Medical migration and the physician workforce. International medical graduates and American medicine

JAMA ◽  
1995 ◽  
Vol 273 (19) ◽  
pp. 1521-1527 ◽  
Author(s):  
F. Mullan
Keyword(s):  
International Medical ◽  
Physician Workforce ◽  
International Medical Graduates ◽  
Medical Migration ◽  
Medical Graduates ◽  
American Medicine

scholarly journals International Medical Graduates in the US Physician Workforce and Graduate Medical Education: Current and Historical Trends

2018 ◽  
Vol 10 (2) ◽  
pp. 214-218 ◽  
Author(s):  
Awad A. Ahmed ◽  
Wei-Ting Hwang ◽  
Charles R. Thomas ◽  
Curtiland Deville
Keyword(s):  
Internal Medicine ◽  
Medical Education ◽  
Family Medicine ◽  
Graduate Medical Education ◽  
International Medical ◽  
Physician Workforce ◽  
International Medical Graduates ◽  
Graduate Medical ◽  
Medical Graduates ◽  
The Us

ABSTRACT Background  Data show that international medical graduates (IMGs), both US and foreign born, are more likely to enter primary care specialties and practice in underserved areas. Comprehensive assessments of representation trends for IMGs in the US physician workforce are limited. Objective  We reported current and historical representation trends for IMGs in the graduate medical education (GME) training pool and US practicing physician workforce. Methods  We compared representation for the total GME and active practicing physician pools with the 20 largest residency specialties. A 2-sided test was used for comparison, with P < .001 considered significant. To assess significant increases in IMG GME trainee representation for the total pool and each of the specialties from 1990–2015, the slope was estimated using simple linear regression. Results  IMGs showed significantly greater representation among active practicing physicians in 4 specialties: internal medicine (39%), neurology (31%), psychiatry (30%), and pediatrics (25%). IMGs in GME showed significantly greater representation in 5 specialties: pathology (39%), internal medicine (39%), neurology (36%), family medicine (32%), and psychiatry (31%; all P < .001). Over the past quarter century, IMG representation in GME has increased by 0.2% per year in the total GME pool, and 1.1% per year for family medicine, 0.5% for obstetrics and gynecology and general surgery, and 0.3% for internal medicine. Conclusions  IMGs make up nearly a quarter of the total GME pool and practicing physician workforce, with a disproportionate share, and larger increases over our study period in certain specialties.

scholarly journals Medical Migration: a review on the licensing process for International Medical Graduates in Australia and other destinations

2018 ◽  
Vol 9 (1) ◽  
pp. 26-34
Author(s):  
Sharafat Malek ◽  
Md Humayun Kabir Talukder
Keyword(s):  
Health Care Professionals ◽  
Developed Countries ◽  
International Medical ◽  
Adjustment Process ◽  
International Medical Graduates ◽  
Medical Council ◽  
Success Rates ◽  
Medical Migration ◽  
Medical Graduates ◽  
Permanent Migration

Movement of health care professionals, nationally or internationally, has now become a common trend worldwide. International recruitment of efficient physicians is an ongoing process for years although some studies have identified this culture as an issue.10-11 Waves of migration to popularly Australia under ‘Skilled Migration’ and other categories started in Bangladesh in early 1970, which have been ongoing since then.1 Among over thirty thousands of such migrants living in the popularly Australian States2; the medical graduates from Bangladesh are identified through their associations/forum made in each State as well as from the data on their participation in the re-accreditation examinations.3-4, 7-8 A lack of pre-migration awareness on social and academic barriers in the host country has been found far more common in the Australian International Medical Graduates’ (IMGs) studies published before 20045. Poor knowledge on the hurdles may affect IMGs’ post-migration coping or adjustment process. Fortunately, internet facilities are widely available so, modern IMGs no more need to rely on information from relatives, friends or high commission/embassy people. Yet, full access to career and job related journals could still be out of reach for many IMGs. Updated clear knowledge around licenselegislation at the destination would help IMGs gaining smoother transition whilst preparing to build the same career, albeit in a different system. This review article at first presents the background behind strict regulations on permitting the IMGs to practise in major destinations. It then progresses with reviewing these regulations in the developed countries including Australia. Following that a detailed summary has been made on the Australian regulations. Available literature6-8 demonstrates a large discrepancy between IMGs’ success rates in the knowledge and practical part of the licensing (Australian Medical Council) process (i.e. 80% vs. 42% in case of Bangladeshi-IMGs). Therefore, this paper has properly discussed the nature and structure of the practical (AMC-Clinical) examination incorporating examples. Useful web-links on Australian IMGs’ accreditation preparation, permanent migration and finding medical jobs have been provided at relevant sections. Finally, a recommendation has been made to teach 3rd-year medical students on this important area under the ‘Community Medicine’ curriculum in Bangladesh.Bangladesh Journal of Medical Education Vol.9(1) 2018: 26-34

scholarly journals COVID-19 pandemic challenges for International Medical Graduates (IMGs) practicing in the United States

2020 ◽  
Author(s):  
Srikrishna Malayala ◽  
Ramesh Adhiakri ◽  
Atul Bali ◽  
Ram Sanjeev Alur
Keyword(s):  
Hospital Medicine ◽  
The United States ◽  
International Medical ◽  
Physician Workforce ◽  
International Medical Graduates ◽  
Cross Sectional Survey ◽  
Medical Graduates ◽  
Permanent Resident ◽  
The Us ◽  
The Impact

Purpose: Given that nearly a quarter of the US physician workforce are international medical graduates (IMGs), many of whom remain on temporary work visas for prolonged periods due to processing delays, the pandemic has posed unique challenges to these frontline workers and has arbitrarily limited our physician workforce. Objective: The objective of the study is to understand the role of IMG physicians practicing in the US, their limitations and challenges due to immigration related issues. Methods: Using a cross-sectional survey across social media platforms, we obtained data from IMGs regarding their role in healthcare, to the impact of visa-related restrictions on their personal and professional lives. Results: A total of 2630 IMGs responded to the survey, Hospital Medicine (1684, 65.7%) being the predominant specialty encountered. 64.1% were practicing in Medically Underserved Areas (MUA) or Health Professional Shortage Areas (HPSA), with 45.6% practicing in a rural area. Nearly 89% of respondents had been involved with direct care of COVID-19 patients, with 63.7% assuming administrative responsibilities for COVID-19 preparedness. 93% physicians expressed inability to serve in COVID-19 surge areas due to visa-related restrictions. 72% physicians reported that their families would be at risk for deportation in case of their disability or death. Most respondents (98.8%) felt that permanent resident status would help alleviate the above concerns. Conclusion: Easing immigration restrictions could prove significantly bolster the current physician workforce and prove beneficial in our response to the COVID-19 pandemic.

International Medical Graduates in Nephrology: A Guide for Trainees and Programs

2020 ◽  
Vol 27 (4) ◽  
pp. 297-304.e1
Author(s):  
Javier A. Neyra ◽  
Maria Clarissa Tio ◽  
Silvia Ferrè
Keyword(s):  
International Medical ◽  
International Medical Graduates ◽  
Medical Graduates
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