This is not really a surprise and it's not because American doctors are in any way inadequate. However, while virtually all US medical school graduates will eventually go on to practice medicine, residency and fellowship slots that go to J-1 and H-1B doctors are filled by doctors who generally finish near the top of their medical school classes. Americans who worry that they are getting inferior medical care going to a internationally-educated doctor should feel more at ease after seeing this data. One group that didn't do well - American-born doctors who go to medical school overseas.