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国际医学毕业生在放射科住院医师培训中的情况:人口统计学、表现和签证问题。

International Medical Graduates in Radiology Residencies: Demographics, Performance, and Visa Issues.

机构信息

Department of Radiology, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada (P.K.).

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institution, Baltimore, Maryland (A.M., G.A., D.M.Y.).

出版信息

Acad Radiol. 2023 Dec;30(12):3124-3134. doi: 10.1016/j.acra.2023.04.008. Epub 2023 May 12.

DOI:10.1016/j.acra.2023.04.008
PMID:37183141
Abstract

RATIONALE AND OBJECTIVES

The number of international medical graduates (IMG) in radiology residencies has varied from year to year even as the number of candidates continues to grow. It is unclear from which countries the IMGs are arriving and what visas are being used to accommodate them.

MATERIALS AND METHODS

We sent a survey to 195 program directors (PD) in diagnostic radiology (DR) inquiring about the number and nationality of IMG residents in their program, their attitudes about IMG candidates, the performance of their IMG trainees, and the visas that are offered.

RESULTS

We received responses from 121 of 195 (62.1%) DR programs (121/149 =81.2% of actionable emails). 80/121 (66.1%) had at least one IMG in their DR residency program and the countries of origin included India (36), Iran (30), Saudi Arabia (24), Egypt (16), Canada (14), Brazil (14), and Pakistan (9), as the most common. While most programs (76/104, 73.1%) offered J1 visas, 23/99 (23.2%) provided H-1B visas to trainees. IMG DR residents overall performed as well as American graduates, with an equal number of PDs saying IMGs performed better and worse than American graduates. PDs' issues with IMGs centered on visas: (1) expense, (2) lack of familiarity, (3) Educational Commission for Foreign Medical Graduates regulations, and (4) time commitment in submitting paperwork.

CONCLUSION

Most radiology IMG residents originate from India and Middle Eastern countries. Once enrolled, IMG residents perform similarly to US graduates. However, adding IMG candidates to the training program requires overcoming bureaucratic and monetary hurdles around visas.

SUMMARY SENTENCE

Most DR international medical graduate residents are from India or the Middle East. Although their performance is the same as American graduates in general, PDs note the monetary and bureaucratic hassles accompanying their recruitment.

摘要

背景与目的

放射科住院医师中,国际医学毕业生(IMG)的数量每年都有所不同,尽管候选人数持续增长。目前尚不清楚 IMG 来自哪些国家,以及使用哪些签证来容纳他们。

材料与方法

我们向 195 名放射诊断学(DR)项目主任(PD)发送了一份调查,询问他们所在项目的 IMG 住院医师数量和国籍、他们对 IMG 候选人的态度、IMG 受训者的表现,以及提供的签证类型。

结果

我们收到了 195 名 DR 项目主任中的 121 名(62.1%)的回复(121/149=81.2%的有效回复)。80/121(66.1%)的项目中至少有一名 IMG 住院医师,原籍国包括印度(36 人)、伊朗(30 人)、沙特阿拉伯(24 人)、埃及(16 人)、加拿大(14 人)、巴西(14 人)和巴基斯坦(9 人),是最常见的。尽管大多数项目(76/104,73.1%)提供 J1 签证,但 23/99(23.2%)的项目向受训者提供 H-1B 签证。总体而言,IMG DR 住院医师的表现与美国毕业生相当,同样数量的 PD 表示 IMG 表现优于或劣于美国毕业生。PD 对 IMG 的担忧主要集中在签证上:(1)费用,(2)不熟悉,(3)外科学委员会对外国医学毕业生的规定,以及(4)提交文件的时间承诺。

结论

大多数放射科 IMG 住院医师来自印度和中东国家。一旦被录取,IMG 住院医师的表现与美国毕业生相似。然而,要将 IMG 候选人纳入培训计划,需要克服签证方面的官僚和货币障碍。

总结

大多数放射科国际医学毕业生住院医师来自印度或中东。尽管他们的表现通常与美国毕业生相同,但 PD 们指出,在招聘过程中存在与签证相关的金钱和官僚障碍。

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