Need advise about Medical residency after passing USMLE Step 2 for IMG students

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shjaffri

Mdresident
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Please help I need this information for my fiance, she is new to US med system and need help, she took USMLE part 2, and clinical in May 2008, she passed both exams @ 97% score. Now how long will it takes to get medical residency as she is IMG Foreign student ? Someone told her not early than Sept 2009, due to her IMG status ? Sounds not correct thought !

Can you please guide us for step by step process, also if possible, if there is a way if she can be able to look residency in a same city where I work ?

Thx

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If she's an IMG and is trying to match into a US residency spot, she'll need to take the USMLE Step 1, 2 CK and 2 CS at a minimum. She'll also likely need US clinical experience and US letters of recommendation.

Please see my Residency FAQ and the International forum for more information.
 
yes she is IMG and took USMLE Step 1, 2 CK and 2 CS this may, she also have 1 year experience in clinical, and 6 months experience in research work at children hospital.

Is it possible she can get residency match in 2008 ? If not any idea approximately how long will be the waiting time, as someone told her not early than sept 2009 ! Please advise
 
The residency match for 2008 has already ended, with most people already at their programs doing orientation for an official start on July 1, 2008.

While there may be some programs that still have open positions, the problems are as follows:

1) she is left with whatever dregs are left over; hardly a great choice especially if she is limited to the city in which you live
2) there is no unified list that tells you which programs still have openings
3) if she has done well on her exams, she should maximize her chances of getting a position by going through the match this year (applying in September 2008) for a start date of July 1, 2009

If she is limiting her search to your city, should could call all the program directors in town and see if there are any openings, but that is pretty low yield.

Does she have a visa/PR/US citizen?
Does she have her ECFMG certificate?
Does she have letters of recommendation from US faculty?
Does she have her personal statement written?
Does she have an English translation (if in a foreign language) of her diploma?

Please read the FAQ Blade28 posted and see these links:

http://www.ecfmg.org
http://www.nrmp.org
 
Yes we might not choose to limit the search in one city, but to expand to other locations. Here are answers to your questions.

Does she have a visa/PR/US citizen?
PR

Does she have her ECFMG certificate?
She is getting one.

Does she have letters of recommendation from US faculty?

She talked to people she worked with they will
give her recommendations

Does she have her personal statement written?
yes

Does she have an English translation (if in a foreign language) of her diploma?
It is in english.


Now my questions is, what happen if she don't get match next year

1 year, 2 years or much more.... we are clueless, that's why all kinds of tips, hints or advise are welcome.


,Right now we don't know how long normally it takes for medical student to get residency after passing step 2. This is important for me as, due to some very personal reasons.
 
In general, her chances of getting a spot are the best the first year she applies. As an IMG, her chances of getting a spot will be most dependent on the field she is applying to, her USMLE scores, US clinical experience, and her LOR's, basically in that order.

If she applies next year and does not get a spot, then she needs to 1) apply more broadly, or 2) do something to improve her application. Reapplying to the same program year after year does not bear much fruit unless her application improves. "Improving" her application is difficult to do -- basically trying to get new US clinical experience, or perhaps research experience depending on her field of interest.
 
Thanks to all this is very useful information indeed,, I am sure I can guide / help her now yes our best bet is to get match for next year. She just submitted her application, I told her to increase the scope to many
states / cities as possible. She has a good score in step 1 and step 2, and then research experience and some clinical experience 1.5 years in total. She is now looking for some recommendations like where she wants to improve her personal statement, she just get her CV done by profesional, but she is also keen to improve it further, can you guys recommend sites, people who offer this kind of professional service.
Secondly she now her application is in, is there any process available by which she can apply from open positions that are left by residents, can she do that by having IMG status ? PLEASE ADVISE
 
She is now looking for some recommendations like where she wants to improve her personal statement, she just get her CV done by profesional, but she is also keen to improve it further, can you guys recommend sites, people who offer this kind of professional service.


I do not recommend any professional services for these things because they don't offer anything you can't do yourself. If English is not her first language and there are grammatical errors, that's a different story but in general most of these services are expensive and serve to prey on people who don't really need the help, IMHO.

Secondly she now her application is in, is there any process available by which she can apply from open positions that are left by residents, can she do that by having IMG status ? PLEASE ADVISE

As a non-US 4th year/final year medical student, she is eligible to apply for any position she wishes outside of the match. Since she is in the process of getting her ECFMG certificate and has PR status (not requiring a visa), it will be easier for her. So yes...she can apply for any open position that she is eligible for, but should also go through the match.

I'm a bit confused about her "application being in" - the NRMP application process doesn't open until September. Do you mean her stuff is into ERAS and ECFMG?
 
........As a non-US 4th year/final year medical student, she is eligible to apply for any position she wishes outside of the match. Since she is in the process of getting her ECFMG certificate and has PR status (not requiring a visa), it will be easier for her. So yes...she can apply for any open position that she is eligible for, but should also go through the match.

I'm a bit confused about her "application being in" - the NRMP application process doesn't open until September. Do you mean her stuff is into ERAS and ECFMG?


Yes I ment ERAS and ECFMG , yes she has ECFMG certificate, and now she is into ERAS. Thanks "wanna_be_do" for the links I will surely read them and print it out for her.

She is not a 4th year med student, she got her medical degree, now she has 1 year clinical work experience, and 6 months research. Yes english is her second language, I can help her, but I belong to different profession, not know much about medical profession.

Any good site for personal statement or CV help ? I know u don't recommend but still just curious. Thx
 
I don't know of any sites so even if I did recommend them I couldn't. But you might want to do a search here.

She doesn't necessarily need a CV because the info she enters into ERAS will be formulated into a quasi-CV. You can Google CV and find lots of examples on-line; since its simply a listing of education and related accomplishments you don't need someone to do it for you.

Be careful with Iserson...its out of date and a lot of stuff he says is not really accurate. First Aid for the Match is more relevant.
 
Ok thx again for all that input. Now I have a million dollars questions.

1) Let's say if she try to get positions earlier than July next year, like some current positions that are left by residents, or new openings that normally comes up, is this will hurt her ERAS residency match process ?? Can she do both at the same time, or ERAS contract forbids this ?

2) How reliable are the new open positions that you see on sites like residencyswap.com

3) Also can she send her letter of recommendations and other document via ERAS ?

4) Please outline best bet to get her a residency given following scenario, time vs chance, or best in general.

a) Option, apply earlier via open positions that are not filled, or recently opens up.

b) Successful match on 2009 via ERAS with following accomplishments.

Internal Medicine
US PR Status
US Clinical experience ( 8+ months)
US Research work in hospital(6 months)
Have 3 letters of recommendation that is sent to ERAS
ECFMG certificate
Deans letter
Personal Statement done by professional
CV under progress
USMLE Part 1 score 91
USMLE Part 2 CS / CK pass and score of 97


Everyone's opinion or feedback on this is greatly appreciated.
 
Ok thx again for all that input. Now I have a million dollars questions.

1) Let's say if she try to get positions earlier than July next year, like some current positions that are left by residents, or new openings that normally comes up, is this will hurt her ERAS residency match process ??

Not if she is just looking at positions.

Can she do both at the same time, or ERAS contract forbids this ?

She can do both at the same time. If she accepts a contract outside of the match, then she must drop out of the NRMP (ERAS is just the application service, the NRMP is the actual matching process) prior to submission of her rank order list.

2) How reliable are the new open positions that you see on sites like residencyswap.com

Reliable as is, "do they exist"? Very. However, the positions may be filled by the time you call. The listings are very general; ie, they are not going to say, "great program with wonderful cooperative residents, etc." They will simply list the fact that an open position exists, perhaps with requirements for the position.

3) Also can she send her letter of recommendations and other document via ERAS ?

As a non-US graduate, she uses ECFMG to submit all of her letters and other documentation to ERAS. She does not submit them to ERAS herself.

4) Please outline best bet to get her a residency given following scenario, time vs chance, or best in general.

a) Option, apply earlier via open positions that are not filled, or recently opens up.

b) Successful match on 2009 via ERAS with following accomplishments.

Internal Medicine
US PR Status
US Clinical experience ( 8+ months)
US Research work in hospital(6 months)
Have 3 letters of recommendation that is sent to ERAS
ECFMG certificate
Deans letter
Personal Statement done by professional
CV under progress
USMLE Part 1 score 91
USMLE Part 2 CS / CK pass and score of 97


Everyone's opinion or feedback on this is greatly appreciated.

No one can tell you what her chances are. They are maximized by choosing a less competitive specialty (although if her geographic region is restricted that will be a problem), decent scores on USMLE (although many FMGs score 99s), having USCE and ECFMG certification.

I am not sure why you persist in having a professional write her personal statement. Regardless of whether or not she can communicate in English well, it will be apparent upon interview that she did not write the personal statement which would be much more of a red flag than any statement she writes herself. Most everyone will tell you that the PS is not very important in the grand scheme of things; I know I got invited to some interviews because of mine, but most of them are not read in detail, so it would seem a waste of money to pay someone to write it for her.

She also does not need a CV for her application and it will make no difference (you do realize that all a CV is is list of where she went to school with graduation dates, and any possible publications) in her application, although its nice to have for the future.

At any rate, her best bet is to go through the match; its a simple numbers game. There will be many many people looking for any possible open position (I can tell you I've gotten 5 PMs in the last 3 days from people who do not have a position and are desparate) and very few positions. The match will have more positions (and although there will be more applicants) and her chances will be better.
 
Hello Again,

Yes you have provided much information what I am looking far, this would definatly help us, ok why we are stressing on personal statement, and CV, is may be we are just being paranoid about getting residency ASAP or atleast by next year. Yes we are no longer limiting our search to one geographical region, we are now expanding it to many city and states, mostly NJ and NY states. Our goal is to get much information we can get before results come up for 2009 matching. Meanwhile we could try to see if can also to get open positions that comes up on this site or other sites like that, (we asked about it since we were not sure if this might hurt her actual ERAS process, but if it is not then there is no harm in applying, and this will increase her chances of getting residency). I know we might have asked dumb questions, but I am sure you guys will understand our ignorance, since we are currently in information geathering process. I know this from my personal experience, more information you will have, and more questions you will ask, chances are great that more successful you will be in the end. Thanks everyone for help.
 
You aren't asking dumb questions; we sometimes forget how hard it is to wade through all this when you don't have someone to help you understand the complexities.

My point about the personal statement is that it is almost never the reason someone gets or doesn't get a residency and while I'm not advocating ignoring it, I'm not sure that paying someone to write it for her is the best option. She needs to describe her own life and goals in her own words.

And the CV is something that's nice to have and there are plenty of on-line examples that she can use to follow, but you don't submit one to ERAS or NRMP.

She should use all her resources to find a position, both within and outside the match. Best of luck to both of you...
 
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