Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Department of Neurosurgery, University of Louisville, Louisville, Kentucky, USA.
Neurosurgery. 2021 Aug 16;89(3):478-485. doi: 10.1093/neuros/nyab194.
Within the literature, there has been limited research tracking the career trajectories of international medical graduates (IMGs) following residency training.
To compare the characteristics of IMG and US medical school graduate (USMG) neurosurgeons holding academic positions in the United States and also analyze factors that influence IMG career trajectories following US-based residency training.
We collected data on 243 IMGs and 2506 USMGs who graduated from Accreditation Council for Graduate Medical Education (ACGME)-accredited neurosurgery residency programs. We assessed for significant differences between cohorts, and a logistic regression model was used for the outcome of academic career trajectory.
Among the 2749 neurosurgeons in our study, IMGs were more likely to pursue academic neurosurgery careers relative to USMGs (59.7% vs 51.1%; P = .011) and were also more likely to complete a research fellowship before beginning residency (odds ratio [OR] = 9.19; P < .0001). Among current US academic neurosurgeons, USMGs had significantly higher pre-residency h-indices relative to IMGs (1.23 vs 1.01; P < .0001) with no significant differences between cohorts when comparing h-indices during (USMG = 5.02, IMG = 4.80; P = .67) or after (USMG = 14.05, IMG = 13.90; P = .72) residency. Completion of a post-residency clinical fellowship was the only factor independently associated with an academic career trajectory among IMGs (OR = 1.73, P = .046).
Our study suggests that while IMGs begin their US residency training with different research backgrounds and achievements relative to USMG counterparts, they attain similar levels of academic productivity following residency. Furthermore, IMGs are more likely to pursue academic careers relative to USMGs. Our work may be useful for better understanding IMG career trajectories following US-based neurosurgery residency training.
在文献中，针对国际医学毕业生（IMG）在完成住院医师培训后的职业轨迹，仅有少量研究对此进行了跟踪。
比较留美行医的国际医学毕业生（IMG）和美国医学毕业生（USMG）神经外科医生在美国担任学术职位的特征，并分析影响 IMG 在完成基于美国的住院医师培训后职业轨迹的因素。
我们收集了 243 名 IMG 和 2506 名从美国研究生医学教育认证委员会（ACGME）认证的神经外科住院医师培训项目毕业的 USMG 的数据。我们评估了队列之间的显著差异，并使用逻辑回归模型来预测学术职业轨迹的结果。
在我们的研究中，2749 名神经外科医生中，IMG 比 USMG 更有可能从事神经外科学术职业（59.7%比 51.1%；P=.011），并且在开始住院医师培训之前更有可能完成研究奖学金（优势比[OR]=9.19；P<.0001）。在当前的美国学术神经外科医生中，与 IMG 相比，USMG 在住院医师前的 h 指数显著更高（1.23 比 1.01；P<.0001），但在比较住院医师期间（USMG=5.02，IMG=4.80；P=.67）或之后（USMG=14.05，IMG=13.90；P=.72）的 h 指数时，两个队列之间没有显著差异。完成住院医师培训后的临床奖学金是唯一与 IMG 学术职业轨迹相关的独立因素（OR=1.73，P=.046）。
我们的研究表明，尽管 IMG 与 USMG 相比，在开始美国住院医师培训时具有不同的研究背景和成就，但在完成住院医师培训后，他们获得了相似水平的学术成果。此外，IMG 比 USMG 更有可能从事学术职业。我们的工作可能有助于更好地理解 IMG 在完成基于美国的神经外科住院医师培训后的职业轨迹。
