International Medical Graduates in Nephrology: Benefit, Challenge, or Both?

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For years, international medical graduates (IMGs) have comprised a significant percentage of the fellows in nephrology training programs who prepare to provide treatment to the rapidly growing population of patients suffering from kidney disease. In the 2006–2007 school year, physicians trained in foreign institutions constituted 47 percent of the fellowship class, an increase over the historic low of 38 percent in 2002–2003, and a return to the high percentages posted in the late 1990s. IMGS comprised 59 percent of all nephrology fellows in 1997–1998 (Table 1.).

While IMG interest is vital to the success of nephrology training programs