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Purpose <p>To overcome potential selection bias that limit the recruitment of strong applicants from diverse backgrounds, we developed a novel method for evaluating international medical graduates (IMGs) applying to our categorical general surgery residency program.</p> Methods <p>A novel review method for evaluating IMGs was created by IMG general surgery residents and the educational leadership of the residency program. This approach involved initial screening filters and then five main categories: (A) volunteerism and leadership, (B) research aptitude, (C) letters of recommendation, (D) familiarity with U.S. residency training, and (E) background and adversity. Demographics, traditional metrics, and immigration status were not considered during the selection process.</p> Results <p>During the 2023–2024 cycle, 486 IMGs applied to our program, of whom 179 (36.8%) were reviewed and the median total score was 11.0 out of 20.0. Ten (2.0%) were interviewed, six (1.2%) were ranked to match, and two (0.4%) of all IMG applicants matched at our program. During the 2024–2025 cycle, 421 IMGs applied to our program, of whom 102 (24.2%) were reviewed and the median total score was 12.0 out of 20.0. Five (1.2%) were interviewed, three (0.7%) were ranked to match, and one (0.2%) of all IMG applicants matched at our program.</p> Conclusions <p>This novel review method for evaluating IMGs for categorical general surgery residency positions successfully facilitated a novel and structured evaluation process. By focusing on non-quantitative attributes specific to IMGs, and excluding traditional parameters, we were able to standardize the selection of well-qualified IMGs for categorical general surgery residency positions.</p>

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A novel review method for recruitment of international medical graduates in an academic surgical residency program

  • 期刊论文

  • 发表日期：

    2026年1月13日

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  • Ioannis A. Ziogas,
  • Alejandro Suarez-Pierre,
  • Brittney Reyes,
  • Mark Nehler,
  • Nicole Christian

摘要

Purpose

To overcome potential selection bias that limit the recruitment of strong applicants from diverse backgrounds, we developed a novel method for evaluating international medical graduates (IMGs) applying to our categorical general surgery residency program.

Methods

A novel review method for evaluating IMGs was created by IMG general surgery residents and the educational leadership of the residency program. This approach involved initial screening filters and then five main categories: (A) volunteerism and leadership, (B) research aptitude, (C) letters of recommendation, (D) familiarity with U.S. residency training, and (E) background and adversity. Demographics, traditional metrics, and immigration status were not considered during the selection process.

Results

During the 2023–2024 cycle, 486 IMGs applied to our program, of whom 179 (36.8%) were reviewed and the median total score was 11.0 out of 20.0. Ten (2.0%) were interviewed, six (1.2%) were ranked to match, and two (0.4%) of all IMG applicants matched at our program. During the 2024–2025 cycle, 421 IMGs applied to our program, of whom 102 (24.2%) were reviewed and the median total score was 12.0 out of 20.0. Five (1.2%) were interviewed, three (0.7%) were ranked to match, and one (0.2%) of all IMG applicants matched at our program.

Conclusions

This novel review method for evaluating IMGs for categorical general surgery residency positions successfully facilitated a novel and structured evaluation process. By focusing on non-quantitative attributes specific to IMGs, and excluding traditional parameters, we were able to standardize the selection of well-qualified IMGs for categorical general surgery residency positions.