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Estimating impacts on developing countries of the decrease in U.S. training opportunities for foreign medical

W J Harrington1, E Gotuzzo, S Vial

  • 1Department of Internal Medicine, University of Miami School of Medicine, FL 33101.

Academic Medicine : Journal of the Association of American Medical Colleges
|November 11, 1991
PubMed
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A 90% decrease in foreign nationals from developing nations pursuing U.S. graduate medical education led to significant losses for their home countries. Returned physicians contributed twice as much to teaching, research, and administration, highlighting the impact of training opportunities.

Area of Science:

  • Medical Education
  • International Health
  • Public Health Policy

Background:

  • A significant decline (approximately 90%) in foreign nationals from developing countries entering the U.S. for graduate medical education occurred between 1973 and 1983.
  • Many of these physicians would have returned to serve their home countries, contributing to their medical infrastructure and development.
  • This trend raised concerns about the impact on developing nations and U.S. global influence in medical affairs.

Purpose of the Study:

  • To estimate the impact of the reduced opportunities for U.S. graduate medical training on physicians returning to developing nations.
  • To assess the contributions of physicians who received U.S. training compared to those who did not.

Main Methods:

  • A survey was conducted in six major Latin American cities between 1983 and 1989.

Related Experiment Videos

  • Local medical students interviewed 554 physicians who had completed U.S. training and 60 of their peers who had not.
  • Data collected focused on time dedicated to teaching, research, and medical administration.

    • Main Results:

    • Physicians who returned to their home countries after U.S. training dedicated approximately twice as much time to teaching, research, and medical administration.
    • This indicates a substantial return on investment in terms of human capital development for their nations.
    • The findings underscore the value of international medical education exchange programs.

    Conclusions:

    • The curtailment of training opportunities for foreign nationals in the United States is detrimental to the development goals of emerging nations.
    • This policy also negatively impacts the United States' standing and influence in global health and international relations.
    • Facilitating international medical training is crucial for both national development and global cooperation.