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Foreign doctors graduate from FIU program that makes them nurses

By Hilary Roxe

Associated Press Writer

Posted December 15 2003, 6:27 PM EST

MIAMI -- Marceliano Marcias, a Colombian trained doctor, set aside his pride and his medical education when he arrived in the United States and took a series of odd jobs that included cleaning floors behind a supermarket meat counter to support his five children.

Marcias, 49, is one of 32 people who graduated Monday from a pilot program at Florida International University designed to train foreign-educated doctors to be nurses. For the health care industry, the program is a creative solution to a state and national nursing shortage. For many of the graduates, it is a way of re-entering a field they were forced to leave behind with their homelands.

When he came to the United States four years ago, Marcias said his biggest concern was providing for his large family, so he took any job, refusing to let his pride to get in the way of delivering pizza or working as a landscaper. Though he said FIU's program was difficult, it reignited his interest in medicine.

``The knowledge was there, just waiting to be used in a more appropriate way,'' said Marcias, who plans to work at Miami's Mercy Hospital.

Dr. Divina Grossman, director of FIU's nursing school, said Marcias' experience is common. She said foreign educated physicians are often limited by their English language abilities, or the difficulty of passing the medical board certification, and many work as hospital technicians or nursing aids. The program is designed to make better use of their medical knowledge in the midst of an acute nursing shortage.

A recent report from the Florida Hospital Association shows 10 percent of the resident nursing jobs in the state are vacant, and Florida may be short about 61,000 RNs by 2020.

Leslie Homstead, an RN and the director of professional practice advocacy at the Florida Nurses Association, said the demands of the profession and aging demographic of nurses are creating the shortage.

``The average age of nurses is in the mid to upper 40s,'' she said. ``Add another 10 or so years to that, and we'll be ready to retire.''

A partnership among Hospital Corporation of America, an organization that owns hospitals across the country, Kendall Regional Medical Center, Cedars Medical Center and Mercy Hospital provided the $600,000 necessary for the first class, Grossman said. The partnership stepped up again for the second class of 60 students, she said, but funding is uncertain past next December. More than 600 people have already applied for that class.

Jeff Prescott, a spokesman for Nashville-based HCA, said the motivation for funding the program is obvious, given an acute nationwide nursing shortage.

``In general, the issue of nurse recruiting is huge,'' he said. ``Anything creative that could be done is being done.''

Grossman said this program is the first of its kind in the nation, though she has gotten calls of interest from other parts of the country.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
Originally posted by mattsmom81

I wish they would make it retroactive AND include physicians!!!

As do I!!!

I do NOT agree w/ foreign nurses (or doctors) being recruited to work as nurses in The U.S. and here's why-

Because it just helps managers/administrators and the entire health care industry avoid adressing the REAL issue of working conditions for nurses!

Foreign nurse recruitment just helps to perpetuate the myth of a nursing "shortage", and lets those responsible for nurses leaving nursing off of the hook!

If it really were an issue of an actual nursing shortage, I'd be happy to have foreign nurses come on in and help out, but that's not the case.

It is a FACT that there are 500,000 licensed registered nurses currently residing in The U.S. who have left nursing to work in other fields.

Another bonus for adminstrators/mgmt is that if anyone objects to foreign nurses being recruited to The U.S., they are afraid to say so for fear of being labled a racist. I have worked with nurses from the Phillipines. There are great ones and awful ones, just like there are great and awful white, hispanic, black, etc. nurses!

I have no doubt that Phillipine nurses get a great education, and that most can speak english better than I can. That's not the issue.

Addressing nurses' working conditions, ratios, bringing our own nurses back to the bedside, and getting rid of the "shortage" BS are the real issues!:(

Specializes in cardiac, diabetes, OB/GYN.

I am with Helllllo Nurse, on this one!

Originally posted by Hellllllo Nurse

I do NOT agree w/ foreign nurses (or doctors) being recruited to work as nurses in The U.S. and here's why-

Because it just helps managers/administrators and the entire health care industry avoid adressing the REAL issue of working conditions for nurses!

Foreign nurse recruitment just helps to perpetuate the myth of a nursing "shortage", and lets those responsible for nurses leaving nursing off of the hook!

If it really were an issue of an actual nursing shortage, I'd be happy to have foreign nurses come on in and help out, but that's not the case.

It is a FACT that there are 500,000 licensed registered nurses currently residing in The U.S. who have left nursing to work in other fields.

Another bonus for adminstrators/mgmt is that if anyone objects to foreign nurses being recruited to The U.S., they are afraid to say so for fear of being labled a racist. I have worked with nurses from the Phillipines. There are great ones and awful ones, just like there are great and awful white, hispanic, black, etc. nurses!

I have no doubt that Phillipine nurses get a great education, and that most can speak english better than I can. That's not the issue.

Addressing nurses' working conditions, ratios, bringing our own nurses back to the bedside, and getting rid of the "shortage" BS are the real issues!:(

The salary has been raised, i think, but why is still there a shortage? Why do US RNs want to work in another field?

Originally posted by Agnus

What a shame. This is a real concern to me.

I do not dislike foreign born people in my country. I embrace them. I was once a foreinger in another country myself for nearly 5 year.

What concerns me about foreign immigration of professionals into the USA MOST especially those in the health care field is that they are desperately needed in thier own country.

The US is in effect doing these countries a disservice by encouraging US immigaration. We are one of the weathiest countries in the world and the politically the most powerful. We have the ability to help these poorer countries in creating conditions that would assist them to retain their much needed medical and nursing personel.

I certainly understand the desire of the individual to make a better life for themselves and thier families. I support and defend those who are here in the US doing that.

I believe that the practice of hospitals and nursing homes in the US of actively recruiting overseas and in Mexico is dispicapble. It hurts those countries and it hurts the Health industry and the workers withing the industry in the US.

I agree with you that foreign doctors are badly needed in their country. There's really a shortage of doctors as well as nurses in third world countries.

But, majority of them are not martyrs. I believe they also have mouths to feed. Their families also depend on them. Give them a break. Thanks. :bluecry1:

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I only have one example to go by, as far as foreign doctors becoming nurses or techs here in the US, but it was a good experience. We have a Kuwaiti Dr. that was a patient tech on our floor for over a year while he did what he had to do to get into our medical program. He had his own family practice in Kuwait, and was a very knowledgeable and caring person. He did his job well (better than most), taught us a few things about compassion, and had impeccable English- in fact, he spoke 3 other languages as well. He had no qualms about being "only a tech," as all he ever wanted to do was to take care of people. He would be the first one to grab a bedpan for a patient, etc. no matter whose team the person was on. Now, he is finally in his 1st year of residency at our hospital. He continues to care for his patients with the same compassion he always had, and he is dedicated to taking care of the whole person to the best of his ability. He also treats the nurses with respect as he has had a close view of what it is we really do. I don't think I could ask for a more well-rounded Doc to work with. I think it's great.

hey guys, my wife is from the philippines..i met her here in the states...she graduated med school in the philippines...she had a hard time passign the usmle (which she did pass the first one)..she went to one of the top med schools in the phils..so she went back to the philippines and got her bsn...now she is done nad will be taking the nclex...she will tell you that the education there is nowhere near the level it is here, like about 15 years behind...i learned nearly as much in nursing school as she did in med school, and i am not exaggerating..to the girl who had a filipina tell her they had to go through more training in the phils than here in the states? tell her to actually go to a school here in the states...of course i got a bsn from indiana univeristy, so i cannot speak of the people who have community college asn's...but they do have decent education there in the phils, it is just way way underfunded and undertaught....its an easy way out to get a degree...as for our shortage here, there are soooo many people who want to be nurses, get into it, find that it is hard work, and get out...we have a shortage because people quit...its ok with me as my salary is pretty high here in indy...to all foreign born nurses, good luck...btw, most filipinos do speak english pretty well..the new requirements are pretty high with the toefl, the spoken engligh test (cant remember the name),e tc...but there are a coupel filos i worked with who had not a clue..they were able to pass the nclex though...come to think of it, i met alot of people who just didnt care or didnt have a clue...lol..just had to vent guys...see ya!

He continues to care for his patients with the same compassion he always had, and he is dedicated to taking care of the whole person to the best of his ability. He also treats the nurses with respect as he has had a close view of what it is we really do. I don't think I could ask for a more well-rounded Doc to work with. I think it's great. [/b]

I want to be his first patient when he gets his medical licence!

Iam responding to this thread because, i know a lot of Doctor from foreign countries , i think they are the nicest people , compasion some they, choose not to practice due to high cost of , some venture to other things like computer and teaching , i think they speak and spell pretty good than most of us, the thing that is good about are country is you can be who you want to be,it is the land of apportunity, no where else.:cool:

Originally posted by sarpa

Iam responding to this thread because, i know a lot of Doctor from foreign countries , i think they are the nicest people , compasion some they, choose not to practice due to high cost of malpractice insurance, some venture to other things like computer and teaching , i think they speak and spell pretty good than most of us, the thing that is good about are country is you can be who you want to be,it is the land of apportunity, no where else.:cool:

Huh???

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