The unkindest cut of all: are international medical school graduates subjected to discrimination by general surgery residency programs?
The unkindest cut of all: are international medical school graduates subjected to discrimination by general surgery residency programs?
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DOI：
10.1016/s0149-7944(01)00644-4
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发表时间：
2002-03-01
期刊：
影响因子：
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通讯作者：
Rhodenbaugh, Eric J
中科院分区：
文献类型：
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作者：
Moore, Richard A;Rhodenbaugh, Eric J
目的：多年来，国际医学院毕业生一直是美国住院医师申请人的一部分。关于美国医生过剩的讨论越来越多，并提到限制IMG配额。这项研究的目的是找出是否存在可测量的歧视，真实的或感知的，对img。方法：进行一项调查，以评估外科住院医师的项目主任是否认为img的表现、奉献精神和能力与美国医学院毕业生（usmg）相同，以及项目主任是否认为存在对usmg的偏好。包含30个量身定制问题的调查问卷被邮寄给外科项目主任协会的所有成员。在283份邮寄的调查中，有125份被退回，112份被纳入数据分析。除了与人口统计有关的问题外，调查中的问题还包括两个系列的问题。一组旨在评估受访者是否报告img拥有与usmg相似的技能和能力，而另一组则旨在评估受访者是否认为他们的计划中有倾向于将招聘重点放在usmg身上。还有一些人被插入来确认这些系列的结果，并评估项目主管是否普遍感受到对img的歧视。结果：调查结果表明，无论项目规模如何，img在技能和能力方面与usmg相似。然而，在项目主管中存在一种看法，即usmg在招聘过程中受到青睐，超过70%的受访者表示他们认为img受到歧视。此外，近20%的人表示，他们曾迫于压力，将不合格的USMG排名高于合格的IMG， 22%的人表示，他们将USMG排名高于IMG，以避免对USMG的赞誉减少。结论：尽管项目主管认为img和usmg在手术技能上没有明显差异，但人们普遍认为img确实受到了歧视。
PURPOSE: International medical school graduates (IMGs) have been part of the United States residency applicant pool for several years. There has been increasing discussion of an overproduction of doctors in the United States, and mention of limiting IMG quotas. The purpose of this study was to find out if measurable discrimination existed real or perceived, against IMGs.METHODS: A survey was performed to assess whether program directors of surgery residencies perceive the performance, dedication, and abilities of IMGs as being equal to United States medical school graduates (USMGs), and whether program directors believe that a preference toward USMGs exists. Surveys with 30 tailored questions were mailed to all members of the Association of Program Directors in Surgery. One hundred twenty-five surveys were returned out of 283 mailed, and 112 were included in the data analysis. Besides those relating to demographics, questions on the survey included two series of queries. One set was designed to assess whether the respondent reported that IMGs possessed similar skills and abilities as USMGs, whereas the other addressed whether respondents perceived a tendency in their programs to focus recruitment toward USMGs. Still others were inserted to confirm results of these series, and to assess whether program directors perceived discrimination toward IMGs in general.RESULTS: Survey results indicate the perception that IMGs are similar in skill and ability to USMGs, regardless of program size. However, a perception existed among program directors that USMGs were favored in the recruitment process, with more than 70% of respondents indicating that they believed IMGs were discriminated against. Furthermore, nearly 20% reported that they had been pressured to rank a less-qualified USMG higher than a more qualified IMG, and 22% reported that they had ranked a USMG higher than an IMG to avoid a reduced compliment of USMGs.CONCLUSIONS: There is a significant belief and perception that IMGs are indeed discriminated against, despite program directors seeing no clear differences in surgical skills between IMGs and USMGs.