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An Epidemiologic Study of US Nationals Applying for Certification by the Educational Commission for Foreign Medical Graduates, 1969 Through 1982

Thomas D. Dublin, MD, DrPH; Bernard S. Bloom, PhD; Robert S. Knorr, MPH; Ray L. Casterline, MD

JAMA. 1985;253(3):376-381.

Abstract
Larger and larger numbers of US nationals are studying medicine abroad and they now comprise the foremost national group of foreign medical graduates (FMGs) seeking to enter the US health care system. The Educational Commission for Foreign Medical Graduates (ECFMG) is currently conducting a comprehensive study of 205,542 graduates of foreign medical schools who, during a 14-year study period, 1969 through 1982, have sought its certification, an established prerequisite for FMGs applying for training in an accredited hospital residency program and/or licensure within the United States. This report summarizes preliminary data on the 17,642 US citizens included in the study who attended 431 different medical schools in 79 foreign countries. Particular attention is given to their performance on the combined medical knowledge-English language competence examinations requisite to the awarding of ECFMG certification.

(JAMA 1985;253:376-381)

Author Affiliations
From the Educational Commission for Foreign Medical Graduates, (Drs Dublin and Casterline), and the Department of Research Medicine, University of Pennsylvania School of Medicine (Dr Bloom and Mr Knorr), Philadelphia.

Footnotes
Presented at the 57th Annual Meeting of the American Epidemiological Society, University of Pennsylvania School of Medicine, Philadelphia, March 22, 1984.

Reprint requests to Educational Commission for Foreign Medical Graduates, 3624 Market St, Philadelphia, PA 19104 (Dr Casterline).

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