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

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  • James Ted McDonald
  • Casey Warman
  • Christopher Worswick

Abstract

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.

Suggested Citation

  • James Ted McDonald & Casey Warman & Christopher Worswick, 2015. "Immigrant Selection Systems and Occupational Outcomes of International Medical Graduates in Canada and the United States," Canadian Public Policy, University of Toronto Press, vol. 41(s1), pages 116-137, August.
    • Handle: RePEc:cpp:issued:v:41:y:2015:i:s1:p:116-137
    DOI: 10.3138/cpp.2013-054
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    1. Heather Antecol & Deborah A. Cobb-Clark & Stephen J. Trejo, 2003. "Immigration Policy and the Skills of Immigrants to Australia, Canada, and the United States," Journal of Human Resources, University of Wisconsin Press, vol. 38(1).
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    5. George J. Borjas, 2021. "Assimilation, Changes in Cohort Quality, and the Earnings of Immigrants," World Scientific Book Chapters, in: Foundational Essays in Immigration Economics, chapter 2, pages 3-29, World Scientific Publishing Co. Pte. Ltd..
    6. Hinte, Holger & Rinne, Ulf & Zimmermann, Klaus F., 2011. "Ein Punktesystem zur bedarfsorientierten Steuerung der Zuwanderung nach Deutschland," IZA Research Reports 35, Institute of Labor Economics (IZA).
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    8. Adriana D. Kugler & Robert M. Sauer, 2005. "Doctors without Borders? Relicensing Requirements and Negative Selection in the Market for Physicians," Journal of Labor Economics, University of Chicago Press, vol. 23(3), pages 437-466, July.
    9. Charles M. Beach & Alan G. Green & Christopher Worswick, 2007. "Impacts of the Point System and Immigration Policy Levers on Skill Characteristics of Canadian Immigrants," Research in Labor Economics, in: Immigration, pages 349-401, Emerald Group Publishing Limited.
    10. Jean-Christophe Dumont & Pascal Zurn & Jody Church & Christine LeThi, 2008. "International Mobility of Health Professionals and Health Workforce Management in Canada: Myths and Realities," OECD Health Working Papers 40, OECD Publishing.
    11. Daniel Parent & Christopher Worswick, 2004. "Immigrant Labour Market Performance and Skilled Immigrant Selection: The International Experience," CIRANO Project Reports 2004rp-07, CIRANO.
    12. Abdurrahman Aydemir & Mikal Skuterud, 2005. "Explaining the deteriorating entry earnings of Canada's immigrant cohorts, 1966 – 2000," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 38(2), pages 641-672, May.
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    Cited by:

    1. Neeraj Kaushal & Yao Lu & Nicole Denier & Julia Shu-Huah Wang & Stephen J. Trejo, 2016. "Immigrant employment and earnings growth in Canada and the USA: evidence from longitudinal data," Journal of Population Economics, Springer;European Society for Population Economics, vol. 29(4), pages 1249-1277, October.
    2. Michel Grignon & Yaw Owusu & Arthur Sweetman, 2013. "The international migration of health professionals," Chapters, in: Amelie F. Constant & Klaus F. Zimmermann (ed.), International Handbook on the Economics of Migration, chapter 4, pages 75-97, Edward Elgar Publishing.
    3. Christopher Worswick, 2013. "Improving Immigrant Selection: Further Changes Are Required Before Increasing Inflows," e-briefs 157, C.D. Howe Institute.
    4. Kaja Fredriksen, 2020. "Does occupational licensing impact incomes? A replication study for the German crafts case," Journal for Labour Market Research, Springer;Institute for Employment Research/ Institut für Arbeitsmarkt- und Berufsforschung (IAB), vol. 54(1), pages 1-17, December.
    5. Petrik Runst, 2018. "The effect of occupational licensing deregulation on migrants in the German skilled crafts sector," European Journal of Law and Economics, Springer, vol. 45(3), pages 555-589, June.
    6. Umut Riza Ozkan, 2018. "Foreign Qualification Recognition Regimes for Internationally Trained Professionals: the Case of Pharmacists," Journal of International Migration and Integration, Springer, vol. 19(2), pages 367-389, May.
    7. Grubel, Herbert & Grady, Patrick, 2012. "Fiscal transfers to immigrants in Canada: responding to critics and a revised estimate," MPRA Paper 37406, University Library of Munich, Germany, revised 06 Mar 2012.
    8. James Ted McDonald & Maria Rebecca Valenzuela, 2017. "How Does Skills Mismatch Affect Remittances? A Study Of Filipino Migrant Workers," Contemporary Economic Policy, Western Economic Association International, vol. 35(1), pages 216-231, January.

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    More about this item

    JEL classification:

    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • J31 - Labor and Demographic Economics - - Wages, Compensation, and Labor Costs - - - Wage Level and Structure; Wage Differentials
    • J61 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Geographic Labor Mobility; Immigrant Workers
    • J62 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers - - - Job, Occupational and Intergenerational Mobility; Promotion
    • J71 - Labor and Demographic Economics - - Labor Discrimination - - - Hiring and Firing
    • J80 - Labor and Demographic Economics - - Labor Standards - - - General

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