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International Medical Graduates (IMGs) had higher scores than graduates of US medical schools while residents with prior formal clinical training and higher number of elapsed years since graduating from medical school had higher scores than their counterparts without prior training and with lesser time-lengths since graduating.

The proportion of IMGs was higher in the non-university hospitals than in the university hospitals (52% vs. 27%, p = 0.02).

After further adjustment for PGY3 IM-ITE percentile score, the association between high IMG percentage and shorter RRC accreditation length remains significant (p = 0.005).

We found that programs with larger percentages of IMG graduates had higher PGY3 IM-ITE rank scores (69th percentile vs. 49th percentile), consistent with the findings of others [ 6].

IMG is a very high spectral resolution (0.1cm−1) spectrometer that covers a wide range of infrared spectrum (3.3 – 15 μm).

Ising, Bertschat, Gunther, Jeremias & Jeremias [ 15] were the first to discover a significant circadian rhythm in iMg and observed the highest concentrations around 9 00 and the lowest concentrations around 15:00.

Female physicians had somewhat smaller practice sizes than their male counterparts, and IMGs had a higher proportion of immigrants in their practices than Canadian graduates.

A study published in 2013 showed Caribbean IMGs had the highest proportion of physicians practicing in primary care specialties compared to all other categories of graduates.

A high proportion of IMG graduates was associated with programs that accept pharmaceutical funds (p < 0.05).

In multivariable analysis, a higher proportion of IMGs was associated with 1.17 years shorter RRC accreditation.

RRC-IM certification was shorter in programs with higher numbers of IMGs.

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