“…This difference was evident in the written as well as in the clinical examinations. This pattern of results in which home graduates perform better at medical examinations compared with foreign graduates has been reported in the UK (Wakeford et al, 1992), USA (Meskauskas et al, 1977;Benson et al, 1981;Quick & Robinowitz, 1981;Mick & Mou, 1991) and Canada (Lowy & Dongier, 1979). Indeed, there is evidence that US citizens who are foreign medical graduates do comparably worse than US medical graduates on standardised medical examinations (Weinberg & Bell, 1978;Norcini et al, 2006).…”