Fatal Flows—Doctors on the Move

Chen, L.C. & Boufford, J.I.
New England Journal of Medicine October 27, Volume 353, Number 17.

The movement of physicians from poor to rich countries is a growing obstacle to global health. Ghana, with 0.09 physician per thousand population, sends doctors to the United Kingdom, which has 18 times as many physicians per capita. The United States, with 5 percent of the world's population, employs 11 percent of the globe's physicians, and its demand is growing.1 As underscored in the article by Mullan in this issue of the Journal,2 today, 25 percent of U.S. physicians are international medical graduates, and the number is even higher in the United Kingdom, Canada, and Australia.