endocrinology

[anum]

its my third year and everyone is going on about the specialisation question .Its not that i have never given it a thought but....I havent come up with a suitable option aswell.I was wondering if anyone here had an idea about choosing enocrinology as a field of specialisation?? how many years of toll the procedure and outcomes please help me out????

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[Blade28]

Where are you going to med school? Outside the US? Are you an IMG?

Endocrinology here is a fellowship after a 3-year Internal Medicine residency. To apply for residency here you'd need to at least pass the USMLE Step 1, 2 CS and 2 CK. Go to ecfmg.org, ERAS ( http://www.aamc.org/students/eras/ ) or nrmp.org to read more about the Match process.

 

[anum]

Where are you going to med school? Outside the US? Are you an IMG?

Endocrinology here is a fellowship after a 3-year Internal Medicine residency. To apply for residency here you'd need to at least pass the USMLE Step 1, 2 CS and 2 CK. Go to ecfmg.org, ERAS ( http://www.aamc.org/students/eras/ ) or nrmp.org to read more about the Match process.[/QUOT

Is IMG an immigrant? no am not.
I am a student of MBBS.(3rd year) that is i am in a 5 year graduation pragramme...outside USA! but am sure to do specialisation by passing the steps.....I am intrested in either neuro physician or endocrinology the later being the top priority!
I really want to know the scope? Is it a safe field to fall back on and enjoy the work as well? so far i have enjoyed studying both neuro and endo equally.
Please can you tell me more...i have gathered a lot of information about steps but no one so far seems to provide a substantial background of the senario.
Can you please tell me which hospitals ideally train in the field of endocrinology?the time span?
thankyou for replying

 

[Ashers]

Is IMG an immigrant? no am not.
I am a student of MBBS.(3rd year) that is i am in a 5 year graduation pragramme...outside USA! but am sure to do specialisation by passing the steps.....I am intrested in either neuro physician or endocrinology the later being the top priority!
I really want to know the scope? Is it a safe field to fall back on and enjoy the work as well? so far i have enjoyed studying both neuro and endo equally.
Please can you tell me more...i have gathered a lot of information about steps but no one so far seems to provide a substantial background of the senario.
Can you please tell me which hospitals ideally train in the field of endocrinology?the time span?
thankyou for replying

IMG is an international medical grad. So, you are, if you plan on applying in the US. This forum is full of people from the US, and I know I don't have a great handle on how other countries' medical training systems work -- how long, the process to get in. Blade described it for the States.

I think you're going to have to be the one to decide if it's a good field for you when comparing it to neuro.

 

[anum]

IMG is an international medical grad. So, you are, if you plan on applying in the US. This forum is full of people from the US, and I know I don't have a great handle on how other countries' medical training systems work -- how long, the process to get in. Blade described it for the States.

I think you're going to have to be the one to decide if it's a good field for you when comparing it to neuro.

yes i totally agree that i will have to decide but.... i need to know the pros and cons ...like there are for every field.I am intrested i know still i would like to know the selection basis ...seats if they are allocated ? or that it will all come as i clear steps??

 

[Blade28]

If you're serious about coming to the US to do residency, just focus on studying hard and doing well on the USMLE Step 1, 2 CK and 2 CS first. For IMGs (medical students/graduates from foreign countries) the most important things on your application are USMLE scores, US clinical experience and US letters of recommendation. Reading through the International forums here or IMG-oriented sites such as valuemd.com will help you out.

I don't really understand the rest of your questions.

 

[anum]

If you're serious about coming to the US to do residency, just focus on studying hard and doing well on the USMLE Step 1, 2 CK and 2 CS first. For IMGs (medical students/graduates from foreign countries) the most important things on your application are USMLE scores, US clinical experience and US letters of recommendation. Reading through the International forums here or IMG-oriented sites such as valuemd.com will help you out.

I don't really understand the rest of your questions.

The US clinical scores can be gathered by doing electives in the USA?what about the letters of recommendation?How can i gather them?

 

[Blade28]

The US clinical scores can be gathered by doing electives in the USA?what about the letters of recommendation?How can i gather them?

US clinical experience usually comes from IMGs doing electives here in the US. Work hard and then you can get attendings here to write you letters of recommendation.

It's up to you (or your school) to arrange these rotations - some people do them during their medical education, some do them after graduation. Both options have their pros and cons - the main issues are scheduling, malpractice insurance coverage, costs, and availability.

There are lots of good threads on this topic if you do a search. There's also some information about this in the Residency FAQ (in my sig). These rotations are also known as externships.

 

[anum]

US clinical experience usually comes from IMGs doing electives here in the US. Work hard and then you can get attendings here to write you letters of recommendation.

It's up to you (or your school) to arrange these rotations - some people do them during their medical education, some do them after graduation. Both options have their pros and cons - the main issues are scheduling, malpractice insurance coverage, costs, and availability.

There are lots of good threads on this topic if you do a search. There's also some information about this in the Residency FAQ (in my sig). These rotations are also known as externships.

rotations after graduation are just observations with little or perhaps no significance....i really donot understand the issues of , malpractice insurance coverage, What if my school doesnot atall have externships in plan???
Can externships be done at hospitals that are registered somehow by hospital in The USA that is not in USA but in my own country...or only recommendations by US physicians count?
I am really thankful to you....

also is one month of USCE enough of a clinical experience to gain the three letters of recommendation?
what are considered as competitive fields of medicine other than surgery n medicine or so?

 

[anum]

rotations after graduation are just observations with little or perhaps no significance....i really donot understand the issues of , malpractice insurance coverage, What if my school doesnot atall have externships in plan???
Can externships be done at hospitals that are registered somehow by hospital in The USA that is not in USA but in my own country...or only recommendations by US physicians count?
I am really thankful to you....

also is one month of USCE enough of a clinical experience to gain the three letters of recommendation?
from all that i have read so far it seems so hard...specially because our school is not flexible

 

[Blade28]

Can externships be done at hospitals that are registered somehow by hospital in The USA that is not in USA but in my own country...

I'm sorry, I really don't understand your question.

Are you saying your school doesn't allow externships while you're a student?

 

[anum]

I'm sorry, I really don't understand your question.

Are you saying your school doesn't allow externships while you're a student?

yes.
I have read a reply of yours to some other IMG saying that in this kind of a situation one is "stuck up" to be precise.

every year we get a break of one month between june and july that is a four week summer break! I can avail this time...as i have two more years of college.
so...
1) Is one month of USCE enough to get the 3 LORs.
2)Is it really tough to find residency for neuro physician and endocrionology?
3)To gain the LORs do I have to avail the USCE in the same feilds?
4)Also how is one month of USCE enough to find residency in any ofthe two feilds(as some ask for 12 mnths)
5)who do they call for externships...that is( how much should i know)?By end of this year i will know general pathology , pharmacology,forensic medicine and behavioral sciences...also i have attended wards for surgery, medicine ,pediatrics...
6)Some of the hospitals do externships in calender months eg: from 1st of a mnth to 31st or 30th of the same mnth?Is there a limitation of this sort in USA?
I hope i have made my self clear?
Thankyou...

 

[Blade28]

1) Is one month of USCE enough to get the 3 LORs.
2)Is it really tough to find residency for neuro physician and endocrionology?
3)To gain the LORs do I have to avail the USCE in the same feilds?
4)Also how is one of USCE enough to find residency in the two feilds(as some ask for 12 mnths)
5)who do they call for externships...that is( how much should i know)?

I hope i have made my self clear?
Thankyou...

(1) It depends on how closely you work with the attendings - some people find it hard to obtain a single strong letter of recommendation after a month-long externship, others can obtain multiple ones. It all depends on how hard you work, how much you're liked, and how much contact you have with faculty.

(2) Neurology is a residency - again, Endocrinology is a fellowship that occurs after an Internal Medicine residency. Again, the important factors in obtaining a position include USMLE scores, US clinical experience and US letters of recommendation. Have you taken any of the Steps yet?

(3) You obtain letters from the faculty with whom you work - so if you do your externship in IM, you'd get IM letters.

(4) Not sure what you're asking here - do you mean how is one month enough to figure out what you want to do? Presumably you're doing rotations at your own medical school, right? And most people try to do more than one month of US clinical experience if at all possible.

(5) Again, not sure what you're asking - who are you talking about here? Calling for what?

 

[anum]

I have not given the steps....(i am in third am not appearing till my final year)...i have been asking people who have scored 99 ...and those who couldnt ,,! i knew about electives but not about USCE and its importance plus had no idea about the LOR's and other complications that have to be dealt with before the step 1.... i have learned so much from you

still.....my questions are not clear as am still oblivious to the whole cycle..



its just that i hope i get the required months...in the right hospitals...to get the needed LOR's ...before the perfect score in step1 so i am not put in any other field than endo or neuro....