Balance of trade: Export-import in family medicine

Ronald E. Pust

Research output: Contribution to journalShort surveypeer-review

1 Scopus citations


North American family physicians leaving for less-developed countries (LDCs) may not be aware of internationally validated diagnostic and treatment technologies originating in LDCs. Thus they may bring with them inappropriate models and methods of medical care. More useful "exports" are based in sharing our collaborative vocational perspective with dedicated indigenous generalist clinicians who serve their communities. More specifically, Western doctors abroad can promote local reanalyses of international evidence-based medicine (EBM) studies, efficient deployment of scarce clinical resources, and a family medicine/generalist career ladder, ultimately reversing the "brain drain" from LDCs. Balancing these exports, we should import the growing number of EBM best practices originated in World Health Organization and other LDCs research that are applicable in developed nations. Many generalist colleagues, expatriate and indigenous, with long-term LDC experience stand ready to help us import these practices and perspectives.

Original languageEnglish (US)
Pages (from-to)746-748
Number of pages3
JournalFamily medicine
Issue number10
StatePublished - Nov 2007

ASJC Scopus subject areas

  • Family Practice


Dive into the research topics of 'Balance of trade: Export-import in family medicine'. Together they form a unique fingerprint.

Cite this