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Hi, I know that IM has a large # of IMG's in residency programs nowadays; most are highly qualified and proficient in the English language from what I hear. But, has anyone ever encountered significant problems in communicating with a fellow resident whose first language is not English? If so, how did you deal with this issue? And, are there any programs where language barriers are known to cause notable trouble between IMG's and MD/DO graduates? I have heard that St. Elizabeth's in Boston has been known to have this problem from time to time, particularly in written communication, but would like to know of any other programs. I don't wish to offend any IMG's out there as some of the very best clinical teachers I've had are IMG's, but I would prefer to attend a program where all of the residents write and speak English well. thanks in advance for any info