Phenomenological study of international medical graduates and the supervisory relationship in Canada

This study explored the nature of the supervisory relationship between international medical graduates (IMGs) on temporary practice license and their supervisors, including perceptions of the roles and expectations of IMG supervisors in Canada.

A qualitative phenomenological study comprising six focus group interviews was undertaken. A purposive sample of study participants was recruited via e-mail, and twenty-one supervisors and IMGs on temporary licensure practicing in British Columbia, Canada participated. Focus groups were recorded and transcribed verbatim, and data were analyzed using thematic analysis.

Key themes occurring from the focus groups included the Role of Supervisor, Supervisor Interaction, Supervisor Background, Benefits of Supervision, and Supervisor vs Mentor. The supervisor's role was perceived as necessary in supporting the IMG with adjusting, transitioning, and navigating medical practice in Canada. Access and availability of the supervisor were critical, while supervisors with IMG backgrounds were more empathetic to supervisees' needs. Having mentors, in addition to one's supervisor, was seen as valuable in helping with personal and professional adjustments to life in a new country and a novel medical system.

Supervisors and IMGs felt the supervisory process was beneficial, but could be enhanced to support IMGs' transition better. Supervisor availability and contact were important to foster engagement throughout the supervisory relationship. Supervisor training was essential to prepare for the supervisory role, and combined supervision and mentorship programs were considered helpful for IMGs as they adjusted to their new practices and life in a new country.