Original language | English (US) |
---|---|
Pages (from-to) | 765-766 |
Number of pages | 2 |
Journal | JAMA - Journal of the American Medical Association |
Volume | 319 |
Issue number | 8 |
DOIs |
|
State | Published - Feb 27 2018 |
ASJC Scopus subject areas
- General Medicine
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In: JAMA - Journal of the American Medical Association, Vol. 319, No. 8, 27.02.2018, p. 765-766.
Research output: Contribution to journal › Comment/debate › peer-review
}
TY - JOUR
T1 - International medical graduates-A critical component of the global health workforce
AU - Nwadiuko, Joseph
AU - Varadaraj, Varshini
AU - Ranjit, Anju
N1 - Funding Information: As of 2017, 40% of the 267 573 IMGs in residency programs and in active practice in the United States had attended medical school in countries classified by the World Bank as low-and low-middle income countries (LMICs; source, American Medical Association Physician Masterfile), many of which have critical shortages of health workers. Even though the migration of physicians from these countries to the United States most likely has negative effects in the short term on health staffing in their home countries, it is not clear that physician migration to the United States from developing countries must be tightly restricted to improve health care internationally. IMGs, both individually and collectively, have worked to strengthen biomedical capacity in their home countries. As an example, although still not systematically documented, some studies have reported permanent return to their home countries by physicians. The first known study documenting this in 1975 reported that 27% of 360 physicians from Peru who had completed US residency training returned to their home country.4 The only other study to have measured physician return, published in 2014 as part of a larger study of migration, demonstrated that 48% of 1064 surveyed physicians practicing in South Africa had experience practicing in a foreign country, with the majority (66%) having practiced in the United Kingdom previously5; respondents largely endorsed returning for family-related reasons (61%). This survey had a low response rate (7%) but makes an important contribution to assumptions regarding migration patterns. Beyond return to a coun-try of origin, several programmatic examples, including the International Organization for Migration’s Migration for Development in Africa initiative and the American International Health Alli-ance’s HIV/AIDS Twinning Program (funded by the US President's Emer-gency Plan for AIDS Relief) have dem-onstrated models for the short-term involvement of foreign-born IMGs in capacity-building projects. Both programs, founded within the past 20 years, have partnered with IMG communities of sub-Saharan African origin in the United States and Europe to place health workers in capacity-building opportunities in various sub-Saharan African nations, including Ghana, South Sudan, Somalia, and Ethiopia.
PY - 2018/2/27
Y1 - 2018/2/27
UR - http://www.scopus.com/inward/record.url?scp=85042629523&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85042629523&partnerID=8YFLogxK
U2 - 10.1001/jama.2017.17961
DO - 10.1001/jama.2017.17961
M3 - Comment/debate
C2 - 29423516
AN - SCOPUS:85042629523
SN - 0098-7484
VL - 319
SP - 765
EP - 766
JO - JAMA - Journal of the American Medical Association
JF - JAMA - Journal of the American Medical Association
IS - 8
ER -