Skip to main content

Training Needs of International Medical Graduate Physicians in Psychiatry: A Perspective

  • Chapter
  • First Online:
  • 615 Accesses

Abstract

The heterogeneity in the cultural, linguistic, and medical educational background of international medical graduate (IMG) physicians in psychiatry poses significant challenges in assessing their training needs. This chapter addresses the complex determination of training needs and their recommended solutions. To that end, inter-group differences within the IMG physician spectrum are discussed, with an emphasis on the imperatives within each culture. The recent literature on training needs for IMG physicians was reviewed and the following needs were identified as most relevant (in descending order): communication and language skills, medical/pharmacologic knowledge, dealing with social isolation, other acculturation issues, adequacy of supervision, psychosocial/patient management focus, cultural diversity training, understanding the health care systems, understanding the hospital culture, and medical documentation. This chapter highlights the role of psychotherapy training as an acculturative experience, along with the importance of a program development paradigm for needs evaluation and training implementation. Specific recommendations will be listed to assist training directors and IMG physicians in this crucial training area.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Accreditation Council for Graduate Medical Education. (2012). ACGME data resource book: academic year 2008–2009.

    Google Scholar 

  2. National Resident Matching Program and Educational Commission for Foreign Medical Graduates: Charting Outcomes in the Match for International Medical Graduates, 2014. National Resident Matching Program and Educational Commission for Foreign Medical Graduates. 2014.

    Google Scholar 

  3. Kramer M. Training needs of international medical graduates (IMGs) in psychiatry. Op J Psychiatry. 2014;4:295–300. doi:10.4236/ojpsych.2014.44036.

    Article  Google Scholar 

  4. Dorgan KA, Lang F, Floyd M, Kemp E. International medical graduate–patient communication: a qualitative analysis of perceived barriers. Acad Med. 2009;84(11):1567–75.

    Article  PubMed  Google Scholar 

  5. Zulla R, Baerlocher MO, Verma S. International medical graduates (IMGs) needs assessment study: comparison between current IMG trainees and program directors. BMC Med Educ. 2008;8(1):42.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Rao NR. The influence of culture on learning of psychiatry: the case of Asian Indian international medical graduates. Int J Appl Psychoanal Stud. 2007;4(2):128–43.

    Article  Google Scholar 

  7. Atri A, Matorin A, Ruiz P. Integration of international medical graduates in US psychiatry: the role of acculturation and social support. Acad Psychiatry. 2011;35(1):21–6.

    Article  PubMed  Google Scholar 

  8. Kalra G, Bhugra DK, Shah N. Identifying and addressing stresses in international medical graduates. Acad Psychiatry. 2012;36(4):323–9.

    Article  PubMed  Google Scholar 

  9. Singhal K, Ramakrishnan K. Training needs of international medical graduates seeking residency training: evaluation of medical training in India and the United States. The Internet Journal of Family Practice. 2004;3(1).

    Google Scholar 

  10. Steinert Y, Walsh A, Amskel S. A faculty development program for teachers of international medical graduates. The Association of Faculties of Medicine of Canada. 2006.

    Google Scholar 

  11. Sockalingam S, Al-Battran M, Abbey S, Zaretsky A. Preparing international medical graduates for psychiatry residency: a multi-site needs assessment. Acad Psychiatry. 2012;36(4):277–81.

    Article  PubMed  Google Scholar 

  12. Hall P, Keely E, Dojeiji S, Byszewski A, Marks M. Communication skills, cultural challenges and individual support: challenges of international medical graduates in a Canadian healthcare environment. Med Teach. 2004;26(2):20–125.

    Article  Google Scholar 

  13. Narasimhan S, Ranchord A, Weatherall M. International medical graduates’ training needs: perceptions of New Zealand hospital staff. Special Series. 2006.

    Google Scholar 

  14. Christie J, Pryor E, Paull AM. Presenting under pressure: communication and international medical graduates. Med Educ. 2011;45(5):532.

    Article  PubMed  Google Scholar 

  15. Woodward-Kron R, Flynn E, Delany C. Combining interdisciplinary and international medical graduate perspectives to teach clinical and ethical communication using multimedia. Commun Med. 2011;8(1):41–51.

    Article  PubMed  Google Scholar 

  16. Whelan GP, Gary NE, Kostis J, Boulet JR, Hallock JA. The changing pool of international medical graduates seeking certification training in US graduate medical education programs. JAMA. 2002;288(9):1079–84.

    Article  PubMed  Google Scholar 

  17. Shedler J. The efficacy of psychodynamic psychotherapy. Am Psychol. 2010;65(2):98.

    Article  PubMed  Google Scholar 

  18. Rao N. International medical graduates. In: Kay J, Silberman E, Pessar L, editors. Handbook of psychiatric education and faculty development. Washington, DC: American Psychiatric Association; 1999.

    Google Scholar 

  19. Haines M, Browne MO. The psychiatrists training initiative: developing an educational framework for international medical graduates in rural psychiatry. Australas Psychiatry. 2007;15(6):499–503.

    Article  PubMed  Google Scholar 

  20. Cross D, Smallridge A. Improving written and verbal communication skills for international and medical graduates: a linguistic and medical approach. Med Teach. 2011;33:e364–7.

    Article  PubMed  Google Scholar 

  21. Tan A, Hawa R, Sockalingam S, Abbey S. (Dis)orientation of international medical graduates: an approach to foster teaching, learning, and collaboration (TLC). Acad Psychiatry. 2013;37(2):104–7.

    Article  PubMed  Google Scholar 

  22. Berry JW. Immigration, acculturation, and adaptation. Appl Psychol. 1997;46(1):5–34.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nyapati R. Rao M.D., M.S. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Rao, N.R., Mehra, A., Kramer, M. (2016). Training Needs of International Medical Graduate Physicians in Psychiatry: A Perspective. In: Rao, N., Roberts, L. (eds) International Medical Graduate Physicians. Springer, Cham. https://doi.org/10.1007/978-3-319-39460-2_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-39460-2_21

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39458-9

  • Online ISBN: 978-3-319-39460-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics