Dis-aggregating inequalities in the career outcomes of international medical graduates in the United States

Rebecca Schut, University of Pennsylvania

Although research indicates international medical graduates (IMGs) fill gaps in US health care left by US medical graduates (USMGs), the extent to which all IMGs experience stratified career outcomes remains understudied. I use data from the 2019 American Medical Association Physician Masterfile (n=19,985) to examine career outcomes of IMGs. IMGs from developed economies chart a less disadvantaged path in the United States relative to those from developing countries; they are more likely to practice in competitive medical specialties, to attend prestigious residency programs, and to practice in less disadvantaged counties that employ more USMGs relative to IMGs. Findings suggest IMGs experience divergent outcomes in the United States based on their place of medical education, with IMGs from developing countries facing more constraints in their careers relative to IMGs from developed countries. This understudied axis of stratification in medicine has important implications for both the medical profession and healthcare delivery.

Keywords: Migrant populations, Inequality, Human capital and labour markets, Health and morbidity

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  Presented in Session 74. Labour Market Position and Economic Effects of Migration