Comparison of Surgical Residency Applicants from U.S. Medical Schools with U.S.-Born and Foreign-Born International Medical School Graduates

Paul J. Schenarts, Katie M. Love, Steven Agle, Carl E. Haisch

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objective: Compare characteristics of U.S. medical school graduates with U.S.-born and foreign-born international medical school (IMG) graduates. Design: Retrospective analysis. Setting: East Carolina University, a tertiary care teaching hospital. Participants: Demographic data, United States Medical Licensing Examination (USMLE) scores, attempts needed to achieve a passing score, number of scholarly works, attainment of an advanced degree, and employment history since medical school graduation were obtained from all Electronic Residency Application Service applications to a general surgery residency for the 2007 match. Results: In all, 572 applicants were evaluated. Comparing U.S. graduates with U.S.-born IMGs and foreign-born IMGs. IMGs are older (mean, 28.9 vs 29.9 vs 33.0 years, respectively), more frequently male (70% vs 80% vs 86%, respectively), and hold more advanced degrees (11% vs 13% vs 19%, respectively). Mean time between graduation and application to residency was 0.3 years for U.S. graduates, 1.5 years for U.S.-born IMGs, and 7.7 years for foreign-born IMGs. Although mean USMLE Step 1 scores were similar (206 vs 200 vs 202, respectively), IMGs more frequently required multiple attempts to achieve a passing score (9% vs 20% vs 24%, respectively). Mean USMLE Step 2 scores were lower (213 vs 201 vs 203, respectively), and IMGs again required more attempts to achieve a passing score (11% vs 22% vs 19%, respectively). U.S. graduates produced an average of 1.7 scholarly works compared with 0.9 scholarly works for U.S.-born IMGS and 3.9 scholarly works for foreign-born IMGs. U.S.-born graduates held a mean of 0.3 jobs since graduation with most positions being preliminary surgery residents. U.S.-born IMGs held an average of 2.2 jobs most frequently in research or U.S. preliminary surgery, and foreign-born IMGs held an average of 5.1 jobs; most frequently, positions included international surgery or research. Conclusion: IMGs are older, frequently male, hold more advanced degrees, and produce more scholarly works but require multiple attempts to pass the USMLE. IMGs also hold more jobs after graduation with most positions being in research or surgery.

Original languageEnglish (US)
Pages (from-to)406-412
Number of pages7
JournalJournal of Surgical Education
Volume65
Issue number6
DOIs
StatePublished - Nov 2008
Externally publishedYes

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school graduate
Internship and Residency
Medical Schools
applicant
Licensure
surgery
graduate
school
examination
Research
employment history
school graduation
Tertiary Healthcare
Teaching Hospitals
Demography
electronics
resident
Teaching

Keywords

  • foreign medical graduates
  • international medical graduates
  • Interpersonal and Communication Skills
  • physician shortage
  • Professionalism
  • resident selection
  • System Based Practice
  • workforce

ASJC Scopus subject areas

  • Surgery
  • Education

Cite this

Comparison of Surgical Residency Applicants from U.S. Medical Schools with U.S.-Born and Foreign-Born International Medical School Graduates. / Schenarts, Paul J.; Love, Katie M.; Agle, Steven; Haisch, Carl E.

In: Journal of Surgical Education, Vol. 65, No. 6, 11.2008, p. 406-412.

Research output: Contribution to journalArticle

Schenarts, Paul J. ; Love, Katie M. ; Agle, Steven ; Haisch, Carl E. / Comparison of Surgical Residency Applicants from U.S. Medical Schools with U.S.-Born and Foreign-Born International Medical School Graduates. In: Journal of Surgical Education. 2008 ; Vol. 65, No. 6. pp. 406-412.
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abstract = "Objective: Compare characteristics of U.S. medical school graduates with U.S.-born and foreign-born international medical school (IMG) graduates. Design: Retrospective analysis. Setting: East Carolina University, a tertiary care teaching hospital. Participants: Demographic data, United States Medical Licensing Examination (USMLE) scores, attempts needed to achieve a passing score, number of scholarly works, attainment of an advanced degree, and employment history since medical school graduation were obtained from all Electronic Residency Application Service applications to a general surgery residency for the 2007 match. Results: In all, 572 applicants were evaluated. Comparing U.S. graduates with U.S.-born IMGs and foreign-born IMGs. IMGs are older (mean, 28.9 vs 29.9 vs 33.0 years, respectively), more frequently male (70{\%} vs 80{\%} vs 86{\%}, respectively), and hold more advanced degrees (11{\%} vs 13{\%} vs 19{\%}, respectively). Mean time between graduation and application to residency was 0.3 years for U.S. graduates, 1.5 years for U.S.-born IMGs, and 7.7 years for foreign-born IMGs. Although mean USMLE Step 1 scores were similar (206 vs 200 vs 202, respectively), IMGs more frequently required multiple attempts to achieve a passing score (9{\%} vs 20{\%} vs 24{\%}, respectively). Mean USMLE Step 2 scores were lower (213 vs 201 vs 203, respectively), and IMGs again required more attempts to achieve a passing score (11{\%} vs 22{\%} vs 19{\%}, respectively). U.S. graduates produced an average of 1.7 scholarly works compared with 0.9 scholarly works for U.S.-born IMGS and 3.9 scholarly works for foreign-born IMGs. U.S.-born graduates held a mean of 0.3 jobs since graduation with most positions being preliminary surgery residents. U.S.-born IMGs held an average of 2.2 jobs most frequently in research or U.S. preliminary surgery, and foreign-born IMGs held an average of 5.1 jobs; most frequently, positions included international surgery or research. Conclusion: IMGs are older, frequently male, hold more advanced degrees, and produce more scholarly works but require multiple attempts to pass the USMLE. IMGs also hold more jobs after graduation with most positions being in research or surgery.",
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N2 - Objective: Compare characteristics of U.S. medical school graduates with U.S.-born and foreign-born international medical school (IMG) graduates. Design: Retrospective analysis. Setting: East Carolina University, a tertiary care teaching hospital. Participants: Demographic data, United States Medical Licensing Examination (USMLE) scores, attempts needed to achieve a passing score, number of scholarly works, attainment of an advanced degree, and employment history since medical school graduation were obtained from all Electronic Residency Application Service applications to a general surgery residency for the 2007 match. Results: In all, 572 applicants were evaluated. Comparing U.S. graduates with U.S.-born IMGs and foreign-born IMGs. IMGs are older (mean, 28.9 vs 29.9 vs 33.0 years, respectively), more frequently male (70% vs 80% vs 86%, respectively), and hold more advanced degrees (11% vs 13% vs 19%, respectively). Mean time between graduation and application to residency was 0.3 years for U.S. graduates, 1.5 years for U.S.-born IMGs, and 7.7 years for foreign-born IMGs. Although mean USMLE Step 1 scores were similar (206 vs 200 vs 202, respectively), IMGs more frequently required multiple attempts to achieve a passing score (9% vs 20% vs 24%, respectively). Mean USMLE Step 2 scores were lower (213 vs 201 vs 203, respectively), and IMGs again required more attempts to achieve a passing score (11% vs 22% vs 19%, respectively). U.S. graduates produced an average of 1.7 scholarly works compared with 0.9 scholarly works for U.S.-born IMGS and 3.9 scholarly works for foreign-born IMGs. U.S.-born graduates held a mean of 0.3 jobs since graduation with most positions being preliminary surgery residents. U.S.-born IMGs held an average of 2.2 jobs most frequently in research or U.S. preliminary surgery, and foreign-born IMGs held an average of 5.1 jobs; most frequently, positions included international surgery or research. Conclusion: IMGs are older, frequently male, hold more advanced degrees, and produce more scholarly works but require multiple attempts to pass the USMLE. IMGs also hold more jobs after graduation with most positions being in research or surgery.

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KW - Professionalism

KW - resident selection

KW - System Based Practice

KW - workforce

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