And how does this affect the doctor-patient relationship as we have known in the past?  BD 

When you see your primary care physician, chances are he or she is not a home-grown doctor, according to a new report. Perhaps it's the long hours, demanding work, or the inadequate salary that keeps many American medical school graduates from persuing a career in primary care. But whatever the reason, fewer and fewer U.S. students are entering this field, instead choosing medical careers with fewer hours and larger paychecks.

"What is most significant about this study is not only the fact that we import physicians, but that we preferentially import them from poor countries, to buttress our own primary care physician supply," says study author Dr. Barbara Starfield, a professor of health policy and management at the Johns Hopkins School of Public Health in Baltimore, Md.

And although many foreign physicians have already completed a residency in their home countries, they have few objections to repeating their training, because they often get paid more as a resident here than they did as a practicing doctor at home.

ABC News: Most U.S. Family Physicians Are Foreign


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