Abstract

Since 1988, at least 12 bills directed toward prohibiting discrimination against graduates of foreign medical schools have been introduced in Congress. Earlier bills were primarily concerned with the endorsement of licenses to practice medicine. More recent bills have dealt with discrimination in residency appointment and in employment. The legislative proposals have led to lively debate over the actual extent of discrimination against international medical graduates (IMGs), particularly by licensing boards. The debate includes the extent to which the perceived problem results from differences in legislation and rules among licensing boards and from the board's local focus. Certainly, the perception of discrimination exists and is taken seriously by IMGs. An unpublished survey undertaken by the American Medical Association (AMA) Advisory Committee on International Medical Graduates in June 1990 indicates that 83% of IMGs consider antidiscrimination legislation to be the most important goal for IMG organizations. At the outset, it should be

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