How much of an advantage do US graduates have over IMGs when it comes to match

[yaah]

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Well, there's a comeback for the ages.

I think that says it all for this thread.

 

[Haley]

May I bow and kiss your feet almighty one? I am truly humbled by your devine power. Let us all pray and give thanks for the supreme one who possesses the power to save lives as opposed to us other shmucks who know and do nothing.

 

[ditch doctor]

And yet, we get an enormous number of irish docs applying to US residencies but little number of US graduates applying to irish residencies....

Um, that's because Irish don't have residencies. They have training schemes which are *very* different than residencies, and not really open to anyone but the Irish. Also, it is very difficult to become qualified as a consultant (attending) and get a job if you are not Irish. You could end up as a registrar (senior resident) for 20 years without getting a consultant job. Not too fun. Not a lot of Irish people apply for US residencies either. There might be, however, a lot of non-Irish that go to Irish schools and then apply. I don't know about an "enourmous" amount. Ireland is a pretty small place, population 4 million in the whole country.

Also, I have been beside both Irish students and US students. They are all about the same really. Clueless. In fact, 99.9% of med-students and 99% of interns (in the first few months of residency) are clueless, myself included.

 

[Bring It On]

A lot of people are posting answers to "How hard is it to get a residency if you're an IMG" question. Which it is harder to get one. If you are the #1 or #2 person in your class you have 245+ on both steps and you have some research and you are not a choad you have a 50/50 shot at derm/plastics/ortho/neurosurg and are a lock for mid-level competitive residencies. If you beat the mean on both steps, have decent grades, good LORs, interview well and apply to >30 programs and interview at 10 you will probably get surg/EM/gas are are a lock for all but the top tier FM/IM/Peds/psych programs. If you barely pass everything and you cast a wide net (ie apply to a lot of programs) you will probably get FM/IM/peds/psych somewhere, if you interview enough.

However, the OP wanted to know assuming you already had a residency. So, to the OP: Once you're a resident nobody cares where you went to medical school. Period. I matched EM and I tell people that I went to AUC and 99.999% of them --Faculty, staff, residents, med-students, nurses, techs, environmental srvcs, IT, HR etc...-- all say, "Awesome! How was the Caribbean?" I say, "Pretty cool, but I knew I wanted EM so I had to work a little harder than the average guy, but all in all I would do it again." Then they ask me, "Why did you go there?" I say, "It's really hard to get into medical school in the States, they screen candidates really hard to weed out potential bad apples. Caribbean medical schools have lower entry standards and rely on attrition to weed people out." "Oh." Then our conversation moves on to the topic at hand.

It's been said before, but once you graduate medical school people care about your medical school about as much as when you're in college people care about your high school.

My name badge says, "MD". My license says, "MD". I introduce myself as a doctor. Once you're in a residency, no one cares about where you went to medical school. They care about what kind of doctor you are, how professional you are, how much you study, how efficient you are, what % of conference you attend, your satisfaction rating, how well you perform on in-service exams, your evaluations, whether you have signed all your charts and orders. Where you went to school is nothing more than a mere curiosity.

If there are any PD's or headhunters on here that want to correct me, please feel free.

 

[Tired]

May I bow and kiss your feet almighty one? I am truly humbled by your devine power. Let us all pray and give thanks for the supreme one who possesses the power to save lives as opposed to us other shmucks who know and do nothing.

Whatever works for you. All I did was respond to the "greater impact" comment from the GP set. You want to drink the primary-care Kool Aid, feel free, but I didn't go to med school to hand out Amoxicillin for runny noses and do cholesterol surveillance.

 

[mlw03]

Whatever works for you. All I did was respond to the "greater impact" comment from the GP set. You want to drink the primary-care Kool Aid, feel free, but I didn't go to med school to hand out Amoxicillin for runny noses and do cholesterol surveillance.

you may not want to do primary care, but someone needs to, and preferably someone with an MD or DO, not an ARNP or PA (who certainly are valuable, but they're not doctors). what people are pissed about is the way you seem to think your actions are more important than those of the primary care people. and that's just not true - equally important yes, and in a wholly different way.

when you make all these primary care comments please think about your kid/future kid and who's going to take care of them. are you, the neurosurgeon, going to take your kid to a subspecialist or are you going to take your kid to the pediatrician that you're ragging on so much in this thread?

 

[Tired]

when you make all these primary care comments please think about your kid/future kid and who's going to take care of them. are you, the neurosurgeon, going to take your kid to a subspecialist or are you going to take your kid to the pediatrician that you're ragging on so much in this thread?

I'm going to take her to my Primary Care Manager, who is an NP. The only time she would need a Pediatrician is if she had complicated medical problems or was admitted to the hospital. I don't need an MD to read a vaccination schedule or do developmental screening.

 

[I am Hans]

You might want to quit making those comments Tired before you become more vilified.

Makes me embarassed to be a surgeon.🙁

 

[Reborn07]

we're getting off subject from the topic of this thread

 

[sga430]

AMGs have a huge advantage when getting a spot. i am an img and matched at #19 in psych. i am extremely happy and would have ranked my current program much higher - maybe #10 or so. also #19 is not low on my list. it is in the top half.

 

[rainbowman]

Speaking of matching, How many people drop out of medical school when they find out they didn't do well on their Step 1s and feel like their dreams of certain specialties are shot to $h!t?

 

[McGillGrad]

Speaking of matching, How many people drop out of medical school when they find out they didn't do well on their Step 1s and feel like their dreams of certain specialties are shot to $h!t?

No one can answer that because it is a dynamic variable.

People would be $60,000-$100,000 in debt by then. It is logical that they keep trying to pass the exam. Then take any position in any specialty available (i.e. FM).

 

[rainbowman]

No one can answer that because it is a dynamic variable.

People would be $60,000-$100,000 in debt by then. It is logical that they keep trying to pass the exam. Then take any position in any specialty available (i.e. FM).

I did not know that it could be taken more than once.

What I mean is, if someone has an undergrad degree from, say Harvard, and they cannot manage more than an average/subpar score, they have to at some point realize that their medical education they finished so far is a sunk cost and they should look elsewhere for a career if they can't get one of their top few specialties.

 

[McGillGrad]

Step 1 is similar to the MCAT insomuch that it can be studied for systematically and passed by someone willing to work hard enough for it.

Getting a high score is much more difficult.

Once you have committed 2 years to medical school, you do not care how you finish or what specialty you match into.

Most places allow you to take step 1 two times before they get worried.

There are VERY FEW people who know what specialty they want until 3rd year.

I did not know that it could be taken more than once.

What I mean is, if someone has an undergrad degree from, say Harvard, and they cannot manage more than an average/subpar score, they have to at some point realize that their medical education they finished so far is a sunk cost and they should look elsewhere for a career if they can't get one of their top few specialties.

 

[Apollyon]

I did not know that it could be taken more than once.

To clarify, if you pass, you can't (like to get a better score). If you get a 186, good luck - you'll need it. That's what you're stuck with.

 

[Pinkertinkle]

Speaking of matching, How many people drop out of medical school when they find out they didn't do well on their Step 1s and feel like their dreams of certain specialties are shot to $h!t?

That would be like turning gay because you couldn't get a date with the hotties. In both situations, there's always backups.

 

[McGillGrad]

That would be like turning gay because you couldn't get a date with the hotties. In both situations, there's always backups.

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