IN its report published in this issue of the Journal the American Board of Internal Medicine (ABIM) tells us that foreign-born graduates of foreign medical schools (mainly Asian) do very poorly on its certifying written examinations, as compared with graduates of U.S. and Canadian schools."Of course," you say. Cultural barriers are hard to surmount in medicine. It is only to be expected that physicians born and educated in Asia, even though they have spent several years in residency training in U.S. hospitals, would have difficulty with the objective type of examination so familiar to American students. But the fact . . .
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Arnold S. Relman (1977) studied this question.