Yeah, I know the headline drew you in. I sleuthed ya—but I have a reason.
A study out in BMJ today, and its timing is uncanny given the immigration ban we are now experiencing.
First, to declare my priors. I will take an IMG to work by my side any day of the week. You need to be twice as smart, motivated, and industrious to make your way to American shores.
The researchers analyzed data on 1.2 million hospital admissions of Medicare patients aged 65 and over between 2011 and 2014 and for 44,227 internists. The average age of patients was 80, and the most common causes of death were sepsis, pneumonia, congestive heart failure, and chronic obstructive pulmonary disease.
The difference in results was slight, but I post the tables if only to show, at least based on this sample set, at worst, IMGs are equal to, and best, slightly better performers than US grads on standard metrics.
The adjusted mortality and readmit rates:
The authors discuss the limitations and strengths of the research, and many are those you would expect (differentiating foreign vs. US-born IMGs, etc.), but the paper is ammunition against those who would be quick to dismiss talented folks coming from offshore and the exemplary service they bring to our health care system.