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Participation in U.S. Graduate Medical Education by Graduates of International Medical Schools.
MedLine Citation:
PMID:  21436667     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: International medical graduates (IMGs) are an important part of U.S. graduate medical education (GME) and medical practice. They make up a significant number of the participants in both the Electronic Residency Application Service (ERAS) and the National Resident Matching Program (NRMP). The authors analyze and report statistics describing the multiple pathways used by IMGs in pursuit of a U.S. residency position. METHOD: This is a descriptive study of 10,328 IMGs certified by the Educational Commission for Foreign Medical Graduates (ECFMG) between July 1, 2005 and June 30, 2006. Linked data on this cohort were obtained from the ECFMG, ERAS, and the NRMP, combined with residency data from the National GME Census. The study determined the numbers of members of the study cohort who participated in ERAS and/or the NRMP in 2003 through 2009, and who found a residency appointment in the United States between 2003 and the first half of 2010. RESULTS: The IMGs in the study cohort began applying for residencies in significant numbers in the year immediately following ECFMG certification, but almost half were unsuccessful in their first attempts. Three-quarters of the members of the cohort had begun a residency by 2010. CONCLUSIONS: IMGs make up a very substantial fraction of ERAS and NRMP participants. Although they face significant hurdles in achieving their goal, the majority of those who persist are ultimately successful. If enrollments and graduations of U.S. MD- and DO-granting medical schools continue to rise, IMGs' difficulty in finding residencies is sure to increase.
Authors:
Paul Jolly; John Boulet; Gwen Garrison; Mona M Signer
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-23
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  -     ISSN:  1938-808X     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Dr. Jolly is senior director, Special Studies, Association of American Medical Colleges, Washington, DC. Dr. Boulet is associate vice president, Research and Data Resources, Foundation for Advancement of International Medical Education, Philadelphia, Pennsylvania. Dr. Garrison is director, Student and Applicant Studies, Association of American Medical Colleges, Washington, DC. Ms. Signer is executive director, National Resident Matching Program, Washington, DC.
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