I do think it would be harder to get the more competitive residencies as a foreign grad.. but if you are in one of the more reputable schools - I really think it's all about what you make of your experience there. You can succeed there if you are driven and willing to work hard. Here's some stats in case anyone else is kinda keeping their options open right now.
St. Georges U. School of Med: postgraduate appointments 2000
1% in each: Radiology, pathology, radiology-oncology, opthalmology, neurology, internal med/psychiatry, internal med/peds, physical med and rehab
3% anesthesiology
4%: psychiatry
7% general surgery
4% emergency med
10% family practice
6% obstetrics and gyn
46% internal med
From St G's View Book
Wright State U, Dayton OH 2002
1-2% in each: neurology, opthamol, orthaped surg, 0tolaryngology, physical med and rehab, radiology, urology
4% anesthesiology
5% psychiatry
8% emergency med
33% family practice and internal (21 and 12 respectively)
4% internal/peds
4% ob gyn
13% pediatrics
12% general surgery
7% transitional year
from:
http://www.med.wright.edu/students/2002/specialties.html
St G's pass rate for USMLE step I in 1999 was 91% for first time takers
For U.S. student first time takers the collective pass rate in 1999 was 92%
(sorry I don't have anything more current!)
This is what I meant by "comparable" and I definitely don't want to mislead anyone. Going to a foreign school should be an absolute last resort.
Although you don't get asked by your patients where you went to school..you WILL get asked by your colleagues and the foreign grads I've talked with said they felt like they had to prove themselves when they came to the states to do their 3rd and 4th year rotations and also during residency. But one of them said that it only motivated him to do better, learn more, and excel.
I have a lot of respect for foreign grads that really do have a passion for medicine. They are faced with challenges US students dont have to deal with. Anyway, I hope I never have to seriously consider foreign med schools.. but if I don't end up in med school in the states in the next couple years, I may find myself trading in my sweaters and mittens for island wear!