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...Ah, I had forgotten that bit of forums history.
JobsFan said:Its unfortunate that some Australian schools have failed to live up to their promises to you north american international students. It's my opinion that the current trend toward PBL is erroding the teaching of basic science in many aussie schools, and that this will run it's course like all other educational fads.
I wonder which programs you are/were enrolled in, are they the graduate entry 4 year programs ? I am an australian doing one of the 6 year programs at a school with a heavy basic science program - I guess my point is that not all aussie schools have the same curriculum. I chose my school because of it's basic science program. If you are considering an aussie school - check out all of them !
Kimberli Cox said:In regards to basic science preparation before embarking on a GEMP course of medical studies...
IMHO, at least during my tenure at Flinders, there was a great disservice done to students without either a science undergrad degree or at at least what we would consider in the US, the minimum medical prerequisite courses. All of the students in the year prior to mine and in my year who were asked to repeat the year had not the science background. I recall one of them waiting until the 9th week of the first year to admit that she didn't know what we meant when using terms like "synthesis". Apparently, at least at that time, a high score in the non-science portion of the GAMSAT could shore up a mediocre showing on the science portion.
Obviously as DrIng points out, it is possible to do well without the basics of physics, organic chem and the like and most general medicine does not rely on a detailed knowledge of such. However, as I have seen, many students without such a background struggle and find themselves having to study these basics in addition to the coursework.
DrL said:Kimberli, you seem to be pretty knwledgable about ths whole process. I've got two basic questions for you - I've got good grades, and i'm a bio/chem double major at a US uni. (I've had undergrad anat +physio 1 and 2, orgo 1 and 2, biochem, histology, etc, etc). Considering this backgorund, if I was to return home for a GEMP,
(1) Do you think I could be a competent physician in any specialty if I was to stay in Australia for my residency? (i.e were the doctors you worked with there as competent as they are here -be honest)
(2) If I was to decide to return to the US, would it be hard for me to catch up with other residents in terms of knowledge and competency?
Thaks a lot
Kimberli Cox said:Glad to assist in any way I can.
1) I honestly believe that the Oz physicians and surgeons I worked with were not only competent, but in many ways superior to their US counterparts. I attributed this to the fact that the traditional Oz education was longer (6 years), with more clinical experience AND perhaps most importantly, the house officer/RMO years done before training. I believe these to make for a very well rounded physician-surgeon in a manner that is superior to the US physician who enters training much earlier. The caveat is of course that these consultants are all graduates of earlier 6 year programs with more emphasis on basic sciences. Since I have not had an opportunity to work with current GEMP grads in training I cannot compare them to US grads.
2) I believe you can catch by focusing more on the basic sciences ( and not things like pathways but things like the differential diagnoses and treatments for electrolyte imbalances, etc.) and getting as much practical experience as possible (ie, make sure you can insert urinary catheters, do a good physical exam [which you should be able to do from any Oz school any way], draw blood, ABGs, suture, perhaps even insert a central line or chest tube [useful skills even outside of surgery residency]. With the current work hour restrictions there are more hours to study outside of residency, not that you want to, but there is time to do at least a little review each week, if not each night.
Best of luck...
Kimberli Cox said:1) I honestly believe that the Oz physicians and surgeons I worked with were not only competent, but in many ways superior to their US counterparts. I attributed this to the fact that the traditional Oz education was longer (6 years), with more clinical experience AND perhaps most importantly, the house officer/RMO years done before training. I believe these to make for a very well rounded physician-surgeon in a manner that is superior to the US physician who enters training much earlier. The caveat is of course that these consultants are all graduates of earlier 6 year programs with more emphasis on basic sciences. Since I have not had an opportunity to work with current GEMP grads in training I cannot compare them to US grads.
...
JobsFan said:I just want to point out that these 6 year programs still exist, and that there are international students enrolled in them.
They are of course less attractive to many because it takes longer - but my science background wasnt strong so I chose one despite having a previous undergrad and masters degree.
Peace.
watermen said:May I ask you few questions?
I want to study medicine. Should I study in US or go to Australia? I don't mind working anywhere? Which one is better?
How are those Australian medical schools being viewed when it comes to residency? I mean universities such as Sydney, Melbourne, Adeleide, Western Australia and Queenlands. US middle ranking medical schools and these Australian top schools which one is better?
Kimberli Cox said:Final answer: if you wish to work in the US, choose a US school, if you want to work in Oz, study there.
USMedStudent said:If only Oz schools were as honest as to say the above, there wouldn't be so many American/Canadian grown men/women crying out of Oz "med schools." Several years after having their useless meaningless BMBS that's worth less than the paper it's printed on, the vast majority of them are still on the bench studying for the USMLEs that even they know they'll never ever pass. For the few that did pass after multiple multiple attempts, most of them don't get a residency anyway. At least they haven't. I personally know quite a few of them. Some asked me to help them to get into my Program. I had to diplomatically (this I learn from DC politicians) decline by saying neither yeah of nah, but just "I'll look into it."
The last thing I want to have in the world is to have an underclassman that knows zip about basic sciences, and very pitifully little about MODERN medicine. Worse if it's me that brought that person into our 5-star competitive Program.
It's a shameful lie that "Flinders graduates score high on USMLEs." What happens is out of 100+ American/Canadian graduates since year 2000, as far as I know, less than 10 of them passed Step 1 on first attempt, among them less than 5 scored higher than 230. I know of only 3 such people. Many of those fortunate folks did so during the paper-computer transition when the NBME was still testing its software, so it let more people pass than usual to calm down critics. It was like a promotion for a new product.
Now that the product has been well accepted, NBME has accordingly toughened up its stance, and its exams. This has worked against Oz schools, and favored Indian schools that stress very strongly on basic sciences. Overall, I agree with the above, if someone wants to practice in Oz, fine, go to any schools there. But if someone wants to practice in the US, one MUST NOT GO TO AUSTRALIA FOR MEDICAL SCHOOL, or he/she will leave it with a degree that's worth less than the paper it's printed on.
JobsFan said:please tell me you won't be practicing in australia then either.
USMedStudent said:I am comfortably practicing in the North East US. And I am not in surgery which is the easiest thing to get into. Yesterday I was told there were at least 60 surgery residency positions still unfilled, the highest number among all specialties. It seems like anyone that wants a surgery residency, gets 2.
USMedStudent said:But this is not due to my Oz school at all. I had 4.5 years of graduate work in biomed before I couldn't get enough grant money to continue my Ph.D. so I decided to take a long vacation in Oz for med school. Upon coming back I finished my Ph.D. and automatically was offered this residency as a matter of course. Coming this July I will be the Chief Resident in my program at one of the finest medical institutions in the US, if not the world. And under my wings, there shall be absolutely no kids coming out of Oz schools, ever.
flindophile said:I scored a 249 (first attempt) and a classmate outscored me. While there are some students in my cohort who have not taken the exam, I am unaware of anyone who has failed. Perhaps it was different in your day.
USMedStudent said:If only Oz schools were as honest as to say the above, there wouldn't be so many American/Canadian grown men/women crying out of Oz "med schools." Several years after having their useless meaningless BMBS that's worth less than the paper it's printed on, the vast majority of them are still on the bench studying for the USMLEs that even they know they'll never ever pass. For the few that did pass after multiple multiple attempts, most of them don't get a residency anyway. At least they haven't. I personally know quite a few of them. Some asked me to help them to get into my Program. I had to diplomatically (this I learn from DC politicians) decline by saying neither yeah of nah, but just "I'll look into it."
The last thing I want to have in the world is to have an underclassman that knows zip about basic sciences, and very pitifully little about MODERN medicine. Worse if it's me that brought that person into our 5-star competitive Program.
It's a shameful lie that "Flinders graduates score high on USMLEs." What happens is out of 100+ American/Canadian graduates since year 2000, as far as I know, less than 10 of them passed Step 1 on first attempt, among them less than 5 scored higher than 230. I know of only 3 such people. Many of those fortunate folks did so during the paper-computer transition when the NBME was still testing its software, so it let more people pass than usual to calm down critics. It was like a promotion for a new product.
Now that the product has been well accepted, NBME has accordingly toughened up its stance, and its exams. This has worked against Oz schools, and favored Indian schools that stress very strongly on basic sciences. Overall, I agree with the above, if someone wants to practice in Oz, fine, go to any schools there. But if someone wants to practice in the US, one MUST NOT GO TO AUSTRALIA FOR MEDICAL SCHOOL, or he/she will leave it with a degree that's worth less than the paper it's printed on.
pitman said:Congrats on your fine accomplishments.
Given that PhDs are granted for studying a very narrow topic in depth, I think it's fair to say that your Oz training has a heck of a lot to do with your current position that requires a broad medical understanding. Sure, you sound like you were self-motivated in Oz, as others who have trained there and have similarly "succeeded", but you are still your own counter-example to your argument, IN DIRECT PROPORTION to your degree of success.
It's hypocritical, indeed logically incoherent, to say you'd never allow *others* (like you) under your wings...what, you'd reject yourself if you had the chance? You are not worthy of yourself?
-pitman
-pitman
aisling said:hi...well, i've never posted in one of these forums before but i read this one often (mostly because i really want to attend med school in australia) but lately...i've been pretty confused...i mean, who are these people who hate australia so much? you have a right to your opinion, but seriously, it would be nice to know what motivates you to "warn" everyone of the evils of australians who just want to take our money, etc. (by the way, i am an american too) why do you so readily identify yourself as United States medical student, as though America is SO far superior to any other country, as though anyone else pursuing a medical career in another country is an idiot compared to you and WHY are you posting here? i guess i shouldn't question as a newbie or something, but what are you trying to do? are you trying to give honest facts to the rest of us so we won't make mistakes about where we choose to attend medical school? okay, okay, i got it! australia is evil and bad and getting a medical degree there means nothing! got your point...so what else do you got? i value differing opinions, but your bitter responses to curious pre-meds are not at all constructive! where are all your statistics coming from anyway? quoting numbers from friends of friends or whomever you choose to isolate as a good statistic for your australia-bashing is not good hard evidence to prove to me that australia is a bad place to study medicine...
anyway, to the rest of you guys who seem to really be trying to give good advice to us curious pre-meds, hello!
flindophile said:I am a big puzzled by your reasoning. On the one hand you argue that Australian schools are so inferior that it would be impossible for any Australian student to perform well on the USMLE. Then, when given evidence to the contrary, you dismiss it. Somehow, I get the impression that you have a vested interest in believing that Australian schools are a disaster and that you WANT Australian students to do poorly.
UsydGrad said:Based on my Australian medical school education, I would indeed REJECT myself (regardless of having crammed and passed the boards) and other Australian graduates attempting admission to US residency programs. I do not see anything illogical in such a notion. I respect USMedStudent for his honesty and forthrightness, qualities still important in medicine! Did it ever occur to you, that his attitude and his ability to critically appraise situations may have contributed to his (unlikely) success?
aisling said:hi...well, i've never posted in one of these forums before but i read this one often (mostly because i really want to attend med school in australia) but lately...i've been pretty confused...i mean, who are these people who hate australia so much? you have a right to your opinion, but seriously, it would be nice to know what motivates you to "warn" everyone of the evils of australians who just want to take our money, etc.
pitman said:You sound an awful lot like USMedStudent, maybe you should read all his prior posts.
Of course it's illogical, and pretentious -- saying one would reject all such candidates says that one would reject oneself, thus one is not worthy of the position to reject others...and further, says that there are no (cannot be) others who could have a similar attitude or "ability to appraise" (i.e., "I am uniquely righteous/worthy")
Silly reasoning. And yet a peculiar, shared trait.
-pitman
pitman said:I find a good rule of thumb, until individual post histories help guide, is to dismiss posters who use absolutes (particularly where behavior is concerned) or who don't bother carefully qualifying their characterizations, e.g., "...all Aussie grads/doctors...", "...no res placements...", "anyone can get in", "only money matters", "the only reason for going Oz/Carib/Ireland/Israel is...", etc.
Such people tend to 1) be ridiculously myopic and egotistical, 2) have a hidden agenda, 3) lack reasoning skills, and/or 4) be very, very bitter and emotionally wrapped up in their proclamations.
-pitman
UsydGrad said:Also, don't tell ME what I should or shouldn't do. I don't care how many posts someone has made. As for any criticism of posters' "limited post history", some people have "lives" off the internet!
UsydGrad said:Please note! All of the above would seem to apply to the author of the above quote. [Does posting 500+ posts give someone some sort of "authority"? I would suggest a very different interpretation of this level of involvement! Furthermore, could it reflect on medical education in Australia?] 😱
JobsFan said:this thread has degenerated beyond salvage. it no longer offers any good info to any prospective applicants and is merely a bitch session.
can we close it now? 😡
pitman said:No, 500 posts don't give authority. Those who read can assess one's credibility all by themselves, once there's some history to actually look up. In the meantime, there's always internal consistency and logic to assess.
Your allusion about my involvement is sad, though humorous -- you've just implied that there's something nefarious about any member who's much more involved (has many more posts) than you. Way to go.
-pitman
UsydGrad said:Anyway, I doubt anyone is going to bother to look up someone's post "history". Totally irrelevant waste of time that proves nothing.
avinash said:Hey....
I lived in Australia for 11 years and now im in the USA, would you guys say its harder to get into medical school in AUS beacause of the HSC and really high marks you need? Beacause here there you are prety much screwed if you dont go to a selective school or a private school becase generally speaking those students generally get the highest grades on the HSC beacause those schools have the best teachers and facilities. While here (USA) you can screw around in HS and go to a comm college and then go to a 4 year uni and then take mcats and then go to med school ofcourse with all the EC'S and volunteering, you have so many chances, while in aus its just the HSC and the UAI. Is this right? i was just wondering thats all. also do aus universities admit american students? Do they accpet mcat scores?
Thanks!
UsydGrad said:I was not thinking this number of posts to be "nefarious". More like part of a "syndrome" or "disorder". Perhaps it is possible for a person to get so wrapped up in their poster identity that internet "communities" become their real world. Could it be that such a person doesn't like the reality they are facing? That's what seems so sad.![]()
UsydGrad said:Many of those accepted have no intention of coming (applied just in case they did not get in somewhere else -- ie. top 3 Carribean).
The educations being offered do NOT parallel American medical schools. It is an easy way to a medical degree and it is currently WHO recognized.
In addition to the often mentioned discrepency when it comes to knowledge and skills, students don't get the sort of "indoctrination" into the profession that one gets in the United States. No matter how self directed and determined you are, it is not something you can do on your own! This ferocity and intensity has to be required of and imposed on you!
pitman said:Similar to an average US school, schools like to see a 30 on the MCAT (e.g., this year's first year int'l student ave mcat at UQ was 32...i've finally seen the data ), but the range is quite likely bigger for Australian schools in general (e.g., same class has some in the low 20's, up to the high 30's), so in this regard it may be a tad bit easier than a US school assuming you do well on the very different-styled interview here. but for same school, GAMSAT ave for domestic students was 67...
UsydGrad said:However, it's a very different game for international students who are basically buying degrees. It's a very easy application process. Many of those accepted have no intention of coming (applied just in case they did not get in somewhere else -- ie. top 3 Carribean). So don't be put off by reports of high numbers of applicants or high scores of those accepted...
pitman said:ok, UsydGrad, er USMedStudent (at Usyd), er doctor_with_no_country from USyd (e.g., http://www.valuemd.com/medicine-165203.html&highlight=#165203), see you next time!
Maybe then you'll actually respond to at least one of the many specific counter-arguments presented by five or six posters rather than reverting to generalizations and innuendo...
UsydGrad said:I have know idea what it's all about and I am not interested in any such boards