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What are the most IMG-friendly residency programs? Acquire strategies to maximize your odds of matching into residencies every bit an international medical graduate

sure specialties, locations, and residency programs are known for being "img-friendly"

Part 1: Introduction

Applying to residency programs is a challenging process—and if y'all're an IMG, the complications and obstacles are fifty-fifty greater. Equally an IMG, or international medical graduate, the odds of matching into an American residency probably seem stacked against you, making you lot wonder what you can do to compete with graduates of American medical schools and what risk yous actually have of matching.

In this guide, we'll answer these questions and more. In addition to roofing IMG match statistics and application strategies, we'll become over eligibility requirements and what makes certain specialties and programs splendid choices for IMGs, including a list of IMG-friendly programs. By helping yous understand why it's more than difficult for IMGs to match, we'll provide you with tools and strategies that you can use to overcome these barriers and maximize your chances of gaining acceptance to a residency program in the U.South.

What is an IMG?

Start, let's ascertain IMGs. According to the National Resident Matching Program (NRMP), an IMG is "a physician who received a basic medical degree or qualification from a medical school located outside the Us and Canada."

Annotation that nowhere in this definition is nationality mentioned. It's important to understand that your status as an IMG is determined by the country in which you lot attended medical school, not your citizenship.

Then, if you're neither a citizen of the U.s. or Canada, and you lot've as well attended medical school outside of those countries, you'd be considered an IMG. Similarly, if you attended medical school outside of the U.South. or Canada despite property American or Canadian citizenship, y'all're besides an IMG. On the other hand, if you've attended an American or Canadian medical school every bit an international educatee, you are not an IMG.

In short, whether or not y'all're an IMG is adamant solely by the location of the medical schoolhouse from which you lot've graduated.

What makes an IMG eligible for U.S. residency programs?

In order to employ to residencies in the United states, IMGs must meet requirements on three different levels: ECFMG, land, and programme.

Step 1: Apply for ECFMG certification.

Kickoff, IMGs must receive certification from the Educational Commission for Foreign Medical Graduates (ECFMG) by taking the following deportment:

Apply for ECFMG certification. To ensure that graduates of your medical school are eligible for certification, consult the Earth Directory of Medical Schools.
Take and laissez passer Footstep i and Step ii CK of the United States Medical Licensing Test (USMLE). You need to pass Step 1 and Step 2 CK by the Rank Order List deadline in March.
Take and laissez passer the Occupational English Test (OET)* by Dec 31st in the year prior to the NRMP Match you desire to participate in (i.eastward., a few months before). Ideally, yous should have information technology as early equally possible.
Apply to one of six ECFMG Pathways to demonstrate your clinical skills.* The Pathways are as follows:
- Pathway i: Already licensed to practice medicine in some other state
- Pathway 2: Already passed a standardized clinical skills test for medical licensure
- Pathway 3: Medical schoolhouse accredited past agency recognized by Globe Federation for Medical Education (WFME)
- Pathway 4: Medical school accredited by bureau that has received a determination of comparability past the National Committee on Foreign Medical Instruction and Accreditation (NCFMEA)
- Pathway 5: Medical school issues degree jointly with a U.South. medical schoolhouse accredited by the Liaison Committee on Medical Pedagogy (LCME)
- Pathway six: Evaluation of clinical patient encounters by licensed physicians
Submit your medical school diploma to the ECFMG for verification. This footstep tin just be taken later on you have received all of your academic credits, graduated, and received your diploma and final transcripts.

(*Note that if y'all previously took and passed Step ii CS of the USMLE earlier it was discontinued, you do not need to use to a Pathway or take the OET.)

Footstep ii: Check state requirements.

Next, you must ensure that you meet the state requirements for residencies to which you want to utilize. Each country sets their own requirements for initial medical licensure in terms of the following criteria:

The minimum number of years of postgraduate training you must complete
The number of times you can effort licensing exams
The period of time during which yous must complete the licensing exams sequence

It's essential to verify that you run into these requirements; otherwise, you lot risk wasting time and money applying to residencies for which you're ineligible. State requirements can be found at the Federation of State Medical Boards.

Also relevant to IMGs is the fact that some states, such as California, take lists of specific international medical schools whose graduates are eligible for licensure. Schools that aren't on these lists won't be recognized.

Stride 3: Research requirements for individual residency programs.

Finally, individual residency programs take their own requirements that determine eligibility for IMGs, such as how recently an applicant has graduated from medical schoolhouse and what types of visas they accept or can sponsor. You should confirm with each program to which you apply that yous run across their criteria.

How practice I get a visa as an IMG?

If you're non a U.S. citizen or permanent resident, you'll need to obtain a visa to participate in a residency plan. The most mutual visas for IMGs are the H1-B (Temporary Worker) or the J-1 (Exchange Visitor).

Every bit mentioned, some residencies volition sponsor IMGs for visas. Another sponsor pick lies in the ECFMG, which can sponsor physicians with non-U.Southward. citizenships for the J-one.

Your outset move should be to check with individual residency programs to see what visa help they offer IMGs. Adjacent, consult the U.S. embassy or consulate in your country, or the U.Southward. Citizenship and Immigration Services, for farther data and assistance.

Part 2: How hard is information technology to match as an IMG?

To answer this question, we can take a await at data from the 2021 NRMP Main Residency Friction match.

In 2021, 42,508 applicants ranked residency programs as part of the Match. Of these applicants, IMGs constituted 31 percent, regardless of citizenship.

The NRMP further breaks the data down into IMGs who are U.S. citizens and those who are citizens of other countries. Let's accept a look at the Match data for these two groups, plus the data for the Match'southward largest applicant group, seniors from medical schools located in the U.S.

(Annotation: The figures above include applicants to both PGY-1 and PGY-two positions. All the same, because the vast majority of bachelor positions (92 per centum) are PGY-1, it'due south standard practice to use PGY-1 friction match rates to assess levels of competitiveness, every bit nosotros do below.)

U.S. IMGs:

Applicants: 5,295 (12.5% of total pool)
Applicants who matched to a PGY-1 position: 3,152
PGY-1 match rate: 59.5%

Non-U.Due south. IMGs:

Applicants: vii,943 (18.vii% of total pool)
Applicants who matched to a PGY-one position: 4,356
PGY-1 lucifer rate: 54.viii%

U.South. medical school seniors (MD and DO):

Applicants: 26,967 (63.4% of total pool)
Applicants who matched to a PGY-1 position: 24,762
PGY-ane match charge per unit: 91.8%

These figures tell us a couple things. First, they tell us that citizenship has relatively little to do with whether IMGs friction match, every bit U.S. citizens and non-U.S. citizens match at fairly similar rates.

2d, they illustrate that IMGs match at much lower rates than U.South. med schoolhouse seniors, with a difference of over 30 percentage points.

Nevertheless, 7,508 IMGs successfully matched to a PGY-1 position in 2021. This ways that, of the more than 33,000 applicants who matched into PGY-one positions, 22.v percent were IMGs.

So while IMGs do confront greater challenges in residency matching, they ultimately still make up a significant portion of resident doctors in the Usa.

Why is it more hard to lucifer every bit an IMG?

There are several reasons why IMGs accept a harder time matching than graduates of American medical schools.

If you're a U.S. citizen, earning a medical degree away is often seen equally a footstep down. Unfortunately, most plan directors will presume y'all attended medical schoolhouse in another country because you were unable to gain acceptance to an American med school, regardless of your reasons. This will enhance questions about your academic capabilities.
Depending on what country or medical school you lot're coming from, your teaching may be seen in a more than or less favorable light. Program directors will exist familiar with the varying reputations of unlike medical schools and educational systems, and they may counterbalance these reputations accordingly. That said, fifty-fifty if yous've graduated from an internationally prestigious medical school such as the University of Cambridge, it will still be essentially more difficult to lucifer into an American residency than it will for a U.S.-educated applicant, due to the other reasons on this list.
Many residency programs want to train doctors who they believe will stick around and serve their local expanse. This is especially true in less-populated areas of the country.
IMGs who are not U.South. citizens demand visas. Securing a visa is a time-consuming and costly process for both IMGs and the residencies who sponsor them. That'south why needing a visa may exist seen as a disadvantage in the eyes of many programme directors.
Medical students trained in other countries have more "unknowns." In other words, IMGs are more likely to diverge from the "standard" American medical educatee in ways that might create challenges. For instance, IMGs may potentially face the following difficulties:
- Cultural differences
- Language barriers
- A lack of familiarity with the American healthcare organization
- A lack of strong support networks (i.e., no family and friends nearby)
These challenges may be seen past program directors as risks. As such, when comparing an IMG and a U.S.-educated applicant who are otherwise identical, the latter will more often than not be viewed as a safer bet.

For all of the above reasons, it's to your benefit to seek out programs that are maximally friendly to IMGs.

Part iii: What makes a residency program IMG-friendly?

In that location are a few unlike factors that can add together up to a residency program being more or less friendly to IMGs, such as location, specialty, and the culture of individual programs. Beneath, we'll become over how to think virtually each factor as you decide which residencies to utilize to.

The nearly IMG-friendly states

Certain states have reputations for beingness more than friendly to IMGs than others. As a rule of thumb, the states that boast the highest numbers of IMGs in residency programs tend to correspond with the states with the largest populations.

Why is this? For i, populous states but tend to take more residency positions bachelor, so information technology follows that a higher number of these positions go to IMGs. In improver, considering these states generally have diverse, frequently shifting populations, particularly in and effectually major cities, attracting residents from the local area may not exist as great of a business organization.

Here are the x states that accepted the most IMGs in the 2021 Match:

New York: 1,512
Texas: 581
Florida: 570
Michigan: 535
Pennsylvania: 519
New Bailiwick of jersey: 468
California: 428
Illinois: 362
Ohio: 342
Massachusetts: 233

The most IMG-friendly specialties

The specialty you choose can play a huge role in determining how likely you lot are to match every bit an IMG. The primary care specialties—family medicine, internal medicine, and pediatrics—are more often than not considered the near IMG-friendly because they are the least competitive specialties to match into. This is due to the facts that the primary care specialties offer the greatest numbers of available positions and that in that location aren't plenty U.S. med school seniors to fill them.

Here are the specialties into which the greatest numbers of IMGs matched in 2021, co-ordinate to NRMP information:

Internal medicine (categorical): 3,416 (45.5% of IMGs who successfully matched into whatever specialty)
Family medicine: 1,224 (16.3%)
Pediatrics: 552 (7.4%)
Psychiatry: 309 (4.1%)
Pathology: 301 (four%)
Internal medicine (preliminary): 230 (3.ane%)
Full general surgery (preliminary): 269 (3.6%)
Neurology: 226 (3%)
Emergency medicine: 178 (2.four%)
General surgery (chiselled): 156 (2.i%)

Around 73 percentage of all IMGs who successfully matched landed in i of the primary intendance specialties, with the greatest numbers by far matching into internal medicine.

To contrast this, when information technology comes to highly competitive specialties like integrated surgeries and dermatology, not only are there few available positions overall, there are also more U.Southward. medical school seniors applying than spots available. As such, residency positions in these specialties tend to exist primarily filled by U.Southward. med school seniors, leaving just a handful of spots for IMGs.

To be in the running for these specialties as an IMG, you'll need to be exceptionally well-qualified in terms of your examination scores, experiences, and other awarding materials—and even then, it's a practiced idea to besides apply to a less competitive specialty as a backup.

Another style of determining which specialties are nigh IMG-friendly is to look at the specialties in which IMGs make up the highest percentages of residents. In the 2021 Match, the following specialties had the highest percentages of IMGs among their matched applicants:

Pathology: 51.ane%
Full general surgery (preliminary): 44%
Pediatrics–primary care: 43.2%
Internal medicine (chiselled): 39.6%
Neurology: 32.2%
Internal medicine–master care: 31.six%
Family medicine: 27.4%
Pediatrics: 19.3%
Psychiatry: xvi.1%
Internal medicine (preliminary): 14%

While the specialties to a higher place are largely the aforementioned ones that announced on the previous list, sorting by percentages reveals new perspectives on these specialties. For instance, the fact that over one-half of all new pathology residents are IMGs greatly boosts its stock equally an IMG-friendly specialty.

The most IMG-friendly programs

Beyond choosing IMG-friendly locations and specialties, you lot should besides enquiry individual residency programs to determine which have a history of matching large numbers of IMGs.

A plan'south track record on this matter is important because there are many programs that merits on paper to accept IMGs and sponsor visas but, in actuality, rarely practise. Alternatively, some programs may but accept IMGs who are U.S. citizens in order to avert the hassle of visa sponsorship, even if they don't explicitly advertise this do.

To illustrate this, we tin look at the NRMP's 2020 Programme Director Survey. 17 percent of program directors responded that they never interview U.S.-denizen IMGs, and 32 percentage indicated the same for non-U.South.-denizen IMGs. Over 50 percent indicated that they "seldom" interview either.

Though these statistics may be discouraging, they make clear why it'due south crucial to practice your homework on individual programs before sending out residency applications. By focusing on the many programs that practise regularly interview IMGs, y'all can increase your odds of matching, not to mention salve valuable time and money.

To research programs, you can use the AMA's Residency & Fellowship Database, known every bit FREIDA, to filter programs co-ordinate to a number of criteria, including specialty, location, percentage of IMGs, accepted visas, and more.

Another useful strategy is to research where graduates of your medical school have matched in the past. Your medical school may fifty-fifty exist able to provide you with a list of programs where alumni have successfully matched.

At the end of this guide, we'll also become over a list of specific IMG-friendly programs to assist you in your program search.

Role 4: Strategies for applying to residencies as an IMG

As we've just learned, you can increase your chances of matching by strategically choosing individual programs, specialties, and states that are known to be friendly to IMGs. In addition, here'due south what else y'all tin can do to stand out from the crowd and further improve your odds of matching as an IMG.

1. Use broadly.

Information technology'south not unheard of for IMGs to apply to hundreds of programs. While this may sound extreme, our general recommendation is to utilize to at to the lowest degree 100 programs in each specialty you're interested in.

You may exist able to go abroad with applying to fewer programs if you are a truly exceptional candidate—think a Step 1 score of 240 or college—but this will also depend on the competitiveness of the specialty into which you promise to enter.

Submitting such a large volume of applications is expensive and will put you dorsum thousands of dollars. That's why you lot should carefully consider whether the specialties and programs y'all're applying to are truly realistic for you lot. You can apply NRMP data on IMGs who successfully matched to determine whether your stats brand y'all a feasible candidate for unlike specialties.

two. Take whatsoever interview that you're offered.

Unfortunately, you tin can't afford to be picky virtually program or location when going on residency interviews.

3. Gain clinical experience where you want to friction match.

An excellent way to raise your application profile is to demonstrate clinical experience in the Us (or Canada), specially inside the specialty that you want to become into. Some programs may even list U.Due south.-based clinical experience as a requirement.

Clinical feel in the U.S. is important for a few reasons. It will aid allay plan directors' fears that y'all're unfamiliar with the American healthcare system, and information technology will demonstrate that you have the linguistic communication skills and cultural fluency necessary to work effectively in the U.S. It will too allow you to network and obtain valuable messages of recommendation from U.Southward.-trained kinesthesia who tin can attest to the above. This can help mitigate some of the risk that programme directors acquaintance with accepting IMGs.

The best fashion to gain clinical feel is to enroll in elective clinical rotations in the U.S. if y'all're nonetheless in medical school. Your med school may take affiliation agreements with American medical schools, which will make the procedure much easier. Or, if you lot've already graduated, you can pursue observorship opportunities at an American hospital.

4. Gain inquiry experience.

Research experience, particularly done in the U.South., can meliorate your medical student CV and help you stand out. You may be able to find a inquiry position by networking while doing your clinical rotations or observorship, or via your personal networks.

5. Demonstrate strong examination scores.

In the survey of program directors we discussed earlier, USMLE Step 1 scores were cited as the most important factor in selecting which applicants to interview. Step two scores were cited as third-about important. That's why demonstrating strong Step scores is one of the best ways to stand out as an IMG.

Hither are the mean Step scores among IMGs who matched in 2020 across all specialties:

U.Due south. denizen Footstep ane: 222.nine
U.Due south. citizen Step 2: 233.5
Non-U.S. denizen Pace 1: 233.9
Non-U.S. denizen Step ii: 240

As illustrated above, on average, non-U.South. citizen IMGs needed to score college on their board exams than U.Due south. citizen IMGs in order to successfully proceeds a friction match.

The more competitive the specialty, the improve your scores volition need to be. For case, IMGs who matched into orthopedic surgery in 2020 had hateful Step 1 scores of 241 for U.S. citizens and 249 for non-U.Southward. citizens.

To contrast this, in family medicine the mean Stride 1 scores for IMGs who matched were 211 for U.Southward. citizens and 219 for non-U.Due south. citizens.

However, high scores are even so no guarantee that you lot'll match into your dream residency. Among IMGs who practical to orthopedic surgery residencies and who had Step ane scores in the 240–249 range, simply 9 pct actually matched. In family medicine, the match charge per unit for IMGs with similar scores was a more reassuring lxx pct. That's why strategically choosing specialties and programs is a must, even for high-scoring applicants.

Some programs employ cutoffs for Step 1 scores, so you'll also want to make certain your scores are in the ballpark of consideration for both the programs and specialties you're applying to.

6. Obtain a strong Medical Student Operation Evaluation (MSPE) and letters of recommendation.

Messages of recommendation and MSPEs are nearly every bit important as Step scores in evaluating residency applicants. According to the NRMP program directors' survey, program directors rated them as the second- and fifth-most important factors, respectively, when determining which candidates to interview.

For IMGs, these materials take on an even greater importance because glowing, specific evaluations are one of the best ways to counter the perception of risk that'south typically attached to IMGs. That's why testimony to the following volition go a long way:

That you lot're an splendid doctor and student
That y'all sympathize the American healthcare organization
That you will thrive and fit into American civilisation
That y'all speak English language fluently
That you lot're personable and like shooting fish in a barrel to work with
That you have interest and experience in the specialty you lot're applying to

Unfortunately, it'due south not uncommon for IMGs to suffer from generic MSPEs and letters of recommendation, peculiarly if the people writing the evaluations are non familiar with the American residency system themselves. While you can't control what's in your MSPE, you can seek out recommenders who know you well and, ideally, who work or were trained in the United states of america.

seven. Write a standout personal argument.

For comprehensive advice on crafting a meridian-notch personal statement, head over to our guide to residency personal statements.

Beyond the information that any personal argument should include—such equally what draws yous to a particular specialty or what your professional goals are—equally an IMG y'all'll too desire to convey the story of your path through medicine and how it's led you to your current aspiration of attending residency in the United States.

If you're a U.Southward. citizen, this ways addressing why yous attended medical school abroad. And if you're not a U.Southward. denizen, you should talk over why you lot demand to consummate your residency in the U.S., away from your domicile country.

The key is to show how your personal path every bit an IMG is an nugget rather than a hindrance or a marking of failure. Consider the following: What perspectives has your educational activity given y'all that you wouldn't take gained in the Usa? What virtually your groundwork makes you a unique, interesting candidate?

If English isn't your native language, yous'll as well want to brand certain that your grammer, spelling, and syntax are flawless. The same goes for whatever written communication y'all send during the application process, including emails. It's a expert idea to have friends, classmates, mentors, or admissions consultants who are fluent in English proofread your writing so it doesn't inadvertently backbite from your awarding.

8. Take advantage of networking opportunities.

Creating a network of professional contacts in the U.S. will assistance yous with many of the strategies above, such as gaining clinical and research experience and obtaining letters of recommendation. Plus, the stronger your network in the U.S., the better the odds are that someone you know will take a connection to a program to which y'all've applied. For IMGs, this can add valuable familiarity to your application.

To grow your network, accomplish out to and maintain connections with teachers or mentors who have studied or worked in the U.South. Researchers, faculty, or doctors who you've met through away rotations or research experiences are as well valuable contacts. Graduates from your medical schoolhouse who take successfully matched every bit IMGs may help open doors as well. Finally, make a bespeak to attend meetings and conferences within your specialty.

Last thoughts

While never easy for anyone, matching into residencies in the U.S. is particularly difficult for IMGs. Not simply will you confront systemic obstacles such equally ECFMG certification, land licensing requirements, and, for non-U.South. citizens, the need for a visa, you'll near likely also encounter biases against you due to the perception that IMGs are inherently riskier candidates than U.South.-educated applicants.

To counter these biases, yous'll need to do everything you can to mitigate the perception of run a risk by presenting yourself as a standout candidate. This includes earning excellent USMLE Stride scores, gaining valuable clinical and research feel in the U.S., and obtaining enthusiastic evaluations and letters of recommendation.

On top of this, by applying widely to residencies and specialties known to be friendly to IMGs, yous can strategically set yourself up for the greatest chances of matching and, thus, a successful medical career in the United states of america.

Appendix: List of IMG-friendly residency programs

Using FREIDA, nosotros've compiled a listing of the most IMG-friendly residency programs in the U.South. every bit divers by the following criteria: at least 90 percent of residents are IMGs and both H-1B and J-1 visas are accepted.

Nosotros highly recommend that you do your own research based on the parameters that are meaningful to you. For instance, as a U.S. citizen, accustomed visas won't exist an effective criterion. In addition, 90 per centum IMGs is a high cutoff. Still, this list tin serve every bit a useful jumping-off point in your search for potential residencies.

Anesthesiology

Cook County Health and Hospitals System, Chicago, IL

Family Medicine

University of Alabama Medical Center, Selma, AL
Mount Sinai Hospital Medical Center of Chicago, Chicago, IL
BronxCare Wellness System, Bronx, NY
Mercy St. Vincent Medical Center/Mercy Health Partners, Toledo, OH

Internal Medicine

Bridgeport Hospital/Yale University, Bridgeport, CT
Danbury Hospital, Danbury, CT
AdventHealth Florida, Orlando, FL
Piedmont Athens Regional, Athens, GA
AMITA Health/Saint Joseph's Hospital, Chicago, IL
St. Agnes HealthCare, Baltimore, MD
Rutgers Health/Trinitas Regional Medical Center, Elizabeth, NJ
BronxCare Health Organization, Bronx, NY
Montefiore Medical Center/Albert Einstein College of Medicine (Wakefield Campus), Bronx, NY
St. Barnabas Hospital, Bronx, NY
Icahn School of Medicine at Mount Sinai, Bronx, NY
Brookdale University Infirmary and Medical Heart, Brooklyn, NY
Interface Medical Heart, Brooklyn, NY
Bassett Medical Eye Plan, Cooperstown, NY
United Health Services Hospitals, Johnson City, NY
New York Medical College (Metropolitan), New York, NY
Rochester Full general Infirmary, Rochester, NY
Rochester Regional Health/Unity Infirmary, Rochester, NY
TriHealth (Good Samaritan Hospital), Cincinnati, OH
Cleveland Clinic Foundation/Fairview Hospital, Cleveland, OH
Mercy St. Vincent Medical Center/Mercy Wellness Partners, Toledo, OH
St. Elizabeth Youngstown Hospital/NEOMED, Youngstown, OH
Robert Packer Hospital/Guthrie, Sayre, PA

Nuclear Medicine

Rush University Medical Centre, Chicago, IL
Johns Hopkins University, Baltimore, MD
Montefiore Medical Heart/Albert Einstein Higher of Medicine, Bronx, NY

Obstetrics and Gynecology

BronxCare Wellness System, Bronx, NY
Icahn School of Medicine at Mount Sinai (NYC Wellness and Hospitals/Queens), Jamaica, NY
Zucker Schoolhouse of Medicine at Hofstra/Northwell at Staten Island University Hospital, Staten Island, NY

Pathology

Danbury Hospital, Danbury, CT
Boston University Medical Centre, Boston, MA
Westchester Medical Center, Valhalla, NY
Temple University Hospital, Philadelphia, PA

Pediatrics

Saint Peter's University Hospital, New Brunswick, NJ
St. Joseph's University Medical Middle, Paterson, NJ
BronxCare Health Arrangement, Bronx, NY
St. Barnabas Hospital, Bronx, NY
Brookdale University Hospital, Brooklyn, NY
Icahn School of Medicine at Mountain Sinai (NYC Wellness and Hospitals/Elmhurst), Elmhurst, NY
New York Medical College (Metropolitan), New York, NY
Mercy St. Vincent Medical Center, Toledo, OH

Psychiatry

Berkshire Medical Center, Pittsfield, MA
BronxCare Health Organisation, Bronx, NY
Brookdale University Infirmary, Brooklyn, NY
Icahn School of Medicine at Mount Sinai (NYC Health and Hospitals/Elmhurst), Elmhurst, NY

Radiology (Diagnostic)

Quinnipiac University Frank H. Netter MD School of Medicine/St. Vincent's Medical Center, Bridgeport, CT
Bridgeport Hospital/Yale Academy, Bridgeport, CT
Mercy Cosmic Medical Eye, Darby, PA

Surgery (Full general)

BronxCare Wellness System, Bronx, NY

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