I thank Dr Muhammed Memon and Breda Memon, RN, for their letter regarding my article.1 They have raised several points that I will try to clarify.
The main point of my article was to identify IMGs who are academic surgeons in departments of general surgery here in the United States. I stated in the article that in some parts of the country, cardiac surgery, orthopedics, urology, otolaryngology, and neurosurgery are free-standing programs. Therefore, rather than dropping the number by 51%, the number of IMGs in academic surgery would actually be higher.
Gerard V. Aranha. The International Medical Graduate in US Academic General Surgery: Is the Truth Out?—Reply. Arch Surg. 1998;133(7):782. doi: