Health Affairs

Health Affairs, 28, no. 1 (2009): 226-233 doi: 10.1377/hlthaff.28.1.226 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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U.S. Citizens Who Obtain Their Medical Degrees Abroad: An Overview, 1992–2006

John R. Boulet, Richard A. Cooper, Stephen S. Seeling, John J. Norcini and Danette W. McKinley

The number of U.S. citizens attending medical schools outside the United States and Canada has increased recently. Because these people tend to return to the United States to practice medicine, it is important to know more about their characteristics and educational experiences. Based on summary data from certifying examinations, U.S. citizens trained abroad do not perform as well as either other international medical graduates (IMGs) or U.S. graduates. Moreover, they are more likely than non-U.S. citizens to be engaged in primary care activities. Changes in the composition of the IMG pool could affect the makeup and quality of the U.S. physician workforce.

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