Assistance Programs to Medical Licensure for IMGs Living in the US

Abstract

Background: International Medical Graduates who are not US citizens (non-USIMGs) have the potential to provide culturally and linguistically competent care for diverse patient populations in underserved areas, relieving US physician shortages. However, the migration experiences of physicians who start the process of US medical licensure after arriving make it less likely they will practice medicine in the US. The objective of this research was to identify and assess the number of programs and the range and type of support currently available to this population. Methods: A scoping review was conducted of non-profit physician career assistance programs for non-USIMGs already in the US when they begin the US medical licensure process. For-profit companies are excluded because they are generally prohibitively expensive for non-USIMGs. The keywords “physician reentry” were entered into Google, identifying individual programs as well as databases, which were searched using the same keywords. Program websites and email outreach were used to review services provided by identified programs. Inclusion criteria were that programs provide physician career assistance, provide services to physicians who have never been licensed to practice medicine in the US, and have a nonprofit model. Results: Seventeen non-profit programs were identified that provide a combination of educational guidance, courses, and clinical experience to non-USIMGs seeking US medical licensure. They have supported at least 276 non-USIMGs to match to residency programs. Discussion: Career assistance non-profit programs like these have the potential to help remediate the physician shortage while increasing diversity in the medical profession and addressing issues of equity.