The first and most common mistake is
Isolation: In order to cope with changes, IMGs tend to isolate themselves, settling into their shells or finding friends just like themselves for comfort. It is okay to do all of that, but it is also very important to integrate and learn from others who went to school in the country where you are now practicing or plan to practice. We can learn so much from others. It is well known that IMGs struggle with exams, for a variety of reasons, one of which is isolation. The key to success is to learn from others what makes them better, or better still what is their secret to success.
The Impostor Syndrome: There is always a feeling of not being good enough or not as good as your peers and even when someone compliments how diligent you are at your job, you still don't feel good enough. You are better than you think, and when you get commended for a job well done, accept it with your head held high. I experienced this when I failed an exam and after passing on the second try, I still didn't feel I was good enough. As part of all of my self-talk, I started telling myself every day that I am a very competent doctor and that I am better than I think.
Lack of Confidence: I believe the problem is we put ourselves under so much stress to perform well that we lose confidence quickly when for any reason things go wrong. You won't pass every exam on your first try, you will be criticised for doing things in ways you think is best, you may be corrected countless times, but that doesn't mean you should lose confidence. Always remember to stand tall again if you fall. Don't let one failure make you lose sight of who you are. This is a common mistake IMGs make and trust me, your superiors and even your patients can tell if you have little or no confidence, and it affects the way they talk to you and ultimately makes your work environment unpleasant. Put on your confidence like a new pair of scrubs, and let people know you are a competent and confident doctor.
Fear: The fear of failure and not being respected is one of the reasons why most IMGs fail. It is about the fear of the unknown, or of not being able to compete with fellow graduates, who held primary qualifications in their home country. As a result of the fear, you settle for less, you get bullied and even disrespected. IMGs are often afraid to speak up, they lose respect and are regarded as a bum on the seats, a number, not necessarily appreciated for what they do. It is possible for IMGs to avoid these mistakes if they lay aside their fear. One thing we need to be aware of is that we will be judged regardless of what we do. Do not let fear of judgement stop you from reaching for your goals.
Failure to Adapt to a New Culture: You may keep your culture's values, but when it comes to your medical practice, IMGs must be willing to accept and practice a new culture. Having a calm, polite manner at work and a warm presence contributes to your perceived value as an IMG. It's a common mistake for IMGs to make and ultimately it makes it hard to enjoy work or things you do. It is only natural to learn about a new culture, adapt and apply changes where necessary since you have migrated to that country for a reason.
These are few common mistakes IMGs make and can be avoided. Hope you enjoyed reading this.
Cheers
Mut