Daniel Sijipunda Dube, MD
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Dube DS. A Lesson in Poverty. Ann Intern Med. 2003;138:W-52. doi: 10.7326/0003-4819-138-11-200306030-00018-w2
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Published: Ann Intern Med. 2003;138(11):W-52.
TO THE EDITOR:
Dr. Das's account of her experience on returning to India after training in the United States highlights the challenges faced by many foreign-trained doctors seeking to relocate to their countries of origin (1). Integrating returning foreign-trained physicians into an environment that is demographically distinct from that of their most recent practice is complicated by the fact that most developing countries do not have the planning and organizational resources to efficiently utilize new and innovative skills. Foreign-trained doctors returning from some European locations not infrequently become “deskilled” because of less structured and inappropriate-caliber training for their level of seniority (2). This, in turn, may impede a speedy integration into the local medical community. The period spent abroad may also sever social ties with fellow medical professionals, hindering initial efforts to establish a clinical practice. Returning physicians often underestimate their own personal metamorphosis of perspective on many issues, which creates a potential source of conflict and disillusionment.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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