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The resilience of international medical graduates


“Success is not final; failure is not fatal: It is the courage to continue that count.”
– Winston Churchill

In this vast world of hopes and dreams, few would shine as brightly as the dream of becoming a physician and saving lives. Each year, amidst tough competition, millions of young, eager minds compete for the limited spots in medical schools in their respective countries. After this first stepping stone, they continue to strive for excellence as they work through the rigorous medical school curriculum.

For some foreign graduates seeking broader horizons and evidence-based medicine leads them to the quest of pursuing residency in the United States. This decision comes with its own set of challenges, as they must manage their own medical school curriculum while diligently preparing for the United States medical licensing examinations. This demands a relentless work ethic and an openness to embrace new perspectives and systems. Despite obstacles, many embark on this journey undeterred, driven by their desire for top-notch education and training.

Transitioning to the American medical world is full of uncertainties for any international medical graduate (IMG), especially without proper guidance and mentorship. However, they learn to navigate this unfamiliar process by seeking assistance wherever they can, reaching out to individuals as they forge meaningful connections with their seniors and peers. They also develop the knack of carving a path for themselves even when nothing may seem feasible.

Clinical rotations in U.S. hospitals offer a glimpse into the inner workings of American health care, providing IMGs with invaluable opportunities to work alongside esteemed physicians and witness the application of evidence-based medicine in patient care. However, securing these experiences may not be straightforward. It requires the support of dedicated mentors, acceptance into reputable institutions, and navigation of immigration and financial challenges.

Every setback they face teaches them resilience and adaptability as they learn to make the best of whatever sources are available to them. Adjusting to new cultures, learning unfamiliar languages, and dealing with social challenges are all part of their struggle. But despite these hurdles, they stay focused on their goal, knowing that the education that they receive will help their future patients and may transform their careers.

The latest data from the National Resident Matching Program (NRMP) for the year 2024 reveals that out of 25,877 first-year residency positions, 9,045 are occupied by IMGs. Each of these individuals has passed countless obstacles to reach their goals, a testament to their unwavering dedication. By filling the doctor-patient deficit, IMGs have been an integral part of U.S. health care system and play a crucial role in improving health care for millions. As they chase their dreams across borders, away from their loved ones, they inspire everyone to aim high, exemplifying that with courage and determination, anything is possible.

Kanwarmandeep Singh is an international medical graduate.






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