f_w

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> is it that competitive in UK & US, any difference in the level between
> both country?

Can't speak about the UK. In the US it is VERY competitive. It is next to neurosurg one of the longest residencies, the calibre of people applying is in the same range as ortho or NS.

> My other question, when a an SHO finishs his BST in UK, how is he
> treated in the US ,

Not much different from someone fresh off the boat. Having basic surgical skills will help to get into the 2 year surgery residency which is a prerequisite for plumbing training, the training itself won't be credited (If you do GS otoh, your pogram director can petition the board to allow you to skip a year if you have extensive surgical experience).

> must he pass by USMLE exams, any way available to skip those steps
> by some kinds of convalidation of an SHO experience? thnx

The USMLE is the equivalent of the PLAB in the UK. If you want to lay your hands on a patient in the US, you MUST have USMLE 1,2ck,2cs and a valid ECFMG certificate. This is a federal law without too many ways around it. (only exception: You are an internationally recognized expert in your specialty and a university appoints you to a leading faculty position. They can get you exempted from this rule.)
 

johnny_blaze

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tonypowerful said:
hi guys,
I have 2 small questions, the first is : can someone tell me more about Urology, is it that competitive in UK & US, any difference in the level between both country?
My other question, when a an SHO finishs his BST in UK, how is he treated in the US , must he pass by USMLE exams, any way available to skip those steps by some kinds of convalidation of an SHO experience? thnx
Here’s some info on Urology in the U.K

The higher surgical training program is about 6 years. After a minimum of 3 years of core training and attainment of the FRCS(urol) you can do some sub specialist training (ie. Urogynaecology, andrology, renal transplant). Approximately 25 new training posts open per year.

The hours are good (approx. 50/week) and the pay is decent as well (average=80k, with good private practice you can probably make around 200k) and its not as stressful as GS and you very rarely get disturbed when on call.

I don’t really know why urology isn’t as competitive in the U.K as it is in the U.S. Over here it’s probably easier to get a HST post in urology than in GS.
 
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tonypowerful

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johnny blaze,
u said that uro lasts for 6 years, do u mean 4+2 as an SHO ? during the first years must I begin with GS then shifting to Uro or it begins from Uro?
 

johnny_blaze

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After med school you do your PRHO and SHO jobs before applying for a urology registrar post. I said the HST program was 6 years but that’s after doing BST/SHO work and doing your MRCS exam.

It’s a good idea to do some research in urology in med school or do an elective in it to make it easier to get into, also experience in urology as an SHO (approx. 1 year) is probably needed before you can apply for higher training. Other useful SHO jobs include GS and paediatric surgery.