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Recruitment of Public Psychiatrists: The Impact of University and State Collaboration on FMGs in Maryland
Walter Weintraub; Jonathan Book
Psychiatric Services 1986; doi:
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Foreign medical graduates have made essential contributions to our nation's mental health system. Many, however, have been handicapped by inadequate training that has kept them outside the mainstream of American psychiatry. FMG leaders have begun to examine how FMGs can attain equal status with U.S. medical graduates. This article and the one following describe some of the challenges they face.

The Institute of Psychiatry the University of Maryland School of Medicine, 645 West Redwood Street, Baltimore, Maryland 21201

The Central Maryland Region of the Maryland Mental Hygiene Administration

1986 American Psychiatric Association

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The current emphasis on university and state collaboration to recruit competent psychiatrists to the public sector may adversely affect foreign medical graduates (FMGs) working in state hospitals, many of whom received inadequate training in autonomous state hospital residency programs. In Maryland a joint initiative of the state university and the mental hygiene administration called the Maryland Plan has been successful in attracting university-trained psychiatrists, mostly U.S. medical graduates, to public hospitals, leaving fewer training and employment opportunities for FMGs. Most FMGs have retained their positions in the state hospitals, and 15 percent of the university-trained recruits have been FMGs. However, the authors predict that few FMGs will be able to compete with U.S. medical graduates for residency slots, and they call for continued recruitment of the most qualified FMGs into the public system.

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