Quality of care delivered by general internists in US hospitals who graduated from foreign versus US medical schools: Observational study

BMJ (Online)

Volumn 356, Issue , 2017, Pages

  Tsugawa, Yusuke ^a,b,c   Jena, Anupam B ^d,e,f   Orav, E John ^a,b   Jha, Ashish K ^a,b,c,g  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b BRIGHAM AND WOMEN S HOSPITAL   (United States)

^c HARVARD UNIVERSITY   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

^e MASSACHUSETTS GENERAL HOSPITAL   (United States)

^f NATIONAL BUREAU OF ECONOMIC RESEARCH   (United States)

^g VA BOSTON HEALTHCARE SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; FEMALE; HEALTH CARE COST; HEALTH CARE QUALITY; HOSPITAL ADMISSION; HOSPITAL READMISSION; HUMAN; INTERNIST; LENGTH OF STAY; MALE; MEDICAL EDUCATION; MEDICAL SCHOOL; MEDICARE; MORTALITY; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; SENSITIVITY ANALYSIS; UNITED STATES; AGED; COMPARATIVE STUDY; ECONOMICS; FOREIGN MEDICAL GRADUATE; HOSPITAL; HOSPITAL MORTALITY; HOSPITAL PATIENT; INTERNATIONAL COOPERATION; MEDICAL FEE; MEDICAL STAFF; MIDDLE AGED; STATISTICS AND NUMERICAL DATA; VERY ELDERLY;

AGED; AGED, 80 AND OVER; FEE-FOR-SERVICE PLANS; FEMALE; FOREIGN MEDICAL GRADUATES; HEALTH CARE COSTS; HOSPITAL MORTALITY; HOSPITALISTS; HOSPITALS; HUMANS; INPATIENTS; INTERNATIONALITY; MALE; MEDICARE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT READMISSION; QUALITY OF HEALTH CARE; SCHOOLS, MEDICAL; UNITED STATES;

EID: 85011715837     PISSN: 09598146     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.j273     Document Type: Article

References (42)

1. Brotherton SE, Etzel SI. Graduate Medical Education, 2014-2015. JAMA 2015;314:2436-54. doi:10.1001/jama.2015.10473.
2. General Medical Council. The state of medical education and practice in the UK. 2015.
3. Mullan F. The metrics of the physician brain drain. N Engl J Med 2005;353:1810-8. doi:10.1056/NEJMsa050004.
4. Thompson MJ, Hagopian A, Fordyce M, Hart LG. Do international medical graduates (IMGs) "fll the gap" in rural primary care in the United States? A national study. J Rural Health 2009;25:124-34. doi:10.1111/j.1748-0361.2009.00208.x.
5. Whelan G P, Gary NE, Kostis J, Boulet JR, Hallock JA. The changing pool of international medical graduates seeking certifcation training in US graduate medical education programs. JAMA 2002;288:1079-84. doi:10.1001/jama.288.9.1079.
6. General Medical Council. Applying for registration as an international medical graduate. www.gmc-uk.org/doctors/before-you-apply/imgs. asp.
7. American Medical Association. International medical graduates. Chicago, IL. www.ama-assn.org/life-career/ international-medical-graduate.
8. Delamothe T. The plight of the international medical graduate. BMJ 2014;348:g2894doi:10.1136/bmj.g2894.
9. Path to United States Practice Is Long Slog to Foreign Doctors. New York Times Aug 11 2013.
10. Doctors With Borders: How the U.S. Shuts Out Foreign Physicians. Atlantic 18 Nov 2014.
11. Eckhert NL, van Zanten M. U.S.-citizen international medical graduates-a boon for the workforce?N Engl J Med 2015;372:1686-7. doi:10.1056/NEJMp1415239.
12. Desbiens NA, Vidaillet HJ Jr. Discrimination against international medical graduates in the United States residency program selection process. BMC Med Educ 2010;10:5. doi:10.1186/1472-6920-10-5.
13. Esmail A, Roberts C. Academic performance of ethnic minority candidates and discrimination in the MRCGP examinations between 2010 and 2012: analysis of data. BMJ 2013;347:f5662. doi:10.1136/ bmj.f5662.
14. Baldwin DC Jr, , Daugherty SR, Rowley BD. Racial and ethnic discrimination during residency: results of a national survey. Acad Med 1994;69(Suppl):S19-21. doi:10.1097/00001888-199410000-00029.
15. ECFMG. Medical School Accreditation Requirement for ECFMG Certifcation Philadelphia, PA: ECFMG; 2010. www.ecfmg.org/about/ initiatives-accreditation-requirement.html.
16. Garibaldi RA, Subhiyah R, Moore ME, Waxman H. The In-Training Examination in Internal Medicine: an analysis of resident performance over time. Ann Intern Med 2002;137:505-10. doi:10.7326/0003-4819-137-6-200209170-00011.
17. McManus IC, Wakeford R. PLAB and UK graduates' performance on MRCP(UK) and MRCGP examinations: data linkage study. BMJ 2014;348:g2621. doi:10.1136/bmj.g2621.
18. Tifn PA, Illing J, Kasim AS, McLachlan JC. Annual Review of Competence Progression (ARCP) performance of doctors who passed Professional and Linguistic Assessments Board (PLAB) tests compared with UK medical graduates: national data linkage study. BMJ 2014;348:g2622. doi:10.1136/bmj.g2622.
19. Reid RO, Friedberg MW, Adams JL, McGlynn EA, Mehrotra A. Associations between physician characteristics and quality of care. Arch Intern Med 2010;170:1442-9. doi:10.1001/archinternmed.2010.307.
20. Norcini JJ, Boulet JR, Dauphinee WD, Opalek A, Krantz ID, Anderson ST. Evaluating the quality of care provided by graduates of international medical schools. Health Af (Millwood) 2010;29:1461-8. doi:10.1377/ hlthaf.2009.0222.
21. Norcini JJ, Boulet JR, Opalek A, Dauphinee WD. Outcomes of cardiac surgery: associations with physician characteristics, institutional characteristics, and transfers of care. Med Care 2013;51:1034-9. doi:10.1097/MLR.0b013e3182a048af.
22. Ko DT, Austin PC, Chan BT, Tu JV. Quality of care of international and Canadian medical graduates in acute myocardial infarction. Arch Intern Med 2005;165:458-63. doi:10.1001/archinte.165.4.458.
23. Zaheer S, Pimentel SD, Simmons KD, et al. Comparing International and United States Undergraduate Medical Education and Surgical Outcomes Using a Refned Balance Matching Methodology. Ann Surg 2016; Epub ahead of print. doi:10.1097/SLA.0000000000001878.
24. Jena AB, Khullar D, Ho O, Olenski AR, Blumenthal DM. Sex Diferences in Academic Rank in US Medical Schools in 2014. JAMA 2015;314:1149-58. doi:10.1001/jama.2015.10680.
25. Jena AB, Olenski AR, Blumenthal DM. Sex Diferences in Physician Salary in US Public Medical Schools. JAMA Intern Med 2016;176:1294-304. doi:10.1001/jamainternmed.2016.3284.
26. Tsugawa Y, Jena AB, Figueroa JF, Orav EJ, Blumenthal DM, Jha AK. Comparison of Hospital Mortality and Readmission Rates for Medicare Patients Treated by Male vs Female Physicians. JAMA Intern Med 2016; published online 19 Dec. doi:10.1001/ jamainternmed.2016.7875.
27. McWilliams JM, Hatfeld LA, Chernew ME, Landon BE, Schwartz AL. Early Performance of Accountable Care Organizations in Medicare. N Engl J Med 2016;374:2357-66. doi:10.1056/NEJMsa1600142.
28. McWilliams JM, Landon BE, Chernew ME, Zaslavsky AM. Changes in patients' experiences in Medicare Accountable Care Organizations. N Engl J Med 2014;371:1715-24. doi:10.1056/NEJMsa1406552.
29. FAIMER (Foundation for Advancement of International Medical Education and Research). International Medical Education Directory (IMED) Philadelphia, PA: Foundation for Advancement of International Medical Education and Research (FAIMER); www.faimer.org/resources/ imed.html.
30. Association of American Medical Colleges. Association of American Medical Colleges. www.aamc.org.
31. Elixhauser A, Steiner C, Harris DR, Cofey RM. Comorbidity measures for use with administrative data. Med Care 1998;36:8-27. doi:10.1097/00005650-199801000-00004.
32. Gunasekara FI, Richardson K, Carter K, Blakely T. Fixed efects analysis of repeated measures data. Int J Epidemiol 2014;43:264-9. doi:10.1093/ije/dyt221.
33. Allison PD. Fixed efects regression methods for longitudinal data using SAS.Sas Institute, 2005.
34. Kaufman JS. Commentary: Why are we biased against bias?Int J Epidemiol 2008;37:624-6. doi:10.1093/ije/dyn035.
35. Arellano M. PRACTITIONERS'CORNER: Computing Robust Standard Errors for Within-groups Estimators. Oxf Bull Econ Stat 1987;49:431-4doi:10.1111/j.1468-0084.1987.mp49004006.x.
36. Hinami K, Whelan CT, Miller JA, Wolosin RJ, Wetterneck TB. Society of Hospital Medicine Career Satisfaction Task Force. Job characteristics, satisfaction, and burnout across hospitalist practice models. J Hosp Med 2012;7:402-10. doi:10.1002/jhm.1907.
37. Mehrotra A, Adams JL, Thomas JW, McGlynn EA. The efect of diferent attribution rules on individual physician cost profles. Ann Intern Med 2010;152:649-54.
38. McAvinue MB, Boulet JR, Kelly WC, Seeling SS, Opalek A. U.S. citizens who graduated from medical schools outside the United States and Canada and received certifcation from the Educational Commission for Foreign Medical Graduates, 1983-2002. Acad Med 2005;80:473-8. doi:10.1097/00001888-200505000-00015.
39. Norcini J, Anderson MB, McKinley DW. The medical education of United States citizens who train abroad. Surgery 2006;140:338-46. doi:10.1016/j.surg.2006.06.001.
40. Covinsky KE, Fuller JD, Yafe K, et al. The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. Communication and decision-making in seriously ill patients: fndings of the SUPPORT project. J Am Geriatr Soc 2000;48(Suppl):S187-93. doi:10.1111/j.1532-5415.2000.tb03131.x.
41. National Resident Matching Program. Results and Data: 2015 Main Residency Match®. Washington, DC; 2015.
42. Hall MJ, Levant S, DeFrances CJ. Trends in Inpatient Hospital Deaths: National Hospital Discharge Survey, 2000-2010.National Center for Health Statistics, 2013.