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Natalie Winters@nataliegwinters · Oct 1, 2026

Four trained in China. One in the Philippines. ZERO at U.S. medical schools. That’s the ENTIRE 2026 incoming internal…

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Summary

A detailed investigation reveals that numerous U.S. medical residency programs have extraordinarily high percentages of graduates from foreign medical schools, with some programs showing zero U.S. medical-school graduates in their 2026 incoming classes. Programs across major cities like San Francisco, New York, Washington D.C., and others are predominantly filled with residents trained in countries like India, Pakistan, China, and the Philippines.

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  1. #1

    Four trained in China. One in the Philippines. ZERO at U.S. medical schools. That’s the ENTIRE 2026 incoming internal medicine class at San Francisco’s North East Medical Services. And it’s not the only program with zero U.S. medical-school graduates. THREAD 🧵

  2. #2

    Another ZERO: United Health Services in Johnson City, New York. All 14 residents listed in its 2026 entering three-year internal medicine class attended medical school abroad. Nine trained in Pakistan. Its two one-year preliminary interns also attended schools abroad.

  3. #3

    Washington, D.C.: 32 residents. ZERO U.S. medical-school graduates. Every resident in MedStar Washington Hospital Center’s 2026 entering three-year internal medicine class graduated from a medical school outside the U.S. 32 out of 32.

  4. #4

    Tennessee: ZERO U.S. medical-school graduates in the incoming neurology class. The University of Tennessee’s Chattanooga program lists three residents for 2026–2030: United Arab Emirates: 1 Egypt: 1 India: 1

  5. #5

    New Jersey: Just TWO U.S. medical-school graduates among 14 first-year internal medicine residents at AtlantiCare. 12 attended schools abroad—86%. Includes 5 trained in Pakistan, 2 in India and 3 at Caribbean medical schools.

  6. #6

    Brooklyn: Just TWO U.S. medical-school graduates in a class of 31. At Maimonides Medical Center, 29 residents in the 2026 entering internal medicine class attended medical school abroad. Includes: India: 10 Pakistan: 5 Nepal: 2 South Korea: 1 That’s 94%.

  7. #7

    Tucson: Just ONE U.S. medical-school graduate in a class of 10. TMC Health’s 2026 incoming internal medicine residents attended medical school in: India: 5 Pakistan: 3 Jordan: 1 United States: 1 90% graduated from medical schools abroad.

  8. #8

    The Bronx: Just ONE U.S. medical-school graduate in a class of 34. Jacobi’s 2026 entering internal medicine class lists 33 graduates of medical schools abroad—97%. Includes: India: 7 China: 3 Pakistan: 2 Taiwan: 2 South Korea: 2

  9. #9

    Manhattan’s Metropolitan Hospital/NY Medical College: 18 of 20. 90% of its 2026 entering three-year internal medicine class attended medical school abroad, including 5 in India and 3 in Pakistan.

  10. #10

    South Dakota: Six of eight. 75% of the residents listed in the University of South Dakota’s 2026 entering internal medicine class attended medical school in just TWO countries: India: 3 Pakistan: 3 The other two attended USD’s medical school.

  11. #11

    @USLaborIG