An Acculturization Curriculum: Orienting International Medical Graduates to an Internal Medicine Residency Program

Porter, Joann; Townley, Theresa; Huggett, Kathryn N.; Warrier, Rugmini

doi:10.1080/10401330701542644

Cited by 22 publications

(32 citation statements)

References 7 publications

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“…These mechanisms fall broadly within the domains of education, 38 acculturation strategies, 39 and enhanced support, particularly during transitional periods. 40 In addition, workplace and workforce policies may mitigate both subtle and explicit limitations to IMGs' professional opportunities.…”

Section: Discussionmentioning

confidence: 99%

Professional Experiences of International Medical Graduates Practicing Primary Care in the United States

et al. 2010

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Our data reveal that IMGs face workplace challenges throughout their careers. Despite diversity in professional background and demographic characteristics, IMGs in our study reported common experiences in the transition to and practice of medicine in the US. Findings suggest that both workforce and workplace interventions are needed to enable IMG physicians to sustain their essential and growing role in the US healthcare system. Finally, commonalities with experiences of other minority groups within the US healthcare system suggest that optimizing IMGs' experiences may also improve the experiences of an increasingly diverse healthcare workforce.

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Section: Discussionmentioning

confidence: 99%

Professional Experiences of International Medical Graduates Practicing Primary Care in the United States

et al. 2010

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“…Such programs can be characterized broadly as falling within the domains of education, acculturation strategies, and enhanced support. 57,58 Organizations could be given incentives to provide such programs through subsidies or other policy levers.…”

Section: Potential Policy Changesmentioning

confidence: 99%

Policy Solutions To Address The Foreign-Educated And Foreign-Born Health Care Workforce In The United States

et al. 2013

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Foreign-educated and foreign-born health workers constitute a sizable and important portion of the US health care workforce. We review the distribution of these workers and their countries of origin, and we summarize the literature concerning their contributions to US health care. We also report on these workers' experiences in the United States and the impact their migration has on their home countries. Finally, we present policy strategies to increase the benefits of health care worker migration to the United States while mitigating its negative effects on the workers' home countries. These strategies include attracting more people with legal permanent residency status into the health workforce, reimbursing home countries for the cost of educating health workers who subsequently migrate to the United States, improving policies to facilitate the entry of direct care workers into the country, advancing efforts to promote and monitor ethical migration and recruitment practices, and encouraging the implementation of programs by US employers to improve the experience of immigrating health workers.I n the United States a sizable minority of health workers were born or educated abroad, or both. 1 The advantages and disadvantages of having health workers migrate between countries have been the focus of substantial debate and research globally. 2 Nevertheless, existing evidence is not consistent and has not been synthesized, which makes a cohesive discussion of policy strategies for health worker migration difficult. In this article we integrate data from the literature on health worker migration and present policy strategies that the United States might employ to optimize the benefits and mitigate the adverse effects of health worker migration.The immigrant population of health workers in the United States is heterogeneous. We focused primarily on people who immigrated to the United States after completing their professional education or training elsewhere, as opposed to people who immigrated at a young age and received their education and training in the United States. Because of the nature and timing of data collection and reporting, we generally identified this group of physicians and nurses as those who were educated abroad, except where otherwise stated. Foreign direct care workers-home health aides, nurse aides, psychiatric aides, and personal care aides who largely provide care for older adults-do not have formal educational requirements for the work they do, and thus they were identified as those who were born, instead of educated, abroad. Countries Of OriginForeign-born or -educated health workers in the US workforce come from more than 135 countries, and the leading countries of origin differ by category of worker (Exhibit 1). 1,3 Among physicians, those who are foreign-educated are classified as international medical graduates

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“…Moreover, very few qualitative studies explore challenges that both IMGs and AMGs confront from the perspective of the residents themselves. Research that is available, mostly about IMGs who account for approximately one-quarter of all residents in the U.S. (Graduate Medical Education 2005), overlooks challenges during PGY-1 that occur outside of the formal training environment (Hallock et al 2003;Porter et al 2008;Chen et al 2010).…”

Section: Introductionmentioning

confidence: 99%

International and American medical graduates in a U.S. pediatric residency program: A qualitative study about challenges during post-graduate year 1

2013

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The work-related and adjustment challenges that IMGs and AMGs confronted during PGY-1 suggest that the culture of residency socializes IMGs and AMGs regarding professional expectations and responsibilities. Increased awareness of this socialization process among residency program directors, and interventions based on concrete recommendations, can help enhance PGY-1 for IMGs and AMGs across the medical specialties.

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An Acculturization Curriculum: Orienting International Medical Graduates to an Internal Medicine Residency Program

Abstract: An intensive precourse for IMGs can attenuate transition stress and increase knowledge of core medical skills and competencies.

Cited by 22 publications

References 7 publications

Professional Experiences of International Medical Graduates Practicing Primary Care in the United States

Professional Experiences of International Medical Graduates Practicing Primary Care in the United States

Policy Solutions To Address The Foreign-Educated And Foreign-Born Health Care Workforce In The United States

International and American medical graduates in a U.S. pediatric residency program: A qualitative study about challenges during post-graduate year 1

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