I just finished graduating from Medical School out of the U.S. , and I can assure you that although Doctors in Spain earn less than the ones in the USA, you will have more chances to work as a Doctor in Spain. The ECFMG, who is the organization in charge of managing doctors from out of the U.S., has made it more difficult for IMG (International Medical Graduates) to start our dreams as Doctors. Not only they have raised the prices of the USMLE's, but now they have added that IMG must work for a term of 365 laboral days, within the U.S. Medical System (Medical assistant, Surgical Tech, Coding, ..etc), before you can apply for Medical Residency.; and depending on what State you would like to practice, You will be asked to take from USMLE 1...to USMLE 4.
If you are thinking of going to Spain, You are going to need several papers from your University, as well as from your Country's Medical Management Organization.
Once you get all the needed paperwork, you will need 150 to 175 Euros to "Collegiate" in the Province you want to work at (remember that if you change to a different Province, you must "collegiate" in the new Province again, but you will not need to do everything again).
If you are going to work as a General Practitioner Doctor, you will not need to Take the M.I.R. (which is the Equivalent to the USMLE's....but much...MUCH stronger - only those who want to Specialized need to take it)
and the reason it is so hard to pass that test is because, once you pass the M.I.R. , you will be able to work in any country that is a member of the European Union..but if your license is taken AWAY, for example, in Spain...you wont be able to work as a Doctor anywhere in the European Union....Comparing to if you lost your Medical License in Texas, you still able to drive to another state, take the Medical Boards of that state, and continue to work as a Doctor without any worries, because everything that happened in the state you lost your license STAYS THERE...so, in other words, you could be a Doctor 50 Times in the U.S.A. Versus 1 Time ONLY in the European Union.
And if you were thinking of challenging the Physicians Assistant Boards, so you can work while preparing for the USMLE's...THINK AGAIN...THEY WILL NOT ALLOW YOU TO DO SO...but the funny part is that you are able to work as a Physician Assistant (while you are an IMG) inside the U.S. Prison system. ...Interesting ah??
And just in case everyone thinks I'm just another foreign person that wants to take American jobs away...Guess again...I am AMERICAN
So...if you want to compare everything IMG's go through, to those graduated in the U.S.A. Let me show it to you:
To start U.S Medical Residency, need to have:
U.S. Medical Graduate: USMLE 1
VS
International Medical Graduates : USMLE 1, USMLE 2 (CS &CK), 365 Laboral
days within the U.S. Medical System
*** Remember, some of us, IMG's, did a full Year of Internship - working as Doctors, before we graduated as Doctors....Something U.S. Medical Graduates don't do ***