If you thought the hospital-by-hospital screenshots were anomalies, zoom out.
Texas internal medicine:
2017:
89 non-U.S.-citizen IMGs
18.2% of filled PGY-1 spots
2026:
242 non-U.S.-citizen IMGs
28.9% of filled PGY-1 spots
That’s a 172% increase in non-U.S. IMG residents while the number of positions offered grew 77%.
Layer on U.S.-citizen international medical graduates and 37.7% of filled Texas internal-medicine PGY-1 positions in 2026 went to graduates of foreign medical schools.
Don’t let them try to tell you it’s one rural hospital when it’s the entire pipeline.
It’s time to demand American educated, American doctors for Americans in America.
Welcoming “legal” immigration because we have an “illegal” immigration problem, isn’t the answer.
“It’s Alabama - It’s rural, of course they have to rely on foreign medical graduates.”
Cool, here’s non-rural BronxCare Pediatrics in New York City.
Class of 2027: 15/15 attended foreign medical schools
Class of 2028: 15/15
Class of 2029: 13/14
43 of 44. 97.7%.