Northwest Arkansas Times from Fayetteville, Arkansas on August 11, 1974 · Page 12
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August 11, 1974

Northwest Arkansas Times from Fayetteville, Arkansas · Page 12

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Fayetteville, Arkansas
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Sunday, August 11, 1974
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12A Northwest Arkansas TIMES, Sun., Aug. 11, 1974 FAYETTKVILLE, ARKANSAS Crowding Out Qualified American Physicians Foreign Doctors In U. S. Said Poorly Qualified By FREDERICK L. BERNS TIMES Washington Bureau WASHINGTON -- There are too many · foreign ' medical school graduates in the United States with too few qualifications. · .That is the contention of a federal task force.and medical officials who fear that many of the 82,000 foreign-trained doctors here are underqualified for the positions .they occupy. The result, according to an Association of American Medical Colleges task force, is that foreign physicians with substandard training are crowding out qualified American doctors in private practice and major hospitals throughout the nation. , Because of what the task force calls-an "inequitable and inadequate" admission system, the number of foreign doctors i n , the-U.S. is rising steadily. One of every five physicians in this nation no wis a f o r e i g n medical school graduate.- One of every three physicians working as hospital interns or residents were trained abroad. The most serious effect of the influx of the foreign graduates is what' officials call the "underground." That is the group of 14,000 -'foreign doctors who are practicing and working in health care capacities, even though they haven't passed state licensing examinations. Such unqualified physicians sometimes deliver babies, give anesthesia, sew lacerations and work in emergency 'rooms in hospitals across the nation. .EASY SCREENING TEST Critics contend that the screening exam by which fore- American Family Settles In Sinai Desert Town SHARM el SHEIK, Sinai (AP) -- Lee and Eytan Zucker left the big city to live in a shack with a back yard that stretches 23,000 square miles. With their three daughters, ages 4 to 8, they are the only Americans in this remote pioneer desert town where Zucker runs the Israel Nature Reserves Authority in the southern Sinai. "People think there is nothing in the desert, but they're wrong. It's fascinating. Right here in Eytan's territory -which is bigger than Israel -there's an Egyptian temple, old inscriptions carved in the rocks, coral reefs in the Red Sea and endless things to explore," Mrs. Zucker says. "And there are animals," injects 8-year-old Danya. "There are foxes, wolves, hyenas and antelope, and birds and scorpions and crawly things. And there are rats -- we've got rats in our house." Zucker folded his New York insurance business, and his wife left her job as an editor for B'nai B'rith to spend 3'A years trekking through Europe, the Mideast, India and Africa in a motor home. They settled in a cluster of four prefabricated huts perched on the bay here jsut before last Octo- ner s war. Their new home gave them , grandstand view. "Egyptian MIGs attacked-the Israeli navy base nearby and made two or three passes right in front of us. We all hid under the bed. The whole house shook from the noise," Mrs. Zueker recalls. HID ON CLIFF "Then a friend took us up to the rock cliff behind the house and we hid there. He was killed later at the Suez Canal by a sniper." War gave the Zuckers a social life. Sharm el Sheik's pioneer population is about 200 strong, most of them construe tion workers wives. There without are only their four couples in town, and no playmates for Danya or Ina, 7, or Carmel, 4. But the October war brought dozens of Israeli soldiers to Sharm. el Sheik, at the southern tip of the Sinai peninsula. "Pollution can be a leaking oil tanker or a smokestack, bul we have a tremendous problem with just plain garbage," he explains, picking up an unexploded machine-gun bullet and adding it to a deadly collection in the glove compartment of his panel truck. Israel captured the Sina. from Egypt in the 1867 war. Huge sections of the triarfgular peninsula with its wild mou ains and sand tracts look un ouched by man. But parts of it resemble a military jwikyard. Wired-off fields of land mines, wrecked planes and tanks lie in the sand. Some are from 1967, some from the .1956 Suez campaign and some debris of last Octobers 18-day war. NATURE RESERVES Israel may eventually return much of the conquered Sinai to Egypt, but in the meantime numerous zones have been se! aside as nature reserves. Zuck er supervises -them, trying to protect - the shore and cora reefs as well as stemming the tide of litter on shore. Neither Zucker nor the Na ture Reserves Authority wants to keep the whole Sinai sealci off. Tourism is encouraged, anr. hotels and holiday camps arc sprouting along the wild east ern coast. . , But visitors are encouragee to behave themselves. Neatlj painted signs tell tourists "En joy Your Visit," but warn tha shootirrg animals or fish o even taking seashells from thi beach Is illegal. Zucker's aides :-- seven Is raelis and 30 Bedouin Arab tri besmen -- put up the signs and install litter bins by the score They also build campsites, shel ters against the sun, latrine and beach facilities. gn medical graduates become ligible to apply for internships md residency programs in the J.S.'is far top easy. The exam s g i v e n - by the Educational "Ipuncil for Foreign Medical Graduates and is one of two admission standards for foreign Indents who want to partici ate in graduate ' medical edu- ction programs in the U.S. and ake state licensing exams. The other criteria .is that the oreign students must h'ave.tul- illed the requirements of a medical school as determined by .the World Health Organi- :ation. . , . , A panel of. doctors .testified n June before the Senate lealth Subcommittee that a 'double standard" has deve- oped for prospective doctors "t is much more.difficult, the doctors noted,: for U.S. gra duates to become eligible for state licensing exams because :hey are subject to rigorous admission and grading stand ards on the undergraduate and ;raduate level. Proof of. the inferior training that the foreign doctors receive according to Dr. Robert Weiss a community health care exper at Harvard, is. that 63 per cen of them fail state licensing exams. That compares to the 22 per cent failure rate amon 1 ] U.S. medical school graduates. It is those foreign medica students who fail the state exams' that join the "under ground." . ILLEGAL MEDICINE "They are engaged, in illega medicine," says Dr. Emanue Suter, the director of the Inter national Medical . Educatio division of the Association o American Medical Colleges. Some set up private practice in the inner city, Dr. Sute explained, while others are abl to obtain responsible jobs i general hospitals as "medica assistants."'Still others work i state mental hospitals exemp from licensing or enga'ge i medical teaching or research. "The extent to which thes foreign - doctors are employe and the impact of their activ: ties on medical care are nc nown," according to the recent ask ' force report.". "However, nccdotal e v i d e n c e sug- ests that much health c a r e elivcry. in the public sector lepends on physicians not fully jualified but willing to accept vorking conditions and income evels qualified physicians will not accept." The task force .composed of lealth manpower experts was appointed a. year ago by the \ssociation of American. Medi- ;al'Colleges to study the status f - f o r e i g n medical graduates. iThe newly-released task force eport concludes that the U.S. '-'condoning , the evolution of dual system of graduate medica.1.; education" in which .housands of "products of . u n accredited education systems' iccome active in U.S. health :are. - ' . :The report indicates that 7( per cent of the-foreign doctors are-from Asia.-with the largest concentration coming from the Philippines. -,'·' Dr. Weiss,i a task force mem- aer, points out that the U.S las more Filipino doctors thai- black doctors. . ··· ."While we itake' in physicians who are of questionable quality in relation to their backgrounc and education, we are denying opportunities to American citi zens," he maintains. Experts claim that the idea that foreign medical school 'gra duates are. .badly needui because'of the doctor shortag' in the U.S. is a myth. This nation is expected t have 485,000 physicians by 198 and, at the present rate, 31 pe cent · of them, will be foreig: medical graduates. One of the major task fore recommendations is that th number of foreign doctors give internships and residencies b cut so that the total of sue' jobs' would be only slight!, greater than 1 the number of doc tors graduating from · U.S medical schools. RECOMMENDATIONS Other recommendations eluded: . . · D e v e l o p i n g a "gcnei ally acceptable qualifyin From Our Files; How Time Flies TEN YEARS AGO A late, afternoon fire yesterday caused extensive damage to the two-story Porte-A-Mode Beauty Salon at 512 Emma Ave in Springdale. Fire Chief Lon Cook was hospitalized after he was overcome with smoke. Two special education teachers are needed to complete the faculty of the city schools for the 1964-65 school year Dr Wayne H. White, superintendent, said the teachers were needed for the special education classes at Root and Hillcrest schools. The second annual Creative Arts Symposium at the Bella Vista Fine Arts Center will get underway Aug. 18. The four-day festival will include classes on nearly every aspect of the arts, with performances two nights. FIFTY YEARS AGO One hundred and sixty young persons from all districts of the M.E. church south in the southwest have already enrolled for the Epworth League Conference on Mount Sequoyah opening today, Fire of undetermined origin damaged the office of Clarence Hight, manager of the Norlh- \vest Arkansas Credit Association, and threatened the First National Bank Building shortly after seven o'clock Sunday morning. The biggest convention to be held in the entire state will be started here next Monday when the American Legion men gather to hold their annual state conclave. With between 3,000 and 5,000 people coming here, it will tax the resources of Fayetteville to a capacity to make the best showing. DILL/VRD 1 © ~*. i * Complete Service for Eight... Your Choke of Six Patterns ONE HUNDRED YEARS AGO The Gazette recapitulates the occupations of members of the Constitutional Convention -seven not designated; Farmers 37; lawyers, 32; doctors, 8; ministers, 2; merchants, 1; tra ders, 1. The horny-handed members of the Convention don't take "hack -seat" worth ,a cent From all indications they will not sit idly in the coming campaign and allow the played-out, v u l t u r o u s office-seekers t o shuffle out a coid deck on them. The people are awake. Our readers will hear witness that we have not been forward to give advice to the convention. There are, however, a few matters which seem to have escaped the minds of the members. Of these we shall speak our sentiments and speak plainly. We think there is no necessity for martial law at the Capitol, and that it is not in accordance with the dignity which attaches or should attach, to the convention, to suffer themselves surrounded by the militia of Baxter. (XPERT WATCH REPAIR . · ' ' ' · ' S W I F T S Aztec or Fenway 29.95 Mansfield or San Diego 70 pc. set for 8 Arbor Rose or Spanish Court OO QC Oi)»i/O Outstanding values in Rogers Stainless by Oneida . . . setting for 8 with no extras to buy. Set includes 8 dinner knives, 8 salad forks, 8 soup spoons, 8 cocktail forks, 8 ice lea or parfait spoons, 16 teaspoons, 1 gravy ladle, I fable serving spoon, 1 pierced tablespoon, 1 cold meat fork, 1 sugar spoon, and 1 butter knife. Silver--DILLARD'S--Second Floor aminalion" so that admission students {9 U.S. medical edu tion progranis and licensing animations is more equitable A pilot project in which somi r e i g n medical graduate ould be enrolled in undergra uate programs in U.S. school that their "educational defi encics" can be corrected. A closing of the state licen ig "loopholes" in 43 state rich allow unqualified foreig Dctors to 'get temporary licen Training hospital health care mployes to handle the duties iroscntly carried out by the oreign doctors. Officials say that about 31 per cent of the foreign trained doctors are U.S. citizens who went abroad because they weren't accepted into medical schools liere. These students fare as bad or worse than foreign-born students ; on screening exam' nations. The Senate Health Committee is studying ways to strengthen requirements arid keep out un qualified foreign-trained physi clans. A provision dealing will foreign doctors will likely bi added to the Health Manpowei bill that is currently under con si deration. Task force representative urged haste in the crackdown on the underqualified outsiders "If I was' born in Bueno Aires, it would be easier fo me to lake licensing exams in the U.S. than if I was bor in the U.S.," ' Dr. Sute remarked. "That shouldn't be. 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