Medical Migration and the Physician Workforce
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TL;DR
It is essential to understand the demographics and patterns of IMG training and practice as well as the routes of entry into the United States to understand a system of specifying the number of GME positions nationally.
Abstract
In recent years, participation of IMGs in GME and practice has increased significantly. Most IMGs in GME are not exchange visitors, but are either permanent residents or US citizens. Patterns of specialization and location of IMGs ultimately mirror those of USMGs. National IMG policy must be examined in light of the projected surplus of physicians in the United States. The best option for long-term control of the number of physicians in practice, USMG or IMG, is a system of specifying the number of GME positions nationally.
