International medical graduates in rural America: the 1987 distribution of physicians who entered the U.S. medical system between 1969 and 1982.
This study examines the differential location on Dec. 31, 1987, in nonmetropolitan U.S. counties of a cohort of international medical graduates (IMGs) (n = 246,754) certified by the Educational Commission for Foreign Medical Graduates between 1969 and 1982, and a matched group of U.S. medical graduates (USMGs). Analysis of counties grouped into categories of population size revealed disparities across certain U.S. census divisions. IMGs were distributed disproportionately in the West North Central and East South Central census divisions. The implications of the IMG presence in numerous rural counties is discussed from the perspective of recent policy proposals to reduce the number of IMGs in the United States.
Mick
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SS
School of Public Health, University of Michigan, Ann Arbor 48109, USA.
Sutnick
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AI
D016009:Chi-Square Distribution; D003625:Data Collection; D005550:Foreign Medical Graduates / Q000600:supply & distribution*; D006297:Health Services Accessibility; D006302:Health Services Research / Q000379:methods; D006801:Humans; D011365:Professional Practice Location / Q000706:statistics & numerical data*; D019035:Rural Health Services; D014481:United States; D000078329:Workforce