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I am American and did residency in the United States. I passed my boards and now live and work as a consultant Anesthesiologist in Norway (wife is Norwegian ).Perhaps you could suggest a better way to do things than the combination of passing residency and written and oral boards.
There is no board exam here. The residency is 5 years total. Let me tell you, the quality of consultant (attending) is very high. We also work pre-hospital and run the icu. More peri-operatively. Makes you think in a different way.
My point is that the board exam is not necessary to produce quality consultants.
But this is the way the game is played in the US and there is no way avoiding it. So no, I can’t suggest a better way because it will never happen. Hope you have a great day bro.