I just attended fascinating session offering advice to international medical graduates on how to fit in and succeed in U.S. medical practice. Expect an article on it eventually. But in the meantime, here's a slightly silly example of the kind of cultural differences that can cause confusion for IMGs. Speaker Vijay Rajput, FACP, started to make a point using the good old analogy of Lake Wobegon. Then he paused and asked how many attendees knew about Lake Wobegone. Only two raised their hands.
That's the problem right there, he said, only half-joking. "You need to be listening to NPR!" Clearly it takes a lot to become an American and a doctor at the same time.