Departments of1Neurosurgery and.
2DY Patil School of Medicine, Navi Mumbai, India.
J Neurosurg. 2023 Jul 28;140(1):291-298. doi: 10.3171/2023.5.JNS23556. Print 2024 Jan 1.
Training of international medical graduates (IMGs) offers opportunities for the US neurosurgery community to engage the global talent pool and impact national and international healthcare. Here, the authors analyzed the time trend of IMGs matching into US neurosurgery programs and identified potential opportunities for enhancing IMG engagement.
The authors analyzed the National Resident Matching Program (NRMP) match results, NRMP program director (PD) surveys, and applicant surveys from 2013 to 2022. Regression methods were used to analyze time trends.
Between 2013 and 2022, the number of US neurosurgery residency positions increased by 17.6% (from 204 to 240). During this period, the percentage of IMGs matching into neurosurgery increased from 3.5% to 7%, translating into a 6.8% increase in the likelihood of a successful IMG match per year (95% CI 0.3%-13.8%, p = 0.042). The likelihoods of a successful match for US MDs and IMGs scoring > 260 on the USMLE Step 1 were > 90% and approximately 55%, respectively. In PD surveys, approximately 90% of PDs indicated that they seldom/never interview or rank IMGs. In terms of factors that influenced the PD decision for interviewing/ranking, IMGs are disadvantaged in several categories, including the ability to secure an audition elective/rotation, and proper letters of recommendation, as well as the influence of the culture on the preconceived perception of poor interpersonal skills.
The number of IMGs matching successfully in neurosurgery has increased marginally during the past decade. The authors outline the challenges that IMGs encounter in this process and suggest strategies for considerations of IMG training in NRMP-associated institutions.
国际医学毕业生（IMGs）的培训为美国神经外科学会提供了机会，使其能够利用全球人才库，并影响国家和国际医疗保健。在这里，作者分析了 IMGs 匹配到美国神经外科项目的时间趋势，并确定了增强 IMG 参与度的潜在机会。
作者分析了 2013 年至 2022 年期间的全国住院医师匹配计划（NRMP）匹配结果、NRMP 项目主任（PD）调查和申请人调查。使用回归方法分析时间趋势。
在 2013 年至 2022 年期间，美国神经外科住院医师培训职位增加了 17.6%（从 204 个增加到 240 个）。在此期间，IMG 匹配到神经外科的比例从 3.5%增加到 7%，这意味着 IMG 每年成功匹配的可能性增加了 6.8%（95%置信区间 0.3%-13.8%，p=0.042）。USMD 和 USMLE Step 1 得分>260 的 IMG 的匹配成功率分别超过 90%和 55%左右。在 PD 调查中，约 90%的 PD 表示他们很少/从不面试或排名 IMG。在影响 PD 面试/排名的因素方面，IMG 在几个方面处于劣势，包括获得试听选修/轮转的能力、适当的推荐信，以及文化对预先存在的不良人际交往能力的看法的影响。
在过去十年中，成功匹配到神经外科的 IMG 数量略有增加。作者概述了 IMG 在这个过程中遇到的挑战，并为 NRMP 相关机构考虑 IMG 培训提出了策略。
