Evidence map›Paper›PMID 35910699›Full record

ReviewCureus2022

Challenges for International Medical Graduates in the US Graduate Medical Education and Health Care System Environment: A Narrative Review.

Carlos Murillo Zepeda, Francisco Omar Alcalá Aguirre, Edgar Manuel Luna Landa, Edgardo Nahúm Reyes Güereque, Gilberto Pérez Rodríguez García, Lilian Sabinne Diaz Montoya

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
15.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Article
  6. Navigating US Psychiatry Training as an International Medical Graduate: From Structural Barriers to Personal Growth.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2025
    Article
  7. Article
  8. Article
  9. Article
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  11. Article
  12. Variability in Learner Performance Using the ACGME Harmonized Milestones During the First Year of Postgraduate Training.Academic medicine : journal of the Association of American Medical Colleges · 2025
    Article
  13. Article
  14. Article
  15. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Carlos Murillo ZepedaMedicine, Autonomous University of Guadalajara, Zapopan, MEX.
Francisco Omar Alcalá AguirreMedicine, Autonomous University of Guadalajara, Zapopan, MEX.
Edgar Manuel Luna LandaMedicine, Autonomous University of Guadalajara, Zapopan, MEX.
Edgardo Nahúm Reyes GüerequeMedicine, Autonomous University of Guadalajara, Zapopan, MEX.
Gilberto Pérez Rodríguez GarcíaInfectious Diseases, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Mexico City, MEX.
Lilian Sabinne Diaz MontoyaSurgery, General Hospital of Zone No. 5, Nogales, MEX.
Universidad Autónoma de Guadalajara · MXHospital General De Zona · MXInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

International medical graduates (IMGs) have become a vital part of the US graduate medical education (GME) and health care system (HCS) workforce; they contribute to essential diversity that relieves cultural and linguistic barriers to health care. The number of IMGs looking for medical training in the United States. has constantly been increasing in the last decades. The challenges they meet begin long before residency application, continue during their transition to residency programs, through early medical training, and eventually subside in senior years. IMGs' hurdles permeate the themes of navigating the US GME and HCS, adaptation to the US culture, communication skills, racial discrimination, emotional distress, and finances. This article aims to comprehensively review available information concerning the challenges encountered by IMGs in their transition to the US GME and HCS environments.

Indexed as

challengesforeign medical graduatesinternational medical graduatesu.s. graduate medical educationu.s. health care systemu.s. medical residency

Identifiers

PMID35910699
PMCPMC9334519
OpenAlexW4288052492

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.