All US
citizens who have satisfied the requirements for an MD degree, and passed all
required exams (USMLE I AND II), have earned
the right to train and practice Medicine in the US.This is our “Social Contract”.Think of medical school as one big “lesson
plan”.As teachers know, each lesson
plan begins with the “Behavioral Objective” and ends with the “Criterion
Task”.If the goals and benchmarks
outlined in the Criterion Task have been met, the Behavioral Objective has been
met.US medical schools and government
legislatures have determined the criteria required to practice Medicine in the US.All medical school graduates who apply for
residency through the NRMP (National Resident Matching Program) have met these
criteria, both US medical school grads, as well as international medical school
grads. They have all passed the
CRITERION TASK!
Why aren’t we “upset”
if 25% of unmatched grads are from international medical schools,
especially since 42% of them in 2016 were US
citizens?Currently, 25% of physicians
practicing in the USare international medical school
graduates.(1) Considering the expected 90,000+ doctor shortage over the next
decade, that is quite a waste of fully educated doctors!
The ECFMG (Educational Council for Foreign Medical
Graduates) has been promoting excellence in international medical education for
60 years! (1) This organization has been evaluating the readiness of IMGs
(International Medical Graduates) to enter GME (Graduate Medical Education) programs
in the US.It has partnered with NBME (National Board of
Medical Examiners) to develop the clinical skills assessment for the USMLE (US
Medical Licensing Examination).To
become an accredited medical school with the SAME STANDARDS as a US
medical school, a foreign med school has passed rigorous standards and criteria.
“The ECFMG makes its
world-class experience with the primary-source verification of medical
education credentials available to the international medical regulatory
community.”(1)It is recognized world
wide.This is the organization
monitoring graduates of international medical schoolsThe IMGs applying through the NRMP have met
the “Criterion Task” for entry into US residencies!
The argument of the Social Contract is legitimate and strong argument and you can make it anywhere. But the best place to make it is in the court of law because only the court can enforce the Social Contract that you are talking about.
The argument of the Social Contract is legitimate and strong argument and you can make it anywhere. But the best place to make it is in the court of law because only the court can enforce the Social Contract that you are talking about.
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