Residency in the UK?

Started by alisha75
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alisha75

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Hi people. I wanted to know if anyone out there knows if it is possible and an ok idea to do residency in another country, specifically the UK (but anywhere else is alrigh too). I am a thrid yr right now and I love to travel and move around a lot. Any advice?
 
alisha75 said:
Hi people. I wanted to know if anyone out there knows if it is possible and an ok idea to do residency in another country, specifically the UK (but anywhere else is alrigh too). I am a thrid yr right now and I love to travel and move around a lot. Any advice?

If you do a residency outside the US or Canada, be prepared to have to repeat most or all of that residency if you plan to come back to the US. I know around 10 or so people who did residencies in other countries. Out of that group, there's only one person I know who didn't have to repeat residency (he did his residency in Ireland), but that's because he came to the US to do a subspecialty fellowship and had already done a number of visiting rotations in the US as a resident. He also had a silly rule placed on him that before he actually started his fellowship, he had to spend his first 3 or 4 months as a kind of acting intern so that the program could "test him out", and make sure he wasn't a loon or something. He wasn't even allowed to write orders during that time!

Everyone else I know has had to repeat their full residency. One of these unfortunate folks, by the way, was a fully-trained surgeon from Germany who had to do a full Surgery residency all over again, including internship. 😱
 
I have actually looked into this (a little bit) because I was thinking about moving permanently to the UK....

Everything said above about doing residency abroad and returning to the US (Canada?) is true. You will likely have to repeat residency training in order to get licensed to practice here.

The UK's socialized medical system, the National Health Service (NHS), has a shortage of fully trained consultant (i.e. attending) doctors. Thus, in theory it should be relative easy for an attending physician to transfer from here to there IF already trained.

However, a couple of issues: 1) You're still required to undergo some (re)training in most cases IF you aren't trained in a European or British Commonwealth medical school,

and, with you needing to repeat at least some training, you need a training position in the UK, but

2) they have a HUGE bottleneck of foreign medical graduates (largely from India and Pakistan) who are seeking training (i.e. residency) positions, which are very few and far between.

The NHS needs more consultants than the numbers supplied by newly graduating "residents" (junior doctors / house officers). BUT... there is a huge number of people waiting for too few training (residency) positions. They don't need more residents, they just need more fully qualified physicians. # of training positions <<< # of people applying for them, with that huge influx of doctors from India.

There are barriers to "getting in" to the medical system in the UK if you didn't attend medical school there, just as there are in the US. A preference is granted to their own graduates, just as our system prefers our own. Despite the shortage of consultants in the NHS, most people are still required to repeat some residency training once they arrive in the UK, if they come from abroad. A few "high shortage" specialties (anaesthesia for sure, I think radiology and a couple others as well) are so short-staffed that you'll get more credit for previous training outside the UK than other specialties. So it partly depends on what you choose to go into.

Despite all of that, there is still a huge demand and I think it is supposed to go up, now that the UK is planning to limit their RESIDENT WORK HOURS to an upper limit of... I think.... 57 hours total! 😱 Wowsers. They are not likely to meet that goal any time soon because they don't have (tada) either enough doctors, or enough residents.
 
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alisha75 said:
Hi people. I wanted to know if anyone out there knows if it is possible and an ok idea to do residency in another country, specifically the UK (but anywhere else is alrigh too). I am a thrid yr right now and I love to travel and move around a lot. Any advice?

Given the previous advice and my understanding of the situation, you probably really won't want to actually do a full residency abroad if you ultimately intend to practice in the US, because of the lack of accreditation in the US - also, it's said to be much easier to get a US residency accredited in Europe than vice versa. On the other hand, doing a full residency abroad wouldn't actually mean to travel much, anyway ?

However, depending on the speciality (or specialities) that you are interested in, there are some US residency programs that put a special emphasis on exposure to international medicine, which in part also comes down to being enabled/encouraged (and supported) to do multiple rotations in foreign countries during your US residency.
You may even be able to find some interesting postings concerning this here on SDN, as I seem to recall having read something about some US EM residency programs where international rotations are part of the syllabus by default.

Even though, I'm really not sure what other specialities offer similar possibilities, this might ultimately turn out to be a lot closer to your desire to "travel a lot" ?

Anyway, good luck
 
MedWiz said:
However, depending on the speciality (or specialities) that you are interested in, there are some US residency programs that put a special emphasis on exposure to international medicine, which in part also comes down to being enabled/encouraged (and supported) to do multiple rotations in foreign countries during your US residency.
You may even be able to find some interesting postings concerning this here on SDN, as I seem to recall having read something about some US EM residency programs where international rotations are part of the syllabus by default.

Definitely true. For example, there's a current thread going in the IM forum about medicine residency programs with an international medicine focus:
http://forums.studentdoctor.net/showthread.php?t=218325
 
MedWiz said:
You may even be able to find some interesting postings concerning this here on SDN, as I seem to recall having read something about some US EM residency programs where international rotations are part of the syllabus by default.

Do you remember what EM programs they were talking about? Thanks