Can Assistant Physician Licenses Solve Matching Issues?

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Can Assistant Physician Licenses Solve Matching Issues?
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New license may solve unmatched resident issue MedStudentTwitter MedscapeStudent

Faarina Khan, MD, MPH, always knew she'd have to overcome obstacles to achieve her dream career in medicine. As an American citizen who attended Dow Medical College in Karachi, Pakistan, she knew her status as an international medical graduate would work against her as she sought residency training in the US.Khan's situation is far from unique. Earlier this year, about 93% of US MDs and 91% of DOs matched.

Arizona, Arkansas, Utah, and Kansas have created licenses similar to that of Missouri's, and other states are considering them too.For Khan, Missouri's assistant physician license became a professional lifeline. Her initial failures to match left her emotionally devastated but more determined than ever to succeed in medicine.

Medina's approach appears to be paying off. According to the clinic's website, 35 assistant physicians — just over half of Medina's total volunteer corps, including 10 this year — have matched into residency programs across the US since Medina first began working with assistant physicians. "The problem with that logic is you're telling an inexperienced physician to practice the broadest scope of medicine in a remote area without extensive support," he says."That sends the message to people in our state that, if they live in a rural area, they should just expect to receive lesser or inferior medical care. That is not equitable."

"Earning three good letters of recommendation is always noted as a barrier to residency entry for IMGs," Matthews says."We set it up so that each IMG will get three solid letters of recommendation from licensed Washington physicians who will know the applicant's work and be easily accessible to discuss residency applicants.

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