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Table 3 Responses to clinical vignettes of IMG and USMG family physicians

From: International medical graduates in family medicine in the United States of America: an exploration of professional characteristics and attitudes

Clinical vignette USMGs N = 2360 Mean (SE) IMGs N = 366 Mean (SE) p value*
% 50 y/o males prescribed oral agents for total cholesterol of 240, LDL of 150 and HDL of 50 after 6 months of diet therapy and no other cardiac risk factors (n = 2726) 21.60 (0.87) 22.92 (1.71) 0.4533
% 60 y/o males referred to urology for moderate BPH symptoms without signs of renal disease or cancer (n = 2726) 11.65 (0.55) 15.52 (1.77) 0.0276
% 50 y/o males with 1 month history of exertional chest pain referred to Cardiology after an abnormal stress test (n = 2726) 47.20 (1.15) 50.93 (2.80) 0.1791
% 35 y/o males ordered MRI for acute low back pain with new left foot drop (n = 2726) 33.39 (0.90) 39.58 (1.97) 0.0036
% Asymptomatic, male, Caucasian patients > 60 y/o without family history of prostate cancer and normal digital rectal exams who are ordered PSA test (n = 2726) 37.31 (1.34) 42.57 (2.64) 0.0301
% 40 y/o monogamous, female patients with 2 days of vaginal itching and thick white discharge without abdominal pain or fever who are required an office visit (n = 2726) 21.84 (0.95) 34.91 (2.61) <0.001
% 10 y/o males with primary enuresis with negative work-up and failure of water restriction and environmental measures who are prescribed DDAVP (n = 2726) 26.23 (0.84) 31.98 (2.50) 0.0265
% 10 y/o males with 2 day history of sore throat and fever who required an office visit (n = 2726) 31.74 (1.03) 25.92 (1.99) 0.0084
% 10 y/o females with fever, tachypnea and right-basilar rales who are ordered chest X-rays (n = 2726) 23.40 (1.01) 27.56 (2.22) 0.0574
% 24-month-old females with history of 6 resolved episodes of supporative otitis media in past year with normal hearing and failure of prophylactic antibiotics who are referred to ENT for PE tubes (n = 2726) 22.94 (0.87) 22.60 (1.97) 0.8816
% Full-term, 6-week-old children given sepsis work-up (CBC, sterile urine and blood cultures) for a fever of 101 (n = 2726) 29.54 (0.91) 26.63 (2.25) 0.2458
% 4 y/o children with eczema and asthma that is worsening despite inhaled corticosteroids who are referred to an allergist (n = 2726) 29.42 (0.97) 28.40 (2.31) 0.6605
  1. * T-Test
  2. USMG = United States Medical Graduate, IMG = International Medical Graduate, SE = Standard Error