Thrombocytosis Associated with Low-Molecular-Weight Heparin

In 1995, international medical graduates (IMGs) surpassed U.S. medical school graduates in performance on the Internal Medicine In-Training Examination for the first time, with significant differences in mean scores (P<0.001). The exam was taken by a total of 15,119 residents across postgraduate year (PGY) levels I to III, with IMGs scoring higher mean scores of 61.9, 66.7, and 70.7 for PGY-I, PGY-II, and PGY-III, respectively, compared to U.S. graduates who scored 60.0, 65.9, and 69.2. These results, which are predictive of performance on the certifying board examination, suggest an improvement in the performance of IMGs and prompt further investigation into the reasons behind this trend, including the quality of medical education outside the U.S. and the factors influencing U.S. graduates' interest in internal medicine.