Quality of medical training and emigration of physicians from India

Table 1 Physician emigration fraction to the United States, by college (quintile) rank

Ranking/Quintiles weighted by Seats	Emigration Fraction (As % of Total Graduates)
	Specialty and Sub-Specialty Seats per Undergraduate	Student Choice-Based Ranking	Publications per Undergraduate
I(lowest)	2.93 (2.80, 3.06)	2.45 (2.32, 2.58)	5.94 (5.78, 6.11)
II	4.93 (4.78, 5.07)	5.11 (4.94, 5.28)	6.70 (6.55, 6.84)
III	7.42 (7.29, 7.55)	5.47 (5.32, 5.62)	6.58 (6.44, 6.72)
IV	8.72 (8.59, 8.85)	7.72 (7.56, 7.88)	8.56 (8.40, 8.71)
V(highest)	9.39 (9.24, 9.54)	9.60 (9.43, 9.77)	10.22 (10.04,10.39)
Total	7.46 (7.39, 7.52)	6.74 (6.66, 6.81)	7.70 (7.63, 7.77)
Number of Colleges	163	92	107

Note: College quintile ranks range from I (the lowest) to V (the highest). Quintile rankings of specific colleges are dependent on the method of ranking used; Mantel-Haenszel Chi-Square test for trend p value < 0.0001; 95% confidence intervals are indicated in parentheses. Student choices were available for 93 public sector medical colleges, of which 92 were founded before 1998; Peer-reviewed publications data were available for 107 medical colleges (public and private); and specialty and sub-specialty seat data for all medical colleges, public or private that existed in 1997, the year of admission for last cohort of graduates included in our study.

ISSN: 1472-6963