At the risk of jumping into the "U.S." fray here, I wanted to add something...
You guys are all bright. You proved yourself in highschool. You probably went to a great undergrad program, and completely killed it as well. I'm sure you're all 11s, 12s, and 13s (if not higher) on your MCATs. You probably did tons of extracurriculars in college, got killer LORs from important people, and are all generally great folks.
You've proved yourself along the way, every step of the way. You don't have to prove to anyone that you're smart.
Now, let's talk about me...
I'll be 34 in less than two months. I worked in the pharma industry for almost seven years. I've got two publications in world-renowned medical journals in the field of epilepsy research. I had decent grades and not too bad MCAT scores (28 overall).
I'm in the Caribbean studying medicine. It's hard a ****.
You see, this is what people don't know. The Caribbean is considered the "bottom of the barrel, you pay you stay, last resort for those desperate enough to be an M.D." That's a gross mischaracterization.
Fact is, I didn't even apply to U.S. medical school. I didn't want to wait. Mine was a late decision.
Each semester, I have about 14 weeks to learn what you guys get 19-20 weeks to learn. I HAVE to take and pass the NBME subject "shelf" exam. They don't care if I pass or fail a course. In fact, the mentality is that it looks better if they DO "weed" a lot of students out... survival of the fittest, you know?
The living conditions suck. I miss being in the States. I left an incredible job with a phenomenal salary that allowed me to travel the world and interact with world-opinion leading physicians all over the planet. Was I crazy? No, that's how bad I wanted this.
When I was twenty-two, I didn't know my rear-end from a tree stump. I applaud all of you for being so dedicated and focused at a much younger age than I. Of course, I didn't take school seriously back then. I do now. And, what you may not know either is that most of my classmates here do as well. The ones that don't, quite simply, don't make it.
So, I may not place into Mass General for Categorical Surgery. Or, I may not end-up at Johns Hopkins doing an Emergency Medicine residency. But, chances are that I'll score fairly well on Step I. Chances are I'll get a decent residency at a good U.S. medical school when I graduate. Chances are that I may be your colleague someday.
I like to call this "medical purgatory" - my chance to prove to myself that I can do this. I hope that any of you taking the time to read this will recognize this someday if you get the chance to call me your colleague on the wards.
I don't know if it's a cakewalk for some of you BECAUSE you've been so well-prepared throughout your life. But, be proud of your accomplishments. If you are breezing through med school, that's great. Know that where I'm at, they make it tough. It's incredibly hard to pass. There is no P/F system here. The bottom 15% will fail and have to repeat. Many will fail out altogether. That's just the way it is. Survival of the fittest in the Caribbean...
Good luck to you all in your future careers!
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MS2 Ross University
Portsmouth, Dominica