Mick S S, Worobey J L
Am J Public Health. 1984 Jul;74(7):698-703. doi: 10.2105/ajph.74.7.698.
Secondary analysis of data collected by the American Medical Association and the Graduate Medical Education National Advisory Committee (GMENAC) suggests that measures to diminish the flow of alien Foreign Medical Graduates (FMGs) into the United States have been less effective than planned. Declining trends in the proportion of FMG house officers in the mid- to late-1970s have recently stabilized around 19 per cent. There has also been a dramatic increase in the number of US citizen Foreign Medical Graduates ( USFMGs ) in house officer positions. A pattern of alien FMG and USFMG house officer specialization correlates with specialties designated by the GMENAC as shortage areas by 1990 (r = -.49, p less than .05). Despite the GMENAC prediction of a surplus of physicians by 1990, differential selection of alien FMGs and USFMGs into shortage specialties may assure their substantial future presence in the US health care system.
美国医学协会和毕业后医学教育全国咨询委员会（GMENAC）收集的数据的二次分析表明，减少外国医学毕业生（FMGs）流入美国的措施效果不如计划。20世纪70年代中后期，FMG住院医师比例的下降趋势最近稳定在19%左右。担任住院医师职位的美国公民外国医学毕业生（USFMGs）数量也大幅增加。外国FMG和USFMG住院医师的专业模式与GMENAC指定为到1990年的短缺领域的专业相关（r = -0.49，p小于0.05）。尽管GMENAC预测到1990年医生会过剩，但外国FMG和USFMG在短缺专业中的差异选择可能确保他们未来在美国医疗保健系统中的大量存在。
