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IMG Performance in the 2013 Match – Good News and Bad News

The good news is that a greater number of IMGs (International Medical Graduates) matched to first-year positions in the 2013 Match compared to last year’s. According to the ECFMG (Educational Commission for Foreign Medical Graduates® ), 6,311 of the 12,683 IMGs who participated matched, which was an increase of 1,425 compared to 2012. The bad news is that that number only translates into 49.8% of IMGs’ matching to first year positions.

Although international medical schools are a good option for some candidates, it is worth noting these numbers if you are a pre-med considering an international school.

Insider’s Evidence-Based Advising Strategy

As those of you who have worked with me or have heard me lecture know, I use Evidence-Based Advising in mentoring my clients. Just like we use data to drive good clinical practice, I have developed the concept of Evidence-Based Advising to use facts to drive strong application decisions.

In previous blog entries, I’ve discussed the utility of the NRMP Program Director Survey and the NRMP’s Charting Outcomes in the Match in helping to make solid, informed application decisions.

The Educational Commission for Foreign Medical Graduates’ (ECFMG) data on Match results is another piece of information that can be helpful. For those contemplating applying to an international medical school or for those International Medical Graduates (IMGs) approaching this year’s application cycle, understanding IMGs’ performance in the Match is important. The current data just came out and is available here.

Of course, basing your decisions only on numbers is not adequate. When we provide excellent clinical care, we use experience, as well as the literature, to make our decisions. (This necessary combination is what makes managing patients during medical school and residency so hard.) For those of you interested in strategy based on years of admissions experience, coupled with Evidence-Based Advising, please contact me for one-on-one help.

I’ll continue to publicize useful sources of data for applicants.

California Licensure for IMGs

Today I have a guest blogger. Daniel Louvet worked in my hospital’s emergency department before he left to go to medical school. Daniel is super talented, smart and an all-around nice guy :) .

Below is some very helpful and detailed information for IMGs interested in the requirements for California licensure.

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As a native California resident and a recent IMG from Ross University
School of Medicine, I have often been asked by my fellow colleagues
about the process of becoming a licensed physician in the state of
California. The answer is as follows:

(A) First, the international medical school MUST be recognized by the
state of California and MUST be listed on their website PRIOR to starting medical school. NO EXCEPTIONS.

(B) Second, the student’s United States clinical rotations MUST fulfill these requirements:

1) A total of 70 weeks of Accreditation Council for Graduate Medical Education (ACGME) clinical rotations MUST be completed by the time the application for licensure in California is submitted.

2) Of the 70 weeks of ACGME clinical rotations, 40 weeks of the 70 weeks MUST come from CORE rotations. The minimum number of weeks for each of the respective CORE rotations are as follows:

Internal medicine – 8 weeks
General surgery – 8 weeks
Ob/Gyn – 6 weeks
Pediatrics – 6 weeks
Family medicine – 4 weeks
Psychiatry – 4 weeks

While these CORE rotations only add up to a total of 36 weeks, an additional 4 weeks to complete the total of 40 weeks MUST come from any of the CORE rotations listed.

3) Of the 70 weeks of ACGME clinical rotations, 30 weeks of the 70 weeks MUST come from ELECTIVE rotations.

4) At the end of each ACGME clinical rotation, an L6 form must be completed PER clinical rotation as part of the application process for California licensure. The L6 form can be found here.

In the event that some of the requirements are not fulfilled by your medical school graduation date, it is highly recommended you complete these rotations after graduation and prior to starting residency, through your medical school.

If you happen to do a residency outside of California and have yet to fulfill all the requirements, it is possible to count the respective rotations done while in residency towards obtaining California licensure through a petition by contacting the California medical boards at (916) 263-2382. For instance, if you had a non-approved/non-ACGME Family Medicine rotation during medical school, and you matched into a Family Medicine residency, it is possible to count the Family Medicine rotation completed during residency to obtaining California licensure in the future.

New International Medical School Options

Here‘s a short NYT article on three new Italian medical school programs that are being taught in English in part to attract foreigners. The advantages are lesser cost, nice geography and, apparently, lower admission requirements, although for at least one institution, the entrance exam includes questions on Italian current affairs.

As the supply of doctors continues to be a problem, while admission to US schools is increasingly difficult, more international schools will likely pop up.

An Effort to Rid NY Hospitals of Caribbean IMGs

This NYT piece on the push to rid New York hospitals of Caribbean medical students is worth a read. I think it’s unlikely that Caribbean schools will be forced out of New York hospitals, as the financial incentive to keep the schools’ funding is way too strong. It’s worth considering, however, the fate and reputation of Caribbean schools.

It’s interesting to note, too, that New York schools that have relied on their prestige to secure rotation slots may now be worried that they can’t compete with the millions of dollars that Caribbean schools are spending to do the same.