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To the Editor.—
In their article (227:538, 1974), Ronaghy et al allude to what may be the basic reason for the unidirectional migration of physicians from developing countries to the United States, yet they fail to recognize what I believe to be the dominant cause. I refer to the Westernization of the medical-educational systems in such countries.In developing countries, the major medical problems facing physicians differ greatly from those in well-developed countries. This difference is not reflected in the training of physicians or the organization of health care delivery. The urgent need is to achieve a better standard of family health care and to solve problems relating to nutrition and public health. Sophisticated refinement of diagnostic and therapeutic measures is but a vague goal in the unforeseeable future. What do medical schools in developing countries produce in response to this set of needs and problems? The authors give us
Tavassoli M. Physician Migration. JAMA. 1974;228(7):825. doi:10.1001/jama.1974.03230320013004