Hi all out there

I appreciate any advice ya'll have. I am currently a prelim at a small community hospital and I am having a tough time working with most of the folks here. I come from a large med school and trained at a University Hospital and a VA. During my fourth year I couldn't decide between radiology and IM and interviewed for both categorial postion in medicine and rads. At that time I didn't know that I could switch a categorical application to a prelim and I applied for a prelim position at small program that I am now at.

Anyway, I am miserable here. The program didn't portray itself accurately when I interviewed. I am the only non FMG here and have a large language barrier with these folks. I am not hating on them, they are all nice folks, mainly older women with families. I feel very alone and don't fit in with this crowd and also don't know anyone in this city. I console myself thinking that i will read and try to make the most of the program. I am usually one of few that attend morning report and noon conference that is usually given by a resident. I feel like I am rotting and I feel this year will feel like an eternity. Is it possible to switch into another prelim position somewhere this late in the game?
thanks

you may wanna check out:
http://www.ama-assn.org/ama/pub/category/6986.html

I'm just an MSIII, so this is all the help I can porvide!

So, are you going on to Rads next year, or are you applying for something else this year?

My gut would be to say that you're pretty much going to have to stick it out for this year.
1) There are not likely to be programs with openings at this late date
2) Your current PD is no way going to let you go "in good standing" mid year. It would screw your fellow residents in terms of call and coverage.

If it makes you feel any better, I can somewhat see, if not feel your pain. We had lots of FMGs at my med school. They were all nice people, all smart, all pretty good physicians. BUT -- the barrier is much more than language. I'm all about being multicultural and all, but if you share no common interests with someone who doesn't really speak your language very well, it becomes very hard to hold a conversation about something outside of medicine.

Best of luck with your situation -- be sure to let us know what happens as it might help some people in the future.