Evidence map›Paper›PMID 40877896›Full record

ArticleBMC medical education2025

Factors influencing United States residency interview rates among African international medical graduates.

Aliu O Yakubu, Oluwatobi Omoleye, Usman Hosea Ojoh, Oluwaseun Adeleke, Tochukwu Cosmas Okoli, Chioma Mary Muotoh, Adedoyin Esther Alao, Toheeb Ademuyiwa Bakare, Ofeoritse Murphy-Akpieyi, Nnaedozie Umeani and 2 more

Abstract read
In one paragraph

Article in BMC medical education, 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

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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

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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. Article
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

12 authors.

Aliu O YakubuSt Crost Hospital, Iju Road, Ishaga, Lagos, Nigeria. yakubualiu01@gmail.com.
Oluwatobi OmoleyeCollege of Medicine, University of Lagos, Lagos, Nigeria.
Usman Hosea OjohAhmadu Bello University Teaching Hospital, Zaria, Nigeria.
Oluwaseun AdelekeLadoke Akintola University of Technology, Ogbomoso, Nigeria.
Tochukwu Cosmas OkoliCollege of Medicine, University of Nigeria, Nsukka, Nigeria.
Chioma Mary MuotohUniversity College Hospital, Queen Elizabeth Road, Ibadan, Oyo State, Nigeria.
Adedoyin Esther AlaoObafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.
Toheeb Ademuyiwa BakareUniversity College Hospital, Queen Elizabeth Road, Ibadan, Oyo State, Nigeria.
Ofeoritse Murphy-AkpieyiCollege of Medicine, University of Lagos, Lagos, Nigeria.
Nnaedozie UmeaniCollege of Medicine, University of Lagos, Lagos, Nigeria.
David Opeyemi OlaeweFederal Teaching Hospital, Birnin Kebbi, Nigeria.
Peace Divine AkhimienmhonaV.N. Karazin Kharkiv National University, Kharkiv, Ukraine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSecuring a residency position in the United States remains a significant challenge for International Medical Graduates (IMGs), particularly those from African countries. Although African IMGs contribute to approximately 25% of the U.S. physician workforce, they face unique barriers such as limited access to U.S. clinical experience, visa restrictions, and perceptions of lower-quality medical education. To enhance applicant visibility and improve equity in the selection process, the Association of American Medical Colleges (AAMC), through the Electronic Residency Application Service (ERAS), introduced program signaling and geographic preferencing. This study evaluates the impact of these mechanisms on interview outcomes for African IMGs during the 2023–2024 and 2024–2025 residency application cycles.

methodsA descriptive cross-sectional study was conducted among African IMGs who participated in the 2023–2024 and 2024–2025 NRMP Match. Logistic regression analysis was used to examine the association between applicant characteristics and the likelihood of receiving an above-average number of residency interviews.

resultsA total of 222 respondents participated, with most from Nigeria (77.7%), followed by Ghana, Cameroon, and other countries. The most preferred regions were Middle Atlantic (44.6%), East North Central (35.9%), and South Atlantic (29.2%). Applicants signaled an average of 12.5 programs and received 5.1 interview invitations on average. Of these, 2.9 interviews came from programs in preferred regions. On average, 2.1 interviews came from signaled programs within preferred regions, while 1.3 were from signaled programs outside those regions. Factors influencing program signaling included historical acceptance of African IMGs (73.9%), geographic preference (48.2%), and networking (38.7%). Higher interview rates were associated with recent graduation (≤ 5 years), no USMLE step failures, and Step 2 CK scores ≥ 249.

conclusionProgram signaling and geographic preferencing allowed applicants to express interest more directly but did not independently improve interview outcomes. Enhancing match success for African IMGs will require targeted strategies, including greater access to U.S. clinical experiences and strengthened USMLE preparation support.

Indexed as

Foreign Medical GraduatesInternship and ResidencyAdultAfricaCross-Sectional StudiesFemaleHumansInterviews as TopicMaleUnited StatesAfrican international medical graduatesGeographic preference​Interview rates​Program signalingU.S. residency match​

Identifiers

PMID40877896
PMCPMC12392531

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