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Trends in origins of international medical graduates who migrate to the U.S

Amy Hagopian, MHA, PhD, Catherine E. Veninga, PhC, Meredith A. Fordyce, PhC, Karin E. Johnson, PhD, and L. Gary Hart, PhD. Department of Family Medicine, University of Washington, Box 354982, Seattle, WA 98195-4982, 206-616-4989, hagopian@u.washington.edu

Authors have analyzed AMA data (1981-2001) to understand the immigration patterns of the approximately 25% of U.S. physicians who practice here but were trained abroad. We report on significant contributor countries and schools, demographic and specialty profiles, and primary destination states in the U.S. for international medical graduates (IMGs). For example, 64% of IMGs were trained in low or lowr-middle income countries. India has remained the number one sending country since 1981 (sending 17.1% of our IMGs), while the Philippines, whose immigrant physicians comprised 13.4% of IMGs in 1981, now have less than 10%. Pakistan, which used to contribute 2.3% of our IMGs, now sends 4.8%. A handful of medical schools are significant contributors, as well. Two schools in the Philippines have sent almost 10,000 physicians to the U.S. The proportion of female IMGs has grown, and IMGs are aging along with the rest of the physician population. More than 70% of IMGs are practicing in just 10 states. There are implications for U.S. immigration policy towards IMGs, which has been changing in the last couple of years. There are also significant implications for sending countries, which we will address as well.

Learning Objectives:

Keywords: International Health, Physicians

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Preparing Health Professionals to Respond

The 132nd Annual Meeting (November 6-10, 2004) of APHA