Working in the US
How can you maximise your chances to work as a non-US graduate?
The American College of Physicians recently released a paper on the integral role that international medical graduates (IMGs) have in healthcare delivery in the United States and proposed many recommendations to support the ongoing presence of these graduates in the medical workforce.1 An IMG is a doctor who graduated from a medical school outside the US or Canada and moves to the US to complete postgraduate training. The paper acknowledges that “IMGs contribute helpful and necessary diversity to the physician workforce.”
Although the number of graduates from US medical schools choosing a career in general internal medicine has steadily declined, IMGs have increasingly filled the gap. Data from the 2008 National Residency Matching Program showed this preponderance of IMGs taking up residency training posts in internal medicine. In 2008, of the 4858 internal medicine residency posts available, only 2660 (55%) were filled by US medical school seniors.2 The shortfall is