The Clinical Skills Assessment Examination was constructed to test the clinical skills of foreign medical graduates. A pilot test of 635 foreign graduates, including 35 United States citizens, and 123 graduates of U.S. medical schools found 28 percent of foreign graduates deficient in clinical skills, consistent with previous research. (MSE)

Describes how the Latin American Medical School in Cuba attracts foreign students, including Americans, with a free course of study. Supporters say it shows Castro's commitment to humanitarian ideals, while critics see it as an attempt to curry favor with Central and Latin America. (EV)

The pass/fail results of 44 North American medical specialty certification examinations are compared and analyzed. Failure rates for comparable North American and FMG candidates were higher on Royal College of Physicians and Surgeons of Canada examinations than on equivalent U.S. tests. (Author/LBH)

Increased involvement by state and federal government in graduate medical education is related to the academic medical community's unwillingness to address issues of: manpower supply and specialty distribution, limited effectiveness of minority enhancement programs, and foreign medical graduates. Medical educators are urged to initiate solutions…

Hearings before the House Subcommittee on Immigration, Citizenship, and International Law are presented regarding the immigration of foreign medical graduates and the new restrictions placed on their entry into this country under the provision of Title IV of the Health Professions Educational Assistance Act of 1976 (Public Law 94-484). Testimony…

A study compared the 1984-88 test performances of United States osteopathic medical school graduates and Canadian medical school graduates with those of U.S. and foreign medical school graduates during the same period. Findings, limitations, and implications for recruitment and training of internal medicine specialists are discussed. (Author/MSE)

Critical access hospitals (CAHs) are a federal Medicare category for isolated rural facilities with 15 or fewer acute care beds that receive cost-based reimbursement from Medicare. Purpose: This study examines the role of foreign-born international medical graduates (IMGs) in the staffing of CAHs. Methods: Chief executive officers (CEOs) of CAH…

A survey of 50,273 practicing physicians in New York State gathered data on demographic characteristics, medical education characteristics, practice setting characteristics, and specialty practice characteristics. Highlights of survey findings include: (1) physicians are distinctively male (78 percent) and white (76 percent); (2) minority…

Results of the National Resident Matching Program are discussed, including changes in enrollment, withdrawal, and matching patterns, data on foreign medical graduates, ratio of positions per applicant, specialization patterns, and program participation. Tabulations for each specialty are presented in numerical and percentage forms. (MSE)

A survey to investigate the success/failure/problems associated with the admission of American students who have received training at foreign veterinary schools is discussed. It is concluded that transfers could occur at the beginning of the second year and at the beginning of the third year of the program. (Author/MLW)

A study of the use of the Medical Education Evaluation Program, established by Ohio to evaluate clinical competencies of medical graduates of non-accredited schools, found the test to meet psychometric standards of certifying and licensing examinations. Potential problems with the test are discussed. (MSE)

A 1990 study of domain-referenced scores from a multiple-station clinical examination for foreign medical graduates investigated identification of essential checklist items, setting of minimum passing scores, consistency of candidate classification, and perceived appropriateness of the number of candidates classified as competent. Results and…

The performance of foreign medical school graduates on multistation standardized patient-based tests was used to determine the validity and generalizability of global ratings of their clinical competence made by expert examiners. Results suggest that these ratings can be used as an effective form of assessment in this context. (Author/MSE)

Objective: The author sought to develop a curriculum for international medical graduate (IMG) psychiatry residents that addresses their culture-based deviations from normative boundary-keeping practices common to U.S.-based psychotherapy practices. Methods: A group consisting of 12 IMG psychiatry residents and one United States graduate (USG)…

Noting that approximately one third of the medical internships and residencies in the United States are filled by foreign medical graduates (FMGs), this paper argues that institutions where FMGs are administering care have failed to deal with the communication gaps created by language deficiencies and cultural barriers. The paper identifies…