Inequitable treatment as perceived by international medical graduates (IMGs): a scoping review

• Published in: BMJ open Vol. 13; no. 7; p. e071992
• Main Authors: Healey, Sunita Joann Rebecca, Fakes, Kristy, Nair, Balakrishnan R
• Format: Journal Article
• Language: English
• Published: England British Medical Journal Publishing Group 12.07.2023; BMJ Publishing Group LTD; BMJ Publishing Group
• Series: Original research
• Subjects: Australia; Austria; Bias; Canada; Careers; Databases, Factual; Editorials; education & training (see medical education & training); Employment discrimination; Finland; health services administration & management; Health Services Research; Humans; international health services; interprofessional relations; Medical students; mental health; Prejudice; Social exclusion; stereotyping; Well being; Canada; Austria; Australia; Finland; United States > US; international health services; interprofessional relations; education & training (see medical education & training); stereotyping; mental health; health services administration & management
• ISSN: 2044-6055; 2044-6055
• DOI: 10.1136/bmjopen-2023-071992

ObjectivesThis scoping review seeks to detail experiences of inequitable treatment, as self-reported by international medical graduates (IMGs), across time and location.DesignScoping review.Search strategyThree academic medical databases (MEDLINE, SCOPUS and PSYCINFO) and grey literature (GOOGLE SCHOLAR) were systematically searched for studies reporting first-hand IMG experiences of perceived inequitable treatment in the workplace: discrimination, prejudice or bias. Original (in English) qualitative, quantitative, mixed studies or inquiry-based reports from inception until 31 December 2022, which documented direct involvement of IMGs in the data were eligible for inclusion in the review. Systematic reviews, scoping reviews, letters, editorials, news items and commentaries were excluded. Study characteristics and common themes were identified and analysed through an iterative process.ResultsWe found 33 publications representing 31 studies from USA, Australia, UK, Canada, Germany, Finland, South Africa, Austria, Ireland and Saudi Arabia, published between 1982 and 2022. Common themes identified by extraction were: (1) inadequate professional recognition, including unmatched assigned work or pay; (2) perceived lack of choice and opportunities such as limited freedoms and perceived control over own future; (3) marginalisation—subtle interpersonal exclusions, stereotypes and stigma; (4) favouring of local graduates; (5) verbal insults, culturally or racially insensitive or offensive comments; and (6) harsher sanctions. Other themes identified were effects on well-being and proposed solutions to inequity.ConclusionsThis study found evidence that IMGs believe they are subject to numerous common inequitable workplace experiences and that these experiences have self-reported repercussions on well-being and career trajectory. Further research is needed to substantiate correlations and causality in relation to outcomes of well-being and differential career attainment. Furthermore, research into support for IMGs and the creation of more equitable workforce environments is also recommended.