Study | Date | Location of study | Type of research | Methods | Sample/size |
---|---|---|---|---|---|
Alberta International Medical Graduate Association27 | 2019 | Canada | Report | Workshops followed by surveys | 22 IMGs who attempted to become licensed for three or more years and had failed were either unemployed or underemployed (i.e., working in a medical clinic or elsewhere and making <$20/h). Also, IMGs who were not interested in pursuing licensure or seeking an alternative career as a short-term goal were included. |
American Academy of Physician Assistants32 | 1993 | Florida, USA | Report | N/A | N/A |
Anderson & Gilliss41 | 1998 | USA | Report | N/A | N/A |
Bhimji31 | 2010 | Alberta, Canada | Commentary | N/A | N/A |
Bhuiyan23 | Ontario, Canada | Mixed method study | Surveys, interviews, and literature review and analysis of evaluation reports | A total of 67 in four cohort groups; 25 men and 42 women from over 24 different countries | |
Blain, Fortin & Alvarez28 | 2017 | Canada and Quebec | Qualitative study | Semi-structured interviews | 31 IMGs who hold degrees from outside the USA and Canada |
Bourgeault, Neiterman, Lebrun, Viers & Winkup20 | 2010 | Canada | Report | Interviews and document analysis | 176 IEHPs from British Columbia, Manitoba, Ontario, and Quebec, including IMGs (67), IEN (70), and ITM (39) |
Cawley37 | 1994 | Maryland, USA | Letter to editor | N/A | N/A |
Covell, Neiterman & Bourgeault29 | 2016 | Canada | Qualitative study | Scoping review (Arksey & O'Malley16) | 407 literature sources |
Fasser & Smith38 | 1992 | USA | Report | N/A | N/A |
Flowers & Olenick39 | 2014 | Florida, USA | Report | N/A | N/A |
Fowkes, Cawley, Herlihy & Cuadrado36 | 1996 | US | Report | N/A | N/A |
Grossman & Jorda40 | 2006 | Florida, USA | Report | N/A | N/A |
Howard, Garman & McCann26 | 1995 | USA | Quantitative study | A case-control study through objective evaluation measures through 3 tests: Test Item Bank, Objective Structured Clinical Examination, and Clinical Performance Examination | 32 unlicensed IMGs who had graduated between 2-35 years earlier from medical schools in the Philippines, China, India, Cambodia, Mexico, Central America, South America, Poland, Hungary, or the Soviet Union; 6 recent graduates of the University of Southern California Physician Assistant Program as controls |
Jablonski22 | 2016 | Canada | Quantitative study | Cross-sectional design for capturing risk factors for the employment of IMGs; Cohort studies for the identification of risk factors for securing residency spots while utilizing the Access Centre | N=8,373 Non-English or French-speaking individuals |
Jones33 | 2015 | USA and Canada | Commentary | N/A | N/A |
Liebich34 | 2007 | Australia, but relevant to Canada | Report | N/A | N/A |
Lim Consulting Associates12 | 2013 | Canada | Report | Interviews | Series of interviews with occupational contacts (13 respondents), immigrant-serving organizations (12 respondents), and related organizations and internationally educated physicians (13 respondents) |
Magnus35 | 2008 | Ontario, Canada | Commentary | N/A | N/A |
Ministry of Health and Long-Term Care21 | 2012 | Ontario, Canada | Report | Interviews; focus groups; surveys; analysis of the administrative data | 52 PAs (32 IMG-stream) 41 supervising physicians 33 administrative representatives, including Clinical Director/Manager/Other Administrative, Medical Administrator, CNO/Professional Practice, CEO/Executive Director Hospital Team survey: 148 Hospital Team focus groups: 13 sites Patient/Client satisfaction surveys: N/R Hospital administrative data CHC Purkinje administrative data PEPA PA encounter reports Physician Supervision time analysis |
Neiterman, Bourgeault & Covell30 | 2017 | Canada | Qualitative study | Scoping review (Arksey & O'Malley16) | 148 articles/reports |
Smith & Fowkes25 | 1983 | USA | Quantitative study | Surveys administered in person, by telephone, and by mail | 736 unlicensed IMGs in California, USA |
Wick24 | 2015 | USA | Quantitative study | Descriptive statistics and chi-square analysis or Fisher exact test to summarize outcomes | All IMGs (total 39) who completed the program through 2013 were included in the study; graduation year was collapsed into two categories (1991-2005, n=18; and 2006-2013, n=18) |
Note: CEO = chief executive officer; CHC = community health center; CNO = College of Nurses of Ontario; IEN = Internationally Educated Nurse; IMG = international medical graduate; ITN =Internationally Trained Nurse; NP= nurse practitioner; N/A = not applicable; PA = physician assistant; PEPA = Physician-Employed Physician Assistant; US = United States; USA = United States of America.
Int J Med Educ. 2021; 12:45-63; doi: 10.5116/ijme.606a.e83d