Comparative Analysis of Postgraduate Clinical Integration Pathways for MedicalGraduates: Lessons from the United Kingdomand Europe for the United States

摘要

The present paper contains a comparative discourse of the two systems of medical education in Mexico and the United States with a specific consideration to the existing patterns of postgraduate education and the recent legislative changes in the state of California, according to which some foreign-trained physicians are now permitted to practice in the U.S. without a residency program in the United States or without the United States Medical Licensing Examination (USMLE). In the research, differences between the two countries regarding all aspects of medical training, evaluation standards, clinical exposure, and licensing process are looked into. Whereas the medical education framework in Mexico involves early exposure to clinical practice and the social-service oriented model of medical education, the U.S. system is based on the standardized exams, cut-throat post-graduate training, and limited licensing. Critical analysis of the legislative response of the state of California to the lack of healthcare workers is provided in the paper to examine its consequences concerning clinical competency, patient safety, medical ethics, and trust. In this examination, the disadvantages of skipping official residency and licensure procedures have been identified in the paper, and propositions to policy are made that attempt to balance between inclusiveness and quality assurances. The results evidence the importance of the establishment of specific integration frameworks and open supervision systems so that all practicing physicians of any origin could be interviewed by the same standards of care.