Dilemma... advice needed

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Anaplastic

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Looking for some advice on a bit of a dilemma… this I a bit lengthy so I apologize in advance.

I’m currently an IM resident in Eastern Canada… reputable program and I plan to go into oncology for my fellowship. I should preface this by saying I’ve got dual citizenship… long story… in a nutshell, my family is in the US and my girlfriend’s up here.

I was planning on also doing my onc fellowship up here initially, but due to somewhat urgent personal/family reasons I have had to consider transferring programs and finishing up my residency back home in the US. The problem arises with the fact that I did not apply for US heme/onc fellowships for my graduating year basically because this was not my initial intent. In Canada one applies for fellowships a year later than you would in the US. So, if I in fact transferred and finished IM down in the US I would have to take a year off and moonlight/work research, whatever. My ultimate goal is to practice privately in med onc or heme/onc and to do this in the US rather than Canada.

My dilemma is… I know if I finish up my program up here in Canada I’d stand a great chance at matching at a great onc program for fellowship where I am and then I could always think about going to the US to practice, but should I risk all of this to go back to the US and complete IM there, take my year off and presume I’d still stand a chance at matching to a decent heme/onc program? Will it actually look any better to apply to a US heme/onc program having the name of a US IM program on my CV vs. that of a Canadian? I realize they’re both LCME, but I’m just wondering say as an example I transferred to XYX internal medicine program in NY and wanted to match to the same fellowship in heme/onc at XYZ if that would in fact increase my chances?

Any advice? 😕
 
Hi there,
I'm a medical student in Eastern Canada who'll be doing my IM residency in the US and am interested to go into Hem/Onc. However, my preceptor and mentor here in Canada is a Hem/Onc who did her residency in Canada and then fellowship in hem/onc at Mayo. Perhaps this is something you can look into? Although you're technically "one year late", you might still be able to find a program in the area where you need to be by contacting the programs personally. It'll be best if you have done your USMLEs on top of the MCCQEs (gives you a bit of an edge from what I gather from residents who are applying/applied to fellowships in the US). Good Luck.
 
Yep, I've completed my LMCC I and II along with USMLE Steps I-III.
 
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