Well, that's the whiole trouble, he won't move out of NJ b/c of family commitment. Obviously if he had residency spot landed anywhere in U.S he'll go there for the time of training, but the idea is to stay in NY/NJ. I agree he should do FM or IM if he can get it and may be try EM where there iss plenty of trauma and things for surgery to do. I've tried to get some info since the guy is really down on his luck trying to get surgry residency. The thing is it will take him 3 yrs to become full-fledged doc if he goes IM/FP route vs may be 2 + at best to become a PA. I guess what I was trying to figure out here is if there was any way or some kind of shortcut for him to becoming a PA since he is already certified by ECFMG, and got his USMLE (though low scores). It seems like none of it will make any difference or even worse, could hinder his chances to become a PA. Judging by all of these replies I think it's best he goes MD route. Though it's his and his family call.
I thank you all again for the info.
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 No bastard ever won a war by dying for his country. He won it by making the other poor dumb bastard die for his country.
George S. Patton 
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