Bibliometric Analysis of International Medical Graduates (IMG) and Professorship Promotion in Neurosurgery.

Time out of residency and Scopus h-index were associated with higher academic rank regardless of career level. Attending medical school internationally with US residency was associated with lower odds of associate professorship promotion over 10 years. There was no relationship between IMG and full professorship promotion. IMGs who attended residency internationally did not have lower promotion rates. These findings suggest it may be harder for IMGs to earn promotion from assistant to associate professor in neurosurgery.