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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).
    7. Mark C. Regets & Harriet Orcutt Duleep, 1999. "Immigrants and Human-Capital Investment," American Economic Review, American Economic Association, vol. 89(2), pages 186-191, May.
    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. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    6. Christopher Worswick, 2013. "Improving Immigrant Selection: Further Changes Are Required Before Increasing Inflows," e-briefs 157, C.D. Howe Institute.
    7. 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.
    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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