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ECFMG Focus

Match Day Adds 7,500+ International Medical Graduates to U.S. GME Programs

More than 7,500 international medical graduates (IMGs) obtained first-year residency positions in U.S. programs of graduate medical education (GME), an increase of 132 from last year, according to results of the 2021 Main Residency Match® announced Friday by the National Resident Matching Program® (NRMP®). The number of first-year residency positions offered in the 2021 Match increased by 928 (2.7%) to 35,194 over 2020.

The 7,508 IMGs who matched represent an overall IMG match rate of 57% in this highly competitive process. Of the IMGs who matched, 3,152 are U.S. citizens, a decrease of two, compared to last year. The number of positions obtained by foreign national IMGs is 4,356, an increase of 134 compared to last year. The match rates for U.S.-citizen and foreign national IMGs are 59.5% and 54.8%, respectively. An infographic on IMG performance in the 2021 Match can be found here.

The journey to the 2021 Match for IMGs was fraught with changes and challenges spurred by the COVID-19 pandemic, including worldwide disruptions to medical education and changes to the certification process for IMGs. Despite the challenges, William W. Pinsky, MD, President and CEO of the Educational Commission for Foreign Medical Graduates | Foundation for Advancement of International Medical Education and Research (ECFMG®|FAIMER®), said that he was pleased with the outcome of the Match for IMGs.

“ECFMG|FAIMER succeeded in ensuring an applicant pool of international medical graduates for the Match that was ample, diverse, and highly qualified, which is vital for the U.S. health care system,” Dr. Pinsky said. “IMGs play an important role in providing supervised patient care, contribute much needed diversity to our nation’s health care system, and help to address the nation’s growing physician shortage that is being exacerbated by the pandemic.”

ECFMG|FAIMER assesses the readiness of IMGs before they enter U.S. GME. The program for certifying IMGs is a rigorous process that includes passing components of the United States Medical Licensing Examination® (USMLE®), the same examinations required of U.S. medical school students and graduates, and demonstration of clinical and communication skills. As part of the certification process, ECFMG|FAIMER also verifies the authenticity of IMGs’ medical education credentials, including their medical diplomas, directly with the issuing medical schools. Only IMGs who are certified by ECFMG can enter accredited U.S. GME programs.

Beginning in March 2020, the pandemic forced the suspension and eventual permanent discontinuation of the Step 2 Clinical Skills (CS) component of USMLE, which had been used by IMGs to demonstrate the clinical and communication skills required for ECFMG Certification. ECFMG|FAIMER moved quickly to develop five pathways to allow qualified IMGs who had not passed Step 2 CS to meet the requirements for ECFMG Certification and participation in the 2021 Match. The pathways were critical to producing a robust IMG applicant pool for this Match. Approximately 6,000 IMGs who registered for the 2021 Match completed a pathway; this represents one-third of the total number of IMGs in the Match.

“Appropriate clinical and communication skills are essential for physicians who participate in U.S. graduate medical education,” Dr. Pinsky said. “The pathways ensure that the U.S. public and the U.S. GME community can continue to rely on ECFMG Certification as an indicator that IMGs are ready to enter U.S. GME and to provide supervised patient care.”

For the 2022 Match, ECFMG|FAIMER is expanding the pathways for IMGs to meet the requirements for ECFMG Certification. With the addition of a sixth pathway and changes to certain eligibility requirements, ECFMG|FAIMER expects that more IMGs will be eligible to pursue a pathway for the Match.

“The expansion of the pathways currently underway for the 2022 Match will ensure the continuity and integrity of ECFMG Certification and the vital service it provides to the U.S. public, the U.S. GME community, and to qualified IMGs who pursue training in our nation’s teaching hospitals,” Dr. Pinsky said.

ECFMG|FAIMER, Other GME Leaders Collaborate on Toolkit for Transition to Residency

ECFMG|FAIMER President and CEO William W. Pinsky, MD recently joined forces with other national leaders in GME and medical school student leaders to develop a new toolkit of resources to support medical school graduates and U.S. GME programs in the transition to the first year of GME during the COVID-19 pandemic. The final product, titled Transition in a Time of Disruption: Practical Guidance to Support the Move from Undergraduate Medical Education to Graduate Medical Education, was announced Wednesday as a follow-up to last Friday’s Main Residency Match.

The toolkit of resources is designed to support residents and their residency programs in delivering safe, high-quality patient care during the pandemic and beyond. In addition to ECFMG|FAIMER, the toolkit was developed by the American Association of Colleges of Osteopathic Medicine (AACOM), the Association of American Medical Colleges (AAMC), and the Accreditation Council for Graduate Medical Education (ACGME). FAIMER President Jeanette Mladenovic, MD, and Tracy Wallowicz, Assistant Vice President for U.S. Graduate Medical Education Services at ECFMG|FAIMER, joined Dr. Pinsky on the committee developing the toolkit.

“The COVID-19 global pandemic has disrupted almost all aspects of life and medical education has been no exception,” Dr. Pinsky said. “Supporting the well-being, professional development, and equitable treatment of incoming residents is critical as they begin their journey to the independent practice of medicine, especially during this time of disruption. These resources will help with that transition.”

This toolkit is divided into three sections:

  • Section I provides a framework and list of questions medical schools, residencies, and learners should review during this transition.
  • Section II provides a matrix of possible activities to help learners and residency programs implement a successful transition.
  • Section III provides a compendium of resources to support the transition for both learners and programs.

“The primary goal of the toolkit is to facilitate a successful and seamless transition from medical school to residency, and to create the necessary conditions to fully support young physicians’ early professional development during unprecedented times,” Dr. Pinsky said. “Investing in supporting all incoming physicians can help to facilitate their success throughout the entire residency.”