title: Challenges and Solutions for Latin American-Trained International Medical Graduates in Psychiatry Residency.
abstract: OBJECTIVE
  Latin American-trained IMGs in psychiatry face multiple challenges that go beyond their medical training. These challenges call for innovative problem-solving. Although the professional development of IMGs has been discussed in the professional literature, little is written about their experiences. In this case study report, a group of IMGs reflect on their experiences and describe how they solved challenges.
  
  
  METHODS
  Using cogenerative ethnography, four IMGs trained in Colombia, Dominican Republic and Mexico provided insights on their challenges and solutions while adapting to psychiatric residency training. Individual interviews, focused discussion, focus groups, and written reports were analyzed using data reduction, data display, and conclusion drawing techniques.
  
  
  RESULTS
  We illustrate the challenges of IMG training in psychiatry using their reflections and stories. We categorized these challenges into three domains: immigration and acculturation; social adjustment; and medical training. Quotes were selected to illustrate IMGs' challenges and coping strategies.
  
  
  CONCLUSIONS
  Some of the combined cultural, social and academic challenges of Latin American-trained IMGs in psychiatry are described. Recognizing and planning for the personal challenges of IMGs in psychiatry can enhance the transition into psychiatric training. Ultimately, improvements in IMG training converts into improved healthcare for all patients.
authors: Center for Latino Family Research, Washington University in St Louis.
authors: Carolina
authors: C
authors: Hausmann-Stabile
authors: Center for Latino Family Research, Washington University in St Louis.
authors: Luis H
authors: LH
authors: Zayas
authors: Lincoln Medical and Mental Health Center, New York.
authors: David
authors: D
authors: Hauser
authors: Lincoln Medical and Mental Health Center, New York.
authors: Carlos
authors: C
authors: Carvajal
authors: Lincoln Medical and Mental Health Center, New York.
authors: Carlina
authors: C
authors: Mejia
authors: Lincoln Medical and Mental Health Center, New York.
authors: Delia
authors: D
authors: Nieves
keywords: Latin American-trained IMG; challenges; psychiatry; solutions