Saywell R W, Studnicki J, Bean J A, Ludke R L
Am J Public Health. 1980 Jan;70(1):23-8. doi: 10.2105/ajph.70.1.23.
To determine whether differences exist in the performance of United States Medical Graduate (USMG) and Foreign Medical Graduate (FMG) House Staff physicians, inpatient hospital audits evaluating individual physician performance on patient histories and physical examinations were conducted in 14 Maryland and Pennsylvania non-federal, short-term hospitals. A total of 3,204 medical records were abstracted from eight diagnostic categories for 898 house staff physicians, 556 of which were USMGs and 342 were FMGs. The results from these audits indicate that while there is evidence of a strong hospital/type of physician interaction for many of the diagnoses, there was no significant overall difference in performance of USMG and FMG house staff physicians. The largest and most consistent differences in physician performance were associated with hospital characteristics, not physician characteristics.
为了确定美国医学毕业生（USMG）和外国医学毕业生（FMG）住院医师的表现是否存在差异，在马里兰州和宾夕法尼亚州的14家非联邦短期医院进行了住院医院审计，以评估每位医生在病史和体格检查方面的表现。从898名住院医师的八个诊断类别中提取了总共3204份病历，其中556份是美国医学毕业生，342份是外国医学毕业生。这些审计结果表明，虽然有证据表明在许多诊断中存在强烈的医院/医生类型相互作用，但美国医学毕业生和外国医学毕业生住院医师的表现总体上没有显著差异。医生表现中最大且最一致的差异与医院特征有关，而非医生特征。
