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International medical graduates in family medicine in the United States of America: an exploration of professional characteristics and attitudes

机译：美利坚合众国家庭医学国际医学专业毕业生：专业特征和态度的探索

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Background The number of international medical graduates (IMGs) entering family medicine in the United States of America has steadily increased since 1997. Previous research has examined practice locations of these IMGs and their role in providing care to underserved populations. To our knowledge, research does not exist comparing professional profiles, credentials and attitudes among IMG and United States medical graduate (USMG) family physicians in the United States. The objective of this study is to determine, at the time when a large influx of IMGs into family medicine began, whether differences existed between USMG and IMG family physicians in regard to personal and professional characteristics and attitudes that may have implications for the health care system resulting from the increasing numbers of IMGs in family medicine in the United States. Methods This is a secondary data analysis of the 1996–1997 Community Tracking Study (CTS) Physician Survey comparing 2360 United States medical graduates and 366 international medical graduates who were nonfederal allopathic or osteopathic family physicians providing direct patient care for at least 20 hours per week. Results Compared to USMGs, IMGs were older (p Conclusion There are significant differences between IMG and USMG family physicians' professional profiles and attitudes. These differences from 1997 merit further exploration and possible follow-up, given the increased proportion of family physicians who are IMGs in the United States.
机译：背景技术自1997年以来，美国进入家庭医学领域的国际医学毕业生（IMG）的数量一直稳定增长。以前的研究已经检查了这些IMG的实践地点及其在为服务欠佳的人群提供护理方面的作用。据我们所知，尚不存在将IMG和美国的美国医学研究生（USMG）家庭医生之间的专业档案，证书和态度进行比较的研究。这项研究的目的是确定IMG开始大量涌入家庭医学之时，USMG和IMG家庭医生之间在个人和职业特征以及可能对医疗保健系统产生影响的态度方面是否存在差异。是由于美国家庭医学中的IMG数量增加所致。方法这是对1996-1997年社区追踪研究（CTS）医师调查的二次数据分析，比较了2360名美国医学毕业生和366位国际医学毕业生，他们是非联邦的同种异体或骨病性家庭医生，每周至少提供20个小时的直接患者护理。结果与USMG相比，IMG年龄更大（p结论IMG与USMG家庭医生的职业特征和态度之间存在显着差异。与1997年相比，由于IMG家庭医生的比例增加，这些差异值得进一步探索和可能的随访在美国。

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