Balon R, Mufti R, Williams M, Riba M
Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA.
Am J Psychiatry. 1997 Nov;154(11):1608-9. doi: 10.1176/ajp.154.11.1608.
The authors sought to determine whether there is a selection bias against international medical graduate applicants for U.S. residency training positions in psychiatry.
Identical requests for a program application were sent by two resident applicants--one international medical graduate and one graduate of a U.S. medical school--to 193 residency training programs, and the rate and character of responses were compared.
The response rate to requests for an application form was significantly higher for the U.S. medical school graduate (159 responses) than the international medical graduate (87 responses). The quality of responses was also different in some cases.
Some residency programs in psychiatry are attempting to limit the influx of international medical graduate applicants at the very first level: the request for an application form. The reasons for this practice are not known, but discrimination could be a possible explanation.
作者试图确定在美国精神病学住院医师培训岗位的申请中，针对国际医学毕业生申请人是否存在选择偏见。
两名住院医师申请人（一名国际医学毕业生和一名美国医学院毕业生）向193个住院医师培训项目发送了相同的项目申请请求，并比较了回复率和回复特点。
美国医学院毕业生对申请表请求的回复率（159份回复）显著高于国际医学毕业生（87份回复）。在某些情况下，回复质量也有所不同。
一些精神病学住院医师培训项目在最初阶段，即申请表请求阶段，就试图限制国际医学毕业生申请人的涌入。这种做法的原因尚不清楚，但歧视可能是一种解释。
