#44 - Essential to Care: The Role of International Medical Graduates in U.S. Healthcare

In this episode of *Connected by Health*, host Krishna Vedala speaks with Dr. Farzana Hoque, an internationally recognized physician leader and Associate Professor of Internal Medicine at Saint Louis University. They discuss the contributions of international medical graduates (IMGs) and the challenges they face as they pursue residency and careers in the United States. Dr. Hoque identifies three common barriers for IMGs: unfamiliarity with the U.S. healthcare system and its workflows, limited experience with electronic medical records, and lack of structured mentorship. She also highlights strengths many IMGs bring, including extensive clinical experience, persistence, adaptability, and a strong commitment to serving patients. The conversation explores how immigration and visa policies can affect IMG recruitment and retention, particularly in rural and underserved communities. The speakers emphasize that IMGs are an important part of the U.S. physician workforce and help care for populations that often have limited access to healthcare. They also contribute as educators and mentors, supporting the development of future physicians. Dr. Hoque discusses the demands of the U.S. medical licensing exams and the added pressures IMGs may face, including exam costs, family responsibilities, and competing for residency positions. She suggests practical ways institutions and policymakers could offer support, such as structured clinical orientation opportunities, clearer pathways to gain U.S. clinical experience, and thoughtful review of visa barriers. For prospective IMG applicants, Dr. Hoque recommends starting early, treating one's accent and cultural background as strengths, and finding a mentor who can guide exam preparation and help build a competitive application. Her central message is that IMGs bring valuable skills and perspectives; with meaningful support and opportunity, they can continue to strengthen patient care and the U.S. healthcare system. Where Health, Society, and Innovation Intersect Connected by Health is a forward-thinking podcast built on a simple but powerful truth: healthcare is not a cost to be cut — it is an investment that shapes the future of everything around us.    Millions of people struggle with healthcare challenges each year — whether it's lack of insurance, unaffordable costs, limited access to care, or managing chronic disease — affecting not only their health, but their financial stability and overall quality of life. Their stories are not isolated — they are all connected. From economic growth and workforce productivity to education, technology, national security, and community stability, health is the thread weaving them together.   Each episode blends real-world stories with data-driven insight to show how strategic healthcare investment drives innovation, reduces long-term costs, strengthens public health infrastructure, and fuels economic resilience.   Grounded in evidence but driven by purpose, Connected by Health reframes healthcare not as a line item expense, but as foundational infrastructure — because when we invest in health, we invest in people, potential, and the strength of our entire society.   ──────────────────────────────────────── 🤝 If today's conversation resonated with you, share it with someone who needs to hear it. ⭐ If you found value in this episode, please take a moment to leave a review, it truly makes a difference. 🎧 And don't forget to follow the podcast on your favorite platform so you never miss a new episode when it drops. #InternationalMedicalGraduates #IMGs #Healthcare #MedicalEducation #PatientCare