The aim of this paper is to investigate from a discourse analytic perspective task authenticity in the speaking component of the Occupational English Test (OET), an English language screening test for clinicians designed to reflect the language demands of health professional-patient communication. The study compares the OET speaking sub-test…

Objective: International medical graduates (IMGs) make up a substantial proportion of the United States physician workforce, including psychiatrists in practice. The purpose of this study was to describe, based on current data, the characteristics and qualities of IMG psychiatrists who provide patient care in the US. Method: Physician data from…

Improving content and consistency on developmental disabilities in undergraduate medical curricula has been recommended as a means of improving health outcomes for people with developmental disabilities. Although often the subject of studies in Western countries, little is known about content on developmental disabilities in undergraduate…

Congressional hearings on H.R. 7118, a bill to amend the Immigration and Nationality Act with respect to the admission of foreign medical graduates for graduate medical education, are presented. The bill would allow an extension of the time by which hospitals are required to reduce their reliance on foreign medical graduates. In particular the…

This report, based on information gained from multiple surveys of physicians conducted since 1980, addresses a number of basic public policy questions regarding physician manpower supply and distribution in the state of New York. The report's primary focus is longitudinal, attempting to identify patterns and trends among New York State's…

A study to determine the frequency and correlates of cheating among medical students found that cheating is extremely frequent (87.6 percent) among premedical students and less frequent (58.2 percent) but still significant among medical students. The most disturbing finding was the positive correlation between cheating in school and cheating in…

Over a 4-year period moral reasoning and performance data were studied on 350 resident pediatricians, internists, and practitioners of family medicine from seven different institutions. Clinical performance was measured by faculty ratings, and integrity (moral reasoning) was measured by Kohlberg's Standard of Moral Judgement Interview and Rest's…

The purpose of the study was to examine existing information on the level of quality of medical care delivered by foreign medical graduates (FMGs), as part of a broader consideration of policies relating to FMGs and health care delivery in the United States. Quality of care is considered to comprise both technical care and the "art of…

The effects of Title VI provisions of the Health Professions Educational Assistance Act of 1976 on patient care services in hospitals were investigated. The law restricts the supply of foreign medical grduates in the United States. Interviews were conducted with representatives of the administrative, medical, and teaching staffs of 24 hospitals to…

A graduate level course offered to foreign medical graduates (FMGs) at Wayne State University in Michigan was developed after a needs assessment indicated the desirability of improving the speaking fluency, pronunciation, and cultural understanding of FMGs. It was found that weaknesses in those areas, which are not assessed in the Test of English…

The purchase of fraudulent medical degrees and credentials and the provision of medical care by unqualified people posing as doctors are the subject of these hearings before the U.S. House of Representatives. Investigations revealed the following findings: U.S. citizens who graduated from foreign medical school have received medical licenses…

This is a report of hearings held in Washington, D.C., on March 10 and 12, 1980, on the Health Professions Education and Distribution Act of 1980--three bills amending Public Health Service Act, Titles VII and VIII, and the national health Service Corps Program. S. 2375 would extend assistance programs for training health professionals and the…

The quality of hospital medical records, which are usually maintained by transcribing from doctors' dictation, was found to suffer because of foreign medical graduates' phonological problems and lack of familiarity with good dictation procedure. As a step in correcting this situation, eight taped discharge summaries were subjected to an analysis…

A followup to a 1980 General Accounting Office (GAO) report was undertaken to evaluate public and private activities that addressed problems created by U.S. citizens studying medicine abroad and returning to the United States to practice medicine. The 1980 report made suggestions to ensure that U.S. foreign medical graduates received education and…

This report presents specific recommendations to the Department of Health and Human Services and Congress from the Council on Graduate Medical Education that address Medicare's direct and indirect graduate medical education (GME) payments and the monies allocated by the Public Health Service that is targeted toward physician education and primary…