According to the 2000 census, 42% of the Syrian Americans worked in management and professional occupations, compared with 34% of their counterparts in the total population; additionally, more Syrian Americans worked in sales than all American workers.[2] However, Syrian Americans worked less in the other work domains like farming, transportation, construction, etc. than all American workers.[49] According to the American Medical Association (AMA) and the Syrian American Medical Society (SAMS), which represents American health care providers of Syrian descent, there are estimated 4000 Syrian physicians practicing in the United States representing 0.4% of the health workforce and 1.6% of international medical graduates.[50] However the reported number of Syrian American physicians does not include the second and third generation of Syrian descent, therefore it is estimated that 10,000 Syrian American physicians practice in the United States.[citation needed]