In my country, we have two United States Naval Hospital. We can join one residency program there and work there as a doctor with American physician for one year. Of course, patients and other staff are all American. This system is unique and I'm not sure that other countries have this kind of same system. This is not an observership. And, I researched for one year in my country not in America, sorry.
Sounds better than nothing, but I don't think that this will be considered as a USCE, actually it is us hospital but it is not in USA, I don't think that if I rotate for a year in US hospital an Italy it will be give me that "official" USCE. but anyways, in the end everything will go to Contacts and Green cards : )) your, mine, or anyones research is just a ...t because everyone knows that, what are medical students going to research? - nothing! I checked your previous year posts, seems that you have not worked on your contacts. Research is just for getting into game, seeing people, building contacts, unless you have done research at hopkins and invented a new surgical technique with less morbidity and mortality. Work on contacts.
I am not offensive I just try to help, because an Idea visited me right now! I check naval hospital, most probably you are from japan right? You are pgy3 or pgy4 right know. You can graduate from you GS program, then do Non-ACGME acteddited fellowship, for example in transplant, and after this real usce for a year you can aplly for gs even categorical (considering your normal uscmle scores), some people even wave the requirment for residency and start working after in hospital as an operating surgeon, just check how much people work as a surgeons in usa without doing a residency in usa, just fellowships. mostly that will be people in demand, in more underserved areas, i saw many ct surgeons, ent surgeons, transplant guys without residency in usa, that sounds strange right? - and you will most probably find no information about how this things happen, but there is samething called "residency requirment waiver". Bilion things happen in this beatiful country, you just need to find you own door.
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