Objectives: To summarize the evidence related to the experiences and challenges of International Medical Graduates (IMGs) in healthcare systems of English-speaking countries.
Methods: Following the PRISMA statement, we searched MEDLINE and EMBASE for all peer-reviewed articles using keywords including "international medical graduates," "foreign medical graduates," or "transition," from their inception to December 21st, 2022.
Results: In this review, we included 20 articles, comprising 17 descriptive studies and three quasi-experimental studies. These studies highlight the challenges centered around communication skills and languages including the use and meaning of slang, health system differences, cultural distinctions such as varying patient expectations, and the prevalence of biases and preconceived notions about IMGs.
Conclusion: This systematic review summarizes the current evidence related to IMGs' transition into healthcare systems in English-speaking countries. Despite the limited quality of available studies, several common issues were identified, including communication skills and language proficiency, cultural understanding, and system-related themes. To improve the experiences of IMGs and the quality of patient care, clinical educators, and residency program leaders may need to provide targeted needs assessments, focused orientations, and year-round programs.
Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-024-02126-5.
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http://dx.doi.org/10.1007/s40670-024-02126-5 | DOI Listing |
Gynecol Oncol
January 2025
GOG Foundation, Florida Cancer Specialists and Research Institute, West Palm Beach, FL 33401, United States of America. Electronic address:
Objective: Therapeutic interventions for epithelial ovarian cancer (EOC) have increased greatly over the last decade but improvements outside of biomarker selected therapies have been limited. There remains a pressing need for more effective treatment options that can prolong survival and enhance the quality of life of patients with EOC. In contrast to the significant benefits of immunotherapy with immune checkpoint inhibitors (CPI) seen in many solid tumors, initial experience in EOC suggests limited efficacy of CPIs monotherapy.
View Article and Find Full Text PDFAfr J Reprod Health
December 2024
Department of Integrated Oncology(I), HangZhou Cancer Hospital, HangZhou, China.
Nursing interventions play a critical role in enhancing the quality of life (QoL) and therapeutic outcomes for cervical cancer patients undergoing chemotherapy. However, variations in nursing interventions and patient results require a meta-analysis to consolidate evidence on the most effective nursing approaches. This meta-analysis assessed how nursing care interventions influence QoL, adherence to chemotherapy, and the management of symptoms in cervical cancer patients.
View Article and Find Full Text PDFScand J Med Sci Sports
January 2025
Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Melilla, Spain.
We aimed to determine the persisting effects of various exercise modalities and intensities on functional capacity after periods of training cessation in older adults. A comprehensive search was conducted across the Cochrane Library, PubMed/MEDLINE, Scopus, and Web of Science Core Collection up to March 2024 for randomized controlled trials examining residual effects of physical exercise on functional capacity in older adults ≥ 60 years. The analysis encompassed 15 studies and 21 intervention arms, involving 787 participants.
View Article and Find Full Text PDFJ Med Econ
January 2025
UNESCO-TWAS, The World Academy of Sciences, Trieste, Italy.
Aim: Dynamic cancer control is a current health system priority, yet methods for achieving it are lacking. This study aims to review the application of system dynamics modeling (SDM) on cancer control and evaluate the research quality.
Methods: Articles were searched in PubMed, Web of Science, and Scopus from the inception of the study to November 15th, 2023.
Otolaryngol Head Neck Surg
January 2025
Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Objective: To provide an updated evaluation of clinical effectiveness and sequelae of maxillomandibular advancement surgery in obstructive sleep apnea.
Data Sources: PubMed, Scopus, CINAHL.
Review Methods: Included studies described patients with obstructive sleep apnea that completed maxillomandibular advancement with any reported sequelae.
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