Discrimination against international medical graduates in the United States residency program selection process.
Discrimination against international medical graduates in the United States residency program selection process.
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DOI：
10.1186/1472-6920-10-5
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发表时间：
2010-01-25
影响因子：
3.6
通讯作者：
Vidaillet HJ Jr
中科院分区：
文献类型：
--
作者：
Desbiens NA;Vidaillet HJ Jr
现有证据表明，国际医学毕业生在保持学术标准的同时，改善了美国医疗保健的可用性。我们想知道是否已经进行了研究，以解决如何对待国际毕业生在研究生选拔过程中相比，美国毕业生。我们在Medline上搜索了关于选择过程的研究。两项研究提供了强有力的证据表明，精神病学和家庭实践项目对美国医学毕业生申请相同申请的回应比国际毕业生多至少80%。在第三项研究中，对外科项目主任的调查显示，超过70%的人认为在选拔过程中存在对国际毕业生的歧视。有足够的证据支持采取行动反对甄选过程中的歧视。医疗组织应该公开反对歧视国际医学毕业生的声明（就像美国精神病学协会所做的那样），并在多样性声明中宣传这些声明。他们应该制定统一和透明的政策，供项目负责人用来选择申请人，最大限度地减少非学术歧视的可能性，认证机构应该监督是否发生。是否应该对美国毕业生实行保护主义，或者研究生医学教育是否应该是不受约束的精英教育，需要医学界和社会公开讨论。
Available evidence suggests that international medical graduates have improved the availability of U.S. health care while maintaining academic standards. We wondered whether studies had been conducted to address how international graduates were treated in the post-graduate selection process compared to U.S. graduates. We conducted a Medline search for research on the selection process. Two studies provide strong evidence that psychiatry and family practice programs respond to identical requests for applications at least 80% more often for U.S. medical graduates than for international graduates. In a third study, a survey of surgical program directors, over 70% perceived that there was discrimination against international graduates in the selection process. There is sufficient evidence to support action against discrimination in the selection process. Medical organizations should publish explicit proscriptions of discrimination against international medical graduates (as the American Psychiatric Association has done) and promote them in diversity statements. They should develop uniform and transparent policies for program directors to use to select applicants that minimize the possibility of non-academic discrimination, and the accreditation organization should monitor whether it is occurring. Whether there should be protectionism for U.S. graduates or whether post-graduate medical education should be an unfettered meritocracy needs to be openly discussed by medicine and society.
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影响因子：
17.7
作者：
Balon, R;Mufti, R;Riba, M
通讯作者：
Riba, M
DOI：
10.1016/s0149-7944(01)00644-4
发表时间：
2002-03-01
期刊：
Current surgery
影响因子：
--
作者：
Moore, Richard A;Rhodenbaugh, Eric J
通讯作者：
Rhodenbaugh, Eric J
影响因子：
39.2
作者：
Garibaldi, RA;Subhiyah, R;Waxman, H
通讯作者：
Waxman, H
影响因子：
7.4
作者：
Salsberg, Edward;Grover, Atul
通讯作者：
Grover, Atul
DOI：
10.1016/j.cursur.2004.06.011
发表时间：
2004-09-01
期刊：
Current surgery
影响因子：
--
作者：
Horvath, Karen;Coluccio, Gina;Pellegrini, Carlos
通讯作者：
Pellegrini, Carlos