Abstract
The demand for expanded health care in this country has led to an increased dependence on foreign medical graduates. To illustrate the dramatic increase in the number of foreign graduates, in 1959, they accounted for 5.9% of all physicians in the United States, 10% in 1963, and 20% in 1970. The US Department of Health, Education and Welfare projects that by 1990, the figure could reach 30%.<sup>1</sup>In 1972, 78% of the foreign-educated physicians were from Asia, 9% from Europe, and 9% from the Americas.<sup>2</sup>The influx of new foreign medical graduates into the health care system increased from 6,767 to 11,732 between 1964 and 1973; the level of US medical school graduates increased from 7,336 to 10,391 during the same time period. Therefore, more foreign medical graduates, mainly from developing countries, are presently entering the US health care system than American medical graduates.<sup>3</sup>Although our national
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