Evidence of discrimination against international medical graduates applying to family practice residency programs

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background and Objectives: The purpose of the study was to test the hypothesis that discrimination exists against international medical graduates (IMGs) applying to US family practice residency programs. Methods: Two sets of letters were sent to 146 family practice residency programs randomly selected from the Directory of Graduate Medical Education Programs. The letters requested information and an application. All letters were identical except that the author of the first set was described as 'a foreign medical graduate.' The author of the second set was described as 'a fourth-year medical student at the University of Nebraska Medical Center.' Replies were monitored for 6 weeks after the second mailing. Response rates to each 'candidate' were measured. In addition, responses were evaluated for the presence of a brochure describing the residency program, an application, cover letter, invitation for interview, eligibility criteria, and other material. Results: A total of 113 programs (79%) responded. Of these, 102 responded to the fourth-year medical student and 57 responded to the IMG. Of the 46 programs replying to both candidates, only 20 provided identical mailings. Nine of the 46 programs required IMGs to meet standards that exceeded requirements set by the Educational Commission for Foreign Medical Graduates for residency training in the United States. Conclusions: A pattern of dissimilarity exists in the way family practice residency programs respond to requests for application materials, and the differences appear to depend on whether the candidate is a US medical graduate or an IMG. These results raise questions about the fairness of current methods of resident selection.

Original languageEnglish
Pages (from-to)625-629
Number of pages5
JournalFamily Medicine
Volume26
Issue number10
StatePublished - 1994
Externally publishedYes

Fingerprint

Family Practice
Internship and Residency
Foreign Medical Graduates
Medical Students
Graduate Medical Education
Directories
Pamphlets
Interviews

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Evidence of discrimination against international medical graduates applying to family practice residency programs. / Nasir, Laeth.

In: Family Medicine, Vol. 26, No. 10, 1994, p. 625-629.

Research output: Contribution to journalArticle

@article{dd6457c2eb584df4950139db1ac13ac0,
title = "Evidence of discrimination against international medical graduates applying to family practice residency programs",
abstract = "Background and Objectives: The purpose of the study was to test the hypothesis that discrimination exists against international medical graduates (IMGs) applying to US family practice residency programs. Methods: Two sets of letters were sent to 146 family practice residency programs randomly selected from the Directory of Graduate Medical Education Programs. The letters requested information and an application. All letters were identical except that the author of the first set was described as 'a foreign medical graduate.' The author of the second set was described as 'a fourth-year medical student at the University of Nebraska Medical Center.' Replies were monitored for 6 weeks after the second mailing. Response rates to each 'candidate' were measured. In addition, responses were evaluated for the presence of a brochure describing the residency program, an application, cover letter, invitation for interview, eligibility criteria, and other material. Results: A total of 113 programs (79{\%}) responded. Of these, 102 responded to the fourth-year medical student and 57 responded to the IMG. Of the 46 programs replying to both candidates, only 20 provided identical mailings. Nine of the 46 programs required IMGs to meet standards that exceeded requirements set by the Educational Commission for Foreign Medical Graduates for residency training in the United States. Conclusions: A pattern of dissimilarity exists in the way family practice residency programs respond to requests for application materials, and the differences appear to depend on whether the candidate is a US medical graduate or an IMG. These results raise questions about the fairness of current methods of resident selection.",
author = "Laeth Nasir",
year = "1994",
language = "English",
volume = "26",
pages = "625--629",
journal = "Family Medicine",
issn = "0742-3225",
publisher = "Society of Teachers of Family Medicine",
number = "10",

}

TY - JOUR

T1 - Evidence of discrimination against international medical graduates applying to family practice residency programs

AU - Nasir, Laeth

PY - 1994

Y1 - 1994

N2 - Background and Objectives: The purpose of the study was to test the hypothesis that discrimination exists against international medical graduates (IMGs) applying to US family practice residency programs. Methods: Two sets of letters were sent to 146 family practice residency programs randomly selected from the Directory of Graduate Medical Education Programs. The letters requested information and an application. All letters were identical except that the author of the first set was described as 'a foreign medical graduate.' The author of the second set was described as 'a fourth-year medical student at the University of Nebraska Medical Center.' Replies were monitored for 6 weeks after the second mailing. Response rates to each 'candidate' were measured. In addition, responses were evaluated for the presence of a brochure describing the residency program, an application, cover letter, invitation for interview, eligibility criteria, and other material. Results: A total of 113 programs (79%) responded. Of these, 102 responded to the fourth-year medical student and 57 responded to the IMG. Of the 46 programs replying to both candidates, only 20 provided identical mailings. Nine of the 46 programs required IMGs to meet standards that exceeded requirements set by the Educational Commission for Foreign Medical Graduates for residency training in the United States. Conclusions: A pattern of dissimilarity exists in the way family practice residency programs respond to requests for application materials, and the differences appear to depend on whether the candidate is a US medical graduate or an IMG. These results raise questions about the fairness of current methods of resident selection.

AB - Background and Objectives: The purpose of the study was to test the hypothesis that discrimination exists against international medical graduates (IMGs) applying to US family practice residency programs. Methods: Two sets of letters were sent to 146 family practice residency programs randomly selected from the Directory of Graduate Medical Education Programs. The letters requested information and an application. All letters were identical except that the author of the first set was described as 'a foreign medical graduate.' The author of the second set was described as 'a fourth-year medical student at the University of Nebraska Medical Center.' Replies were monitored for 6 weeks after the second mailing. Response rates to each 'candidate' were measured. In addition, responses were evaluated for the presence of a brochure describing the residency program, an application, cover letter, invitation for interview, eligibility criteria, and other material. Results: A total of 113 programs (79%) responded. Of these, 102 responded to the fourth-year medical student and 57 responded to the IMG. Of the 46 programs replying to both candidates, only 20 provided identical mailings. Nine of the 46 programs required IMGs to meet standards that exceeded requirements set by the Educational Commission for Foreign Medical Graduates for residency training in the United States. Conclusions: A pattern of dissimilarity exists in the way family practice residency programs respond to requests for application materials, and the differences appear to depend on whether the candidate is a US medical graduate or an IMG. These results raise questions about the fairness of current methods of resident selection.

UR - http://www.scopus.com/inward/record.url?scp=0028099221&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028099221&partnerID=8YFLogxK

M3 - Article

C2 - 7859953

AN - SCOPUS:0028099221

VL - 26

SP - 625

EP - 629

JO - Family Medicine

JF - Family Medicine

SN - 0742-3225

IS - 10

ER -