Domestic Production vs International Immigration

Kindig, David A.; Libby, Donald L.

doi:10.1001/jama.1996.03540120056034

Cited by 13 publications

(4 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, if overall reductions to GME are made, it is often assumed that reductions would come mostly from the IMG component, which now accounts for 28 percent of first-year residents. 16 This would affect the racial composition of the future U.S. physician supply only if the racial composition of IMGs is much different from that of U.S. medical graduates (USMGs).…”

Section: Resultsmentioning

confidence: 99%

“…To estimate future physician supply we relied on the workforce projection model that we had constructed and described elsewhere. 14 The basic model consists of the product of two vectors: an input vector with the number of firstyear residents in each year of the projection period, and a vector of attrition rates with the age-specific cumulative probabilities of surviving and remaining an active member of the physician workforce at ages twenty-six through seventy-six. For the current analysis we had to assume that attrition rates are the same for all racial and ethnic groups, since no data exist with which to test this assumption or arrive at better estimates.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Will Minority Physician Supply Meet U.S. Needs?

Libby

Zhou²,

Kindig

1997

Health Affairs

Self Cite

View full text Add to dashboard Cite

We project the future racial and ethnic composition of the U.S. physician workforce under different assumptions. Our projections show that reaching racial and ethnic population parity with a managed care-based requirement of 218 physicians per 100,000 population would require the number of first-year residents to roughly double for Hispanic and black physicians, triple for Native American physicians, and be reduced by about two-fifths for white physicians and two-thirds for physicians of Asian or Pacific Island origin.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Will Minority Physician Supply Meet U.S. Needs?

Libby

Zhou²,

Kindig

1997

Health Affairs

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, many international medical graduates who train in the United States do not return to their country of origin but remain in the United States. Training programs can develop formal arrangements with countries that enable them to sponsor positions for fellows who will return home after completion of training (23,24).…”

Section: Discussionmentioning

confidence: 99%

A Position Paper of the North American Society for Pediatric Gastroenterology and Nutrition

Colletti,

Winter,

Sokol

et al. 1998

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

Background:The North American Society for Pediatric Gastroenterology and Nutrition(NASPGN) performed a Workforce Survey to determine the current number and distribution of pediatric gastroenterologists in the United States and Canada and to estimate the supply and demand in the future in the United States.Methods:The response rate was more than 90%. There were 624 pediatric gastroenterologists in the United States, and 48 in Canada.Results:There were 2.4 pediatric gastroenterologists per million population in the United States, ranging from 3.1 per million in the Northeast to 1.9 per million in the West, and 1.6 per million in Canada. In the United States, fewer than 5 pediatric gastroenterologists retire each year, but more than 40 fellows per year complete training. In the United States, 30% of pediatric gastroenterologists believe there is already an excess supply; only 12% believe there is a shortage (p < 0.001).Conclusions:If the number of fellows who complete training each year remains unchanged, in 10 years there will be more than 950 pediatric gastroenterologists in the United States (3.3 per million population). At the same time, if the demand for pediatric gastroenterologists remains 2.4 per million population, there will be a demand for only 675.If these assumptions are correct, it is necessary to reduce the number of fellows to be trained. Although it is difficult to predict future workforce needs reliably, we recommend that the number of fellowship positions in training programs in the United States be reduced by 50% to 75%. Changes in health care in the coming years will be challenging, and effective planning is necessary for pediatric gastroenterologists to achieve their clinical, research, and educational missions.

show abstract

“…Much prior research has been conducted, however, on the effect of mainstream physician migration, namely, the exodus of doctors from the "third world" to developed countries (Mullan et al, 1995;Nunez-Smith et al, 2010;Hagopian et al, 2003;Biviano and Makarehchi, 2002;Mick and Lee, 1997;Baer et al, 1998;Kindig and Libby, 1996;Chen et al, 2011;Astor et al, 2005). In particular, as described earlier, physician migration to the USA has been fiercely debated.…”

Section: Prior Researchmentioning

confidence: 99%

A comparative study of reciprocity in international physician licensing

Pande

2014

International Journal of Pharmaceutical and Healthcare Marketing

View full text Add to dashboard Cite

Purpose – The purpose of this paper is to examine the international mobility of physicians by comparing the regulations governing the practice of foreign physicians in the USA and eight other countries. Design/methodology/approach – This is a comparative study of the regulations governing the practice of foreign physicians in eight countries: China, India, the Philippines, the UK, Germany, Denmark, Israel and Australia. Their requirements are then contrasted with the USA’s requirements for foreign physician licensure to evaluate the extent of reciprocity among these countries. We conclude the paper by outlining some recommendations to increase the international mobility of physicians in the future. Findings – The results indicate that licensure for US physicians to practice in the nations above ranges from impossible (India), to difficult (China), to moderately difficult (the UK, Germany and Denmark), to easy and completely reciprocal (Australia, Israel and the Philippines). Originality/value – The results and recommendations in this study are a valuable starting point for further research and policy changes that will ensure a more reciprocal relationship between the USA and other countries, in terms of opportunities for international medical practice.

show abstract

Domestic Production vs International Immigration

Cited by 13 publications

References 12 publications

Will Minority Physician Supply Meet U.S. Needs?

Will Minority Physician Supply Meet U.S. Needs?

A Position Paper of the North American Society for Pediatric Gastroenterology and Nutrition

A comparative study of reciprocity in international physician licensing

Contact Info

Product

Resources

About