Date of Conferral

2022

Degree

Ph.D.

School

Management

Advisor

Jean Gordon

Abstract

AbstractInternational medical graduates (IMGs) undergo rigorous training and certification requirements for entry into medical residency programs in the United States. Despite having professional expertise and academic training, some IMGs experience acculturation challenges that negatively impact engagement and professional relationships during medical residency. Grounded in Berry’s Acculturation model and Portes and Zhou’s segmented assimilation model, the purpose of this qualitative narrative inquiry was to explore the best practices medical residency program managers developed while leading IMGs. The participants consisted of 22 U.S. medical residency program managers, directors, and coordinators who had at least 3 years of experience managing IMGs. Participants responded to 10 open-ended questions in semistructured interviews, which led to six themes: communication, culture, socialization, professionalism, education, and personal challenges. Analysis consisted of gathering and coding common interview responses until data saturation was achieved. A key recommendation is that medical residency program managers implement orientation programs prior to the start of residency training while creating opportunities to build social networks among the team. The implications for positive social change include providing more robust academic and professional experiences for IMGs. This research promotes positive social change as it contributes information for medical residency program managers and Graduate Medical Education authorities seeking best practices for building and improving post-graduate training programs. This study could aid in establishing a culturally inclusive professional environment.

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