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Shanghai controls who lives and works in the city through China's notorious "houkou" or permanent residency system, allowing only the best and the brightest to become residents with access to jobs and schools.
"I hang around schools and universities a lot, which gives me a chance to read newspapers," he said, citing stories in the state media that criticized the residency system.
The hukou, or residency, system, which ties people to their place of origin and which critics consider a source of great social and economic injustice, must be fundamentally reformed, he wrote.
The biggest challenge is that an immigrant physician must win one of the coveted slots in America's medical residency system, the step that seems to be the tightest bottleneck.
He added that the residency system was "grossly unfair".
The training in radiology through a medical residency system has proved to provide an adequate formation to the future specialists in clinical radiology.
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Residency systems have created expectations in teaching centers that the "doctor (aka resident) is always around".
It has also pointed out that residency systems in other EU countries are much more user-friendly and less designed to "catch out" illegal immigrants.
That would require a system to monitor and evaluate the skills development in the years after graduation and perhaps a more structured preparation of the supervising doctors in their task of coaching the new graduates – something like residency systems used in other countries.
Each year the Educational Commission for Foreign Medical Graduates, a private nonprofit, clears about 8,000 immigrant doctors (not including the American citizens who go to medical school abroad) to apply for the national residency match system.
Because of a strict residency registration system across China, migrant workers cannot get proper social benefits in the cities in which they work, and their children are often barred from schooling, which gives parents little incentive to bring their children with them.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com