Evidence map›Paper›PMID 40771482›Full record

SynthesisFrontiers in medicine2025

Achieving equity for International Medical Graduates: a systematic review.

Sangeeta G Saxena, Elizabeth Tisdell, Elana Farace, Thomas Godfrey, Betsy Aumiller, Esther Dell, Omrana P Razzak, Bernadette N Kumar, Kristin K Sznajder

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Sangeeta G SaxenaDepartment of Public Health, Coastal Carolina University, Conway, SC, United States.
Elizabeth TisdellPenn State Harrisburg, Middletown, PA, United States.
Elana FaracePenn State Milton S. Hershey Medical Center, Hershey, PA, United States.
Thomas GodfreyPenn State Milton S. Hershey Medical Center, Hershey, PA, United States.
Betsy AumillerPenn State Milton S. Hershey Medical Center, Hershey, PA, United States.
Esther DellPenn State Milton S. Hershey Medical Center, Hershey, PA, United States.
Omrana P RazzakCity College of New York (CUNY), New York, NY, United States.
Bernadette N KumarNorwegian Institute of Public Health (NIPH), Oslo, Norway.
Kristin K SznajderPenn State Milton S. Hershey Medical Center, Hershey, PA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Foreign-born and foreign trained International Medical Graduates (FIMGs) face greater challenges in acculturation to their host countries than IMGs who train abroad and return to practice in their home country. As FIMGs are likely to fulfill a shortage of physicians in High Income Countries in the foreseeable future, we conducted a systematic review of literature to identify acculturation interventions that help FIMGs assimilate better in their host country health systems. This improves their productivity and satisfaction, allows health systems to be more accepting of FIMGs, and most importantly, enhances patient outcomes. Methods: Following the PRISMA statement, we searched PubMed, Embase, PsycINFO, CINAHL, Web of Science for all peer-reviewed articles using keywords "international medical graduate", "overseas trained doctor", "overseas trained physician", "foreign trained doctor", "foreign trained physician" (group A); and "discrimination" and "microaggressions" (group B) published between January 1st, 2000 to October 24th, 2021. Results: The 46 studies included in this review fall into three groups - acculturation interventions for FIMGs, FIMG's perceptions of what they found useful, and trainers' perspectives on 'what works'. This review also includes interventions that pivoted to the online mode during the Covid-19 pandemic, making the findings relevant, as this is likely to the norm in the future. Acculturation requires training on clinical protocols, host country and health system culture and norms and communication, language and self-awareness skills. Discussion: Much work remains to be done. Interventions need to be tailored to suit the unique needs of FIMGs from 150+ countries, trainings require a foundation of theoretical frameworks, additional professional, personal and social support to be provided, life course related changing needs demand attention and the preparedness of host country health systems to accept FIMGs require enhancement.

Indexed as

acculturationequityhigh income countriesIMGstraining

Identifiers

PMID40771482
PMCPMC12325190

What OpenQuestion holds

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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.