Thursday, December 29, 2016

Pakistan is the 3rd Largest Source of Foreign Doctors in America

Pakistan is the third biggest source of foreign doctors who make up a third of all practicing physicians in the United States, according to OECD. Vast majority of Muslim doctors in America are of Pakistani origin.

Foreign Doctors in America:

About 30% of the 800,000 doctors, or about 240,000 doctors, currently practicing in America are of foreign origin, according to Catholic Health Association of the United States. Predictions vary, but according to the American Association of Medical Colleges, by 2025 the U.S. will be short about 160,000 physicians. This gap will most likely be filled by more foreign doctors.

Foreign Doctors in US, UK. Source: OECD


Pakistani Doctors in United States:

As of 2013, there are over 12,000 Pakistani doctors, or about 5% of all foreign physicians and surgeons, in practice in the United States.  Pakistan is the third largest source of foreign-trained doctors. India tops with 22%, or 52,800 doctors. It is followed by the Philippines with 6%, or 14,400 foreign-trained doctors. India and Pakistan also rank as the top two sources of foreign doctors in the United Kingdom.

Dow University of Health Sciences, Karachi, Pakistan


Dow Medical University of Health Sciences:

There are 3,100 graduates of Karachi's Dow University of Health Sciences, contributing the largest pool of doctors among the 12,000 Pakistani doctors in the United States. About 1,900 are from Lahore's King Edward Medical College and the rest from Karachi's Agha Khan University, Lahore's Allama Iqbal Medical College and other medical colleges in Pakistan, according to Dr. Humayun Chaudhry, President and Chief Executive Officer of the Federation of State Medical Boards in the United States.

Doctor Shortages:

India has six doctors for 10,000 people and Pakistan has eight. The comparable figure for the United States is 25 doctors per 10,000. And yet, the United States continues to import thousands of doctors from these two South Asian nations. Predictions vary, but according to the American Association of Medical Colleges, by 2025 the U.S. will be short about 160,000 physicians. This shortfall will most likely be filled by foreign doctors from countries like India and Pakistan.

Summary:

Pakistani doctors make up the third largest source of practicing physicians and surgeons in the United States. And more are coming to make up the continuing shortages in spite of the fact that Pakistan has only eight doctors per 10,000 people, only a third of the 25 doctors per 10,000 in the United States. Will this change after President-elect Donald Trump takes office on January 20, 2017? Only time will tell.

Related Links:

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Obama Honors Pakistani-American Doctor With Top Technology Medal

Hindus and Muslim Well-educated in America But Least Educated Worldwide

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6 comments:

Riaz Haq said...

The US Distribution of Physicians from Lower Income Countries
E. Fuller Torrey1,* and Barbara Boyle Torrey2

The origin and distribution of the IMGs from lower income countries are both concentrated; 85 percent of them come from just 8 countries, and 67 percent of all IMGs are living in just 10 states (see Table S1). Forty-one percent of all IMGs from lower income countries come from India, and 22 percent of them are practicing in New York and California. The Philippines is the second largest provider of physicians from lower income countries (16 percent), and they are also practicing in disproportionate numbers in New York and California. Physicians trained in Pakistan, the third most important country of origin of IMGs in the United States (10 percent), practice disproportionately in Texas, New York, and Illinois.


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3310056/

Riaz Haq said...

#Pakistan to build first #nursing university named after #Bahrain's King Hamad, affiliated with RCS of #Ireland
http://tribune.com.pk/story/1286260/pm-nawaz-performs-groundbreaking-pakistans-first-nursing-university/

Prime Minister Nawaz Sharif on Friday performed the groundbreaking of the country’s first nursing university.

“The Bahrain funded state-of-the-art King Hamad University of Nursing and Associated Medical Sciences will help the country’s health sector prosper,” PM Nawaz said while addressing the groundbreaking ceremony. The university, being built in Chak Shehzad, is a gift from Bahrain and will be affiliated with Royal College of Surgeons, Ireland.

Addressing the event, the prime minister said in view of the dearth of trained nursing and training staff in the country, the noble project by Bahrain would help fill gap in healthcare sector.

Regional security: Bahraini commander meets army chief

PM Nawaz further said the university will raise the level of standard of health and will be significant in bringing quality nursing care in the country.

The prime minister stressed that health is one of the top priorities of the government. “The government aims to provide integrated healthcare spanning over the entire health spectrum from primary to tertiary care,” the premier said. He added that the “programme is unprecedented in terms of its magnitude and is being implemented in a phased manner and would provide coverage to 100 million people eventually. Work in this regard is being undertaken expeditiously.”

The ceremony also saw the announcement of construction for another 50 state-of-the-art hospitals throughout the country.

PM Nawaz to lay foundation of 1156MW power plant in Sheikhupura

The premeir said the government is focused on preventative measures and pointed out that the national immunisation programme provides free of cost vaccines to every Pakistani mother and child. “There has been significant improvement in the coverage of the programme and concrete steps are being taken to arrest the spread of polio,” he said.

PM Nawaz thanked the government of Bahrain, especially King Hamad for his generousity in offering support for the establishment of the university, saying “the university symbolises strong bonds of brotherhood and friendship between the two countries.”

“This is reflective of leadership of Bahrain’s love for the people of Pakistan and its commitment to help improve the quality of life of our people,” he added.

Riaz Haq said...

Karachi to gain its own cancer hospital by Dec 2019

http://tribune.com.pk/story/1278799/evolving-healthcare-system-karachi-gain-cancer-hospital-dec-2019/

KARACHI: The groundbreaking ceremony of the third Shaukat Khanum Cancer Hospital in the country was performed by a 10-year-old cancer patient, Waleed Iqbal. Together with Shaukat Khanum Memorial Trust (SKMT) board of governors chairperson Imran Khan, Waleed unveiled the groundbreaking plaque on Thursday.

Waleed and many other cancer patients from Sindh and Balochistan previously had to travel to Lahore for cancer treatment but now patients will not have to bear expense of accommodation and travelling with the establishment of a cancer hospital in Karachi.

The ceremony, which was held at the site of the hospital in Defence Housing Authority (DHA) City near the Superhighway, was attended by board members of the SKMT, the hospital’s senior management, dignitaries, donors and celebrities.

The hospital will be built on 20 acres of land allotted by DHA, for which we are very grateful, said SKMT’s chief executive officer Dr Faisal Sultan. He told participants that the total cost of constructing the hospital is Rs4.5 billion and the facility will be completed on December 29, 2019.


Dr Sultan added that the hospital will have the similar state-of-the-art facilities as are being provided at the other Shaukat Khanum hospitals in Peshawar and Lahore. This includes surgery, radiotherapy, chemotherapy, hormone therapy and biological therapy facilities. The hospital will enhance and raise the healthcare standards in the region, claimed Dr Sultan.

Highlighting the details of the project, Dr Sultan said the new facility will have operating rooms, an intensive care unit, a chemo-bay facility, inpatient rooms, and outpatient clinics, initially. The hospital will have nine clinical departments – medical oncology, paediatric oncology, radiation oncology, brachy-therapy, CT simulation services, surgical oncology, anaesthesia, radiology with CT scanners, MRI scanners, X-ray machines, fluoroscopy, ultrasound machines, mammography scanners and a PET CT scanner. The pathology department will have haematology, clinical chemistry, microbiology, cytology, and a blood bank.


He added that this enormous facility would open up opportunities for oncologists, doctors, nurses and other health professionals to get training in the management, diagnosis and treatment of cancer.

Dr Sultan said around 75 to 80% of the patients at the facility are treated free of charge, while the remaining 20 to 25% of patients pay their own expenses. He also clarified that the hospital’s income depends on 40 to 45% of the revenue it generates, 25% on zakat and 35% on other donations.

Riaz Haq said...

#UK #NHS to bring 200 doctors each from #India and #Pakistan in 2017.

http://www.telegraph.co.uk/news/2017/01/12/nhs-could-bring-hundreds-doctors-india-stem-ae-crisis/


Hundreds of doctors may be drafted in from India and Pakistan to plug a spiralling crisis in Accident & Emergency departments, health officials say.

The scheme will start in Greater Manchester, with 20 medics due to be flown from India this year for up to three years.

The region’s eight Accident & Emergency departments have been under severe strain in recent weeks amid staffing shortages.


Officials behind the plans said the scheme, backed by Health Education England, could be expanded in respond to widespread shortages of A&E doctors across the country. The project is being run by the Greater Manchester devolution team and Wrightington, Wigan and Leigh Foundation Trust.


Andrew Foster, trust chief executive told Health Service Journal said the region's A&E departments were now "very reliant on locums."

Most of the trusts needed around 10 to 12 "middle grade" doctors, but only had two or three. "They're very reliant on locums," he said.

Such medics are junior doctors, who have finished basic training but are still learning specialist skills and have yet to qualify as a consultant.

Mr Foster, who was formerly Department of Health director of of human resources, said the plans could form part of a national recruitment exercise.

"We are talking about the possibility of getting 200 [trainees] from India and the same number from Pakistan," he said.

In November a report by the Commons health select committee warned that A&E departments need at least 8,000 doctors – 50 per cent more than the 5,300 currently employed - to keep pace with the rise in emergency admissions in the last five years.

Under the new scheme, the NHS will pay £16,000 towards the training costs for each recruit, as well as paying their salary. The middle grade doctors would be placed in emergency departments for 2-3 years while completing their training in emergency medicine, before returning to India.

Ged Byrne, director of education and quality for Health Education England in the North West, said: “This work is helping to increase the number of doctors who are available to support acutely ill patients.

"The relationship benefits both the UK as it helps to fill an immediate need and the doctors themselves who gain access to high quality training and a unique skills set.”

Riaz Haq said...

#US Patient Mortality Lower With Foreign-Trained #Physicians from #India, #Pakistan, #Philipinnes, etc http://www.medscape.com/viewarticle/875356 … via @medscape


Medicare patients admitted to the hospital and treated by internists who graduated from medical schools outside the United States had lower 30-day mortality than matched patients cared for by graduates of US schools, according to results of a study published online today in the British Medical Journal (BMJ).

To practice in the US, international medical school graduates must pass two exams on medical knowledge and one assessment of clinical skills, and complete accredited residency training here. However, medical schools outside the US are not accredited by any domestic agency. In response to concerns about quality of care from internationally trained physicians, the Educational Commission for Foreign Medical Graduates will require accreditation of medical schools outside the US by 2023.

Studies comparing the quality of care provided by internationally trained physicians with that by domestically trained physicians are few and small in scope. Yet, physicians trained outside the US may be perceived by some as not as competent as physicians who attended medical school in the US.

To compare the two, Yusuke Tsugawa, MD, MPH, PhD, from the TH Chan School of Public Health at Harvard, and colleagues conducted a large observational study of hospitalized Medicare beneficiaries to assess whether outcomes differ depending upon whether or not their general internists were trained domestically or abroad. The study excluded graduates from Central America and the Caribbean to minimize inclusion of US citizens trained outside the country. The countries that contributed the most internists to US hospitals were China, Egypt, India, Mexico, Nigeria, Pakistan, the Philippines, and Syria.

The researchers assessed 30-day mortality rate (the primary outcome), readmission rate, and costs of care (total part B spending), and whether clinical condition influences differences in patient outcomes and care costs between the two groups of patients. In addition, they adjusted their models for patient characteristics (age, sex, race or ethnic group, diagnosis, and income), physician characteristics (age, sex, and patient volume,) and hospital fixed effects (characteristics of hospitals).

Results indicated that 44.3% (19,589 of 44,227) of general internists in the US graduated from medical schools outside the country. They were slightly younger than US graduates (46.1 v 47.9 years; P < .001), and were more likely to work in medium-sized, nonteaching, for-profit hospitals without intensive care units.

In addition, their patients were more likely to be nonwhite, have Medicaid, have lower median household income, and have more chronic comorbidities (congestive heart failure [CHF], chronic obstructive pulmonary disease [COPD], and diabetes)


The mortality analysis included 1,215,490 patients admitted to the hospital under the care of 44,227 general internists between 2011 and 2014. Patients treated by international graduates had lower mortality (adjusted mortality, 11.2% v 11.6%; adjusted odds ratio, 0.95; 95% confidence interval [CI], 0.93 - 0.96; P < .001).

"Based on the risk difference of 0.4 percentage points, for every 250 patients treated by US medical graduates, one patient's life would be saved if the quality of care were equivalent between the international graduates and US graduates," the authors write.

The cost analysis included 1,276,559 patients treated by 44,680 physicians during the same study period.

Overall, patients of internationally trained internists had slightly higher adjusted costs of care per admission ($1145 v $1098; adjusted difference, $47; 95% CI, $39 - $55; P < .001).

Meanwhile, adjusted readmission rates among 1,182,268 patients who were treated by 44,201 physicians did not differ between the two patient groups.

Riaz Haq said...

$15 million Gift to Notre Dame Catholic University from #Pakistani-#American #Muslim Physician Couple in #Indiana

https://www.nytimes.com/2017/03/17/your-money/norte-dame-muslim-philanthropists.html?_r=1

Rafat and Zoreen Ansari, medical doctors who were born in Pakistan, have spent the last four decades working and raising their three children in a suburb of South Bend, Ind., where they also have earned a reputation as civic leaders.

By their estimation, they have given at least $1 million and thousands of hours of their time to nonprofits focused on children with autism, which afflicts their youngest child, Sonya.

But a year and a half ago the couple and their children, all Muslim, began working on a larger gift in terms of money, impact and risk: Their goal was to fund something that would foster better understanding of religion, including Islam, Judaism and Christianity, with the belief that all religions should be treated with equal respect.

The family’s inclination to leave a legacy is not uncommon among people who have grown wealthy. But their focus could land them in the middle of one of the most charged issues of the day.

“We came as immigrants, and this country has given us so much,” Mrs. Ansari said in an interview ahead of the announcement. “We want to give something back to America, but also to humanity. We want to promote the idea of equality.”

On Friday, the Ansaris announced a $15 million gift to the University of Notre Dame, one of the top Catholic universities, to create the Rafat and Zoreen Ansari Institute for Global Engagement With Religion. The institute will aim to deepen knowledge of religion and look to explain how the traditions and practice of various religions influence world events.

“Whenever you get a gift of this size, it’s tremendous, but particularly to have this named for the Ansari family, who is Muslim, is tremendously meaningful to us,” said the Rev. John I. Jenkins, the president of Notre Dame, in an interview. “We believe religion is very important in our world. It can have a negative impact, but it should be possible to study the ways religion can be a force for human development and peace.”

Father Jenkins said the institute would look at religion not through a sociological or political lens, but through one focused on the religions themselves.

While the couple and the university said the gift, which was 18 months in the making, was not conceived as a way to make a political statement, all parties acknowledged that it came at a politically charged time, given the debate over Muslim immigration in America and Europe.

“In the last couple of years, the majority of problems have been created by the misunderstandings among the religions,” said Mr. Ansari, an oncologist and hematologist. “Is this the right time for the announcement? Yes, because there is so much going on.”

The Ansaris thought long and hard about how to achieve their goal. Their hometown, Granger, Ind., is just a few miles from Notre Dame. While the Ansaris were educated in Pakistan, their daughter Sarah graduated from Notre Dame Law School.