Powerful lobbies are surpressing the number of doctors practicing in the US. If a foreign doctor wants to emigrate and practice here they cannot until they pass TOEFL (reasonable) AND finish US-based residencies, of which there are few. I know a Russian dermatologist who has been a receptionist for years because she cannot get ECFMG certification. Some states are wising up and waiving the residencies, but way more need to do it.
Powerful lobbies are surpressing the number of doctors practicing in the US. If a foreign doctor wants to emigrate and practice here they cannot until they pass TOEFL (reasonable) AND finish US-based residencies, of which there are few. I know a Russian dermatologist who has been a receptionist for years because she cannot get ECFMG certification. Some states are wising up and waiving the residencies, but way more need to do it.