International medical graduates and PAs: A history and update.
| Autor: | Cawley JF; James F. Cawley is a professor and scholar-in-residence in the Physician Assistant Leadership and Learning Academy at the University of Maryland, Baltimore, a professor in the PA program at Florida State University in Tallahassee, and a professor emeritus at George Washington University in Washington, D.C. The author has disclosed no potential conflicts of interest, financial or otherwise. |
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| Jazyk: | angličtina |
| Zdroj: | JAAPA : official journal of the American Academy of Physician Assistants [JAAPA] 2024 Oct 01; Vol. 37 (10), pp. 40-44. Date of Electronic Publication: 2024 Sep 24. |
| DOI: | 10.1097/01.JAA.0000000000000133 |
| Abstrakt: | Abstract: During the 1980s and 1990s, international medical graduates (IMGs) sought legal and educational measures aimed at obtaining licensure as physician associates/assistants (PAs). Proponents of IMGs asserted that their ethnic backgrounds and identification with their respective communities could increase access to care for some segments of the population and therefore should be permitted pathways to qualify as PAs. A variety of legal measures were introduced into state legislatures in at least five states and were firmly opposed and defeated by the PA profession. Recent attempts by IMGs to obtain licensure as PAs have occurred in Puerto Rico and Arizona. In their haste to address healthcare access and satisfy various constituencies, state legislators and regulatory boards fail to recognize established professional norms. This is occurring as medical organizations are examining alternative pathways for state licensure of physicians who have completed training and/or practiced outside of the United States. PA organizations, particularly state chapters, must be vigilant in upholding qualifications for practice and licensure standards, and state PA organizations must work to convince legislators to avoid using PA professional regulations to solve a workforce issue that is essentially an issue of physician medical education remediation. (Copyright © 2024 American Academy of Physician Associates.) |
| Databáze: | MEDLINE |
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