scholarly journals The Rise of Female International Medical Graduates and their Contribution to Physician Supply in the United States

2017 ◽  
Vol 103 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Katie Arnhart ◽  
Xiaomei Pei ◽  
Aaron Young

The rise of female physicians has provided care to the growing and evolving United States population. According to the 2014 FSMB Census of Licensed Physicians, 32% of actively licensed physicians are female. Less attention, however, has been given to the location of medical school graduation and its association with the growing population of female physicians. This study examines physicians who were issued their first license in the United States by gender and by where they graduated from medical school. Using data from the Federation of State Medical Boards' (FSMB) Physician Data Center, the authors measured the percentage of first-time licenses issued between 1990 and 2014 to females and by where they graduated from medical school — that is, either a United States medical graduate (USMG) or an international medical graduate (IMG). Key findings indicate that between 1990 and 2014, first-time licenses issued to IMG females have increased from 25% to 45% (31% to 47% for USMG females). Furthermore, the percentage of first-time licenses issued to female IMGs increased among international regions with the highest number of licensed physicians in the U.S. The findings support that a greater percentage of first-time licenses issued to IMGs have been to females over the past two and half decades. Analyzing the trend of first-time licenses issued to physicians by gender and location of medical school graduation adds to better understanding the physician pipeline and physicians' transition from medical school to the practicing medical community in the United States.

Author(s):  
Rachel B. Levine ◽  
Andrew P. Levy ◽  
Robert Lubin ◽  
Sarah Halevi ◽  
Rebeca Rios ◽  
...  

Purpose: United States (US) and Canadian citizens attending medical school abroad often desire to return to the US for residency, and therefore must pass US licensing exams. We describe a 2-day United States Medical Licensing Examination (USMLE) step 2 clinical skills (CS) preparation course for students in the Technion American Medical School program (Haifa, Israel) between 2012 and 2016.Methods: Students completed pre- and post-course questionnaires. The paired t-test was used to measure students’ perceptions of knowledge, preparation, confidence, and competence in CS pre- and post-course. To test for differences by gender or country of birth, analysis of variance was used. We compared USMLE step 2 CS pass rates between the 5 years prior to the course and the 5 years during which the course was offered.Results: Ninety students took the course between 2012 and 2016. Course evaluations began in 2013. Seventy-three students agreed to participate in the evaluation, and 64 completed the pre- and post-course surveys. Of the 64 students, 58% were US-born and 53% were male. Students reported statistically significant improvements in confidence and competence in all areas. No differences were found by gender or country of origin. The average pass rate for the 5 years prior to the course was 82%, and the average pass rate for the 5 years of the course was 89%.Conclusion: A CS course delivered at an international medical school may help to close the gap between the pass rates of US and international medical graduates on a high-stakes licensing exam. More experience is needed to determine if this model is replicable.


2019 ◽  
Vol 51 (3) ◽  
pp. 276-281 ◽  
Author(s):  
Bich-May Nguyen ◽  
Gregory Bounds

Background and Objectives: The United States is projected to have a shortage of up to 46,000 primary care physicians by 2025. In many cases, medical students appear to select other specialties for financial reasons, including educational debt. Physicians who were part of two BS/MD programs and received full tuition and fee scholarships for college and medical school were surveyed to examine factors that may have impacted their specialty choice. This population of US students was selected because they do not have educational debt, so their choices could be examined independent of this influence. Methods: One hundred forty physicians who graduated from the programs as of June 2013 were invited to complete a 32-question online survey. Descriptive statistics described the population. χ2 tests and nonparametric Wilcoxon rank-sum (Mann-Whitney) tests compared primary care and nonprimary care physicians as well as those initially interested in primary care who changed before medical school graduation versus those who went into primary care. Factor analysis and Student t-test examined trends among Likert scale questions. Results: For the physicians for whom contact information was available, 74 (53%) responded. Out of 74 respondents, 18 (24%) went into primary care. Perceptions of family medicine, comments from faculty, and lifestyle played a role in deterring students from primary care. Conclusions: Full tuition and fee scholarships alone were not associated with more students choosing primary care.


2007 ◽  
Vol 26 (4) ◽  
pp. 1159-1169 ◽  
Author(s):  
L. Gary Hart ◽  
Susan M. Skillman ◽  
Meredith Fordyce ◽  
Matthew Thompson ◽  
Amy Hagopian ◽  
...  

Author(s):  
Robert G. Slawson

Early medical school development in the United States was considerably more robust than is usually appreciated. Most histories include only that portion of medicine known as regular or allopathic medicine. To fully understand developments in the country, it is necessary to include the various medical sects that developed in the country in the early 19th century. It is also important to realize that the impetus for medical school development came not from established academic institutions but from the medical community itself. Medical schools in the United States developed at a time and place that hospitals, as we know them, did not exist. The melding together of the preceptorship (apprenticeship), didactic lectures, demonstrations, and clinical/hospital experience evolved slowly. The move from heroic medicine occurred somewhat reluctantly as in Europe. In the United States, in contrast to the situation in Europe, the majority of medical practitioners were called “doctor.” The development of medicine and medical education is usually discussed as a progression of knowledge. It has been fashionable to ignore the development of the various medical sects. Even within regular medicine, no uniformity of thought existed by this time. The American Medical Association was born of this. Change within a segment of society always reflects, and is reflected by, change in society at large. The rapid increases in geographic area and the huge population growth must be understood. Times changed as the character of the population changed. Perception of gender and freedom were important aspects of this change. A number of prominent African American physicians also emerged.


2021 ◽  
Vol 4 (6) ◽  
pp. e2113418
Author(s):  
Deendayal Dinakarpandian ◽  
Katherine J. Sullivan ◽  
Sonoo Thadaney-Israni ◽  
John Norcini ◽  
Abraham Verghese

International medical graduates (IMGs) are graduates of medical schools located outside the United States (U.S.) and Canada. IMGs face various challenges on the road to U.S. residency training. These challenges include sitting for the United States Medical Licensing Examinations (USMLEs) to obtain certification from the Educational Commission for Foreign Medical Graduates (ECFMG). After that, IMGs are faced with a foreign application process whereby they must apply for and secure a position in a residency program through the Electronic Residency Application System (ERAS) and the National Resident Matching Program (NRMP). Once accepted into a residency program, IMGs who are not US citizens or legal permanent residents are challenged with securing a visa to be able to practice in the U.S. In this article, we elaborate on these processes and highlight the challenges IMGs may face along the way.


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