Abstract

Physicians seeking first-year residencies in graduate medical education are having difficulty finding such vacancies. Graduates of foreign medical schools already in this country who have received their certificates from the Educational Commission on Foreign Medical Graduates (ECFMG), after having passed its July examination, are dismayed to learn that few if any hospitals have vacancies for first-year residents, and that most program directors will not be making appointments until March for July 1976 openings. Some foreign graduates report that they have written, telephoned, and visited dozens of hospitals, to no avail. The first year of graduate training, still specified in most state medical practice acts as an internship year, is a prerequisite in most states to take the examination for licensure to practice medicine, regardless of the candidate's previous practice in countries other than the United States or Canada. To find a first-year position in the fall of the year has

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