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- May 18, 2008
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My career is spiralling into the abyss. Every time I move forward another unforeseen obstacle derails me. I really need some good advice on how to fix this mess. I keep taking two steps forward and one back. I seem to be getting bad advice at every turn.
Here's the story so far...I'm a US citizen, have a BA in Chemistry but went to a Caribbean med school that does not support its students. Students are responsible for setting up all their third and fourth year clinicals by themselves since the school does not have a contract with any US hospitals. The first hospital I did clinicals in CLOSED three weeks after I got there. I ended up doing clinicals in a horrible hospital that charges FMG's $300/week but really doesn't train anyone. My USMLE scores on Step 1 and 2 are average at best. I entered ERAS a few years ago in the hopes of getting a Pathology residency. I did not match and did not find a position through the Scramble.
I was told to reapply to ERAS the next year and pretty much give up on a career in Pathology. I was advised to just take "any residency" and then try to transfer into Pathology after I pass Step 3. I applied to Pathology and Family Practice programs and matched in Family Practice in March 2007.
As part of the Family program, I rotated through Pathology and was told that if I really wanted a career in Pathology, I should do another one month rotation in Pathology in a "lower tier" program that might accept me. I've done three years of Neuro research and have worked in Path related fields before going back to med school, so I come across a lot better in person than my USMLE scores would lead people to believe.
I was dismissed from the Family Practice program after four months because I was too slow in seeing patients. I was miserable there anyway and was happy to leave. A month later, I got a one month "observership" with a nearby Path program. I loved the place and they said they "would love to have me." They told me they would offer me one of their residency positions that they were going to hold outside of the Match, so I did not enter the 2008 Match this March.
Last week, they told me that their Medical Education Dept. declined their request to give me a contract because of some rule that I had never heard of before.
Apparently, by starting my residency career in Family Practice (a three year program), the federal government will only reimburse my residency training for three years, so the Path program that accepted me would not be reimbursed completely for my four years of training...and since the hospital is going through financial difficulties laying people off, they decided they couldn't accept giving a contract to someone without getting full reimbursement for the whole four years that I would be there.
So if I had never taken the residency in Family Practice that I really didn't want in the first place, I'd be a happy first year Path resident now. Instead, tomorrow I have to start scrabling to see what unfilled positions in Pathology might be left...which I'm sure will be none since the Scramble started two months ago. So I'm looking at another year off and the 2009 Match to get back into Pathology.
The advice I'm getting now is to find other low tier programs that will allow me to do a one month "observership" in the hopes of getting a position through next year's Match. I'm also being told to give up on Path because it is too competitive for my USMLE scores and go back to another Family program. I don't want to do Family Practice.
I'm currently studying for Step 3 and working outside of medicine to pay my bills. I'm hoping to get a few more LoR's from the Path program that wanted me but couldn't take me...but I really don't know where to turn to next.
Anyone got any advice?
Anyone know of a low tier program that would take a look at me doing an "observership"?
Here's the story so far...I'm a US citizen, have a BA in Chemistry but went to a Caribbean med school that does not support its students. Students are responsible for setting up all their third and fourth year clinicals by themselves since the school does not have a contract with any US hospitals. The first hospital I did clinicals in CLOSED three weeks after I got there. I ended up doing clinicals in a horrible hospital that charges FMG's $300/week but really doesn't train anyone. My USMLE scores on Step 1 and 2 are average at best. I entered ERAS a few years ago in the hopes of getting a Pathology residency. I did not match and did not find a position through the Scramble.
I was told to reapply to ERAS the next year and pretty much give up on a career in Pathology. I was advised to just take "any residency" and then try to transfer into Pathology after I pass Step 3. I applied to Pathology and Family Practice programs and matched in Family Practice in March 2007.
As part of the Family program, I rotated through Pathology and was told that if I really wanted a career in Pathology, I should do another one month rotation in Pathology in a "lower tier" program that might accept me. I've done three years of Neuro research and have worked in Path related fields before going back to med school, so I come across a lot better in person than my USMLE scores would lead people to believe.
I was dismissed from the Family Practice program after four months because I was too slow in seeing patients. I was miserable there anyway and was happy to leave. A month later, I got a one month "observership" with a nearby Path program. I loved the place and they said they "would love to have me." They told me they would offer me one of their residency positions that they were going to hold outside of the Match, so I did not enter the 2008 Match this March.
Last week, they told me that their Medical Education Dept. declined their request to give me a contract because of some rule that I had never heard of before.
Apparently, by starting my residency career in Family Practice (a three year program), the federal government will only reimburse my residency training for three years, so the Path program that accepted me would not be reimbursed completely for my four years of training...and since the hospital is going through financial difficulties laying people off, they decided they couldn't accept giving a contract to someone without getting full reimbursement for the whole four years that I would be there.
So if I had never taken the residency in Family Practice that I really didn't want in the first place, I'd be a happy first year Path resident now. Instead, tomorrow I have to start scrabling to see what unfilled positions in Pathology might be left...which I'm sure will be none since the Scramble started two months ago. So I'm looking at another year off and the 2009 Match to get back into Pathology.
The advice I'm getting now is to find other low tier programs that will allow me to do a one month "observership" in the hopes of getting a position through next year's Match. I'm also being told to give up on Path because it is too competitive for my USMLE scores and go back to another Family program. I don't want to do Family Practice.
I'm currently studying for Step 3 and working outside of medicine to pay my bills. I'm hoping to get a few more LoR's from the Path program that wanted me but couldn't take me...but I really don't know where to turn to next.
Anyone got any advice?
Anyone know of a low tier program that would take a look at me doing an "observership"?