Rhee S O, Lyons T F, Payne B C, Moskowitz S E
Med Care. 1986 Mar;24(3):248-58.
Several earlier studies compared performance differences between USMGs and FMGs in inpatient care settings, mainly hospitals. This study compares performance differences between USMGs and FMGs in ambulatory care settings. The sample consisted of 14,203 patient episodes treated by 1,156 physicians (pediatricians, obstetricians/gynecologists, internists, and other specialty physicians). The study setting was a midwestern state. Little evidence was found to support the hypothesis that the medical school origin (U.S. and foreign) had influenced physicians' technical quality in practice. Mean differences between the USMGs and FMGs were either not significant or contrary to the general assumption. The FMGs provided equal care to the USMGs, and sometimes the FMGs provided even marginally better care than the USMGs.
几项早期研究比较了美国医学毕业生（USMGs）和外国医学毕业生（FMGs）在住院护理环境（主要是医院）中的表现差异。本研究比较了USMGs和FMGs在门诊护理环境中的表现差异。样本包括由1156名医生（儿科医生、妇产科医生、内科医生和其他专科医生）治疗的14203例患者病例。研究地点是一个中西部州。几乎没有证据支持医学院校出身（美国和外国）会影响医生实际技术质量这一假设。USMGs和FMGs之间的平均差异要么不显著，要么与一般假设相反。FMGs为USMGs提供了同等的护理，有时FMGs提供的护理甚至略优于USMGs。
