| Perspective: The Need for Practice Socialization of International Medical Graduates-An Exemplar From Pain Medicine. | |
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MedLine Citation:
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PMID: 21436666 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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One in four actively practicing physicians in the United States is a graduate of an international medical school. International medical graduates (IMGs) account for one-quarter of all visits to office-based physicians in the United States and are more likely than U.S. medical graduates to practice in primary care shortage areas outside of metropolitan statistical areas. IMGs fill critical gaps in the U.S. health system. However, the authors maintain that IMGs face important challenges in transitioning to the U.S. health system. Most debate surrounding IMGs' transition focuses on overcoming cultural and linguistic barriers. Little attention has been paid to the influence of educational and practice socialization of IMGs on their medical encounters and other aspects of their U.S. clinical practice. The existing credentialing requirements do not prepare individuals for unique challenges-presented by the U.S. health system-that IMGs may not be exposed to during medical training or practice in their home countries or countries of training.Anecdotal evidence of the vastly disparate ways in which pain is approached and managed in major source countries of IMGs is a case in point. Using pain treatment as an exemplar, the authors contrast the capacity and emphasis placed on pain treatment in the United States and in major source countries of IMGs to illustrate the special clinical challenges faced by IMGs in their transition to U.S. practice. The authors conclude with recommendations to close this transitional gap, emphasizing the need for targeted assessment and training for IMGs. |
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Authors:
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Salimah H Meghani; Vijay Rajput |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-23 |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: - ISSN: 1938-808X ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Dr. Meghani is assistant professor, Biobehavioral and Health Science Division, and associate fellow, Center for Bioethics, University of Pennsylvania, Philadelphia, Pennsylvania. Dr. Rajput is associate professor of medicine, University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School (UMDNJ-RWJMS), New Brunswick, New Jersey, and associate fellow, Center for Bioethics, University of Pennsylvania, Philadelphia, Pennsylvania. He is also program director for the internal medicine residency, UMDNJ-RWJMS, Cooper University Hospital, Camden, New Jersey. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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