Participation of international medical graduates in graduate medical education and hospital care for the poor

Article Abstract:

Hospital care for the poor would not be greatly affected by limiting the number of international medical graduates (IMGs) to U.S. graduate medical education (GME) programs. Researchers found that out of 688 hospitals with graduate medical teaching programs, only 106 depended on IMG programs, and of those, 77 hospitals GME programs gave an unusually large amount of care for the poor. GME programs were considered dependent on IMGs if at least half of the participating residents physicians were IMGs. In the majority of the 106 hospitals, greater than 20% of the patients were covered by government health care programs or were no-pay patients. Forty percent of GME programs dependent on IMGs were in hospitals that did not overly serve the poor compared to other economic groups. Policymakers may want to attract other health care professionals to these programs or find ways to fill positions with U.S. medical graduates.

Care and treatment, Medical students, Demographic aspects, Poor, Hospitalization, Medical education, Hospital care, Medical students, Foreign

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Comparison of IMG-dependent and non-IMG-dependent residencies in the National Resident Matching Program

Article Abstract:

If the US limits the number of international medical graduates (IMG) applying for residency programs, some programs may have trouble recruiting residents. Analysis of data from the 1995 National Residency Matching Program revealed that IMGs made up 50% or more of the residents at 469 programs. IMGs accounted for 76% of the applications to these IMG-dependent programs, but they made up just 14% of the applications at programs that did not depend heavily on IMGs. Between 1989 and 1995, IMG-dependent programs experienced a 88.7% increase in the number of IMG applicants while the number of US medical graduate applicants dropped 18.6%.

Training, Physicians, Foreign, Foreign physicians

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Initial employment status of resident physicians completing training in 1995

Article Abstract:

Residents trained in certain medical specialties may have difficulty finding suitable employment. Researchers surveyed the program directors of 3,819 US residency programs in 1996. Over 20,000 physicians completed a residency program in 1995. Eighty percent began practicing medicine and 16% accepted academic positions. About 2% had not found suitable employment or had accepted a position in a specialty other than the one they had trained in. Plastic surgeons, anesthesiologists and those in certain subspecialties of internal medicine had the most difficult time finding employment.

Medicine, Physicians, Medical professions, Medical specialties

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