Immigrant Selection Systems and Occupational Outcomes of International Medical Graduates in Canada and the United States

We analyze the process of immigrant selection and occupational outcomes of international medical graduates (IMGs) in the United States and Canada. We find that in Canada, where a point system has been in place, IMGs are less likely to be employed as physicians than are IMGs in the United States, where employer nomination is a more important entry path for IMGs. We also find that when the point system in Canada did not have occupational restrictions, IMGs had a relatively low probability of working as physicians.