Abstract
American students unable to gain admission to U.S. medical schools are flocking to foreign schools in record numbers. A report from the National Board of Medical Examiners (NBME) published in the Journal two weeks ago,1 and an accompanying editorial,2 presented evidence that should worry those interested in the quality of the education received by physicians being licensed to practice in this country. Many students studying abroad, perhaps the majority, are enrolled in institutions that would probably not meet U.S. accrediting standards. Some of the new schools now actively recruiting American students may be little more than proprietary diploma mills, not . . .

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