Are international and American graduates equally ACGME competent? results of a pilot study

Cristhiam Rojas, Suresh Nelson Samson, Jorge Florindez Ullilen, Yaw Amoateng-Adjepong, Constantine A. Manthous

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Background: Despite a substantial proportion of international medical graduates (1MG) matching to U.S. programs in Internal Medicine, little is known about their readiness in the six medical competencies compared to graduates of U.S. schools (USMG). Methods:Abriefquestionnairewith twoques tions designed to assess basic understanding of each of the six medical competencies (knowledge, patient care, communication, professionalism, systems based- and practice-based learning) was sent by electronic mail to all 1,737 applicants to a community teaching hospital Categorical Internal Medicine Residency Program. Correct responses of 1MG were compared to USMG. Results: Two hundred and eight IMGs were similar except for older age (29 vs 27 years; P= 0.02) compared to 39 USMGs who responded. USMG and 1MG had similar percent correct answers (67% vs 62%; P=0.22). USMG and 1MG scored similarly across all but two of the six medical competencies. USMGs more often an swered correctly questions on U.S. healthcareics (39.5% vs 20.4% correct, P=0.01) and the elements of practice-based learning (69.2% vs 47.5%; P=0.01). Conclusions: While this study is limited by its small sample size, it supports a hypothesis that USMG and 1MG maydifferin theirpreparednessforsystems-based and practice-based learning. This hypothesis deserves exploration in future studies.

Original languageEnglish (US)
Pages (from-to)31-36
Number of pages6
JournalConnecticut Medicine
Issue number1
StatePublished - Jan 1 2011
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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