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Perceptions of bias in the selection of international medical graduate residency applicants in Canada
BACKGROUND: In Canada, international medical graduates (IMG) consist of immigrant-IMG and previous Canadian citizens/permanent residents who attended medical school abroad (CSA). CSA are more likely to obtain a post-graduate residency position than immigrant-IMG and previous studies have suggested t...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Canadian Medical Education Journal
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10254106/ https://www.ncbi.nlm.nih.gov/pubmed/37304630 http://dx.doi.org/10.36834/cmej.73320 |
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author | Mathews, Maria Bourgeault, Ivy Ryan, Dana |
author_facet | Mathews, Maria Bourgeault, Ivy Ryan, Dana |
author_sort | Mathews, Maria |
collection | PubMed |
description | BACKGROUND: In Canada, international medical graduates (IMG) consist of immigrant-IMG and previous Canadian citizens/permanent residents who attended medical school abroad (CSA). CSA are more likely to obtain a post-graduate residency position than immigrant-IMG and previous studies have suggested that the residency selection process favours CSA over immigrant-IMG. This study explored potential sources of bias in the residency program selection process. METHODS: We conducted semi-structured interviews with senior administrators of clinical assessment and post-graduate programs across Canada. We asked about perceptions of the background and preparation of CSA and immigrant-IMG, methods applicants use to improve likelihood of obtaining residency positions, and practices that may favour/discourage applicants. Interviews were transcribed and a constant comparative method was employed to identify recurring themes. RESULTS: Of a potential 22 administrators, 12 (54.5%) completed interviews. Five key factors that may provide CSA with an advantage were: reputation of the applicant’s medical school, recency of graduation, ability to complete undergraduate clinical placement in Canada, familiarity with Canadian culture, and interview performance. CONCLUSIONS: Although residency programs prioritize equitable selection, they may be constrained by policies designed to promote efficiencies and mitigate medico-legal risks that inadvertently advantage CSA. Identifying the factors behind these potential biases is needed to promote an equitable selection process. |
format | Online Article Text |
id | pubmed-10254106 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Canadian Medical Education Journal |
record_format | MEDLINE/PubMed |
spelling | pubmed-102541062023-06-10 Perceptions of bias in the selection of international medical graduate residency applicants in Canada Mathews, Maria Bourgeault, Ivy Ryan, Dana Can Med Educ J Original Research BACKGROUND: In Canada, international medical graduates (IMG) consist of immigrant-IMG and previous Canadian citizens/permanent residents who attended medical school abroad (CSA). CSA are more likely to obtain a post-graduate residency position than immigrant-IMG and previous studies have suggested that the residency selection process favours CSA over immigrant-IMG. This study explored potential sources of bias in the residency program selection process. METHODS: We conducted semi-structured interviews with senior administrators of clinical assessment and post-graduate programs across Canada. We asked about perceptions of the background and preparation of CSA and immigrant-IMG, methods applicants use to improve likelihood of obtaining residency positions, and practices that may favour/discourage applicants. Interviews were transcribed and a constant comparative method was employed to identify recurring themes. RESULTS: Of a potential 22 administrators, 12 (54.5%) completed interviews. Five key factors that may provide CSA with an advantage were: reputation of the applicant’s medical school, recency of graduation, ability to complete undergraduate clinical placement in Canada, familiarity with Canadian culture, and interview performance. CONCLUSIONS: Although residency programs prioritize equitable selection, they may be constrained by policies designed to promote efficiencies and mitigate medico-legal risks that inadvertently advantage CSA. Identifying the factors behind these potential biases is needed to promote an equitable selection process. Canadian Medical Education Journal 2023-04-08 /pmc/articles/PMC10254106/ /pubmed/37304630 http://dx.doi.org/10.36834/cmej.73320 Text en © 2023 Mathews, Bourgeault, Ryan; licensee Synergies Partners. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Journal Systems article distributed under the terms of the Creative Commons Attribution License. (https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is cited. |
spellingShingle | Original Research Mathews, Maria Bourgeault, Ivy Ryan, Dana Perceptions of bias in the selection of international medical graduate residency applicants in Canada |
title | Perceptions of bias in the selection of international medical graduate residency applicants in Canada |
title_full | Perceptions of bias in the selection of international medical graduate residency applicants in Canada |
title_fullStr | Perceptions of bias in the selection of international medical graduate residency applicants in Canada |
title_full_unstemmed | Perceptions of bias in the selection of international medical graduate residency applicants in Canada |
title_short | Perceptions of bias in the selection of international medical graduate residency applicants in Canada |
title_sort | perceptions of bias in the selection of international medical graduate residency applicants in canada |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10254106/ https://www.ncbi.nlm.nih.gov/pubmed/37304630 http://dx.doi.org/10.36834/cmej.73320 |
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