Studying Medicine in Ireland vs. Australia

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Shampsee

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I am a Canadian citizen who is genuinely considering studying medicine overseas. So far, I am considering studying medicine in either Ireland or Australia. Can anyone tell me the pros and cos of studying medicine in Ireland vs. Australia? From my understanding, while Ireland does not offer residency positions to international students, Australia does. However, matching into a residency position in Australia as an international student is still very difficult. Apart from this, however, can anyone offer some genuine advice or opinions on which option is more preferable for Canadian students?

I am also planning to come back to Canada after I have completed my studies. I understand that Canadian IMGs are experiencing a crisis with securing J1 visas to train in the States. However, I also understand that the HB-1 visa is an alternative option for securing a residency position. How difficult is it to obtain this visa?

Overall, is studying medicine overseas really a worthy investment? I am very shaky on this issue... the problem seems to be that as an IMG, matching in a residency position can be a hellish and grueling experience, and this mostly comes down to competition and issues with securing the appropriate visa. I actually received an offer to study medicine at University College Dublin, but I decided to decline the offer because of this very issue. While I'm waiting for a response from Trinity College Dublin, however, I have began to reconsider Ireland as an option and have also begun to investigate the possibility of studying medicine in Australia to see if it would offer anything better. Any feedback would really be of great help.

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I wouldn't recommend off-shore unless you've exhausted all options at home, or US MD/DO if you're looking at going state side already.

And I think you've pretty much drawn out your own pros and cons list in your post already. Don't really know how much more to add as you sound aware of the pertinent issues.

I can't comment on the VISAs unfortunately, but someone else may respond to that in time.

Have you tried the Canadian forums? You may want to post there if returning to Canada is the end goal.

What are your stats? (it's an anonymous forum anyway).
Have you applied to schools in Canada and the US and if so, how many cycles now?
US MD and DO?

~~~~~
Edit:
Just perusing the Irish forum now.
Something I haven't done in a while.

There's a few solid posts or responses done by grads.
Any Canadians that graduated from Med in Ireland that are currently practicing in the states?.
Canadians thinking of studying abroad?
intern year and residency in Ireland - thank you!.
Day in the life of a Dublin Med Student
There's a lot of overlap of issues that Australia has with Ireland. It's creepy. Many similarities in training structure between the two, that will be completely foreign to someone coming from North America, doesn't matter Canada or the US. I agree with a lot of the Irish med school grads in their posts about off-shore. These are people who have gone to Ireland as off-shore students, the path you're looking at seriously right now. And then lived to tell the tale.

So, I'm not sure if you're truly getting rid of your problems by going to a different off-shore country, not when the end game is Canada.

Maybe less informative, but still interesting (referring to responses by grads):
Irish residency for American medical student?
Should I go to Ireland or try again?
Why Ireland instead of DO?

Old, but still interesting - A warning to all my North American friends considering UK & Ireland...

I actually feel bad that you're anxious about this, when it seems you've already committed to going off-shore. Or at least partly committed to it, seeing as you're waiting on an offer from Trinity.
 
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I wouldn't recommend off-shore unless you've exhausted all options at home, or US MD/DO if you're looking at going state side already.

And I think you've pretty much drawn out your own pros and cons list in your post already. Don't really know how much more to add as you sound aware of the pertinent issues.

I can't comment on the VISAs unfortunately, but someone else may respond to that in time.

Have you tried the Canadian forums? You may want to post there if returning to Canada is the end goal.

What are your stats? (it's an anonymous forum anyway).
Have you applied to schools in Canada and the US and if so, how many cycles now?
US MD and DO?

~~~~~
Edit:
Just perusing the Irish forum now.
Something I haven't done in a while.

There's a few solid posts or responses done by grads.
Any Canadians that graduated from Med in Ireland that are currently practicing in the states?.
Canadians thinking of studying abroad?
intern year and residency in Ireland - thank you!.
Day in the life of a Dublin Med Student
There's a lot of overlap of issues that Australia has with Ireland. It's creepy. Many similarities in training structure between the two, that will be completely foreign to someone coming from North America, doesn't matter Canada or the US. I agree with a lot of the Irish med school grads in their posts about off-shore. These are people who have gone to Ireland as off-shore students, the path you're looking at seriously right now. And then lived to tell the tale.

So, I'm not sure if you're truly getting rid of your problems by going to a different off-shore country, not when the end game is Canada.

Maybe less informative, but still interesting (referring to responses by grads):
Irish residency for American medical student?
Should I go to Ireland or try again?
Why Ireland instead of DO?

Old, but still interesting - A warning to all my North American friends considering UK & Ireland...

I actually feel bad that you're anxious about this, when it seems you've already committed to going off-shore. Or at least partly committed to it, seeing as you're waiting on an offer from Trinity.

Thank you for sharing the links, they provided a lot of insight. I had no idea it was actually getting worse in terms of securing an interview in the States. It seems like the more I know about studying abroad, the worse of an option it becomes lol... truly a last resort for someone who really wants to get into medicine. Some sad times for Canadian IMGs these days... I haven't looked much into the DO program in the States. When I did my research in the past, I read somewhere a while ago that you can't practice as a medical doctor in Canada if you have a DO; it leads to chiropractics. Please correct me if I'm wrong on this. As for studying medicine in the US, the same issue seems to persist: securing a J1 visa. If I can somehow secure permanent residency in the States or in another foreign country prior to studying outside of Canada, it would honestly make life a lot easier.

As for my stats:

cGPA: 3.72
MCAT Score: 514 (Written August 25th, 2016)
Number of Times Applied to USA:1
Number of Times Applied to Canada: 2

If you're wondering why I even applied to medical schools in the States or abroad to begin with, it was because I wasn't aware of the J1 visa issue at the time, and I simply wanted to try opening some opportunities.

Thanks again for your feedback.
 
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Thank you for sharing the links, they provided a lot of insight. I had no idea it was actually getting worse in terms of securing an interview in the States. It seems like the more I know about studying abroad, the worse of an option it becomes lol... truly a last resort for someone who really wants to get into medicine. Some sad times for IMGs these days... I haven't looked much into the DO program in the States. When I did my research in the past, I read somewhere a while ago that you can't practice as a medical doctor in Canada if you have a DO; it leads to chiropractics. Please correct me if I'm wrong on this. As for studying medicine in the US, the same issue seems to persist: securing a J1 visa. If I can somehow secure permanent residency in the States or in another foreign country prior to studying outside of Canada, it would honestly make life a lot easier.

As for my stats:

cGPA: 3.72
MCAT Score: 514 (Written August 25th, 2016)
Number of Times Applied to USA:1
Number of Times Applied to Canada: 2

If you're wondering why I even applied to medical schools in the States or abroad to begin with, it was because I wasn't aware of the J1 visa issue at the time, and I simply wanted to try opening some opportunities.

Thanks again for your feedback.
Next question is what are your interests? (I know these change with time - but FM, IM, etc.).

If you can't stay in Canada for med school, then automatically you're pretty limited with what you can choose. So, if you're surgically inclined early, it's going to be even harder for you. This applies to anyone who isn't going to be a domestic student in their own country. You're always going to be signing up for a harder pathway if you couldn't get in as a domestic.

I'm not deliberately trying to be discouraging. It's just not very commonly known. Geographic location and citizenship are important/relevant things, more than school prestige. Because residencies are government/taxpayer subsidized resources and they're always going to be viewed as such by those who fund them. It's not as straightforward as your stock standard undergrad degree.

What are your past degrees and what work experience do you have?
If you can get PR yes, that is ideal, but have you done anything that would allow you to get PR before or even during school? Like nursing or engineering?

J1 VISAs
I honestly don't know much about these.
But there's good discussions going on.
Confusion Regarding J1/SoN for Canadians pursuing US Residency
Looks like there's some options if you go through the threads, like rural FM etc. ways to go about EM.
Some discussion on peds in here: Going to US for residency? Coming back for sub-specialty training?.
One of the last posts by an FM doc addresses the HbA1c VISA. I mean the H1b VISA.
Acronyms are starting to get to me.
Even more discussion here on the H1b, scroll to the first posts that are long paragraphs. J1 Statement of Need Canada

DO programs. Yea, I don't know how they're perceived by say residency program directors in Canada. I would like to think that a doctor wouldn't be considered a chiropractor even if it's a DO degree, like geez. That'd be crappy. wth.
But it's been addressed before too.
From the Canadian forums:
There's Canadians posting about what it's like having a DO degree and moving back to Canada. Maybe check out the message history of the Canadian with the US DO degree, who is practicing in Canada.
Going back to Canada with MD from US

This is from the main forums/American side, further discussions on DO for Canadians:
Canadian needs help: Am I in danger of making a terrible choice?.
Scroll down to the larger response - Applying to DO as Canadian.
More Canadians responding in this one: DO/MD Residency as a Canadian.

What I'm gathering from the forums, is that you can work around the J1 by taking the Step 3 and doing a H1b, as discussed in the other threads of the Canadian forum. Issue is more of how familiar some of the programs will be with VISAs. End of the day, the job of the programs is churning residents into fully qualified doctors. So you have to create your own part time job of keeping up with the VISA side and other bureaucratic requirements. It may help to keep track of the programs that have hired Canadians before and are more familiar with the process of facilitating their training in the US. That's if you end up in a US DO program.

It's not lost on me how odd it feels to talk about some of the hurdles so casually, 'oh just take the step 3' like it's a breeze. then apply for the H1b.. But then there's just so much to 'becoming' a doctor that has nothing to do with academics. It's never purely just 'med school' that gets you there. It's never purely 'just residency' or whatever. But if you can get through it, you get used to it with time. It just becomes this way of life. It's worth it if you can make it. It just becomes "one crisis at a time."

Further discussion specific to the Canadian forum on IMGs/Canadians with foreign degrees:
Canadian Citizen, Medical School Abroad, way to re-enter

Your stats are suitable for DO. No idea how being Canadian will play out. But...
Compare how you sit compared to say some of these guys. If you don't want to post in the actual what are my chances forum. DO - What are my chances?.
Or this one 2nd Cycle Med School Applicant, 1st Time DO Applicant.
It's an old list now, from 2015 - but the DOs that are Canadian friendly: My chances in DO as a Canadian Student.

Anyway, there's a lot you can find with the search function. Focus on mainly the grad responses, people who have gone through the entire process. Avoid premeds giving advice beyond their level. There's a wealth of info provided by grads, so there's no reason to resort to that.

Many premeds have the same questions, it's crazy how many do. And don't realize in their anxiety that other people are asking or have asked the same thing. In scrolling back through the forums, I can see a few familiar usernames cropping up who are med students now.

Many premeds don't their own research before leaving their home country, which I would never recommend. Or not nearly enough to comprehend what they're getting themselves into. They survive, but some have a pretty rough time of it.

So, at least you thought about these things. I don't know if anything will ever truly prepare you for the real thing, but any bit of planning ahead always helps.

If there's any confusion just post your specific thoughts and questions. Much of the general/easy questions have had good responses by graduates in those threads above. I can't guarantee that I can help you, but I realize that it's a lot of information for premeds. I don't know how anyone wouldn't feel overwhelmed by this if they're new.

Addit; Further Link from the UK forums:
Any Canadians that graduated from Med in Ireland that are currently practicing in the states?
 
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@Shampsee I'm not sure that Australia is any better of an option than Ireland. Irish schools are also cheaper than Australian ones and closer to home. You would have the same hurdles matching back at both so I'm not sure you should turn down the UCD acceptance only to apply to Australia you're an IMG either way- remember what they say that a bird in the hand is worth 2 in the bush. With your excellent stats you will certainly get accepted to Australian schools though if you choose to go there. Why would you wait on the Trinity acceptance over UCD? Isn't Trinity a 5 year program vs 4 years at UCD? UCD is an excellent school in its own right.

The only caveat is that UQ in Australia has a very big Canadian cohort-- around 60 people per class which might make it easier in terms of mutual support from your colleagues in matching back and being in a foreign country. Although the bulk of international students in Irish schools are from Canada so you will certainly have some support. And yes, you have a better shot of staying to train in Australia than in Ireland without an EU passport.

It's a tough decision, also factor in where you prefer to live for 4 years and cost of living. You will certainly get into every Australia school you apply to with those stats. Not sure how old you are but because of the sizable international cohort at UQ you wouldn't feel out of place as a non traditional older student which there are plenty of. Not sure how young the students are in Irish schools.
 
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@Shampsee I'm not sure that Australia is any better of an option than Ireland. Irish schools are also cheaper than Australian ones and closer to home. You would have the same hurdles matching back at both so I'm not sure you should turn down the UCD acceptance only to apply to Australia you're an IMG either way- remember what they say that a bird in the hand is worth 2 in the bush. With your excellent stats you will certainly get accepted to Australian schools though if you choose to go there. Why would you wait on the Trinity acceptance over UCD? Isn't Trinity a 5 year program vs 4 years at UCD? UCD is an excellent school in its own right.

The only caveat is that UQ in Australia has a very big Canadian cohort-- around 60 people per class which might make it easier in terms of mutual support from your colleagues in matching back and being in a foreign country. Although the bulk of international students in Irish schools are from Canada so you will certainly have some support. And yes, you have a better shot of staying to train in Australia than in Ireland without an EU passport.

It's a tough decision, also factor in where you prefer to live for 4 years and cost of living. You will certainly get into every Australia school you apply to with those stats. Not sure how old you are but because of the sizable international cohort at UQ you wouldn't feel out of place as a non traditional older student which there are plenty of. Not sure how young the students are in Irish schools.
Like 80% of the international students at Irish schools are Canadians. From going through the Irish forums, the crowd is no different to the Australian one.

I wouldn't kick them in the teeth after already turning down UCD :( Ship has sailed. OP is already shaky on things. I know you mean well. But it's kinda like kicking someone when they're already down.

They're aware of job situation in Ireland vs Australia. I'd let them process things. They're worried about job security which is a fair question. Going off shore simply can't give you that, no matter where. Places like UQO where you're doing MS3, are more exceptional but OP doesn't qualify unfortunately.
 
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Hey @Shampsee , I am in your situation almost exactly (albeit with slightly lower stats), and with no luck at Canadian and US MD/DO schools this cycle, I am pursuing an Australian school starting next January (I've been admitted already).

I had the option to going to Limerick in Ireland but declined it due some things I was not so fond of in the curriculum. I believe you can't go wrong either way if your goal is JUST to come back to Canada. Both places have pretty good match stats back home. Both @Domperidone and @mcat_taker have posted some great advice. The big thing is cost of living which is probably cheaper in Ireland depending on where you are (I could be wrong here, so do research). Flights home are half as much for Ireland. Take that as you will.

My decision was swayed slightly by the fact that internship training is still possible in Australia right now (even if its getting more difficult), whereas it is impossible in Ireland. I'd rather keep all 3 big options (Canada/US/AUS) open instead of just Canada/US. But thats just me, if you're dead set on returning home I think you can go to either and be fine. In that case I would go with the cheapest school.

I'm not sure if money is an issue for you but Ireland and Australia both cost A LOT. Remember that our dollar is trash right now so keep that in mind for Euro to CAD exchanges if you pursue Ireland. To give you an example, Limerick is about 41k euro/year, which is almost 65k CAD! And Limerick is the CHEAPEST grad entry school. This is about what I expect to pay at my Australian school next year. I'm not even sure how people are affording RCSI at almost CAD 87k/year...
 
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Hey @Shampsee , I am in your situation almost exactly (albeit with slightly lower stats), and with no luck at Canadian and US MD/DO schools this cycle, I am pursuing an Australian school starting next January (I've been admitted already).

I had the option to going to Limerick in Ireland but declined it due some things I was not so fond of in the curriculum. I believe you can't go wrong either way if your goal is JUST to come back to Canada. Both places have pretty good match stats back home. Both @Domperidone and @mcat_taker have posted some great advice. The big thing is cost of living which is probably cheaper in Ireland depending on where you are (I could be wrong here, so do research). Flights home are half as much for Ireland. Take that as you will.

My decision was swayed slightly by the fact that internship training is still possible in Australia right now (even if its getting more difficult), whereas it is impossible in Ireland. I'd rather keep all 3 big options (Canada/US/AUS) open instead of just Canada/US. But thats just me, if you're dead set on returning home I think you can go to either and be fine. In that case I would go with the cheapest school.

I'm not sure if money is an issue for you but Ireland and Australia both cost A LOT. Remember that our dollar is trash right now so keep that in mind for Euro to CAD exchanges if you pursue Ireland. To give you an example, Limerick is about 41k euro/year, which is almost 65k CAD! And Limerick is the CHEAPEST grad entry school. This is about what I expect to pay at my Australian school next year. I'm not even sure how people are affording RCSI at almost CAD 87k/year...
Solid advice and support, from one premed to another.

Just be extra careful with giving advice on residency or potentially swaying someone on school choice based on this. If you haven't done residency yet.

It's only just possible right now re Aus internships. As you guys are aware, we can't say what will happen in 4-5 yrs. Numbers partly balanced by fails/repeats/drop outs by domestics and internationals, during both med school and internship.

The vast majority of internationals go rural or private/rural mixed because they have to now. For some, going rural is further delaying vocational training in a non-rural or GP field for a couple of years and Australian training is already lengthy in years. There's already a shortfall in non rural or non GP training places, compared to number of applicants under regular recruitment times. that's already a thing. Most of the colleges for vocational training require that you have PR or Australian citizenship. However, this country is still opening up new med schools for full fee paying domestic and internationals, no different to more DOs opening in the US. Except here it's no concept that vocational training can't keep up.
Article as linked above - grain of salt as it is a newspaper article/Herald Sun.
Latrobe University’s planned medical school in regional Victoria will ‘worsen’ jobs shortage
A SHORTAGE of jobs for doctors will be made worse by a planned new regional medical school, Melbourne students say.

City medical students fear they will miss out on valuable internships after plans were announced for a medical school in the Murray-Darling Basin region.

Opponents of the plan have also called it a “cash grab” at the expense of international students.

Medical students from Monash and Melbourne universities told the LeaderLa Trobe University’s planned rural course could not guarantee internships, and would cause further bottlenecks in the training system for student doctors.

And the Leader understands international students could be forced to fork out more than $200,000 a year for the course, as they were not eligible for Federal funded places.

Medical Student Council of Victoria chair Nadine Sexton said the system allowed students to buy their way into degrees.

“This is going to add to the numbers of medical school graduates when there are already more graduating medical students than available internships and training,” Ms Sexton said.

Monash University medical student Sarah Butler said the state didn’t need more medical schools.

“This will essentially flood the pipeline for vocational training. The money should be invested in existing medical schools and students,” Ms Butler said.

The Australian Medical Students’ Association president Alex Farrell said Western Australia’s Curtin University had received more than $40 million in state and federal cash for its medical school.

“You can employ more than 400 training doctors to work in rural areas for that price,” Ms Farrell said.

She said 200 medical students across Australia had already missed out on an internship in 2016, which is compulsory to be able to practise medicine.

“We are so flooded with junior doctors, that by 2030 there will be 1000 more applicants for specialty training positions than there are available spots every year,” he said.

Monash University Emeritus Professor in General Practice Dr John Murtagh said he thought the idea of a new medical school was “ridiculous”.

“The students who are fighting against this have a point. Monash, Deakin and Melbourne universities already have rural attachments in Churchill, Bendigo and La Trobe Valley,” Prof Murtagh said.

He said there was already an oversupply of medical graduates compared to jobs.

Rural Health Minister Bridget McKenzie’s spokesman William Rollo said while a decision was yet to be made on the medical school, the Coalition Government supported establishing settings for regional doctors to learn, train and ultimately practise.

La Trobe University declined to comment.

It's okay if you've accepted and acknowledged that risk with off shore.

But some premeds won't be as comfortable or ready for those odds - and you wouldn't be able to follow through if doesn't work out for them or the stress is too much to handle for them. So have a care - not just for their welfare, but yours as well.
 
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Like 80% of the international students at Irish schools are Canadians. From going through the Irish forums, the crowd is no different to the Australian one.

I wouldn't kick them in the teeth after already turning down UCD :( Ship has sailed. OP is already shaky on things. I know you mean well. But it's kinda like kicking someone when they're already down.

They're aware of job situation in Ireland vs Australia. I'd let them process things. They're worried about job security which is a fair question. Going off shore simply can't give you that, no matter where. Places like UQO where you're doing MS3, are more exceptional but OP doesn't qualify unfortunately.

Oh oops, I had misread OP's statement about having declined UCD already. I thought he/she was still entertaining going there while waiting to hear from Trinity.

It seems as though Australia is the safer bet anyway, because of the 0 chance of getting an internship in Ireland after graduation. Possibility to stay in Australia is obviously better odds than 0. Anecdotally, talking to some of my international student colleagues in year 3 over in Australia where they are fairly split over wanting to stay and train there or return home -- it seems that it is getting increasingly more difficult to return to Canada or the U.S. for residency even with all the board exams done. That it is actually easier for them to secure at least an internship/ prelim training in Australia- or at least that is the perception I'm getting. How this will actually play out remains to be seen as they aren't applying quite yet.

And yes I know most of the international students in Ireland are Canadian, but the cohorts and total class sizes are still smaller than UQ's and Sydney's canadian cohort within their respective classes maybe even smaller than Flinders and Griffith's as well.
 
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Oh oops, I had misread OP's statement about having declined UCD already. I thought he/she was still entertaining going there while waiting to hear from Trinity.
I read too quickly through posts all the time. Or when I'm tired..which I should never do. It's like instant regret every time after I've posted the wrong response.
It seems as though Australia is the safer bet anyway, because of the 0 chance of getting an internship in Ireland after graduation. Possibility to stay in Australia is obviously better odds than 0. Anecdotally, talking to some of my international student colleagues in year 3 over in Australia
I know it seems that way to you, and anecdotally based on your MS3 peers, but my point is that it won't be to everyone. I wouldn't extrapolate that to the entire country. Be so easy if it were the case. Not everyone is going to see "better odds than 0" as great, similarly some premeds will think a 60% match rate home is great. Is it really though? it's not 0 odds to work in Ireland either, you just have to be exceptional. It's hard yes, impossible no.

And even though you're in a unique position of observing UQ trad, what you're essentially doing is giving second hand opinion and advice of students who haven't gone through applying for residency yet. Haven't done interviews, haven't put together applications. Probably haven't even thought about registrar or vocational training yet :S

It's similar to me forming opinions about UQO and then disseminating it. I had many close friends come through that program, but I'm not the one spending 2 clinical years in NOLA.

I can appreciate the pressures that they went through, of having to do the Steps on time by contract they signed, doling out higher tuition fees than any other student in Australia, and dealing with UQ imposing rules from Australia on UQO etc. etc. But I didn't have to live through it.

I knew people who failed at UQO, like dismissed forever with debts, and those who successfully matched and matched in the middle of expectations, or SOAP'd etc. They'll all have their own opinions of UQO.

But, I'm pretty sure you wouldn't want me jumping into the UQO thread on a very regular basis to give them all advice based on the balance of what my UQO friends told me years ago now. I'd find that pretty weird too if I did that. Which is probably why I'm not.

It's not to say, don't give advice either. It's not wrong, far from it. you've been really dedicated to the forums to the benefit of premeds and students junior to you.

Just have awareness of where you're coming from and your own level of expertise - that is safe for the premeds you advise and for you as the advice giver. Stir up conversations if you're out of your level. etc.

I'm probably a bit more hypervigilant of this, because of work. I'm still trying to figure out what to do with some night shift calls, do I wake up my boss at 2 am? or do I make the decision and wait until 6-7 am? sometimes I make the wrong decision. Shoulda called the boss or shoulda let them sleep. ****.

You also don't want to give advice that you might regret later. I know that's not your intention. Particularly on degrees that you haven't actually done. I've tried to be very careful on talking about Irish degrees for example.

Anecdotally, talking to some of my international student colleagues in year 3 over in Australia where they are fairly split over wanting to stay and train there or return home.... How this will actually play out remains to be seen as they aren't applying quite yet.

You can definitely go, my cohort did this or that anecdotally, but what i wouldn't do is use that to predict the future for premeds who are farther away by 4-5 years. You just don't know what's going to happen. Some are going to be okay with unexpected changes others aren't.

For instance - on unpredictability, it's been a rocky year for the now new interns, the VISA situation changed on them without warning. May be it will settle and change some more, but they won't benefit from it, at least not immediately.

They're currently looking at 2 different VISAs minimum whereas for the previous years it was 1 VISA with PR pathway. Many new interns now have to do a 485 visa, which means they have to do another VISA in 2 years. depending on further changes, maybe it'll be a 4 year one with PR pathway, may be not, could be another 2 year one. The feds are re-looking at things for international students, but nothing has come out yet. So.. if you're finishing up your degree in the interim of final decisions. It continues to string you along.

This also makes it harder if you want to get vocational training with a college that will only accept PR or citizens. So, as you can imagine some of the affected students/ex-student of them are not happy with this, even though others are coping pretty well. And you won't have any idea how premeds on an internet forum will respond to these situations when they become students.

It's hard to start a degree under one set of conditions based on what people tell you whether it's forums or the school, then a couple of years in, go "surprise!"

Similarly, the South Australian students had a horrible time in 2015. Many of them anticipated staying with networks and families in South Australia and in the end, had to move. - DO NOT COME TO SOUTH AUSTRALIA (FLINDERS MED) for medicine.

That's like.. a normal thing in Australia now. Dealing with last minute change. Some of us get used to it. And have no f**s left to give. Who cares anymore anyway. Others get pretty demoralized and bitter. Some are just untouched by everything.

So many premeds are like, whatever, they still all had jobs in the end. Which greatly minimizes what some of the students had to go through. like in here: DO NOT COME TO SOUTH AUSTRALIA (FLINDERS MED) for medicine

It's been years that students in 4 year onshore Australian programs are split with going home or staying where they are. Many will say what they will about their choice - but they either flopped the boards or never bothered to take them. I don't know for how much longer they'll have this luxury for, I can't predict this. A smaller proportion is genuine about staying in Australia and work extremely hard to ensure that.

That it is actually easier for them to secure at least an internship/ prelim training in Australia- or at least that is the perception I'm getting. How this will actually play out remains to be seen as they aren't applying quite yet.
You're forgetting that internship in Australia is a year - which every premed and student forgets, it's all about just getting that internship and all your problems are solved after. I did that too.

With the intern year...it almost doesn't mean that much, it doesn't make you a fully qualified doctor or get you any closer to vocational training. It's trending now that you have to do at least a couple if not a few years of hospitalist resident rotations then apply to a college. Imagine, multiple prelim years instead of just the one. Such is the oversupply we're in. It's great for the colleges, better quality applications.

It's not bad. It's just a long journey to vocational training in Australia and it's not particularly straightforward either. it currently matters a bit where you start internship, otherwise the domestics wouldn't be so hell bent on tertiary training from day 0. Unless you are positive about rural generalist or GP training. And the points system for vocational training in Australia, depending on college are even nuttier than what programs in Canada and the US want. Some of the colleges have their own entry exams too. So it's not really surprising that it takes PGY4-5 years to even accumulate enough points to apply to some programs. These are doable, but you get that it requires immense dedication. And they often don't become fully qualified till PGY10-12 etc.

Grass is always greener on the other side on what's 'easy'. I could say that you've the luxury of a supportive program that allows you to match in the US and have a real opportunity to go directly into vocational training. Skipping all the bullcrap we have to deal with to get into reg training. It's about perspective. It's all a different set of problems. No one really gets it easier anywhere.

Easier to get a prelim year now sure, but depending on what you want, you're merely delaying 'problems'.

-- it seems that it is getting increasingly more difficult to return to Canada or the U.S. for residency even with all the board exams done.

On whether it's hard to match back. It's hard work. Is what it is. Hard work and working with stigma against you. It is not impossible. Every med student I know complains to high heavens about the work taken to match back. But you get literally get what you put in and you have to have a lot of commitment and discipline.

Unfortunately, not every student who goes off shore is prepared to work hard, not like that. The minute someone goes, "the MCAT is too much work.. I'm either not going to take it or go half assed and go offshore. North America has unrealistic expectations of its medical students etc." it's Like.. I don't know what to tell you. It's never going to get easier. And I can see right now you're not going to want to do the boards. then yes, it will be harder for you to go home, unless you change your perspective.

However, if you put in the work. Genuinely. You have great scores, CV, research and you did rotations at home with good LORs - then you should have a realistic idea of whether it's going to work or not. In fact, on your SubI at home, people will around you will tell you what they think. If they like you, they will want you to apply to their program, they'll introduce you to their program director.

Again going back to, can't simply look at stats alone.

You also have to ensure applying to things that are realistic to your situation and application, and having appropriate back up. As a purely anecdotal example, I knew people who only applied for competitive programs and ended up with either a year off or soaping into something they didn't want.

And yes I know most of the international students in Ireland are Canadian, but the cohorts and total class sizes are still smaller than UQ's and Sydney's canadian cohort within their respective classes maybe even smaller than Flinders and Griffith's as well.
South of QLD, majority of international students are Singaporean and Malaysian. with some exceptions.

Irish grads are more used to having only to apply back home - would be my impression. It's reflected in the match statistics - they've been consistently higher than Australia or Carribbean. Also, their school selection criteria is higher than in Australia overall. If it's about matching back to Canada as a primary goal... I don't know. potentially Ireland hedges a marginal advantage. But it's not my opinion to make. Haven't studied in Ireland. Among other things.


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Sorry for the wall of text! I know you find that annoying.
Something for me to continue to work on. Kinda failing that right now.

quoting John Waters:
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There's always going to be bitter, scared or negative students and premeds coming to talk about off-shore.

I don't want encourage a toxic atmosphere, but nor do I want to be dismissive of their fears. Dismissive of the bad experiences they had. Or what they see as potential negative or downsides to the process of medical training, particularly off-shore anywhere. Etc.

We don't know how all these premeds will respond to what happens to them as student. we just can't. But I think it's important to ensure that they are well informed. Much like "informed consent" for procedures. If they are receptive to it, so as to prevent greater disappointment. rather than saying, everything will eventually turn out fine, just go.

Entering in this path either blind to issues or unsure/scared, it carries the risk of mental health issues later. Which is made worse by being far away from family and living in an uncertain future. I've seen students and residents in pain, and I don't really know what to do. But I remember them when I come into these forums.

By the time you grad, you too, will know people in your cohort who will be asked to leave, who are repeating, who failed out, or will fail to match and SOAP'd etc. And when you're a resident, you will know interns and residents who will quit or be asked to repeat or leave. It's a small proportion, but none of them could have seen what would happen to them.
 
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I think the short answer is - nobody knows the situation in 5 years when you apply to internship in Australia. If you make your decision off of current trends you could end up in a situation you don't want to be in. Listening to current UQ students talk about opportunities they have now is not going to be the same for you. That's not saying it will get worse (it very likely may), but it can change. Who knows, maybe they magically expand internship training positions dramatically to handle the increased student load. They obviously take advantage of the money from international students, but if those numbers start to dwindle, you may have schools advocating for more training spots to encourage more students. This is all conjecture and not based in any sort of fact other than the search for more money (Spaceballs 2).
 
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I'm not sure if money is an issue for you but Ireland and Australia both cost A LOT. Remember that our dollar is trash right now so keep that in mind for Euro to CAD exchanges if you pursue Ireland. To give you an example, Limerick is about 41k euro/year, which is almost 65k CAD! And Limerick is the CHEAPEST grad entry school. This is about what I expect to pay at my Australian school next year. I'm not even sure how people are affording RCSI at almost CAD 87k/year...
Yea, forgot to add, some of the Irish schools are insanely pricey.

I think the short answer is - nobody knows the situation in 5 years when you apply to internship in Australia. If you make your decision off of current trends you could end up in a situation you don't want to be in. Listening to current UQ students talk about opportunities they have now is not going to be the same for you. That's not saying it will get worse (it very likely may), but it can change. Who knows, maybe they magically expand internship training positions dramatically to handle the increased student load. They obviously take advantage of the money from international students, but if those numbers start to dwindle, you may have schools advocating for more training spots to encourage more students. This is all conjecture and not based in any sort of fact other than the search for more money (Spaceballs 2).

I should have added a TLDR: don't get caught by surprise or expect the unexpected.

University decision on fees v.s. actually school or faculty is often different. Faculty often don't have a voice with either the university at large or with advocating for more training spots. Given the mess, some of the state governments aren't particularly happy with the schools. Not all schools are indifferent to what international students go through, certainly not all faculty. Even though some schools (I admit) have the belief that the responsibility is not theirs, as in they believe they supply degree, the rest is on the students.

There's work now on trying to alleviate the pathway, but it may not necessarily be over a single intern year. The bottleneck doesn't end there anymore, depending on what it is you want to go into.

Original heads that decided on the numbers or fees we have today are long gone now, much like OP is probably long gone. Similar to governments that led to the mess to begin with from 20 odd years ago.
 
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I am a Canadian citizen who is genuinely considering studying medicine overseas. So far, I am considering studying medicine in either Ireland or Australia. Can anyone tell me the pros and cos of studying medicine in Ireland vs. Australia? From my understanding, while Ireland does not offer residency positions to international students, Australia does. However, matching into a residency position in Australia as an international student is still very difficult. Apart from this, however, can anyone offer some genuine advice or opinions on which option is more preferable for Canadian students?

I am also planning to come back to Canada after I have completed my studies. I understand that Canadian IMGs are experiencing a crisis with securing J1 visas to train in the States. However, I also understand that the HB-1 visa is an alternative option for securing a residency position. How difficult is it to obtain this visa?

Overall, is studying medicine overseas really a worthy investment? I am very shaky on this issue... the problem seems to be that as an IMG, matching in a residency position can be a hellish and grueling experience, and this mostly comes down to competition and issues with securing the appropriate visa. I actually received an offer to study medicine at University College Dublin, but I decided to decline the offer because of this very issue. While I'm waiting for a response from Trinity College Dublin, however, I have began to reconsider Ireland as an option and have also begun to investigate the possibility of studying medicine in Australia to see if it would offer anything better. Any feedback would really be of great help.

Ireland is generally the better option if you have EU citizenship. Otherwise, Australia seems to have a pretty good match rate to Canada, on the order of 60%, while Ireland is also pretty good, around 55%. As someone who has experience being on both sides, I can tell you that it definitely is going to be a lot more stressful and hard if you go abroad. However, if this is your passion, and you are willing to persevere to get there and make this your life, then you can do well. The issue is, it is a risk, if you don't end up doing well, the consequences are very real and there is zero sympathy for those who go abroad and don't match.
 
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For everyone who commented on this post, I thank you so much for your feedback. I have begun considering applying to DO schools in the US, as this is something that I have not seriously contemplated on doing in the past. I have come to the decision that it is best to completely avoid going off-shore for medical school - it is best that I try again in the US and Canada or that I move on to pursue other related fields (i.e. physician assistant, optometry, pharmacy?) in Canada that are more feasible with my given stats. I am very passionate about medicine. However, the possibility of me being a part of the minority who do not match after going abroad is still very real and is a risk that I am highly reluctant to take, just because the stakes are incredibly high. Perhaps I will be much better suited to re-apply to Canadian medical schools after some time when I have gained a lot more experience. Pursuing a career of becoming a physician assistant in this case would be pretty ideal. You take on many of the exact same responsibilities as a medical practitioner and it only requires two years to obtain your degree. If I am still as serious about medical school as I am today, I can reapply to Canada, and with the added professional clinical experience under my belt, I imagine that my chances of matriculation would be much greater in doing so. If any of you have any insight into the future outlook for physician assistants in Canada or North America in general, I would be highly appreciative if you share!
 
For everyone who commented on this post, I thank you so much for your feedback. I have begun considering applying to DO schools in the US, as this is something that I have not seriously contemplated on doing in the past. I have come to the decision that it is best to completely avoid going off-shore for medical school - it is best that I try again in the US and Canada or that I move on to pursue other related fields (i.e. physician assistant, optometry, pharmacy?) in Canada that are more feasible with my given stats. I am very passionate about medicine. However, the possibility of me being a part of the minority who do not match after going abroad is still very real and is a risk that I am highly reluctant to take, just because the stakes are incredibly high. Perhaps I will be much better suited to re-apply to Canadian medical schools after some time when I have gained a lot more experience. Pursuing a career of becoming a physician assistant in this case would be pretty ideal. You take on many of the exact same responsibilities as a medical practitioner and it only requires two years to obtain your degree. If I am still as serious about medical school as I am today, I can reapply to Canada, and with the added professional clinical experience under my belt, I imagine that my chances of matriculation would be much greater in doing so. If any of you have any insight into the future outlook for physician assistants in Canada or North America in general, I would be highly appreciative if you share!

The outlook for physician assistants is pretty good, I've met a couple in the course of my training and they all seem pretty pleased with their job prospects. Understand though that the role of a PA will still be less than that of a physician and that is something you will have to accept if you choose to do it. Good luck!
 
Hey guys, just wanted to give you an update! So not long ago, I was offered an interview at Deakin School of Medicine in Victoria, Melbourne, Australia after asking a third party application company (i.e. Study Options) questions about studying medicine in Australia. So I said to myself, "why not, might as well even complete the application at this point". The interview ended up going very well and I was also deemed a highly qualified applicant upon review of my University transcript and MCAT score report, so they waived my application fees. A few weeks later, Deakin School of Medicine sent me a conditional offer of acceptance. So here I am again reconsidering studying internationally haha. I feel a lot better about studying in Australia compared to Ireland because Australia is first of all about $100,000 CAD cheaper, and additionally provides opportunities to secure residency within its borders. Deakin School of Medicine particularly prioritizes international students over domestic students graduating from other Australian medical schools for internship positions. So seems like a great opportunity.

Considering my plan to return to North America upon completing my studies, I began to think about how I'm going to manage my time well enough in order to write and do well on all the boards. Correct me if I'm wrong, but after doing some research, I believe that there are four I have to write for the US and another three that I have to write for Canada. On top of these, if I want to open up opportunities for Australia, there are an additional two board exams that I need to write. So this all totals to 9 exams, which seems not only costly but highly daunting. I know I am very early to be worrying about these exams, considering that I haven't even commenced my first year of medical school, but I would like to have a solid game plan in place before going off-shore. If any of you who have studied in Australia can provide some insight into how I can organize my time to study for/write these boards throughout the 4-year program, it would be highly appreciated.
 
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Deakin School of Medicine particularly prioritizes international students over domestic students graduating from other Australian medical schools. So seems like a great opportunity.

Yes and No. I would suggest you do more research into internship priority ranking for each Australian state. The state of Victoria, as you mentioned, might be favourable for internationals in the sense that you are given priority ranking for internship spots over Australian graduates of interstate universities. You are still considered after all the grads from the Victorian schools have had their shot though.

Great opportunity? I don't know. You mentioned that you want to practice in Canada. The priority internship ranking has little to do with your chances coming back home.

So this all totals to 9 exams, which seems not only costly but highly daunting. I know I am very early to be worrying about these exams

You can never be too early lol. You decision to pursue medicine anywhere must be determined by if you think it makes sense financially, economically, etc. Do you think it is feasible or wise to do 9 exams to cover all your bases? Thats the call you'll have to make.

I only skimmed through your previous posts but have you considered DO options in the US? Your stats are good for it. Is becoming a physician your only option? You mentioned previously you were looking into other health related fields. Figure out exactly what you want first and then then devise your future plans based on that.

Anyways as many have said before me and will say in the future, going abroad is a risk and you will have to see if its worth it personally for you. Do not change how you think about your future career and your opinion on international schools based on you receiving an acceptance.
 
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Yes and No. I would suggest you do more research into internship priority ranking for each Australian state. The state of Victoria, as you mentioned, might be favourable for internationals in the sense that you are given priority ranking for internship spots over Australian graduates of interstate universities. You are still considered after all the grads from the Victorian schools have had their shot though.

Great opportunity? I don't know. You mentioned that you want to practice in Canada. The priority internship ranking has little to do with your chances coming back home.



You can never be too early lol. You decision to pursue medicine anywhere must be determined by if you think it makes sense financially, economically, etc. Do you think it is feasible or wise to do 9 exams to cover all your bases? Thats the call you'll have to make.

I only skimmed through your previous posts but have you considered DO options in the US? Your stats are good for it. Is becoming a physician your only option? You mentioned previously you were looking into other health related fields. Figure out exactly what you want first and then then devise your future plans based on that.

Anyways as many have said before me and will say in the future, going abroad is a risk and you will have to see if its worth it personally for you. Do not change how you think about your future career and your opinion on international schools based on you receiving an acceptance.
Exactly this.

There's a large number of *domestic Australian priority grads from VIC already each year, so most internationals able to get internships end up rural or interstate rural. That's right now. No idea about 4-5 years.

Also, the schools virtually tell all full fee paying students how much they want you. Carib schools do the same. They need your tuition. Not you as a future doctor - they have domestics for that. It's also easier to get into an Australian school than an Irish one so hate to say it, but getting into Deakin isn't really a big deal :(

9 exams - think about 9 different MCATs but twice as long. With no support from your possible future school as Australians do not have to take the boards for the US or Canada. You also have to score higher than any AMG or CMG who would have had better GPAs and MCATs scores on avrg to get into med school than any off shore student. That is a tall order and they would have to focus on half the number of exams. How exactly did you find studying for the MCAT while studying for undergrad exams?

As above, OP consider DO first.
Off shore anywhere is the last option.
 
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Exactly this.

There's a large number of *domestic Australian priority grads from VIC already each year, so most internationals able to get internships end up rural or interstate rural. That's right now. No idea about 4-5 years.

Also, the schools virtually tell all full fee paying students how much they want you. Carib schools do the same. They need your tuition. Not you as a future doctor - they have domestics for that. It's also easier to get into an Australian school than an Irish one so hate to say it, but getting into Deakin isn't really a big deal :(

9 exams - think about 9 different MCATs but twice as long. With no support from your possible future school as Australians do not have to take the boards for the US or Canada. You also have to score higher than any AMG or CMG who would have had better GPAs and MCATs scores on avrg to get into med school than any off shore student. That is a tall order and they would have to focus on half the number of exams. How exactly did you find studying for the MCAT while studying for undergrad exams?

As above, OP consider DO first.
Off shore anywhere is the last option.
Studying for the MCAT really wasn't all that bad, I had a schedule and a daily routine. With how I managed my time, I was even able to afford to take weekends off haha, my only concern here is how I will manage my time for 9 exams... I can see why so many students opt to stay in Australia. It just doesn't seem very feasible to be able to study for and do well on multiple board exams at once. I'm pretty sure that Deakin provides allocated studying periods for students to study for Australian boards, maybe I can also use that time to study for NA boards? Or perhaps use the allocated studying periods for Australian boards, and then devote a few months of summer for NA boards? Although I can honestly see myself burning out pretty severely... I just received an email from Deakin with a link to their Facebook page, maybe I can get in contact with other Canadian students for some further insight? But I agree with you, no one knows what the internship situation will be like in 4-5 years. I likely won't accept the offer, but I'll let it hang for a bit longer just to make use of the resources and investigate a little further. At the end of the day, in the scenario that I do accept the offer, the biggest advantage would be that I have the option of practicing in Australia and NA, so it expands my options a bit, but with the associated costs of doing this, it doesn't seem like much of an advantage anymore...

Another option would be to write the NA boards after obtaining my MD? The interviewer from Deakin suggested that I can try coming back to North America after becoming fully certified as a doctor, which will most likely be as a general physician. In this way, perhaps I can write the boards in order to be certified to practice, and then secure employment through direct entry? It will take a lot longer to come back through this route, but it's possible.

If I recall from other threads I've read, you graduated from an Australian medical school? How did you manage your time to study for boards?

Overall though, the internship situation still makes this whole thing incredibly risky, especially with being at about $350,000 CAD in debt by the end of it. I understand that you told me already that going international should be a last resort, but I'd like to dig into it a bit more before throwing it out.

P.S. There is an update to my stats. I am currently taking a summer school course and I just had a very bad test that was worth 25% of my grade... I am contemplating on requesting a Late Withdrawal from the course, as the deadline for dropping it without academic penalty has unfortunately passed. My question is, how bad would having a "Late Withdrawal" status designated for a single course on my transcript affect my chances of matriculating to DO schools in the US? The course is not a prerequisite for the DO program. Is it something to be genuinely concerned about? I have followed the advice and recently began an application to DO schools via AACOMAS.
 
Studying for the MCAT really wasn't all that bad, I had a schedule and a daily routine. With how I managed my time, I was even able to afford to take weekends off haha, my only concern here is how I will manage my time for 9 exams... I can see why so many students opt to stay in Australia. It just doesn't seem very feasible to be able to study for and do well on multiple board exams at once. I'm pretty sure that Deakin provides allocated studying periods for students to study for Australian boards, maybe I can also use that time to study for NA boards? Or perhaps use the allocated studying periods for Australian boards, and then devote a few months of summer for NA boards? Although I can honestly see myself burning out pretty severely... I just received an email from Deakin with a link to their Facebook page, maybe I can get in contact with other Canadian students for some further insight? But I agree with you, no one knows what the internship situation will be like in 4-5 years. I likely won't accept the offer, but I'll let it hang for a bit longer just to make use of the resources and investigate a little further. At the end of the day, in the scenario that I do accept the offer, the biggest advantage would be that I have the option of practicing in Australia and NA, so it expands my options a bit, but with the associated costs of doing this, it doesn't seem like much of an advantage anymore...

Another option would be to write the NA boards after obtaining my MD? The interviewer from Deakin suggested that I can try coming back to North America after becoming fully certified as a doctor, which will most likely be as a general physician. In this way, perhaps I can write the boards in order to be certified to practice, and then secure employment through direct entry? It will take a lot longer to come back through this route, but it's possible.

If I recall from other threads I've read, you graduated from an Australian medical school? How did you manage your time to study for boards?

Overall though, the internship situation still makes this whole thing incredibly risky, especially with being at about $350,000 CAD in debt by the end of it. I understand that you told me already that going international should be a last resort, but I'd like to dig into it a bit more before throwing it out.

P.S. There is an update to my stats. I am currently taking a summer school course and I just had a very bad test that was worth 25% of my grade... I am contemplating on requesting a Late Withdrawal from the course, as the deadline for dropping it without academic penalty has unfortunately passed. My question is, how bad would having a "Late Withdrawal" status designated for a single course on my transcript affect my chances of matriculating to DO schools in the US? The course is not a prerequisite for the DO program. Is it something to be genuinely concerned about? I have followed the advice and recently began an application to DO schools via AACOMAS.
I may come back to this later. When I've more time again.

We're going around in circles I'm afraid.
I'm reluctant to repeat myself or some of the very thoughtful responses above.

If that's not getting through, take the 350k gamble. It's purely your decision to make at the end of the day. Not anyone else's.

One thing though, take a step back and critically appraise your sources - you were trained to do this in undergrad. Deakin is the one trying to get you to give them your 350k. What would they not say? It's like allowing a pharmaceutical company convince you there were no exclusion criteria in the trials they did on the drug they're selling. It's not to say completely disregard it but have a healthy dose of skepticism when you approach anything - especially since you're make a huge decision that won't just be 4 yrs. It's the rest of your life. It's 350k of debt - more than I paid in my time. The tuition goes up rapidly every year (12%) as it's lucrative and the demand remains.

I understand positivity but there's a fine line with this and desperation that clouds objectivity.

You yourself aren't sure about 9 exams. 9 exams plus med school - you fail med school or anything off shore it's a red flag and all your scores have to beat the AMG or CMG avrg, people who on avrg had better GPAs and MCAT scores than off shore.

Wait and see what your DO acceptances are.

I'm sorry but I'm not going to share my personal story for anyone to hang their hopes on. I was also of a different era now. It's getting harder to stay - and options are limited. (Hope everyone is mad about rural medicine!)

Objectively - the fact that I'm an Australian grad who stayed in Australia, *who is telling you to exhaust all options before going offshore, should say enough right on its own.
 
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