Identifying Recent Trends in the Prevalence of International Medical Graduates Entering the Surgical Workforce in the United States

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2025-02-21 DOI:10.1016/j.jsurg.2025.103473

Jason Silvestre MD , John W. Moore BS , Mallory Williams MD , Harris S. Slone MD

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引用次数: 0

Abstract

Objective

The objectives of this study were to 1.) determine recent trends in the prevalence of international medical graduates (IMGs) in the US surgical workforce, and 2.) understand differences in match rates between IMGs, allopathic, and osteopathic graduates.

Design

Data from the American Medical Association (2008-2022) and National Resident Match Program (2018-2023) were analyzed for eight surgical subspecialties including vascular surgery, thoracic surgery, general surgery, plastic surgery, orthopedic surgery, neurosurgery, otolaryngology, obstetrics and gynecology.

Setting

Accreditation Council for Graduate Medical Education (ACGME)-accredited surgical residency training programs.

Participants

Surgical residents (2018-2023) and active surgeons (2008-2022) in the United States.

Results

Over the study period, the prevalence of IMGs in the US surgical workforce decreased for all surgical specialties except vascular surgery. Among surgical residents, allopathic graduates constituted the majority (82%) followed by osteopathic graduates (12%) and IMGs (6%). The annual prevalence of IMGs was highest in thoracic (10%) and general surgery (10%), and lowest in orthopedic surgery (1%). Allopathic graduates had the highest match rates followed by osteopathic graduates and then IMGs (p < 0.001) across all surgical specialties. Match rates for IMGs were lowest in thoracic surgery and vascular surgery (4%) and highest in obstetrics and gynecology (12%). Most surgical residency program directors reported never or seldomly interviewing (range, 73%-100%) or ranking (range, 77%-100%) IMGs.

Conclusions

The prevalence of IMGs in the US surgical workforce is decreasing. IMGs have lower match rates than US allopathic and osteopathic graduates and most surgical residency programs report rarely interviewing or ranking IMGs. Strategies that support IMGs enter surgical residency training may help promote diversity and inclusion in the US surgical workforce.

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确定国际医学毕业生进入美国外科工作队伍的流行趋势

目的本研究的目的是1.)确定美国外科劳动力中国际医学毕业生（IMGs）患病率的最新趋势，2.)了解IMGs，对抗疗法和整骨疗法毕业生之间匹配率的差异。美国医学协会（2008-2022）和美国国家住院医师匹配计划（2018-2023）的设计数据分析了血管外科、胸外科、普外科、整形外科、骨科、神经外科、耳鼻喉科、妇产科等8个外科亚专科的设计数据。研究生医学教育认证委员会（ACGME）认可的外科住院医师培训项目。研究对象：美国外科住院医师（2018-2023）和在职外科医生（2008-2022）。结果在研究期间，除血管外科外，美国外科医生中IMGs的患病率在所有外科专业都有所下降。在外科住院医师中，对抗疗法毕业生占多数（82%），其次是整骨疗法毕业生（12%）和img毕业生（6%）。IMGs的年患病率最高的是胸外科（10%）和普外科（10%），最低的是骨科（1%）。对抗疗法毕业生的匹配率最高，其次是整骨疗法毕业生，然后是IMGs (p <；0.001)。胸外科和血管外科的img匹配率最低（4%），妇产科的img匹配率最高（12%）。大多数外科住院医师项目主任报告从未或很少面试（范围，73%-100%）或排名（范围，77%-100%）img。结论IMGs在美国外科队伍中的患病率正在下降。img的匹配率低于美国对抗疗法和整骨疗法毕业生，大多数外科住院医师项目很少对img进行面试或排名。支持img进入外科住院医师培训的策略可能有助于促进美国外科劳动力的多样性和包容性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.