By the 1930s. 22 States would not accept foreign physicians at all. In several others. full citizenship and additional training requirements achieved the same purpose. The exclusion of refugee physicians was accomplished over the protest of farmer and labor medical cooperatives. particularly in States suffering from doctor shortages. Since the war. the AMA Council on Medical Education has established a less restrictive policy toward foreign medical school graduates. The AMA and AAMC have jointly Issued a list of 50 European schools which they suggest for State board acceptance. But the list does not include institutions from which refugee doctors are likely to comethose of Germany and Austria. For these doctors an AMA spokesman has recommended adoption of the procedure followed by the Iowa Board of Medical Examiners . There the foreign doctor is placed as an assistant in a State institution for 1 year. during which he receives supervision. refresher courses. and grades from his physicians In charge.