Proper interpretation of the results of the United States Medical Licensing Exam (USMLE) is important for program directors, residents, and faculty who advise applicants about applying for residency positions. We suspected that applicants often misinterpreted their performance in relationship to others who took the same examination. In 2005, 54…

Objective: Currently in the United States, more than one in three psychiatric residents are international medical graduates (IMGs). In light of forecasts of physician shortages, this proportion is likely to continue growing. Although central to psychiatric care, sexual health competence levels of IMGs may be lower than those of U.S. graduates.…

Each year, the federal government makes a significant financial investment in the education and training of the U.S. physician workforce. A quarter of that physician workforce is composed of international medical graduates (IMG) and they include both U.S. citizens and foreign nationals. Little is known about IMGs with respect to how much they…

Objective: This study examines the veracity of self-reported data by applicants to psychiatry residency. Methods: The authors reviewed the reported publications of all applicants to a psychiatry residency training program over a 2-year span. Results: Nine percent of applicants reporting publications were found to have misrepresented them.…

Objective: The authors examine the association between the selection factors used in a psychiatric residency program and subsequent clinical and academic performance among international medical graduate (IMG) candidates. Methods: The authors completed a retrospective review of application files and residency evaluations of 50 IMG residents who…

The College of Physicians and Surgeons of Saskatchewan tracked a cohort of 39 international medical graduates (IMGs) in rural Saskatchewan and discovered that 51% left the province within five years (personal communication). A study by Basky, Mathew, Edwards, and Rourke (2007) found that half a cohort of IMGs in rural Newfoundland and Labrador…

International doctors ("international medical graduates" or "IMGs") constitute 23% of the physician workforce in the United States. Despite entry screening for educational credentials and spoken English proficiency, research shows that language and cultural issues can still persist for IMGs during and after their residency…

While checklists are often used to score standardized patient based clinical assessments, little research has focused on issues related to their development or the level of agreement with respect to the importance of specific items. Five physicians independently reviewed checklists from 11 simulation scenarios that were part of the former…

The ECFMG[R] Clinical Skills Assessment (CSA[R]) was developed to evaluate whether graduates of international medical schools are ready to enter graduate training programs in the United States. The performance-based patient note exercise is specifically used to assess an examinee's ability to summarize, synthesize and interpret the data collected…

Despite predictions of a physician surplus by 1990, graduates of foreign medical schools (both aliens and U.S. citizens) continue to flow into the United States. Secondary analysis of 1980 data suggests that graduates of foreign schools may secure their presence within the American medical system by selecting specialties where shortages exist. (KH)

Analyzed data from a questionnaire on perceived adjustment and psychosocial problems completed by 695 Iranians and 898 Filipinos. Reported adjustment problems (for both groups) were closely related to psychopathological measures, i.e., loneliness, anxiety, and depression. Participation in social activities with Americans was inversely related to…

Investigates the themes of 16 family practice residents' art work and their characteristics (age, gender, resident year, undergraduate training location) in relationship to stress. Residents' drawing were linked by common themes of psychological pressure, anxiety, a sense of being overwhelmed, and depression. Evidence of stress was more frequently…

Overseas doctors working in the United Kingdom fall into two groups: those who studied medicine in English and those who did not. This article details the active and passive language skills that doctors working in England need and those in which the overseas doctors are deficient. (Author/PJM)

Describes and evaluates academic problems of international medical graduates (IMGs) within one community-based residency program. Suggests that many problems may be caused by difficulty with English, differences in medical education, length of time since previous training, different life stage, or cultural differences in beliefs about…

Outlines and clarifies the 1981 amendments to the Immigration and Nationality Act of 1965. Covers provisions relating to visa status of foreign students, foreign medical students, and foreign medical graduates; naturalization requirements; alien admission criteria and requirements; reentry permits; and alien deportation. (MJL)