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General Residency Issues
Residency Matches with Foreign Medical School Education
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<blockquote data-quote="ckent" data-source="post: 429765" data-attributes="member: 2299"><p>I'd like to get into this arguement too. I think that Kleb puts the american medical education system on too high of a pedestal. I go to a mid-ranked state school, and I have not witnessed them doing anything to us that was so extraordinary that foreign schools could not replicate; at no point has anyone sprinkled holy water on us to make us all better docs. Don't get me wrong, if your goal is to be a doc in the US, then your best bet is to enroll in a school in the US. Residency programs do favor AMGs, they get more money from the government to train AMGs vs IMGs, and residency directors like knowing what type of education a graduate has received. I do not think that having an american education automatically makes you a better doc though. I've never been to a foreign medical school, but I don't see any reason why our teachings in the basic science years would be all that different. During my first year, we were taught by PhDs whose "expertise" in their lectures were not derived from their obscure research, but rather looking things up in texts and on the internet, both resources providing the same information to professors in other countries. When you have an IMG who takes the USMLE and scores higher then an AMG, I don't see how you can assume that the AMG has a better grasp of the material then the IMG simply because the AMG graduated from a US med school and the IMG "probably took a Kaplan course". I don't feel as if our physical diagnosis skills are up to par with med students in some other countries, we have an over-reliance on labs and imaging studies to make our diagnosis that has resulted in a progressive atrophy of our physical diagnosis skills over the last few decades. And our screening process for picking medical degree candidates is by no means perfect, our medical education system has graduated at least 2 serial killers in the past. And I still would argue that the lowest ranked AMGs make worse physicians, minus the language barrier, then most of the IMGs who are accepted to train in this country. You have to be very hard working and score significantly higher then AMGs to beat them out for spots because of the barriers that exist. And I know that many of my student colleagues, myself included, even this late in our training, are not anywhere near the medical gurus that Kleb seems to think that we will become as a result of our "prestigious" US medical education.</p></blockquote><p></p>
[QUOTE="ckent, post: 429765, member: 2299"] I'd like to get into this arguement too. I think that Kleb puts the american medical education system on too high of a pedestal. I go to a mid-ranked state school, and I have not witnessed them doing anything to us that was so extraordinary that foreign schools could not replicate; at no point has anyone sprinkled holy water on us to make us all better docs. Don't get me wrong, if your goal is to be a doc in the US, then your best bet is to enroll in a school in the US. Residency programs do favor AMGs, they get more money from the government to train AMGs vs IMGs, and residency directors like knowing what type of education a graduate has received. I do not think that having an american education automatically makes you a better doc though. I've never been to a foreign medical school, but I don't see any reason why our teachings in the basic science years would be all that different. During my first year, we were taught by PhDs whose "expertise" in their lectures were not derived from their obscure research, but rather looking things up in texts and on the internet, both resources providing the same information to professors in other countries. When you have an IMG who takes the USMLE and scores higher then an AMG, I don't see how you can assume that the AMG has a better grasp of the material then the IMG simply because the AMG graduated from a US med school and the IMG "probably took a Kaplan course". I don't feel as if our physical diagnosis skills are up to par with med students in some other countries, we have an over-reliance on labs and imaging studies to make our diagnosis that has resulted in a progressive atrophy of our physical diagnosis skills over the last few decades. And our screening process for picking medical degree candidates is by no means perfect, our medical education system has graduated at least 2 serial killers in the past. And I still would argue that the lowest ranked AMGs make worse physicians, minus the language barrier, then most of the IMGs who are accepted to train in this country. You have to be very hard working and score significantly higher then AMGs to beat them out for spots because of the barriers that exist. And I know that many of my student colleagues, myself included, even this late in our training, are not anywhere near the medical gurus that Kleb seems to think that we will become as a result of our "prestigious" US medical education. [/QUOTE]
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