KevinMD September 14, 2025
The U.S. primary care system is unraveling. Fewer graduates are choosing it, and patients are struggling to find someone who stays. But in the background, one group continues to step up: international medical graduates (IMGs).
Quietly and steadily, they are filling the spaces others have left behind.
They are physicians who trained abroad, adapted to new systems, passed more hurdles than most of their U.S.-trained peers, and still chose to serve.
And yet, they are often treated as an afterthought.
The U.S. is facing a slow-burning crisis in primary care. A 2025 report from the University of Washington noted that fewer medical students are choosing careers in primary care, and many who do are pulled away by burnout, low reimbursement,...
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