Association of Physicians of Pakistani Descent of North America

Association of Physicians of
Pakistani Descent of North America

(APPNA)
Career Counseling Seminar

April 2, 2010
New York, NY
Stephen S. Seeling, JD
Vice President for Operations
Educational Commission for
Foreign Medical Graduates
Phone: 215-823-2107
Email: sseeling@ecfmg.org
Copyright©2010 by the Educational Commission for Foreign Medical Graduates (ECFMG®). All rights reserved.
Navigating
the ECFMG Process
and Beyond
ECFMG Certification
Assures residency program directors and the US

public that the international medical graduate
(IMG) has met minimum standards to enter US
residency programs
Prerequisite for all IMGs for:
 Entry into ACGME-accredited GME
 Taking USMLE Step 3
 State licensure
 J-1 visa sponsorship / ECFMG
International Medical Education
Directory (IMED)*
 2,370 medical schools

 49 medical schools listed
from Pakistan
 48 currently open
* Data as of April 1, 2010
ECFMG Certificates Issued by Country of Medical School
(Top 10 Countries – 1958 to 2009)
India Egypt
Philippines United Kingdom
Pakistan China
Germany Dominica
Grenada Mexico
ECFMG Certificates Issued by Country of Medical School
India Philippines
Pakistan China
Dominica Nigeria
Grenada Iran
Netherlands Israel
Antilles
ECFMG Certificates Issued by Country of Citizenship*
India United Kingdom

United States Iran
Philippines Egypt
Pakistan West Germany
China Korea
*Citizenship is as of time of entrance into medical school

ECFMG Certificates Issued by Country of Citizenship*
India Iran
United States Canada
Pakistan Nigeria
China Colombia
Philippines Syria
*Citizenship is as of time of entrance into medical school

ECFMG Certificates Issued to
Recipients from Medical Schools in Pakistan
1999-2009
1000
500
0
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
% of Total 4.5% 4.8% 6.9% 6.6% 8.0% 7.2% 5.9% 6.4% 6.1% 6.4% 5.9%
Certificates
Medical Schools in Pakistan
Largest Numbers of ECFMG Certificates
1958 – 2009
 Dow Medical College, Karachi

 King Edward Medical University, Lahore
 Sindh Medical College, Karachi
 Aga Khan Medical College, Karachi
 Allama Iqbal Medical College, Lahore
 Rawalpindi Medical College, Rawalpindi
 Fatima Jinnah Medical College for Women, Lahore
 Nishtar Medical College, Multan
 Khyber Medical College, Peshawar
 Liaquat University of Medical & Health Sciences,
Jamshoro
USMLE Step 1
First Time Pass Rates
1996-2008
Pakistan applicants: 72%

All IMG applicants: 68%
USMLE Step 2 Clinical Knowledge (CK)
1996-2008

Clinical Skills Assessment or USMLE Step 2 Clinical Skills (CS)
1998-2008

Top 10 Countries
ECMFG Certificants 2009
Distribution by Country of Medical School

2234
India (21.5%)
Dominica 725 (7.0%)
Grenada 619 (5.9%)
Pakistan 611 (5.9%)
Netherlands Antilles 502 (4.8%)
China 356 (3.4%)
Philippines 340 (3.3%)
Cayman Islands 211 (2.0%)
Iran 207 (2.0%)
Israel 194 (1.9%)
0 500 1000 1500 2000 2500

ECFMG Standard Certificates Issued*
14000 Total US Citizens

12124 11814
12000 11535
10817
10297 10172 10275 10406
10000 9517 9164
8000
5653 5934 6010
6000 5133 5429
4000
1932 1857 2064 2345
1571 1828
2000 1233 1387 1518 1427 1360
856 1058
527 750
0
•Citizenship is as of time of entrance into medical school.

Note: The availability of exam results for some examinees taking the Step 2 CS during the initial months of test
administration was delayed until early 2005. As a result, the number of certificates issued in 2004 is lower than it
would have been had this delay had not occurred.
USMLE Step 1
Percent IMGs Passing 1997-2008
(first-time takers)
80
60
Percentage
40
Total IMGs
20 USIMGs
Non-USIMGs
0
USMLE Step 2 CK
Percent IMGs Passing 1997-2008
(first-time takers)
100
80
Percentage
60
40 Total IMGs
USIMGs
20 Non-USIMGs
Clinical Skills Performance
1998-2008*
(first-time takers)
100%
80%
60%
% Pass
40%
non-USIMGs USIMGs
20%
0%
* January 1 through June 30. Not a complete cohort.

Year exam administered
NRMP
Match Results
1995-2010
Total IMG PGY-1 Matches through NRMP
5000 4527
46494731
4630
4382
4087 4230
3884
4000 3431 3532 3342 3427
3386 3430 3269
3184
3000
2000
1000
0
1
5
6
7
8
9
0
0
2
3
4
5
6
7
8
9
200
201
199
199
199
199
199
200
200
200
200
200
200
200
200
200
Successful Matches
Non-USIMGs vs. USIMGs
3500
Non-USIMGs USIMGs
3000
2500
2000
1500
1000
500
0
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
% 11.5 13.7 18.6 23.7 25.2 31.5 31.4 31.9 27.9 27.3 27.0 28.1 29.8 33.1 34.2 37.8
USIMG of total IMG matches
Non-USIMG PGY-1 Match Results
9000 Non-USIMGs Matched

8000
7000
6000
5000
4000
3000
2000
1000
0
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Percent
50.5 40.9 34.5 31.4 32.2 38.5 44.8 51.3 55.7 52.4 55.6 48.9 45.5 42.4 41.6 39.8
Matching
USIMG PGY-1 Match Results
4000
3500 USIMGs Matched
3000
2500
2000
1500
1000
500
0
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Percent 49.8 48.5 43.5 45.5 47.4 51.4 52.4 53.8 54.6 55.4 54.7 50.6 50.0 51.9 47.8 47.3
Matching
National Resident Matching Program Data
Active Applicants 2009 2010

Total IMG 10,874 10,941
Number Matched 4,731 4,630

Percent Matched 44% 42%
US Citizen IMG 3,390 3,695

Non-US Citizen IMG 7,484 7,246
Total Number of J-1 Physicians Sponsored in
Top Countries of National Origin*
India 1421
Canada 693
Pakistan 541
Lebanon 382
Philippines 342
Jordan 235
Syria 233
Peru 172
Thailand 147
Mexico 132
*Sponsorship Period July 1, 2008 through June 30, 2009

States with Highest Numbers of J-1 Physicians
2008-2009
New York 1,145
Michigan 460
Texas 420
Pennsylvania 410
Ohio 387
Massachusetts 385
0 500 1000 1500
Specialties Pursued by J-1 Physicians
2008-2009
Percent
Specialty Number of Total J-1
Physicians
Internal Medicine 3,048 44.6%

Pediatrics 742 10.9%
Family Medicine 536 7.8%
Surgery 531 7.8%
J-1 Physicians in First Year of Sponsorship
with Pakistan LPR*
 Total of 103 J-1 physicians in first year of

sponsorship with Pakistan LPR and
scheduled start date between June 1, 2009
and July 31, 2009
 As of March 2, 2010, 97 (94.2%) had arrived
at their programs and commenced training
* Last Legal Permanent Residence
Arrival of Initial J-1 Applicants with
Start Dates Between June 1-July 31, 2009
Total # Individuals Sponsored with Pakistan LPR = 103

Pakistan LPR* Number Documented Arrival
Of Total 103,
97 94.2%
# arrived by 3/2/10
Of 97 Arrivals,
86 88.7%
# arrived on time
Of 97 Arrivals,
11 11.3%
# arrived but late
1-31 days late 8
More than 31 days late 3
Arrival of Initial Applicants with Pakistan LPR*
2003-2004 to 2009-2010
# of Initial #
Applicants Arrived by % of % of
Year with March of Arrived Arrived
Pakistan Academic on Time Late
LPR Year
2009-2010 103 97 89% 11%
2008-2009 107 98 78% 23%
2007-2008 109 109 64% 36%
2006-2007 94 94 61% 39%
2005-2006 103 95 52% 48%
2004-2005 157 116 49% 51%
2003-2004 154 121 33% 67%
Contact Information
Stephen S. Seeling, JD
Vice President for Operations
ECFMG
3624 Market St., 4th Floor
Philadelphia, PA 19104
Phone: (215) 823-2107

Fax (215) 386-3185
Email: sseeling@ecfmg.org

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Association of Physicians of

Pakistani Descent of North America

Career Counseling Seminar

Assures residency program directors and the US

 2,370 medical schools

* Data as of April 1, 2010

India United Kingdom

*Citizenship is as of time of entrance into medical school

*Citizenship is as of time of entrance into medical school

 Dow Medical College, Karachi

Pakistan applicants: 72%

Pakistan applicants: 80%

Pakistan applicants: 77%

Distribution by Country of Medical School

0 500 1000 1500 2000 2500

14000 Total US Citizens

•Citizenship is as of time of entrance into medical school.

* January 1 through June 30. Not a complete cohort.

9000 Non-USIMGs Matched

Active Applicants 2009 2010

Number Matched 4,731 4,630

US Citizen IMG 3,390 3,695

Number Matched 1,619 1,749

Non-US Citizen IMG 7,484 7,246

Number Matched 3,112 2,881

Percent Matched 42% 40%

*Sponsorship Period July 1, 2008 through June 30, 2009

New York 1,145

0 500 1000 1500

Internal Medicine 3,048 44.6%

 Total of 103 J-1 physicians in first year of

* Last Legal Permanent Residence

Total # Individuals Sponsored with Pakistan LPR = 103

* Last Legal Permanent Residence

Phone: (215) 823-2107

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