- Feb 25, 2018
- Medical Student
Ok so I am currently a rising 4th year medical student currently getting ready to apply to the upcoming match cycle and I have noticed something very upsetting over the past year since I started clinical rotations. I am at a Caribbean medical school, and at the city hospital I have been rotating at (low tier residency programs) roughly 70-75% are non-US citizen IMGs. Most of them don't even have green cards and are basically here on a J1 visa (or something similar). I find it astonishing how there can be qualified doctors who can't find a job in their own country while residency spots are being given to people who can hardly speak English and have never set foot on US soil prior to the week preceding their residency start date. When I was on medicine floor, a lot of them even said that they have no intention to stay long after they finish training. Many just wish to make enough money as attendings for a few years before returning to their home country. How can the system be this flawed to allow such exploitation of our healthcare? I've heard the argument that there are more applicants than there are spots available but that is only true if you consider non-citizens who are applying. If it were not for them, every US citizen AMG or IMG would have a spot. Only after all those spots are filled should a non-US IMG even be considered. I don't understand at all how people who have no real business in the USA (many are from countries that Trump banned immigration from and are already working in their home countries as MDs) can be permitted to steal training spots from Americans in their own country. This is something I never realized when I was in basic sciences and I just can't believe something like this has gone uncorrected for so long. If even one USIMG goes unmatched while a non-USIMG does, this seems to be a problem. In literally every other developed country on Earth, a foreigner would never be given priority over another qualified individual who is a citizen. Why would a non-citizen never be considered seriously for medical school, but then frequently be given spots in residency training programs? This is not meant to be an inflammatory thread, and is something that it difficult to publically talk about nowadays (due to PC culture, etc), but does anyone have any input on this? I simply cannot be the only person who has noticed this and sees it as a major problem.