Deficiency in Basic Science Education in Australia

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JanikeyDoc

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I have heard a lot of bad news from many North Americans about the rather light amount of basic science education and the near complete emphasis on self learning in most Aussie medical schools. Does anyone care to shed light on this matter? I was speaking with several USyd students and they basically told me the medical program is deficient in many key areas of the basic sciences. Anatomy labs and teaching tends to be very light for example. Also everything is put on the student to learn on their own without any guidance. The USMLE is a heavily science oriented exam, honestly, if a student is able to pass the GMP course would she or he be good enough to the pass the USMLE?
 
Australian unis aren't graduating American doctors and therefore have no obligation towards preparing you for the USMLE. I do agree that a lot of post graduate programs are getting rid of the Basic sciences, and that's a shame because it can be useful for many clinical situations.

The USMLE (I) however tests a lot of irrelevant or clinically useless basic sciences, which I doubt Australian schools will ever really prepare you for. It has been getting better though - if you take a look at the High Yield books from 10 years ago vs now you will see a lot more clinically oriented material even in Step 1.

If you are willing to put in more self study and effort into your program you will have a much better shot at passing the USMLE. Many people on this forum have done it, so it's not impossible. It's just a lot harder then having a more structured approach and the constant repetition when you see it in class and then study it at home.
 
redshift effect is quite correct. It also varies dramatically from school to school. Talk to other Aussie med students and talk to indiivudal schools to gauge their emphasis and weight on various sciences and curriculum methods. PagingDr (an aussie forum which is kind of the Aussie version of SDN) has a lot of current Aussie students talking about their programme and you may get a realistic feel from there as opposed to many people who have not studied here.

But overall I agree with Redshifteffect- we are not training you for USMLE so no matter what school you attend in Australia you WILL need to put in extra work if you want to come home to USA. As long as you know that from the get-go you should be OK

Lynda; 😎
 
Australian unis aren't graduating American doctors and therefore have no obligation towards preparing you for the USMLE. I do agree that a lot of post graduate programs are getting rid of the Basic sciences, and that's a shame because it can be useful for many clinical situations.

The USMLE (I) however tests a lot of irrelevant or clinically useless basic sciences, which I doubt Australian schools will ever really prepare you for. It has been getting better though - if you take a look at the High Yield books from 10 years ago vs now you will see a lot more clinically oriented material even in Step 1.

If you are willing to put in more self study and effort into your program you will have a much better shot at passing the USMLE. Many people on this forum have done it, so it's not impossible. It's just a lot harder then having a more structured approach and the constant repetition when you see it in class and then study it at home.

Maybe they are not preparing us for the USMLE but it still concerns me that students at the top Australian medical school struggle with basic anatomy. Imagine the uproar if Harvard students failed a basic anatomy test. Something does not seem right, I am currently residing in Sydney and am in contact with students at USyd Medicine, what I have found is troubling.
 
Top Australian medical schools?

I'm still pretty sure the top schools are primarily undergraduate (Melbourne or Monash, though Melbourne is going to a graduate course now). I don't know if they are struggling with Anatomy, my experience was they struggle with things like Pharmacology, Biochem, Statistics and things like that. However I never really quizzed anyone on Anatomy so I might be wrong.
 
I actually quizzed a third year USyd student who is in Medicine, I did better on the anatomy quiz than him and I am not even in medical school yet.
 
I actually quizzed a third year USyd student who is in Medicine, I did better on the anatomy quiz than him and I am not even in medical school yet.

TBH I'm not really surprised.

However in their defence a lot of people (including American and Canadian doctors) forget most of their basic sciences soon after they finish their exams. It's just that the USMLE is a daunting exam and so you tend to study harder for it and therefore hopefully remember more when you graduate. The MCCEE and QE1 have very little emphasis on basic sciences, so my assumption would be they are training their graduates in a similar maner to Australian graduates.

One could argue how much of that anatomy that is forgotten is really relevant to clinical practice, and if it does become relevant could they look it up, or ask for help?
 
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It is commonly said that non-science background students in graduate medicine soon catch up to the science background students by the end of the course.

However, this is not true in my experience.

Having studied medical science in undergrad, as an intern now I still know lots more basic clinical science than those that came from finance or law, especially when it comes to subjects poorly taught in many graduate programmes (anatomy, pathology, pharm, biochem to name a few).

USyd, in their recent review of their programme, recognised the deficiencies in the programme and increased the amount of basic science in their curriculum. They doubled the amount of anatomy in the course and introduced summative assessments (i.e. you fail if you do badly) in every year (compared to the course previously only having big 'end of year' exams in 2nd and 3rd year).

I think the premise that graduate entry students are motivated enough to teach themselves is faulty.. because even students in their 30s still need the pressure of looming exams to motivate them to study medicine to the level expected of a medical graduate. No wonder the American medical students study so hard, because their USMLE score basically determines their medical career (as poor scores basically rule you out of most competitive specialties). Sure, their motivation for learning was for high grades and not for the 'pure' intention of learning medicine, but who cares? - they know more medicine than the average Australian graduate.

In this regard, the increase in assessments in the USyd programme is encouraging.

Hope this trend spreads throughout the graduate programmes in Aus, because lots of the new courses were modelled on the USyd programme.
 
but who cares? - they know more medicine than the average post-graduate Australian graduate.

In this regard, the increase in assessments in the USyd programme is encouraging.

Hope this trend spreads throughout the graduate programmes in Aus, because lots of the new courses were modelled on the USyd programme.

Sorry slight correction.
 
I reiterate that if this is something you are concerned about, you should check the science curriculum of the school(s) you are interested in. All schools are not the same. Some of the criticism of the schools you have described was taken into account in the curriculum development of newer schools - Wollongong intentionally increased the anatomy component of our curriculum due to concerns being raised about anatomy in other graduate schools at the time we were planning about 5 years ago.
 
I reiterate that if this is something you are concerned about, you should check the science curriculum of the school(s) you are interested in. All schools are not the same. Some of the criticism of the schools you have described was taken into account in the curriculum development of newer schools - Wollongong intentionally increased the anatomy component of our curriculum due to concerns being raised about anatomy in other graduate schools at the time we were planning about 5 years ago.

That is great to hear, because my (limited) experience of having met senior students from some of the newer schools was somewhat discouraging, without naming any names.
 
What can one do to beef up their basic sciences? I am unsure what is actually needed to know. If I go to aus i wouldnt try to come back but...i want to be sure i know everything i should.
 
My advice would be to take a look at the USMLE Step 1 material that is floating around. There are plenty of books out there that if you're familiar with will be more then adequate for Basic sciences.

The good thing is that it will provide you with a more structured approach to learning the material.
 
What can one do to beef up their basic sciences? I am unsure what is actually needed to know. If I go to aus i wouldnt try to come back but...i want to be sure i know everything i should.

I find this thread a little bit ridiculous to be honest with you. If you feel that your Aussie med school isn't teaching you enough basic science, go pick up a book and learn about it yourself.
You're not going to be spoon fed all the information you require in med school, or real life for that matter, so take some initiative and go read about it on your own.
 
I find this thread a little bit ridiculous to be honest with you. If you feel that your Aussie med school isn't teaching you enough basic science, go pick up a book and learn about it yourself.
You're not going to be spoon fed all the information you require in med school, or real life for that matter, so take some initiative and go read about it on your own.

A little condescending are we?

Instead of helping out in people who might want to know what steps they can take to ensure they have the knowledge they need to succeed, you just end up putting everyone down.

If one does not know what areas they are deficient in, how are they supposed to know what books they should read? Or maybe there is a more efficient way to make up for the basic sciences taught in school other than reading text book after text book, like reading USMLE prep books (which was advised earlier on in the thread)
 
A little condescending are we?

Instead of helping out in people who might want to know what steps they can take to ensure they have the knowledge they need to succeed, you just end up putting everyone down.

If one does not know what areas they are deficient in, how are they supposed to know what books they should read? Or maybe there is a more efficient way to make up for the basic sciences taught in school other than reading text book after text book, like reading USMLE prep books (which was advised earlier on in the thread)

I'm not condesecending, it's just a problem with an easy solution. It's easier than you think to cover basic sciences on your own - obviously some stuff is taught, and if you feel it's not sufficient, you go read more. For example, your lecturer tells you that glucocorticoids bind intracellular receptors that alter gene transcription (and that's it), but you're not satisified and crack a phys textbook and read about receptor dimerization, GREs, etc. You've just taken that extra step to cover the basic sciences a bit deeper.

I don't think any Australian medical school ignores any aspect of basic medical science, they just don't go into great depth on certain subjects. That's where additional reading comes in.

With respect to the USMLE, buy the newest edition of First Aid and as you go through your basic science years use it as a guideline to know what stuff you need to cover for the USMLE.
 
Not American, not interested in writing the USMLE...

I'd rather use it as a guideline to know what basic sciences I should know.
 
Well many North Americans go to Australia with the idea that the education they receive will be the same as in North America. This is not the case, Australian Grad Entry programs are very self study in nature, learning is self directed, which might not be optimal for those who need to take licensing exams. There are some traditional programs still left that have a very defined course structure. Its not just the newer programs that might have issues with basic sciences I know people who go to the established programs in this country who have told me that if I undertake studies in Australia that I would have to basically teach myself many of the basic science subjects needed to pass the US examinations.
 
Well many North Americans go to Australia with the idea that the education they receive will be the same as in North America.

I think anyone with that idea hasn't done basic homework on the schools.

The curriculum is different. Those who want to return do extra reading in the basic sciences. More so for the US than Canada though.
 
This is not the case, Australian Grad Entry programs are very self study in nature, learning is self directed, which might not be optimal for those who need to take licensing exams.

I think you're assuming that everybody else is just like you. The difference between self-directed learning and spoon-fed learning is clear, and plenty of people prefer one over the other - but it's hard to say that one way is "optimal" or "not optimal" for everybody who has to take a licensing exam. Personally, I learn much better when I'm reading independently. For example, I learned all of my MCAT physiology on my own (I never took a physiology class), and I ended up getting a 12 on the BS. I also learned how to play guitar and piano without lessons, and I learned Photoshop and Flash and several other computer skills by just diving in and figuring it out. Some people are very different - they learn much faster if they have a person telling them what to learn.

The title of this thread suggests that there's a "deficiency" in basic science education in Australia. If that were the case, then Australian doctors would be inferior to American doctors - that's likely not the case, especially when you consider the fact that Australians have a longer average life expectancy than Americans do. It's more accurate to say that Aussie med schools have a different focus, and if you're not good at learning on your own, then you might have difficulty with the USMLE basic sciences after going to school in Oz (unless, of course, the USMLE Comprehensive Review is completed soon).
 
Personally I think there's a different focus as well. It seems to me that the toughest exam an American doctor will ever take is the USMLE, and then it seems to just dwindle from there with their licensing exams being notoriously easier then those in Canada, Australia or the UK.

In Australia the level of difficulty is different, it's easier at the beginning and much harder as you get towards the exit part of your training. So the "board" exams in Austraila are a lot more difficult then in the US.

To be honest it really depends what you think makes a better doctor - those with a lot more biochemistry and statistical knowledge, or someone with more knowledge in their specialist field.
 
The title of this thread suggests that there's a "deficiency" in basic science education in Australia. If that were the case, then Australian doctors would be inferior to American doctors - that's likely not the case, especially when you consider the fact that Australians have a longer average life expectancy than Americans do.

i can't help but say this appears to be implying something which is a logical error. eg. last I heard the people with the longest lifespan live in Okinawa. I would not presume this is because the best doctors are in Okinawa.
 
i can't help but say this appears to be implying something which is a logical error. eg. last I heard the people with the longest lifespan live in Okinawa. I would not presume this is because the best doctors are in Okinawa.

If you get as specific as a place like Okinawa, it's likely due to their genes/culture/lifestyle/diet. But with Australia vs. America, they're pretty similar in most respects. The point wasn't that a higher life expectancy in Australia means that the doctors are better - I meant to say that if Australian doctors were inferior, you'd expect their life expectancies to be shorter.
 
Shan that still is not a valid arguement.

Poor example.

A better retort is something like this..........it was Australian doctors that found H.pylori to be the primary cause of duodenal/gastric ulcers............it was Professor Frazer and his work on Gardasil........etc...........these statments can help argue that Australian basic science work is not poor or lacking and that Australia can produce world class doctors.

Also most Australian doctors are much much much better than American or Canadians at clinical diagnosis.
Most Americans just order a barrage of tests, as do Canadians, in hopes of stumbling upon a clue leading to a diagnosis.

In the end I do understand what Shan is trying to get across, he just did it poorly.

No worries, mate you are not being graded 🙂

Cheers
 
If you get as specific as a place like Okinawa, it's likely due to their genes/culture/lifestyle/diet. But with Australia vs. America, they're pretty similar in most respects. The point wasn't that a higher life expectancy in Australia means that the doctors are better - I meant to say that if Australian doctors were inferior, you'd expect their life expectancies to be shorter.

That is complete sillyness, you are comparing a country of 300 million with one with only 20 million. If you want a real test, try comparing the average life expectancies of the Eurozone(countries that use the Euro) to the USA.
 
Also most Australian doctors are much much much better than American or Canadians at clinical diagnosis.
Most Americans just order a barrage of tests, as do Canadians, in hopes of stumbling upon a clue leading to a diagnosis.

Any evidence to support this? Otherwise it's just a blanket statement with no basis in fact. I suspect the latter is true.
 
That is complete sillyness, you are comparing a country of 300 million with one with only 20 million. If you want a real test, try comparing the average life expectancies of the Eurozone(countries that use the Euro) to the USA.

Oh JanikeyDoc --- the USA data for morbidity & diseases is too good to be true - because they only include those with health insurance.:laugh::laugh: There is no way of keeping track of the others (i.e. millions of people) with no insurance or inadequate insurance.

We know you're very pro-American Janikey but if you have no intention of applying to Aussie schools, why are you in posting around here?

By the way, we do cover a lot of basic science at USyd GMP - I'm up to my neck in work. I wouldn't want any more basic sciences. In fact, I wish we could have less work.
 
I think I've seen some anecdotal evidence of it though earmuff. The main proof would be in the Physicians exams, many of the IMGs trained in the US or even Americans who have done their IM fellowships in the US have trouble passing the practical portion of the physicians exams.

Having spoken with them, most say the reason is because in the Australian exam they are actually expected for example to do a very thorough exam, and discuss things like the pitch of various murmurs and interpret their possible meaning. They weren't expected to go into that sort of detail on their US equivalent exams.
 
By the way, we do cover a lot of basic science at USyd GMP - I'm up to my neck in work. I wouldn't want any more basic sciences. In fact, I wish we could have less work.

I think the reputation that Aussie schools (particularly USyd) are "deficient" in the basic sciences is outdated. USyd has completely revamped their curriculum in the last couple of years, and now they place a lot of emphasis on ensuring that you understand the anatomy and physiology of every disease that we talk about. When I look at USMLE practice questions (for the material that we've covered so far), they seem pretty easy to me... especially in anatomy, which happens to be one of my weakest subjects.

Still, I don't think that our curriculum has adequately emphasized subjects like biochemistry for the USMLE. I took a lot of it during my undergrad, but I think that many USyd grads would probably have to revise their biochem before taking the USMLE.
 
I think the reputation that Aussie schools (particularly USyd) are "deficient" in the basic sciences is outdated. USyd has completely revamped their curriculum in the last couple of years, and now they place a lot of emphasis on ensuring that you understand the anatomy and physiology of every disease that we talk about. When I look at USMLE practice questions (for the material that we've covered so far), they seem pretty easy to me... especially in anatomy, which happens to be one of my weakest subjects.

Still, I don't think that our curriculum has adequately emphasized subjects like biochemistry for the USMLE. I took a lot of it during my undergrad, but I think that many USyd grads would probably have to revise their biochem before taking the USMLE.

If you can ace the USMLE I would believe you. Its a fact that the Basic Sciences are self taught in Australia. Also people pick up most of the sciences later in their careers, when they start working as interns and registrars.
 
Oh JanikeyDoc --- the USA data for morbidity & diseases is too good to be true - because they only include those with health insurance.:laugh::laugh: There is no way of keeping track of the others (i.e. millions of people) with no insurance or inadequate insurance.

We know you're very pro-American Janikey but if you have no intention of applying to Aussie schools, why are you in posting around here?

By the way, we do cover a lot of basic science at USyd GMP - I'm up to my neck in work. I wouldn't want any more basic sciences. In fact, I wish we could have less work.

I actually like Europe a lot and the EU is a fair sample to compare to the USA. The collective population of the countries that use the Euro is 300 million, that is a fair comparison to the USA.
 
JanikeyDoc said:
If you can ace the USMLE I would believe you. Its a fact that the Basic Sciences are self taught in Australia. Also people pick up most of the sciences later in their careers, when they start working as interns and registrars.
Well, we'll find out in a couple of years. Even if you say that the basic sciences are self-taught... what's wrong with that? Just go and learn them, I don't see a reason to whine about it. If we could have gone to school in N.America, most of us would have... but since we can't, we'll just teach ourselves. I don't see why it's such a big deal.


JanikeyDoc said:
The collective population of the countries that use the Euro is 300 million, that is a fair comparison to the USA.
There are several things wrong with that statement, just like most of the statements that you make:
1. If you knew anything about statistics, you'd realize that the sample size only affects the standard error of the mean, not the actual mean itself. Whether your population is 20 million or 300 million won't affect your life expectancy.
2. The eurozone is not a fair comparison because they have a much lower GDP than the US. Despite similar populations, the US has a GDP (PPP) of $14.6 trillion, while the Eurozone's is $8.4 trillion. If a country is almost twice as rich, I'd expect them to also be healthier... but they're not. The US still has a low life expectancy compared to most European countries (see below)
3. The eurozone is also not a fair comparison because it's not a uniform country. The US is a large nation, most of whose residents speak the same language and regularly travel from state to state. The eurozone has many different languages, and English is very uncommon there (since the UK isn't part of the eurozone). Also, much of Europe was destroyed by World War 2 (France, Germany) and the Soviet era (Eastern Europe), and they still haven't been able to catch up with the US. Australia, on the other hand, is very similar to the US - a nation of immigrants, nearly all of whom now speak English, similar GDP (PPP) per capita (actually, Australia is lower, and still has a longer life expectancy), no major destruction (i.e. WW2, Soviet era, etc.) in the homeland, etc.

Life expectancy varies heavily from country to country in the Eurozone, but the average is still higher than the US... despite the fact that the US is richer, more uniform (culturally), and far more united as a country. If the US was in the EU, our life expectancy (74 for men, 80 for women) would be among the lowest of all:
http://www.medicalnewstoday.com/articles/46767.php
 
Well, we'll find out in a couple of years. Even if you say that the basic sciences are self-taught... what's wrong with that? Just go and learn them, I don't see a reason to whine about it. If we could have gone to school in N.America, most of us would have... but since we can't, we'll just teach ourselves. I don't see why it's such a big deal.



There are several things wrong with that statement, just like most of the statements that you make:
1. If you knew anything about statistics, you'd realize that the sample size only affects the standard error of the mean, not the actual mean itself. Whether your population is 20 million or 300 million won't affect your life expectancy.
2. The eurozone is not a fair comparison because they have a much lower GDP than the US. Despite similar populations, the US has a GDP (PPP) of $14.6 trillion, while the Eurozone's is $8.4 trillion. If a country is almost twice as rich, I'd expect them to also be healthier... but they're not. The US still has a low life expectancy compared to most European countries (see below)
3. The eurozone is also not a fair comparison because it's not a uniform country. The US is a large nation, most of whose residents speak the same language and regularly travel from state to state. The eurozone has many different languages, and English is very uncommon there (since the UK isn't part of the eurozone). Also, much of Europe was destroyed by World War 2 (France, Germany) and the Soviet era (Eastern Europe), and they still haven't been able to catch up with the US. Australia, on the other hand, is very similar to the US - a nation of immigrants, nearly all of whom now speak English, similar GDP (PPP) per capita (actually, Australia is lower, and still has a longer life expectancy), no major destruction (i.e. WW2, Soviet era, etc.) in the homeland, etc.

Life expectancy varies heavily from country to country in the Eurozone, but the average is still higher than the US... despite the fact that the US is richer, more uniform (culturally), and far more united as a country. If the US was in the EU, our life expectancy (74 for men, 80 for women) would be among the lowest of all:
http://www.medicalnewstoday.com/articles/46767.php

So now all of a sudden you are pro America?? I have been to Europe, borders have disappeared. The Eurozone economies collectivelly account for 11.6 Trillion US. The overall EU is about 15.2 Trillion or more. Europe fyi has amazing infrastructure. Drive on a German autobahn, go to a European airport, take a train, far more modern than semi-third world Australia. I went to Athens a few years ago, one of the poorest EU countries, and their airport and transportation network far outclasses Sydney.
 
I think I've seen some anecdotal evidence of it though earmuff. The main proof would be in the Physicians exams, many of the IMGs trained in the US or even Americans who have done their IM fellowships in the US have trouble passing the practical portion of the physicians exams.

Having spoken with them, most say the reason is because in the Australian exam they are actually expected for example to do a very thorough exam, and discuss things like the pitch of various murmurs and interpret their possible meaning. They weren't expected to go into that sort of detail on their US equivalent exams.

I do agree that the OSCE's and clinical exams in Oz are more thorough. What I took issue with was the implication that American doctors have no idea and just order a CT "hoping for a clue." This is simply not the case.

As far as recognizing murmurs... I can sit and pontificate about the pitch and timing of murmurs for an entire afternoon, or else order an echo and be done with it. That, and the fact that the echo is far more sensitive than my ears (which are damaged from too much loud music in the 90's, I liked grunge), and will provide a very accurate and complete picture of what is going on in the patient's heart.

Oh yeah, and the fact that I'm a pathologist, and I don't listen to people's hearts anymore...

But the point is use of medical technology has its place in the modern practice of medicine. Perhaps it's overemphasized.

I have seen an attending in the US diagnose hypothyroidism by checking a patient's reflexes. Does this make him a better doctor than one who catches it by ordering a TSH? I would argue that no, it does not. Sure, one requires more skill +/- experience, but in the end they arrived at the same diagnosis. The patient outcome is the same.

For people who feel that US doctors are inferior in their practice, I have one request. Rotate through a University hospital. Go to MGH or the Brigham for a student rotation. Spend some time here, and then form your opinion. Don't rely on anecdotes or preconceived biases or prejudices to form your beliefs.
 
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For people who feel that US doctors are inferior in their practice, I have one request. Rotate through a University hospital. Go to MGH or the Brigham for a student rotation. Spend some time here, and then form your opinion. Don’t rely on anecdotes or preconceived biases or prejudices to form your beliefs.

i dont know how many students would be willing to make the financial commitment to rotate through MGH or the brigham given many are already paying exhorbant international fees. as harvard teaching hospitals, at the mgh and the brigham you will have to pay $3000 tuition per month on top of the tuition at your own med school.

and if you've looked at the application, you list your prefered hospitals but are not guaranteed to be assigned your top preference. you could end up at Mount Auburn Hospital, the VA, or one of the numerous Cambridge Health Alliance locations instead of your prefered big name hospital.

how about we just suggest rotating through at the least a decently rated public med school teaching hospital?
 
how about we just suggest rotating through at the least a decently rated public med school teaching hospital?

Of course. Those were just two good hospitals on the tip of my tongue. There are many to choose from.
 
We're all arguing about little details now... I don't think anybody here really believes that American or Australian doctors are significantly better than one another. Everybody in the world knows that the American private healthcare system poses obvious problems, and that probably accounts for much more of the discrepancy in life expectancy than does the competency of doctors.

As far as the MGH/Brigham comment - those are Harvard hospitals. If you go there, you'll interact with the best of the best and you'll get a distorted perspective. If you go to a crappy hospital in inner-city New Orleans or in Sedalia, Missouri (been to one of those, I can testify firsthand), you'll get a distorted perspective on the other end. The point is that there are a lot of extremes in the US... Australian hospitals may not be as great as MGH, but they're also not as crappy as Bothwell Hospital in Sedalia. We can't just depend on our own personal experience, because our personal experience will usually be distorted... instead, you should rely on the large studies that consider the experience of thousands of other people; then, the positives average out with the negatives.

The point is not that any one country is better than any other one. The point is that there are many different ways to produce a good doctor... the American way is slightly different from the Australian way, but neither one or the other is "wrong." One is probably better than the other, but that's impossible to measure.

Now to address Janikey, which is always fun:
So now all of a sudden you are pro America??
I've always been pro-America, but that doesn't change the facts. Unlike you, I don't distort the facts depending on whether or not I'm pro-something. If the facts support America, then the facts support America. I like America, but this forum is about Australia.

I have been to Europe, borders have disappeared.
It's not about political borders, it's about de facto cultural borders. If somebody moves from Kansas City to Chicago, it's not that unusual... but if somebody moves from Paris to Berlin (similar distance), it's huge. The point isn't about whether or not Europe has borders... the point is that you can't compare it to the US.

The Eurozone economies collectivelly account for 11.6 Trillion US. The overall EU is about 15.2 Trillion or more.
Again, this shows that you don't understand statistics and/or economics. Your numbers aren't adjusted for Purchasing Power Parity (PPP), which is an adjustment that you have to make when you're comparing one country to another. Normally, life expectancy is strongly correlated with a country's per-capita GDP(PPP)... but the US is below the curve. They have a much higher GDP(PPP) than any other large nation, but most other developed countries have a higher life expectancy.

Europe fyi has amazing infrastructure. Drive on a German autobahn, go to a European airport, take a train, far more modern than semi-third world Australia.
Europe has better airports/trains because people travel through Europe a lot. Nobody travels through Australia, so there's no point having a better airport. Same with roads and trains... when the population is dense, they have a use for something like the autobahn. In Australia, the autobahn would be a waste of money.

As far as the "third-world" comment... you obviously don't know what third-world means. During the Cold War, American allies were called the "First World", Soviet allies were the "Second World", and everybody else was the "Third World." I was born in Pakistan... once you see the poverty there, you don't really notice the differences between different developed countries. Sure, the US may have more pretty buildings than Australia does, but there's much more to "development" than architecture.

If we look at things through our own personal experience, we'll get distorted perspectives based on our own preferences. If you like to see pretty buildings, you'll prefer the US. If you'd rather see cities with fewer bums on the streets and longer life expectancies, you'll prefer Australia. Instead of looking at Janikey's personal preferences, consider the UN's impartial data, which ranks Australia as #4 in the "Human Development Index", while the US is #15:
http://en.wikipedia.org/wiki/Human_Development_Index
Why, you ask? The primary reason is because Australians live longer - that's the most basic thing that people strive for. What's the point of having nice buildings if your people aren't living as long? Even the US Declaration of Independence asserts Americans' right to "Life" before even their right to "liberty and the pursuit of happiness"... so how can you possibly say that Australia is a "semi-third world country" when its people live longer than Americans? In real third-world countries, people have to worry about whether they'll be able to live a full life - obviously, Australia is doing well in that regard.

Don't listen to me, don't listen to Janikey, listen to the data.

Now, I'm not saying that America sucks... part of the reason why we (Americans) have a shorter life expectancy because the descendants of pre-Civil War slaves have been repressed and it's very difficult for them to get out of their impoverished state. The point is that it's ridiculous to say that Australia lags behind just because they don't have nice-looking trains. The train system in Sydney is much better than the one in Los Angeles... does that mean that Los Angeles is a third-world city? You've obviously never seen real poverty in your life.

I went to Athens a few years ago, one of the poorest EU countries, and their airport and transportation network far outclasses Sydney.
Athens is a big tourist city, of course they have a nice airport. Also, lots of people travel through Athens to get to their final destination... it would be stupid for anybody to travel through Sydney. You can pick and choose your favorite aspects of every country and make Australia sound like a crappy place... sure, Athens might have a nicer airport and a nicer transportation network, but I'm sure there are plenty of trade-offs like there are everywhere (I've never lived there, so I don't know what they are).


The bottom line(s) is(are) this(these)... we argue about little details, but in terms of daily life, the biggest difference between America and Australia is the accent. I notice plenty of differences between Sydney culture and St. Louis culture, and I like Sydney much better... but some people may prefer St. Louis (or some other American city). I think we can all agree that most of you won't really notice a big difference between the two. If you don't have the option of staying in North America, then Australia is a much better daily-life alternative than the places where some other people go for education.
 
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just don't feed the troll!

Yeah, you're right as usual, but I just feel like I need to counter his nonsense for the benefit of the non-regular readers of this forum who don't realize that he's a troll... they might actually take his opinion seriously.
 
Look at the IMF or World Bank websites, the EU is supposed to have a 15 Trillion Dollar economy, that is 27 nations. I would say most of the Eastern European states will switch to the Euro over the next 10 years, which will increase the weight of the European currency. America has traditionally been seen as an amalgam of Europeans, it is somewhat fair to the see the US and EU as similar. Both are democratic, both are capitalist, and the EU although not as enthusiastic is multicultural.


I have been to third world countries, Gambia, Nigeria, India, Indonesia, and Mexico, I know what third world countries are like. I find Australia to be a cut below Europe and North America in terms of modern infrastructure. One of the biggest problems is telecommunications, Australia is backward compared to most modern nations. You get charged a special rate for calling mobiles and one for land lines, also broadband internet in Australia is horrible. Traveling around Sydney is an outright nightmare, as transport is just crap.
 
I have been to third world countries, Gambia, Nigeria, India, Indonesia, and Mexico, I know what third world countries are like. I find Australia to be a cut below Europe and North America in terms of modern infrastructure. One of the biggest problems is telecommunications, Australia is backward compared to most modern nations. You get charged a special rate for calling mobiles and one for land lines, also broadband internet in Australia is horrible. Traveling around Sydney is an outright nightmare, as transport is just crap.

I'd have to disagree with telecommunications networks being backwards. I've used telecommunications in most developed countries (Asia, Europe, North America) and Australia is one of the few countries in the world with 4 3G networks. Considering it's size you get surprisingly excellent coverage with most of them even outside of large capital areas. Uh...you do realise that Europe also charges a special rate for calling mobiles and one for landlines?

I can debate about the pros and cons of the system, but personally I prefer the free incoming calls, and not being restricted to local calling "weekends/nights" like you are in some countries with same rate mobile/landline calls (ie Canada). Australia also has a greater then 100% mobile penetration rate, whereas Canada with a similar US style mobile calling system has just over 50%. So which one is more expensive in the eyes of the population? Australia also has plans with unlimited calls from mobiles, one of the few countries (along with the US) to have such plans, which don't exist in Europe or Asia, or Canada.

Now I've travelled around Asia and Europe, and Asia hands down blow Europe out of the water. As for transportation I think traveling with Europe might be good, but traveling within the same country isn't great. Sydney's transportation system is actually pretty good. You can get to all the major hospitals by their train network and they're only a few mins walk from the station. What's so horrible about that? It's much better then the TTC in Toronto or even LA's transportation network. Obviously Asian cities like Singapore or Hong Kong have a much better/faster network, but they are also small densely populated cities.
 
Earmuff,

I don't think anyone is saying American docs are "inferior". It's just that their training is not good enough for Oz exams, mainly because of the difference in emphasis in the two systems.

Surgeons from the US for example do really well. Although there is a lot of theoretical stuff on the Oz exams, at the end of the day it's all about theatre time, and US graduates have plenty of that because of their brutal residencies.

I agree that you could just order the echo, but in Oz it doesn't happen instantly, and costs money, whereas listening to a patient's chest is free and instant. Utilizing recourses efficiently is a factor in Oz hospitals and so although the thoroughness of the practical exams do seem pointless I guess there must be some underlying reasoning behind it.
 
I'd have to disagree with telecommunications networks being backwards. I've used telecommunications in most developed countries (Asia, Europe, North America) and Australia is one of the few countries in the world with 4 3G networks. Considering it's size you get surprisingly excellent coverage with most of them even outside of large capital areas. Uh...you do realise that Europe also charges a special rate for calling mobiles and one for landlines?

I can debate about the pros and cons of the system, but personally I prefer the free incoming calls, and not being restricted to local calling "weekends/nights" like you are in some countries with same rate mobile/landline calls (ie Canada). Australia also has a greater then 100% mobile penetration rate, whereas Canada with a similar US style mobile calling system has just over 50%. So which one is more expensive in the eyes of the population? Australia also has plans with unlimited calls from mobiles, one of the few countries (along with the US) to have such plans, which don't exist in Europe or Asia, or Canada.

Now I've travelled around Asia and Europe, and Asia hands down blow Europe out of the water. As for transportation I think traveling with Europe might be good, but traveling within the same country isn't great. Sydney's transportation system is actually pretty good. You can get to all the major hospitals by their train network and they're only a few mins walk from the station. What's so horrible about that? It's much better then the TTC in Toronto or even LA's transportation network. Obviously Asian cities like Singapore or Hong Kong have a much better/faster network, but they are also small densely populated cities.

Asia blows Europe out of the water??? Are you on drugs?? I have been to India, that country is as third world as they get, it also represents the other half of Asia. China's coastal cities are modernizing but overall China is still third world. Don't get me started on Indonesia, that is also third world and is the third most populous Asian nation after China and India(its also going to be major security threat to Australia in the coming years as US influence in the Pacific begins to wane) Europe has excellent transportation networks, try the French TGV or German ICE, amazing. Sydney had a blackout in the middle of the day a few months ago, pathetic. Countries like Germany and France have advanced nuclear power industries. In fact, it was impressive to see nuclear smoke stacks in Europe. I have drunk tap water in Western Europe without any worries, I seriously would not do so in Asia. Heck many Asian restaurants in Sydney have horrific hygiene.

Singapore and Hong Kong are enclaves of the Western world in Asia. Japan is the only developed modern Asian nation.
 
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Do you guys find enough time to study medicine in between your breaks away from this forum?

Everyone is entitled to their opinion, and no one's opinion is fully impartial. A person browsing this forum for information will look at both sides of the argument and make up their own minds.
 
Interesting page about the potential threats to Australia's security:
http://www.rsimpson.id.au/books/tomorrow/explore/threats.html#3

Australian billionaire Rupert Murdoch is one of the most pro American voices in Australia, he's a lot smarter than the average Aussie I have to admit, and knows the US provides for Australia's security. Look up ANZUS just in case you do not know which world power defends Oz.
 
I like that you acknowledge singapore, japan and hong kong are part of asia but then dismiss their transportation networks. The bullet trains of Japan and the MRT of Singapore and transportation of networks of Hong Kong are much better then that of Europe, at least in my experience. I'm sorry that you seem to dislike Asian people (and apparently Asia in general) but that doesn't make Europe's transportation superior to those of Asia.
 
I like that you acknowledge singapore, japan and hong kong are part of asia but then dismiss their transportation networks. The bullet trains of Japan and the MRT of Singapore and transportation of networks of Hong Kong are much better then that of Europe, at least in my experience. I'm sorry that you seem to dislike Asian people (and apparently Asia in general) but that doesn't make Europe's transportation superior to those of Asia.

I have nothing against Asian people, just people are deluded if they think the quality of life and living standards are better in Asia than in the West, keep smoking whatever you are smoking. I have been to India which accounts for nearly half of Asia's population, there is a small wealthy elite but most people in India starve. A friend of mine visited China and even paid a guy to show him the slums of Shanghai, the super modern photos of Shanghai are BS. If that were really true, why do so many Asians go to the US, Canada, Europe, and Australia/NZ??

In Germany if you are caught with a gram of marijuana, they just take it away from you, no arrest, in Singapore, they kill you, why would I want to live in such a country? If you really want to expand Asia, lets include Israel, which is technically in Asia, very modern and high tech.

I do see America getting competition but not from Asia, it will be from Europe. Europe has modern technology and the capability to build a powerful military machine. Most of the global aviation industry is dominated by Europe and the USA with Russia having a smaller part of it.
 
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