Help me find a residency or go on with my life?

[DRZIVAR]

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I am a struggling former family medicine resident an international medical graduate from the Carribean with US clinical skills. I have been in and out of 2 residencies and can not get back in now for 2 years. I wanted to see if there are any other ways to get into ANY other residencies just to get my california licensure. I need two years consecutive of residencies in anything. Are there any favorable spots any programs any state that is helpful to IMGs any weird programs anything else that I need to pursue. I am getting real tired and actually thinking about switching fields but having done all this I am very stubborn to do it. Can anyone help me please with any advise what so ever. My previous program has closed and I do not have favorable things from them that can be sent anyway. Email me or reply to this.

 

[DarthNeurology]

I have a struggling former family medicine resident an international medical graduate. I have been in and out of 2 residencies and can not get back in now for 2 years. I wanted to see if there are any other ways to get into ANY other residencies just to get my california licensure. I need two years consecutive of residencies in anything. Are there any favorable spots any programs any state that is helpful to IMGs any weird programs anything else that I need to pursue. I am getting real tired and actually thinking about switching fields but having done all this I am very stubborn to do it. Can anyone help me please with any advise what so ever. My previous program has closed and I do not have favorable things from them that can be sent anyway. Email me or reply to this.

1. You could clarify what "in and out" of 2 residencies means, i.e. were you fired or did both programs shut down? This probably has a big impact on your chances of getting a third residency.

2. California can be a competitive place to get a residency, competition is pretty stiff right now for residency positions, you may need to go to another state. I would look for open PGY-2 and PGY-3 positions.

3. Consider going into another field as many residency applicants don't match each year and you are at a major disadvantage being an IMG and having already been in two residencies. Medicine will become more regulated and a more difficult future profession in the United States in the future, especially for IMGs. This could be a blessing in disguise as there are plenty of other great careers that will take off in the U.S. in the coming decades.

 

[ShyRem]

You may need to scramble and call every family med program out there to find someone - anyone - willing to take a chance on you. I hate to say it, but two failed residency attempts, for whatever reason, can't look good. Especially if you don't have favorable documentation from both residencies.

If you really want to finish a residency, you may have to be willing to move anywhere you can get a spot.

 

[bigDinLV]

sounds like all he wants is enough time to get a license so he can moonlight.. I'd suggest your home country where you went to school.

 

[DRZIVAR]

I was told to repeat first year again from the first residency and the second residency fired me. I am from the Caribbean with US clinical experience. Are there any residencies that are favorable to apply to? Even the Preventive Medicine is not willing to look at my application. Any state that is favorable I am free to go to any other state and actually can not go to residency in California due to their own restrictions.

 

[Rendar5]

Before giving you advice on yes you shoudl try more or no you should go to another career, it would be helpful to know why you ran into trouble in 2 different programs

 

[DarthNeurology]

I was told to repeat first year again from the first residency and the second residency fired me. I am from the Caribbean with US clinical experience. Are there any residencies that are favorable to apply to? Even the Preventive Medicine is not willing to look at my application. Any state that is favorable I am free to go to any other state and actually can not go to residency in California due to their own restrictions.

Not to be mean, but your english appears very poor from your post. You might want to take some time to volunteer in a hospital or take an english as a second language class as miscommunication can get you fired.

I thought you said that your last residency program closed?? Did they fire you and then close? If your usmle scores are low, then I would consider looking into another field while you apply for residency, you can apply but you will have some difficulty getting interviews. I would say apply to 100+ programs, but you might end up just wasting thousands of dollars. . . nobody here can tell you what to do, there is always a slim chance that a fired resident can get another residency program, however, at least as far as I can tell you have to get letters from both of your old residency programs which will presumably say unfavorable things about your performance, at this point you would be asking for a third chance. . . study and do well on Step 3 and maybe get clinical experience, but the competition for IMGs is stiff and many who haven't been fired from a residency program don't match . . .

 

[NotAProgDirector]

If I understand correctly, you trained in the Carib at one of the "lower tier" schools (hence the inability to be a resident in Cali), were accepted into two residencies. The first required that you repeat the intern year, and then subsequently closed. You were accpeted into a second, and was fired. All of this was in FM. You are now 2 years beyond that without having found additional training.

If that's the gist:

1. You are now at least 4 years post graduation (2 years of training + 2 years in limbo). It's "do or die" time. If you don't get your medical career resusitated at this point, it's only going to become more difficult in the future.

2. As a generic PD, I have no interest in simply giving you "another chance". You've had two chances already and not done well. In order for anyone to consider giving you another chance, they would want you to prove, as best able, that you had learned from your past problems and come up with a solution to improve. The details of such a plan are impossible to tell you without knowing the problem, and I completely respect that you might not want to post all the gory details here. But, it might include switching fields if there was another field that fit your skills better, or new ways of studying, or could include new skills you have picked up in the last two years, etc.

3. What new fields would be reasonable? Psych, PM&R, and Path are the fields that are on the low end of the competition scale and stress different skills than FM.

4. There is no easy way forward for you. I could totally understand how no PD would be willing to take a risk on you again given your history. Hence, if you really want to make this happen you'll need to really "work the system". You'll could work at / volunteer at a hospital with a training program and get to know residents and the PD, go to conferences, do research, network, etc. This is what it will take.

5. What have you been doing the last two years? If the answer is "nothing helpful to get me a new residency" then you have probably brought your medical career to an end, but if you get started now there is a small chance of success.