STATES;

EID: 59649108850     PISSN: 19317204     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jsurg.2008.05.005     Document Type: Article

References (37)

1. Projected Population of the United States, by Age and Sex: 2000 to 2050. http://www.census.gov/ipc/www/usinterimproj/natprojtab02a.pdf Accessed December 31, 2007
2. National Ambulatory Medical Care Survey: 2004 Summary. Advance Data from Vital and Health Statistics. No. 374 (2006). http://www.cdc.gov/nchs/data/ad/ad374.pdf Accessed December 31, 2007
3. Etzioni D.A., Liu J.H., Maggard M.A., and Ko C.Y. The aging population and its impact on the surgery workforce. Ann Surg 238 (2003) 170-177
4. Cooper R.A., Getzen T.E., and Laud P. Economic expansion is a major determinant of physician supply and utilization. Health Serv Res 38 (2003) 675
5. World Health Statistics 2007. http://www.who.int/whosis/whostat2007.pdf Accessed April 21, 2008
6. CIA: The 2008 World Factbook, Appendix B. http://www.cia.gov/library/publications/the-world-factbook/appendix/appendix-b.html Accessed March 17, 2008
7. 2007 State Physician Workforce Data Book (AMA). http://www.aamc.org/workforce/statedatabookjan2008.pdf Accessed April 21, 2008
8. Flexner A. Medical Education in the United States and Canada (The Flexner Report) (1910), Carnegie Foundation for the Advancement of Teaching, New York
9. Russell T.R. The surgical workforce: averting a patient access crisis. Surg Clin N Am 87 (2007) 797-809
10. Health Professions Educational Assistance Act of 1963, Pub. L. No. 88-128, 77 Stat. 164.
11. GMENAC. Geographic Distribution Technical Panel, 3. DHHS Publication No. HRA-81-651 (1981), United States Government Printing Office, Washington, DC
12. United States Code, Chapter 42, Section 1395ww(h)(4)(F).
13. Results and Data for 2007 Main Residency Match, National Resident Matching Program. http://www.nrmp.org/data/index.html Accessed April 21, 2008
14. Everett C.B., Helmer S.D., Osland J.S., and Smith R.S. General surgery resident attrition and the 80-hour workweek. Am J Surg 194 (2007) 751-756
15. Morris J.B., Leibrandt T.J., and Rhodes R.S. Voluntary changes in surgery career paths: a survey of the program directors in surgery. J Am Coll Surg 196 (2003) 611-616
16. Breslin T.M., Mahvi D.M., Vanness D.J., and Mullahy J. Surgical work output: is there room for increase?. An analysis of surgical work effort from 1999 to 2003. J Surg Res 146 (2008) 90-95
17. Powell A.C., McAneny D., and Hirsch E.F. Trends in general surgery workforce data. Am J Surg 188 (2004) 1-8
18. Abt Associates. Reexamination of the adequacy of physician supply made in 1980 by the Graduate Medical Education National Advisory Committee for Selected Specialties: Final Report (HRSA 240-89-0041) (1991), National Technical Information Service, United States Department of Commerce, Springfield, Va
19. Blumenthal D. New steam from an old cauldron-the physician-supply debate. N Engl J Med 350 (2004) 1780-1787
20. Russell T.R. ACS Letter to COGME on Workforce Study, April 30, 2004. http://www.facs.org/ahp/views/gme3.html#1 Accessed April 21, 2008
21. rd Report to Congress and the Health and Human Services Secretary (1992), Health and Resources and Services Administration, Rockville, Md
22. Council on Graduate Medical Education. Physician Workforce Policy Guidelines for the U.S. for 2000-2020 (2005), U.S. Department of Health and Human Services, Rockville, Md
23. U.S. Medical School Applicants, 1996-2006. http://www.aamc.org/newsroom/pressrel/2006/apps_entrants2006.pdf Accessed March 17, 2008
24. Matriculants to U.S. Medical Schools by State of Legal Residence, 1996-2007. http://www.aamc.org/data/facts/2007/2007slrmat2.htm Accessed March 17, 2008
25. Debas H.T., Bass B.L., Brennan M.F., et al. American Surgical Association Blue Ribbon Committee report on surgical education: 2004. Ann Surg 241 (2005) 1-8
26. Cooper R.A. Health care workforce for the twenty-first century: the impact of nonphysician clinicians. Annu Rev Med 52 (2001) 51-61
27. Cooper R.A. New directions for nurse practitioners and physician assistants in the era of physician shortages. Acad Med 82 (2007) 827-828
28. AAMC Statement on the Physician Workforce. http://www.aamc.org/workforce/workforceposition.pdf Accessed on March 17, 2008
29. Report of a Meeting of the Surgical Council on Resident Education, Philadelphia, PA, November 2006. J Am Coll Surg 204 (2007) 341-346
30. Incorvaia A.N., Ringley C.D., and Boysen D.A. Factors influencing surgical career decisions. Curr Surg 62 (2005) 429-425
31. Shively E.H., and Shively S.A. Threats to rural surgery. Am J Surg 190 (2005) 200-205
32. International Medical Graduates in the Workforce: A Discussion Paper. AMA-IMG Governing Council. http://www.ama-assn.org/ama1/pub/upload/mm/18/img-workforce-paper.pdf Accessed April 4, 2008
33. ECFMG Certification Fact Sheet. http://www.ecfmg.org/cert/certfact.html Accessed February 2, 2008
34. Boulet J.R., Swanson D.B., Cooper R.A., Norcini J.J., and McKinley D.W. A comparison of the characteristics and examination performances of U.S. and Non-E.S. Citizen International Medical Graduates who sought Educational Commission for Foreign Medical Graduates Certification: 1995-2004. Acad Med 81 suppl 10 (2006) S116-S119
35. Romania: Law to Slow Exodus of Doctors. New York Times (2007) October 9
36. Akl E.A., Maroun N., Major S., Chahoud B., and Schünemann H.J. Graduates of Lebanese medical schools in the United States: an observational study of international migration of physicians. BMC Health Serv Res 7 (2007) 49
37. Whelan G.P., Gary N.E., Kostis J., Boulet J.R., and Hallock J.A. The changing pool of international medical graduates seeking certification training in US graduate medical education programs. JAMA 288 (2002) 1079-1084