International medical graduates pursuing pediatric neurosurgery fellowship training in North America: a 30-year analysis

Over the last decade, the percentage of IMGs completing pediatric neurosurgical fellowship has declined significantly. IMG fellows have lower rates of ABNS and APBNS certification and were less likely to practice in the USA compared to USMGs. These findings highlight the diminishing role of IMGs in the US pediatric neurosurgical workforce, raising concerns about the capacity to address global pediatric neurosurgical shortages.