 |
|
The Changing Pool of International Medical Graduates Seeking Certification Training in US Graduate Medical Education Programs
Gerald P. Whelan, MD;
Nancy E. Gary, MD;
John Kostis, MD;
John R. Boulet, PhD;
James A. Hallock, MD
JAMA. 2002;288:1079-1084.
International medical graduates (IMGs) consistently represent approximately one fourth of both the physician workforce and the graduate medical education (GME) population of the United States. To enter into accredited US GME programs, IMGs must be certified by the Educational Commission for Foreign Medical Graduates (ECFMG). Changes in the number and characteristics of those seeking certification directly affect the GME population and the future physician workforce in the United States. In July 1998, in response to concerns that IMGs might be lacking in basic clinical skills (eg, history taking, physical examinations, communicating with patients in spoken English), the ECFMG initiated a requirement that IMGs pass a clinical skills assessment (CSA) to achieve ECFMG certification. In this study we examined the pool of IMGs seeking certification, using databases reporting on all individuals beginning the certification process from 1995 through 2001. For this period, we found that the number of IMG candidates taking the Step 1 examination decreased by 45.5% (36 983 vs 16 828), and the number of IMGs registered to take Step 2 decreased by 38.1% (31 751 vs 12 122). The number of ECFMG certificates issued annually decreased, from a range of 9000 to 12000 (1995-1998) to fewer than 6000 (1999-2001). Although the number of IMGs annually seeking and receiving certification has decreased, the quality of the applicants appears to have improved and the number of IMGs certified annually continues to adequately fill GME positions not taken by US medical graduates.
Author Affiliations: Educational Commission for Foreign Medical Graduates, Philadelphia, Pa (Drs Whelan, Gary, Boulet, and Hallock); and University of Medicine and Dentistry of New Jersey, Newark (Dr Kostis).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Importing Medicine: A Look at Citizenship and Immigration Status for Graduating Residents in New York State From 1998 to 2007
Richards et al.
Med Care Res Rev 2009;66:472-485.
ABSTRACT
U.S. Citizens Who Obtain Their Medical Degrees Abroad: An Overview, 1992-2006
Boulet et al.
Health Aff (Millwood) 2009;28:226-233.
ABSTRACT
| FULL TEXT
The Primary Care Physician Workforce: Ethical and Policy Implications
Starfield and Fryer
Ann Fam Med 2007;5:486-491.
ABSTRACT
| FULL TEXT
The Educational Needs of International Medical Graduates in Psychiatric Residencies
Kramer
Acad. Psychiatry 2005;29:322-324.
FULL TEXT
The Pediatrician Workforce: Current Status and Future Prospects
Goodman and the Committee on Pediatric Workforce
Pediatrics 2005;116:e156-e173.
ABSTRACT
| FULL TEXT
Quality of Care of International and Canadian Medical Graduates in Acute Myocardial Infarction
Ko et al.
Arch Intern Med 2005;165:458-463.
ABSTRACT
| FULL TEXT
Foreign Medicine
Eledrisi
ANN INTERN MED 2004;141:890-891.
FULL TEXT
Introduction: the origins and implications of a growing shortage of cardiologists
Fye
J Am Coll Cardiol 2004;44:221-232.
ABSTRACT
| FULL TEXT
Working group 4: International medical graduates and the cardiology workforce
Zoghbi et al.
J Am Coll Cardiol 2004;44:245-251.
FULL TEXT
Coming to America -- International Medical Graduates in the United States
McMahon
NEJM 2004;350:2435-2437.
FULL TEXT
Recent Trends in Psychiatry Residency Workforce With Special Reference to International Medical Graduates
Rao
Acad. Psychiatry 2003;27:269-276.
ABSTRACT
| FULL TEXT
J-1: the forgotten cardiovascular force
Albrecht and Boccalandro
J Am Coll Cardiol 2003;42:1716-1716.
FULL TEXT
US Graduate Medical Education, 2002-2003
Brotherton et al.
JAMA 2003;290:1197-1202.
ABSTRACT
| FULL TEXT
|
