“How are the registrars doing, especially the new ones”: International Medical Graduate Experiences of Medical Specialty Training at an African University

Background: The lived experiences of International Medical Graduates (IMGs) pursuing medical specialist training at health sciences faculties in South Africa (SA) have not been documented despite the high numbers of IMGs choosing SA as the destination of choice for medical specialisation. This study addresses the following question: what are the experiences of IMGs pursuing medical specialisation in SA? The findings may help future IRs make informed decisions when choosing their study destination. It could also assist supervisors and program managers in anticipating some of the challenges that IMGs face. Methods: A qualitative design using an interpretive phenomenological approach was employed. Semi- structured face-to-face interviews generated data directly from IMGs and were checked for accuracy using a focus group discussion. Results: Two major themes were developed. Negative experiences were subdivided into 4 subsections: registration and administrative barriers; structural and policy-related challenges; challenges related to teaching, supervision and clinical training; and challenges related to life outside the university. The second theme documented positive experiences. Conclusion: We described several important issues affecting externally funded IMGs arriving for medical specialist training at the study site. Some recommendations are made for practical implementation and future research.