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Navy Capt. Mark Stephens, associate professor and chair of the Department of Family Medicine, Uniformed Services University of the Health Sciences, speaks to Naval Hospital Camp Lejeune interns and residents during the Family Medicine Residency program graduation at Marston Pavilion aboard Marine Co
Photo: Cpl. Jonathan G. Wright | Public domain | Wikimedia Commons

Civil‑Rights Complaint Says Three Internal‑Medicine Residencies Favor Foreign‑Trained Doctors Over U.S. Graduates

Medical watchdog Do No Harm has filed a civil‑rights complaint with the Department of Health and Human Services alleging that internal medicine residency programs at Corewell Health in Dearborn, Michigan, Texas Tech University, and HCA Healthcare’s Brandon Hospital in Tampa are discriminating against U.S.-trained physicians in violation of Title VI of the Civil Rights Act and the Affordable Care Act. The filing cites program rosters showing that in Corewell’s Dearborn program only one of 33 residents attended a U.S. medical school, at Texas Tech roughly 95% of 39 residents trained abroad, and at HCA Brandon none of the most recent internal‑medicine cohort are U.S. medical‑school graduates, with large clusters coming from a small set of countries in the Middle East and South Asia. Do No Harm argues that these patterns, combined with residency directors who themselves trained in the same regions, amount to national‑origin discrimination that shuts U.S.-trained doctors out of competitive programs, and it is asking HHS to investigate and refer the matter to the Justice Department. The accused institutions have not responded in this piece, and no agency has yet ruled on whether the data reflect unlawful bias or other factors such as applicant pools and match dynamics, but the complaint is already feeding online debate about foreign medical graduates, workforce shortages, and whether federal civil‑rights law should police residency selection in this way.

Graduate Medical Education and Civil Rights Immigration & Demographic Change

📌 Key Facts

  • Do No Harm filed a civil‑rights complaint Tuesday with HHS targeting internal medicine residencies at Corewell Health Dearborn, Texas Tech University, and HCA Healthcare’s Brandon Hospital.
  • The complaint says just 1 of 33 residents at Corewell Dearborn and about 5% of 39 at Texas Tech trained at U.S. medical schools, while HCA Brandon’s latest internal‑medicine cohort has no U.S. medical‑school graduates and 70% foreign‑trained residents overall.
  • The group alleges these residency programs violate Title VI and the Affordable Care Act by engaging in national‑origin discrimination favoring graduates of medical schools in a small set of foreign countries, and asks HHS to refer the case to DOJ.

📊 Relevant Data

In 2026, international medical graduates (IMGs) accounted for approximately 23.6% of all matched applicants in U.S. residency programs, filling critical roles in high-need specialties and underserved areas.

IMGs Continue to Strengthen U.S. Health Care in 2026 Residency Match — ECFMG

In 2026, the match rate for non-U.S. citizen IMGs was 56.4%, a five-year low, compared to 92-95% for U.S. MD seniors.

International medical graduates' match rate falls to 5-year low — Becker's Hospital Review

In 2025, there were 43,237 residency positions offered, but with 47,245 applicants, leading to about 0.82 positions per applicant overall.

The Wrong Fix: Why America Doesn't Need More Medical Schools to Solve the Physician Shortage — PMC

From 2010 to 2022, IMGs made up approximately 18% of the U.S. physician workforce, with a higher proportion in primary care specialties like internal medicine (22.1%).

From 2010 to 2022, international medical graduates (IMGs) made up approximately 18% of the US #physician workforce — Facebook (citing JAMA)

IMGs are more likely than U.S. medical graduates to practice in underserved areas and treat racial or ethnic minority and lower-income populations.

Advancing diversity: the role of international medical graduates — PMC

In 2025, a total of 9,761 IMGs secured first-year positions in U.S. GME programs, an increase from 2024, representing about 25% of the physician workforce.

International Medical Graduates | ACS — American College of Surgeons

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