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    Public health training of foreign physicians: trends over the last two decades.

    Baker T

    In: The Graduate Education of Foreign Physicians in Public Health and Preventive Medicine. The Role of United States Teaching Institutions, edited by Wendy W. Steele and Sally F. Oesterling. Philadelphia, Pennsylvania, Educational Commission for Foreign Medical Graduates, [1984]. 29-31.

    This presentation focuses on the changing role of US schools of public health over the past 60 years and covers predictions and trends of future changes. Foreign physician graduates of US schools of public health were not only responsible for founding the WHO, but have also served in positions such as director-general of WHO. Since World War II there has been an increase in foreign students trained in US schools of public health. Between 1965 and 1981 the number of foreign students increased from approximately 250 to about 700/year, and by 1983 the foreign student enrollment in US schools of public health had reached almost 1200. Most of the increase comes from heavily populated countries in Asia and in Africa. India was the country of origin for an average of 24 public health students in the US during 1967-68, but this number declined to 16 by 1977-78 and 1981. Nigeria significantly increased the number of trainees sent to the US from 5 students in 1967-68 to 54 in 1981. Although the total enrollment of foreign students has more than tripled since the 1960s, the % of foreign students in US schools of public health has dropped from over 20% in the early 1960s to about 13% in 1983. A review of all Johns Hopkins medical graduates shows that 75% of over 700 foreign medical graduate students live in their countries of origin, and only 14% live in the US. In general, the number of students from each country reflects that country's need. Assuming adequate levels of financing, US schools of public health should assist in the development of a sufficient number of schools of public health in their countries to meet those countries' needs for public health professionals.
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