Article

Selecting international medical graduates (IMGs) for training in US surgical residencies.

Department of Surgery, University of Washington, Seattle, WA 98195, USA.
Surgery (Impact Factor: 3.37). 10/2006; 140(3):347-50. DOI: 10.1016/j.surg.2006.06.006
Source: PubMed
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    ABSTRACT: The number of IMGs in US surgery continues to increase. IMG applicants should be evaluated as to their overall qualifications rather than solely as an IMG. IMG mentoring must be implemented early, preferably by designated IMG faculty and resident mentors. To optimally mentor IMGs it is necessary to understand their unique challenges upon entering a new country and medical culture. Structured mentoring programs efficaciously mentor IMGs entering US residencies.
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    ABSTRACT: BACKGROUND: The critical shortage of surgeons in many low- and middle-income countries (LMICs) prevents adequate responses to surgical needs, but the factors that affect surgeon migration have remained incompletely understood. The goal of this study was to examine the importance of personal, professional, and infrastructural factors on surgeon migration from LMICs to the United States. We hypothesized that the main drivers of surgeon migration can be addressed by providing adequate domestic surgical infrastructure, surgical training programs, and viable surgical career paths. METHODS: We conducted an internet-based nationwide survey of surgeons living in the US who originated from LMICs. RESULTS: 66 surgeons completed the survey. The most influential factors for primary migration were related to professional reasons (p ≤ 0.001). Nonprofessional factors, such as concern for remuneration, family, and security were significantly less important for the initial migration decisions, but adopted a more substantial role in deciding whether or not to return after training in the United States. Migration to the United States was initially considered temporary (44 %), and a majority of the surveyed surgeons have returned to their source countries in some capacity (56 %), often on multiple occasions (80 %), to contribute to clinical work, research, and education. CONCLUSIONS: This study suggests that surgically oriented medical graduates from LMICs migrate primarily for professional reasons. Initiatives to improve specialist education and surgical infrastructure in LMICs have the potential to promote retention of the surgical workforce. There may be formal ways for LMICs to gain from the international pool of relocated surgeons.
    World Journal of Surgery 10/2012; · 2.23 Impact Factor
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    ABSTRACT: Purpose Programs dedicated to the successful integration of international medical graduates into the U.S. surgical residency training are scarce and foreign students are often unaware of their availability. In 2007, the Department of Surgery at the University of Texas Health Science Center at San Antonio developed the Visiting International Students in San Antonio (VISSA) program designed to bring international senior medical students to rotate at our institution. The program has enrolled 55 students who rotated through various general surgery services. The purpose of this study was to assess prior participants’ professional statuses, career selections, and satisfaction with our program. Methods A 21-item anonymous online survey was distributed via e-mail. Demographic information, current professional status, residency specialty selection, assessment of satisfaction, and personal experience with the VISSA program were collected. Results We obtained an 84% (46/55) response rate among participants. Most respondents were men (75.6%) and younger than 25 years of age (82.6%). Students from 14 nations have visited our institution, mostly from Latin America (56.5%) and Asia (36.9%). Before visiting our program, 80.4% considered applying to a residency program in the United States, which increased to 88.9% after rotating at our institution. Of our respondents, 42.1% applied to a residency program in the United States and 17.4% were accepted to a general surgery position (50% categorical and 50% preliminary). Respondents agreed or strongly agreed that being part of the VISSA program helped them obtain a general surgery residency position (90.4%) and considered our program as their first option (77.8%). Independently of their current professional status or residency selection process, 100% of respondents would recommend participation in our program to colleagues at their medical schools. Conclusion A dedicated, surgery-oriented visiting foreign medical student program has a positive effect in residency selection, application, and professional development.
    Journal of Surgical Education 01/2013; · 1.63 Impact Factor

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