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This innovative qualitative multi-methods study centers international physician learners, those born or trained in non-U.S. countries, who make up 25% of all U.S. practicing physicians. As learners, they experience persistent negative perceptions about their country of origin, culture, education, and abilities affecting their admissions to medical schools and residency training in academic medical centers. I explore factors impacting this population as they pursue medical education in the U.S. Using Grounded Theory’s approach to inquiry and analysis, with data from surveys, interviews, and modified photo-elicitation techniques, I explore learners’ diverse experiences during their unique and arduous journeys toward becoming U.S. physicians.