Where best to practice -UK,Ireland,Australia,US?

[jtkh]

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I'm a Malaysian citizen. I'm currently doing a twinning course in medicine, which allows me to complete my clinical years in and graduate from parter universities in UK, Ireland, US (Thomas Jefferson College), and Australia.

I'd appreciate if you can offer me information on the prospects of housemanship and specialist training after graduation in each of those countries. How easy is it for an international citizen with a local degree to get a job? What is the salary scale like for starters and for consultants, before and after tax? How long does it take to complete specialist training? What are the chances of obtaining PR status?

If you know only of your own country's system, I'd be pleased to hear about it. Your info can help me in deciding on which country to finish my medical degree.

BTW, can someone tell me what the US residency program is like?

Thanks.

Cheers,
Joe.

 

[dr strangelove]

I'm a Malaysian citizen. I'm currently doing a twinning course in medicine, which allows me to complete my clinical years in and graduate from parter universities in UK, Ireland, US (Thomas Jefferson College), and Australia.

I'd appreciate if you can offer me information on the prospects of housemanship and specialist training after graduation in each of those countries. How easy is it for an international citizen with a local degree to get a job? What is the salary scale like for starters and for consultants, before and after tax? How long does it take to complete specialist training? What are the chances of obtaining PR status?

If you know only of your own country's system, I'd be pleased to hear about it. Your info can help me in deciding on which country to finish my medical degree.

BTW, can someone tell me what the US residency program is like?

Thanks.

Cheers,
Joe.

When it comes to money matters, I'd say that either the USA or Ireland has the best deal; the latter because of the way you can combine public and private practice. In the UK you're stuck in the NHS, which is pretty sweet if you're a GP, but it's not so great for other specialities.

For specialist training after graduation, I'd suggest the USA or to a lesser extent, the UK. Forget about Ireland - postgrad training is not up to much. Most Irish doctors who want to advance leave the country for a few years to get specialist training abroad.

 

[13538]

You can't compare postgrad training in the Ireland and the US - they are totally different systems and produce physicians/surgeons for 2 different healthcare systems. Basic and higher specialist training is essentially the same in the UK and Ireland. Many Irish doctors spend 1-2 years in the US or Canada doing a fellowship to gain very specialist training that is simply just not possible in a country with a population of only 4 million.

 

[Jammer]

You can't compare postgrad training in the Ireland and the US - they are totally different systems and produce physicians/surgeons for 2 different healthcare systems. Basic and higher specialist training is essentially the same in the UK and Ireland. Many Irish doctors spend 1-2 years in the US or Canada doing a fellowship to gain very specialist training that is simply just not possible in a country with a population of only 4 million.

You're right, you cannot compare the US and Irish postgraduate medical training models. However, this is because the approach to training is very different. In the US, postgraduate training is very specialized at an early stage. It is, also, more practically based with little time wasted. In Ireland, postgraduate training is unnecessarily prolonged. There is minimal responsibility and very little significant decision making for the first few years of training. This stunts your growth as a physician and your development as a critical thinker. This approach is unrelated to the structure of the Irish healthcare system, but it is a symptom of the 'Old Boys' mentality that serves to limit control of the system to but a few.

 

[dr strangelove]

Basic and higher specialist training is essentially the same in the UK and Ireland.QUOTE]

Maybe it used to be, but not anymore since the advent of FY1 in the UK and all that comes after.

 

[13538]

Maybe it used to be, but not anymore since the advent of FY1 in the UK and all that comes after.

I was talking about the Royal College exams...it's the various Royal Colleges that control postgrad training in the UK/Ireland

 

[dr strangelove]

I was talking about the Royal College exams...it's the various Royal Colleges that control postgrad training in the UK/Ireland

I thought that the Irish Royal Colleges and the British Royal Colleges were seperate entities (with the exception of psychiatry)?

 

[deleted21609]

It is not really possible to say one of those choices is best. What's best for you will depend a lot on your lifestyle preference, specialty choice, long-term goals, etc. The main advantages of the US is relative openness to foreigners and the fact that practically everyone who starts training in a categorical residency will reach attanding/consultant status very quickly (3-5 years). You may prefer the more prolonged training in the British system with higher initial pay and probably better hours depending on your specialty and location. There are just too many factors to say one system is absolutely the best.

 

[eastofnorth]

It is not really possible to say one of those choices is best. What's best for you will depend a lot on your lifestyle preference, specialty choice, long-term goals, etc. The main advantages of the US is relative openness to foreigners and the fact that practically everyone who starts training in a categorical residency will reach attanding/consultant status very quickly (3-5 years). You may prefer the more prolonged training in the British system with higher initial pay and probably better hours depending on your specialty and location. There are just too many factors to say one system is absolutely the best.

Well-put. I agree completely.

 

[ali farivar]

I believe it is quite dependent to your own point of veiw about what you have planned for your own future, no doubt the american uni.s grad.s have had more cases and heavier training and higher payments besides unlike Brit. type systems you have higher chance of getting a place among the gods! but if you wish a calm and steady life style you might rather Brit style

 

[leorl]

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