U.S. patients of doctors who went to medical school outside the country and weren't American citizens had a 9 percent lower death rate on average than those whose doctors trained at home, a study showed.
The report, published today in the August issue of
Health Affairs, tracked the performance of primary-care doctors, internists and cardiologists in 244,153 hospitalizations involving congestive heart failure or heart attacks.
Economics may help explain the gap in patient outcomes, said John Norcini, co-author of the study. Internal medicine and primary care have failed to attract the best U.S. students because of lower pay, relative to other specialties, he said.
"Primary care may not be getting the best and the brightest from U.S. medical schools," said Norcini, chief executive officer of the
Foundation for Advancement of International Medical Education and Research, a Philadelphia- based nonprofit. "Foreign students see primary care as a gap that they can fill and a way to practice medicine here."
Comment: Two years ago, the American FDA approved the sale of milk and meat from cloned cows for the U.S. market.