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Selection Factors Among International Medical Graduates and Psychiatric Residency Performance

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Abstract

Objective

The authors examine the association between the selection factors used in a psychiatric residency program and subsequent clinical and academic performance among international medical graduate (IMG) candidates.

Methods

The authors completed a retrospective review of application files and residency evaluations of 50 IMG residents who completed the 4- year psychiatry training in a university- affiliated program from July 1994 through June 2004.

Results

United States Medical Licensing Examination (USMLE) Step 1 and personal interview appear associated with residents’ performance determined by the program director’s ranking. Standardized examinations before (USMLE Step 1 and 2) and during the residency (PRITE) were significantly correlated (USMLE 1, r = 0.37; USMLE 2, r=0.40, p<0.003). Personal interview scores and psychotherapy treatment session evaluations were also significantly associated (r=0.38, p<0.003).

Conclusion

Further research is necessary to determine predictive factors related to psychiatric residents’ performance, especially among IMGs. Adjusting current selection criteria may result in better outcomes for training programs and future psychiatrists.

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Author information

Authors and Affiliations

  1. Geriatric Psychiatry Clinic, Mental Health Service Line, Minneapolis VA Medical Center, University of Minnesota Medical School, One Veterans Drive, Minneapolis, Minnesota, 55417, USA

    Paulo R. Shiroma M.D.

  2. Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA

    Renato D. Alarcon M.D., M.P.H.

Authors
  1. Paulo R. Shiroma M.D.
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  2. Renato D. Alarcon M.D., M.P.H.
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Corresponding author

Correspondence to Paulo R. Shiroma M.D..

Additional information

At the time of submission, the authors reported no competing interests.

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Shiroma, P.R., Alarcon, R.D. Selection Factors Among International Medical Graduates and Psychiatric Residency Performance. Acad Psychiatry 34, 128–131 (2010). https://doi.org/10.1176/appi.ap.34.2.128

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  • DOI: https://doi.org/10.1176/appi.ap.34.2.128

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