Adult Group B Streptococcal Disease

In 1995, international medical graduates (IMGs) surpassed U.S. medical graduates in performance on the Internal Medicine In-Training Examination for the first time across all postgraduate year (PGY) levels, with statistically significant differences in mean scores (P<0.001). The exam was taken by a total of 15,119 residents, with 6,150 PGY-II, 4,727 PGY-I, and 4,242 PGY-III participants. IMGs scored higher with mean scores of 61.9, 66.7, and 70.7 for PGY-I, PGY-II, and PGY-III respectively, in comparison to U.S. graduates who scored 60.0, 65.9, and 69.2. These results suggest an improvement in the performance of IMGs and prompt further investigation into the quality of medical education and training outside the U.S., as well as factors influencing the interest of U.S. graduates in internal medicine.