scholarly journals Journey into the unknown: Considering the international medical graduate perspective on the road to Canadian residency during the COVID-19 pandemic.

Author(s):  
Arlene Gutman ◽  
Nikoleta Tellios ◽  
Ryan Taylor Sless ◽  
Umberin Najeeb

The COVID-19 pandemic has had a tremendous effect on education programs worldwide, including medical education. Particularly, International Medical Graduates (IMGs) planning to pursue residency training in Canada have been profoundly impacted. Cancellation of away electives, as well as changes to the format, timeline, and requirements of mandatory medical licensing exams has left IMG residency applicants in uncharted territory. Given that IMGs comprise up to 25% of the Canadian healthcare force, and often are based in underserviced areas, the licensure and eligibility of IMGs to continue to enter the Canadian healthcare force is of the utmost importance in the midst of the COVID-19 pandemic. As the pandemic evolves, it is imperative that key decision makers and stakeholders continue to consider the downstream effect for IMGs and their eligibility to practice in Canada.

2016 ◽  
Vol 28 (3) ◽  
pp. 291-295 ◽  
Author(s):  
Eudice Goldberg

Abstract Adolescent medicine achieved accreditation status first in the United States in 1994 and then in Canada in 2008 and even if it is not an accredited subspecialty in most other Western nations, it has still become firmly established as a distinct discipline. This has not necessarily been the case in some developing countries, where even the recognition of adolescence as a unique stage of human development is not always acknowledged. The program at SickKids in Toronto has prided itself in treating its international medical graduates (IMG) clinical fellows the same as their Canadian subspecialty residents by integrating them seamlessly into the training program. Although this approach has been laudable to a great extent, it may have fallen short in formally acknowledging and addressing the challenges that the IMG trainees have had to overcome. Moving forward, faculty must be trained and supports instituted that are geared specifically towards these challenges. This must be done on a formal basis to ensure both the success of the trainees as well as the overall enrichment of the fellowship training programs.


2011 ◽  
Vol 2 (2) ◽  
pp. e86-e90 ◽  
Author(s):  
Evan Watts ◽  
Joel Davies ◽  
David Metcalfe

Background: A growing population of Canadian students are travelling outside of Canada for medical training. The purpose of this study is to assess the opportunity for Canadians studying medicine abroad (CSAs) to secure post-graduate medical residency positions as International medical graduates (IMGs) in Canada.Methods: Current statistics on IMG applicants into the Canadian Residency Matching Service (CaRMS) will be compared to the number of CSAs applying to return to Canada.Results: In 2010, 75% (1232) of IMG applicants were unmatched following application to CaRMS, despite a doubling in positions reserved for IMGs from 2003. An estimated 3750 CSAs are currently attending over 55 medical schools globally; a six-fold increase since first reports in 2006. Between 2012 and 2014, it is estimated that 72.8% of CSAs will graduate, with 90.4% hoping to return to Canada for post-graduate residency training.  Discussion: The increasing population of CSAs poses a significant risk for future IMGs attempting to secure postgraduate training positions in Canada. From this perspective, we have coined the term ‘Canadian IMG Bottleneck’ – which describes the funnelling effect that has been created by the growing number of CSAs and the limited number of IMG residency positions available in Canada.


International medical graduates (IMGs) are graduates of medical schools located outside the United States (U.S.) and Canada. IMGs face various challenges on the road to U.S. residency training. These challenges include sitting for the United States Medical Licensing Examinations (USMLEs) to obtain certification from the Educational Commission for Foreign Medical Graduates (ECFMG). After that, IMGs are faced with a foreign application process whereby they must apply for and secure a position in a residency program through the Electronic Residency Application System (ERAS) and the National Resident Matching Program (NRMP). Once accepted into a residency program, IMGs who are not US citizens or legal permanent residents are challenged with securing a visa to be able to practice in the U.S. In this article, we elaborate on these processes and highlight the challenges IMGs may face along the way.


The Physician ◽  
2020 ◽  
Vol 6 (3) ◽  
pp. 1-17
Author(s):  
Stuart Holloway ◽  
Linda Jones

Objectives Primary care in the United Kingdom is delivered through the National Health Service medical workforce comprising 25% international medical graduates. This study explored the challenges experienced by international participants as they progressed through speciality training in General Practice and sought solutions to those challenges through the lens of applied educational theory, or ‘praxis’. Methods The case-based methodology was founded on a qualitative paradigm and postpositivist theoretical framework. Data were collected from international medical graduates and General Practice Trainers via focus groups, on-line questionnaire and semi-structured interviews. A strategy of convergence of evidence underpinned thematic data analysis, triangulating data to construct theory through cycles of continuous iteration. Findings Challenges relating to difference, relationships, conceptual understanding and expertise, practical barriers, wellbeing and risk were countered by applied metacognition, emotional intelligence, resilience and curiosity. Trainee passivity confounded these solutions. Conclusions The considerable challenges encountered by participants, not all comprehended before commencement of training, were compounded by poor conceptual understanding of the NHS and primary care and impacted on educational progression and wellbeing. Strategies centred on the application of metacognition and applied curiosity. These findings have considerable potential for training programmes and policymakers with respect to trainee orientation and workforce development.  


2020 ◽  
Vol 27 (4) ◽  
pp. 297-304.e1
Author(s):  
Javier A. Neyra ◽  
Maria Clarissa Tio ◽  
Silvia Ferrè

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