Table 3 |
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Responses to clinical vignettes of IMG and USMG family physicians |
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| Clinical vignette |
USMGs N = 2360 Mean (SE) |
IMGs N = 366 Mean (SE) |
p value* |
|
|
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| % 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 |
|
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* T-Test USMG = United States Medical Graduate, IMG = International Medical Graduate, SE = Standard Error |
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Morris et al. Human Resources for Health 2006 4:17 doi:10.1186/1478-4491-4-17 |
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