Please click here to obtain permission to reproduce this image.
Click on image to view larger version.

Figure 5 Comparison of scores on the in-training examination in internal medicine between international medical graduates and U.S. medical school graduates. In each cohort, resident performance on the examination is shown by training year (postgraduate year 1, 2, or 3 [PGY1, PGY2, PGY3]). *Examination was administered in October instead of July. Reprinted with permission from Garibaldi et al. Ann Intern Med 2002;137:50510.