Evaluating The Quality Of Care Provided By Graduates Of International Medical Schools

One-quarter of practicing physicians in the United States are graduates of international medical schools. The quality of care provided by doctors educated abroad has been the subject of ongoing concern. Our analysis of 244,153 hospitalizations in Pennsylvania found that patients of doctors who gradu...

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Bibliographic Details
Published in:Health Affairs 2010-08, Vol.29 (8), p.1461-1468
Main Authors: Norcini, John J., Boulet, John R., Dauphinee, W. Dale, Opalek, Amy, Krantz, Ian D., Anderson, Suzanne T.
Format: Article
Language:English
Subjects:
Cardiology
Certification
Citizens
Citizenship
Comparative analysis
Councils
Heart attacks
Heart failure
Hospitalization
Internal medicine
Licensing examinations
Medical education
Medical personnel
Medical schools
Medicine
Mortality
Myocardial infarction
Patients
Performance evaluation
Physicians
Quality of care
Schools
Studies
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Summary:One-quarter of practicing physicians in the United States are graduates of international medical schools. The quality of care provided by doctors educated abroad has been the subject of ongoing concern. Our analysis of 244,153 hospitalizations in Pennsylvania found that patients of doctors who graduated from international medical schools and were not U.S. citizens at the time they entered medical school had significantly lower mortality rates than patients cared for by doctors who graduated from U.S. medical schools or who were U.S. citizens and received their degrees abroad. The patient population consisted of those with congestive heart failure or acute myocardial infarction. We found no significant mortality difference when comparing all international medical graduates with all U.S. medical school graduates. [PUBLICATION ABSTRACT]
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.2009.0222