This book is intended to describe the problems of foreign medical graduates and to propose solutions. The results are unsatisfactory in each case. All who come in contact with these young physicians understand very well the wide range of backgrounds and competencies among them. It is equally obvious that the programs in which they find themselves vary from worthless to excellent. The pressures on US hospitals to make up for the severe shortage of US graduates in their internship and residency programs, and the struggle of marginal training programs to survive are only two of the many factors involved.
Margulies and Bloch have nothing new to tell us in this regard. Perhaps a greater disappointment lies in their failure to present specific and, indeed, workable solutions. Their proposal (the only one in the book) that foreign graduates be divided into two categories, that is, temporary and permanent immigrants, with programs