The roles and responsibilities of United States medical schools in international medical education.

Once dependent on the educational and professional resources of other countries, by the end of World War II the United States was recognized as one of the preeminent centers of the world for medical science and teaching. A period of nearly open access to the American medical education system between 1962 and 1975 was followed, however, by a period of stricture. Reasons are cited in favor of a more active international role by the United States in medical education. Some of the contributions that the United States can make are summarized, and seven areas are identified in which the United States stands to make substantial gains through a more active role in international medical education. The authors conclude that it is the spirit of science, rather than diplomatic advantage, that should guide United States efforts in international medical education. A proposed role for the Association of American Medical Colleges as both a facilitator and a national policy advocate in the area of international medical education and health is outlined.