American MD in Australia?

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drgre

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Hi, new to the forum, but didn't see anything particular to my situation.

I'll be graduating from a US MD/PhD program in 2013 - I'm still evaluating my interests, but psychiatry, neurology, and neurosurgery are most likely. My partner is an Australian living in the US, and I'm trying to determine my options if we decide to move back to Melbourne. How does a med school graduate from the US go about applying for Australian internship/RMO positions? Are American medical graduates at all competitive with Australian MBBS? Should I prepare for the GAMSAT, and is it roughly equivalent to the USMLE step 2?

I don't know any American MDs in Australia, so any info would be greatly appreciated!

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You must complete an internship in the USA before you can apply for a license through AHPRA. If you go the competent authority pathway, you need two years in an ACGME approved training program and have completed USMLE Steps 1-3.

Then you need to get a visa. If you are not married or in a de facto relationship now, you'll likely initially get temporary residency (for two years) then permanent residency after that. You cannot get an accredited training position without PR - which would be a minimum of 4 years post med school (2 years of ACGME in the USA and 2 years in Australia). If you are lucky, you may be able to get into a training program straight off (which is very difficult to do).

If you complete your training in the USA, you can apply via the competent authority pathway or the specialist pathway. If you get PR, you will need to get recognition through one of the Colleges (by becoming a fellow - the USA equivalent of Board Certification) - if you do not get this within 4 years of licensure in Oz (or are in a training program) - you are ineligible to practice any longer and your license not renewed - This has all changed over the past year to be what I just described with the new national registration scheme under AHPRA.

Furthermore - even if you DID do your training in the USA and became a surgeon - since you would need to be Board certified in the USA before you can even apply for specialist recognition in Oz - (which would be 7 years of NS training, then 2-3 years in practice before sitting the US NS Boards) - you are now looking at 10+ years from now. Since there is a tsunami of Jr doctors coming through now - it may be possible that the need for IMGs in the Aussie health care system may no longer exist and you may not be able to get recognition or licensed. Who knows.

The bottom line is that you need to do a few years in the USA before you can even apply for a position in Australia, because you cannot get a limited license to practice under the competent authority pathway without 2 years and passing all USMLE steps (unless you complete the AMC exams for the general pathway, which I think would be crazy if you are from the USA/UK/Ireland/Canada).

And you are correct - there are VERY few USA trained physicians/surgeons in Australia. There is a reason for that.

Good luck.
 
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I'm in a similar situation as the OP except I'm married and likely going into emergency med. What do you mean by limited license? And am I understanding you correctly that you have to work for at least 2 years in the US as an attending to even apply for it? Thanks!
 
No - not as an attending.

Look, there are 3 ways that you can get licensed initially in Australia. 1) Standard Pathway, 2) Specialist Pathway and 3) Competent Authority Pathway (which is only available to a few countries including the USA).

The standard pathway includes taking the AMC exams. These are written and orals and are similar to our USMLEs. The difference in Australia, however, is that no local graduates are required to take these exams for licensure (unlike in the USA where everyone is required to take the USMLEs). The wait time to take the AMC exams can be 2-3 years.

The specialist pathway is for foreign doctors who have completed their training. For USA trained doctors, this means have attained Board certification. You then apply to the Aussie "College" for that specialty. In general, there will be a 1-2 year supervision requirement and the need to sit their exams (like our Board certification exams). You are eligible to get a limited license to practice in that specialty while completing the requirements, which must be done in 4 years. If you go the specialist pathway, you are limited to only practicing your specialty. If you do not complete the requirements in 4 years, you cannot renew your license. There is substantial cost going through this pathway - for the RACS (College of Surgeons) - it is nearly $50k by the time it is all done.

The competent authority pathway is for people who come from countries that have similar medical education. Each countries conditions are different - the USA requirement is that you must have completed 2 years in an ACGME approved training program. If you go through the competent authority pathway, you get a limited license for a year and can apply for the AMC certificate at that time. You can then get general registration. However, if you are a permanent resident, you MUST either be in a program that leads to specialist recognition in Australia or have applied for specialist recognition from your training overseas in order to attract a "rebate" from medicare. If you are not in a training program or are a recognised specialist, you cannot get a medicare provider number.

If all of this sounds confusing - it is. It is very convoluted with multiple organisations, overlapping paperwork, changing rules, etc.Indeed, we have not discussed the Moratorium on provider numbers, which adds additional bureaucracy..

The bottom line for American med school graduates, however, is that you need 2 years in the USA in an ACGME approved program to be eligible for the competent authority pathway. The only other way (aside from completing your training in the USA and applying after you're Board certified) is the standard pathway, which requires you to take exams that have a 2-3 year wait to complete (during which time, you may as well have done your training in the USA)..

You need to look at the requirements for IMGs at the following websites:
http://www.medicalboard.gov.au/
http://www.doctorconnect.gov.au

Good luck.
 
I need to get this cleared up please.

I am an australian citizen holding an OCI card who is planning to go overseas to india and study MBBS at Manipal Unvieristy. When i come back to australia and clear my AMC exam what is the process to become a GP. Will my medicare be resitricted. Please clear this up.
 
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