Will this prevent the chance of obtaining a residency?

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nitrofl

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  1. Medical Student
Hello everyone,
Nice to meet you.

I'm currently a Caribbean medical student in a certain school.
I unfortunately did not pass one 2nd semester class...physiology 2.

My father wants me to work for sometime as I have somewhat of a software background.

May I ask everyone...

1. Does an F grade in medical school automatically dismiss the chance of a residency even if the other grades are good?
2. Does a LOA in med school also lower the chance of a residency?

3. My goal is to do psychiatry.

If one has an MD but does not get into a residency, what else can they do?
Can they teach at the medical school level?

Would like to get your feedback.

Thank you very much
 
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No don't drop out. Don't they allow remediation of single classes over thee summer? Either way keep going. If you fail again idk what to say but for now keep going. Taking a break to work is a stupid idea. He doesn't know what he's talking about.
 
No don't drop out. Don't they allow remediation of single classes over thee summer? Either way keep going. If you fail again idk what to say but for now keep going. Taking a break to work is a stupid idea. He doesn't know what he's talking about.
Thank you. I would like to continue. I can take it again yes.

May I ask...will an F negatively affect the chances of obtaining a residency?

Will a LOA negatively affect it?

Also, if one does not do a residency, are there other things he or she can do?
Can they teach at the medical college level?

Thank you
 
It might hurt your chances at top programs or competitive specialties... but one remediated/retaken course wont stop you from obtaining a residency.
 
It might hurt your chances at top programs or competitive specialties... but one remediated/retaken course wont stop you from obtaining a residency.
Thank you very much. My dream is to do psychiatry.
 
If you’re at a US med school you should be fine for most normal specialties which psych would be included. If you attend a US med school, try to figure out why you failed, how to do better and try your best and move on.

if you attend medical school outside the US your chances for a US residency were poor to begin with and just got worse.

if you attend med school outside the US and you plan to do residency outside the US, then I have no idea.

in the US, you most likely will NOT be able to teach med students without a residency. There are some job options that an MD helps you obtain, but these are jobs that often do NOT require an MD. Your best bet is to do a residency or at least enough training to get a license...
 
If you’re at a US med school you should be fine for most normal specialties which psych would be included. If you attend a US med school, try to figure out why you failed, how to do better and try your best and move on.

if you attend medical school outside the US your chances for a US residency were poor to begin with and just got worse.

if you attend med school outside the US and you plan to do residency outside the US, then I have no idea.

in the US, you most likely will NOT be able to teach med students without a residency. There are some job options that an MD helps you obtain, but these are jobs that often do NOT require an MD. Your best bet is to do a residency or at least enough training to get a license...
Thank you. I was attending a Caribbean school.
 
I was attending a Carribean school online at home in the US.
Well that changes things in terms or match % and whether or not you should take on 200k+ more debt by graduation
 
Well that changes things in terms or match % and whether or not you should take on 200k+ more debt by graduation
Right, there is the huge financial debt (it will be over 100k). I I don't want to accumulate all this debt to have a degree but no license and no residency. That would be a waste.
 
Well, OP. Your odds were 50-50 BEFORE you had a failed course. They likely got lower here. Your best odds would be in FM or IM. Either way, your chances are zero if you decide to drop out.
 
Without a residency, OP will not be able to teach at highly regarded schools. However, my buddy's DO school has an FMG working as an associate professor without doing residency (failed step 1) but this is very rare and is a last resort.
Hello what is OP?

Thank you.
 
Coming from the Caribbean and failing a class is a huge problem. Not as much because of the individual class, although that does matter, but because generally the pattern is doing poorly on other future classes or on Step 1/2. It’s an even bigger problem if you are not attending one of the big 4 schools.

normally I would say don’t make any rash decisions. I think you're being smart to ask these questions however. Too many people go to the Caribbean, do poorly, ignore the red flags, and plow hundreds of thousands of dollars into their education with nothing to show for it. I can’t tell you what to do, I have no way of knowing if things turn around completely from here or if you struggle in other areas. But I think you’re smart to ask these questions. If it was me personally, I probably would not continue unless I had reason to believe moving forward that I could be in the top half or quartile of my class. Alternatively a middle ground might be to continue for another semester or year and see if you continue to struggle in any other areas.
 
Hello everyone,
Nice to meet you.

I'm currently a medical student in a certain school.
I unfortunately did not pass one 2nd semester class...physiology 2.

My father wants me to work for sometime.

May I ask everyone...

1. Does an F grade in medical school automatically dismiss the chance of a residency even if the other grades are good?
2. Does a LOA in med school also lower the chance of a residency?

3. My goal is to do psychiatry.

If one has an MD but does not get into a residency, what else can they do?
Can they teach at the medical school level?

Would like to get your feedback.

Thank you very much
Both a failed grade and a leave of absence are red flags for residency programs, however, if you apply to the right fields you may still easily be able to obtain a spot. Family medicine is common fallback. There’s also still a shot for Psychiatry too if you avoid future slip ups and otherwise have a good record. I will say that under no circumstances should you be working and if your father refuses to fund you, then you pay for school through loan $. Lastly, I wouldn’t worry about not getting a residency at this point as Iike I said if you’re at a US school, chances are you can match somewhere. If you don’t match and opt against residency you can’t practice medicine. You can instead work for a pharmaceutical or insurance company.
 
I was attending a Carribean school online at home in the US.
Oh that’s not good...what’s up with all these Caribbean students looking at Psych recently? Psychiatry is likely out of the picture. Family Medicine is still possible.
 
Well that changes things in terms or match % and whether or not you should take on 200k+ more debt by graduation
Maybe this will come off as elitist, but I feel there should be a separate forum for Caribbean medical students, especially if we still relegate DOs to their own forum despite the merger. There are enough of them on SDN now and the advice I’d give to them is drastically different than a US MD/DO and frankly I have no insight into all the stuff they deal with.
 
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Maybe this will come off as elitist, but I feel there should be a separate forum for Caribbean medical students. There are enough of them on SDN now and the advice I’d give to them is drastically different than a US MD/DO.

There is. Caribbean
 
There is.
Well, then while everyone has the freedom to post in Allo/Osteo if they want, I feel they’re better served posting in their own forum. I see the forum, but it’s kinda tucked away. Maybe put it underneath the Clinical Rotations forum under Medical Students? There have been a LOT of failed to match posts here/elsewhere and the majority are Caribbean applicants.
 
I hate to stereotype but I could immediately tell from the way you asked the question that you were not USMD and assumed the MD/PhD tag was an error.

Do you mind sharing your undergraduate stats (GPA/MCAT?) I think that can give us more context into your abilities and enable us to give you more personalized advice. Also, is this a "top 4" Caribbean school?

Like others have said, your best chances are at matching IM/FM assuming you don't flunk out sometime before that and get left saddled with tons of debt
Yeah the tag is an error. I am a Caribbean medical student.
I don't remember my MCAT. But did not do so well in undergrad.
No, I this is not a top 4 school.

Thanks for the advice.
 
What is the school offering to do?

Have they offered nothing or are they offering to let you take the course again. If the latter, are they offering any other support to help you through?
Yes they are offering to let me take it again. And there is tutoring after school.
 
Yeah the tag is an error. I am a Caribbean medical student.
I don't remember my MCAT. But did not do so well in undergrad.
No, I this is not a top 4 school.

Thanks for the advice.
You can just say you don’t want to share it.

To be fair I don’t think the MCAT is relevant piece of info here but if OP is Caribbean we can assume it’s not great.
 
You can just say you don’t want to share it.

To be fair I don’t think the MCAT is relevant piece of info here but if OP is Caribbean we can assume it’s not great.
I don't want to share but I also don't remember it. That is a fair assumption.
 
Log into your AMCAS account and tell us. You can reset your password if you "forgot it". Anyways, you'll be needing your account during 3rd/4th year for VSAS and ERAS so might as well figure it out now.

When you're asking for free advice on a public forum, the least you can do is be open and honest about where you stand. The first step is acceptance. We're not dumb. SGU avg is 496/3.2 so it's safe to assume the other 3 are lower, and "non big 4" avg probably 3.0/2.6 science and <488 MCAT. So we're just going to give you advice with these assumptions
Nothing you’ve said is false, but OP doesn’t want to give tell us what it is. It’s also not relevant IMO. It’s probably something below <500 like you’ve assumed accompanied with a bad UG GPA which doesn’t inspire confidence for board performance. I feel there are some Caribbean students who have succeeded and should be the ones guiding OP and not US MDs asking OP what his MCAT was. An online Caribbean community needs to be built to help them from M1 to Match Day.
 
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I partially agree but I do think it's relevant. I have family and friends who are amazing attendings and graduated from non-top 4 Caribbean schools as well as experience from talking to my SMP classmates who flunked out and are now in the Caribbean.

Maybe OP is smart and considers a 3.1/504 to be "low" but had no ECs and/or institutional action (cheating) that prevented them from getting into a US school, or maybe a 2.4/492 because of lack of preparation/test anxiety or maybe really low stats with an upward trend that just wasn't enough. The advice we give would be different.

It's none of our business but OP is asking for our help and for us to best guide him we need that information. Just look at #scramble2021 on twitter and you have people sharing their AMCAS ID, scores, and all kinds of personal stories because they have a positive attitude and want to be helped. I get the argument for keeping it under allo because giving it it's own forum will reduce participation, but if you consistently moved the threads there and you have some of the
That makes sense. I think in this case though, we can assume OP is more of the bolded profile. I just wish right under Clinical Rotations, there was another forum under Medical Students for Caribbean. I don't think having it in the International heading is doing it justice. This past week, there have been at least 5 recurring threads that Caribbean students have generated. If we can get those amazing Caribbean grads active in that forum, that would be awesome.
 
I partially agree but I do think it's relevant. I have family and friends who are amazing attendings and graduated from non-top 4 Caribbean schools as well as experience from talking to my SMP classmates who flunked out and are now in the Caribbean.

Maybe OP is smart and considers a 3.1/504 to be "low" but had no ECs and/or institutional action (cheating) that prevented them from getting into a US school, or maybe a 2.4/492 because of lack of preparation/test anxiety or maybe really low stats with an upward trend that just wasn't enough. The advice we give would be different.

It's none of our business but OP is asking for our help and for us to best guide him we need that information. Just look at #scramble2021 on twitter and you have people sharing their AMCAS ID, scores, and all kinds of personal stories because they have a positive attitude and want to be helped.

It's completely irrelevant and you know it. He doesn't need to tell you nor does he want to and frankly, an MCAT score should not affect your advice in this situation. If it does, then your advice is unlikely to be helpful or realistic.
 
Thank you. I would like to continue. I can take it again yes.

May I ask...will an F negatively affect the chances of obtaining a residency?

Will a LOA negatively affect it?

Also, if one does not do a residency, are there other things he or she can do?
Can they teach at the medical college level?

Thank you

Going to the Caribbean (regardless of the school) will negatively affect you.

Failing a class at a Caribbean school will negatively affect you.

A LOA will negatively affect you.

The chances of a psych match are very low. Perhaps not 0, but very low. I would apply to psych, IM, and FM to be safe. I would expect an FM match and if you happen to match psych, that's great, but don't put all your hopes in that basket.
 
You have a near 0% chance of matching psych coming from a Caribbean school + failing a class. You might be able to match FM. If you take a LOA, your chances of matching anything will be severely diminished and depending on which Caribbean school, possibly near 0%.
 
I can tell you that from my undergrad, the ones who made it into med school (DO) with >500 MCAT all struggled, delayed COMLEX, and scored >490 and did not take step. Sure, maybe there's a unicorn or two out there who turned things around and hit a 600. And in my SMP, the ones with 498-502s were more likely lower half of the class or flunked out. I'm not saying they won't make great doctors. In fact, they're probably smarter than doctors who graduated 20-30years ago since there's so much to learn now. But the fact of the matter is that the threshold for determining minimum competency (passing USMLE whether that's 194 or whatever - even when it will be P/F) will be more of a challenge.

My cousin's husband was on of ~10 to match from his starting class of 60+ (very small/unknown caribb school) and he's an amazing IM subspecialist and did not take the MCAT but was able to do well on standardized exams. I'm sure many of his classmates could have been amazing DOs and killed COMLEX but they simply couldn't dominate Step 1 like he did. So it's not "irrelevant"

Yes, it IS irrelevant and your anecdotes don't make it relevant. No one's MCAT means a hill of beans and if you think it is does when offering advice about matching into residency, your advice is skewed. Also FYI, being "smart" has nothing to do with information available to learn. That's like saying Einstein wasn't smart because he didn't learn how to use social media. There are a lot of doctors who graduated 20-30 years ago working at community hospitals who can think circles around fresh grads at the Ivys.
 
Well, OP. Your odds were 50-50 BEFORE you had a failed course. They likely got lower here. Your best odds would be in FM or IM. Either way, your chances are zero if you decide to drop out.
Why would FM and IM be ok with Carib + a fail + maybe an LOA?
 
Why would FM and IM be ok with Carib + a fail + maybe an LOA?
It’s a matter of the sheer number of programs, many of them go unmatched. Psych doesn’t have that problem.
 
Why would FM and IM be ok with Carib + a fail + maybe an LOA?
Not sure where i said “okay”. I said best odds, which was a true statement. OP has an uphill battle.
 
Right i get that but i think selection criteria are still in place unless we're talking malignant programs
Not necessarily. I know on SDN there’s the caricature of the IMG sweatshop being malignant and the notion that those programs are the ones that don’t fill would be plausible, but that’s really not the case. Many quality community programs struggle to recruit due to a combination of lack of in-house fellowships (for IM), lack of name recognition, and less desirable location.

I wish that programs that did a good job teaching automatically were the most sought after, but in reality people assess location and name recognition first. This leaves plenty of passable programs in middle America unfilled.
 
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Not necessarily. I know on SDN there’s the caricature of the IMG sweatshop being malignant and the notion that those programs are the ones that don’t fill would be plausible, but that’s really not the case. Many quality community programs struggle to recruit due to a combination of lack of in-house fellowships (for IM), lack of name recognition, and less desirable location.

I wish that programs that did a good job teaching automatically were the most sought after, but in reality people assess location and name recognition first.
But would these programs really be willing to take in a Carib + fail? That's what's stumping me. Even if they're struggling to recruit, they likely still have some selection criteria and would be wary of red flags
 
But would these programs really be willing to take in a Carib + fail? That's what's stumping me. Even if they're struggling to recruit, they likely still have some selection criteria and would be wary of red flags
I think if OPs has other stuff going for him/her at the time of application, then they’d potentially be interviewed/ranked by some FM programs. They also may not be. At this point I would recommend OP continue and try to figure out why he/she failed the course and see if they can recover. A lot of this is just stuff we are unfamiliar with. Caribbean students, especially those who have matched, should be advising OP, because only they truly know what the chances are once they fail a course. All we can say is it sounds bad and based on other SDN cases we have seen, it’s unlikely.
 
Nothing you’ve said is false, but OP doesn’t want to give tell us what it is. It’s also not relevant IMO. It’s probably something below <500 like you’ve assumed accompanied with a bad UG GPA which doesn’t inspire confidence for board performance. I feel there are some Caribbean students who have succeeded and should be the ones guiding OP and not US MDs asking OP what his MCAT was. An online Caribbean community needs to be built to help them from M1 to Match Day.
Reddit has an IMG group. According to what they say, OP is going to struggle getting a residency unfortunately. If you want to be a therapist it may be best to go back and get a Masters in Social Work or a PhD in Psychiatry so you can work. Better yet, go to PA school and you will probably be able to get a decent paying job. The other thing you could do is apply to work at Epic (EMR), your combination of having Computer skills and medicine will be appealing to them. They have tons of jobs and great benefits.
 
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Reddit has an IMG group. According to what they say, OP is going to struggle getting a residency unfortunately. If you want to be a shrink, it may be best to go back and get a Masters in Social Work or a PhD in Psychiatry so you can work. Better yet, go to PA school and you will probably be able to get a decent paying job. The other thing you could do is apply to work at Epic (EMR), your combination of having Computer skills and medicine will be appealing to them. They have tons of jobs and great benefits.
Ouch i wasn't expecting my pessimistic questions to be realistic
 
Reddit has an IMG group. According to what they say, OP is going to struggle getting a residency unfortunately. If you want to be a shrink, it may be best to go back and get a Masters in Social Work or a PhD in Psychiatry so you can work. Better yet, go to PA school and you will probably be able to get a decent paying job. The other thing you could do is apply to work at Epic (EMR), your combination of having Computer skills and medicine will be appealing to them. They have tons of jobs and great benefits.

A few points of clarification.
A. Shrink is an outdated and in some circles, offensive term as it dates back to times of stigma against the mentally ill.


B. There is no such thing as a PhD in Psychiatry. It's not a thing. You're talking about a Ph.D. in Psychology, which is different (and not just because psychologists in most states can't prescribe). A psychiatrist went to med school and later specializes in psychiatry just like every other med school grad. A psychologist entered a Ph.D. or Psy.D. program upon finishing undergrad which is very different.

C. If the OP wants to do therapy, SW is the way to go or licensed mental health counselor or Psy.D. If the OP wants to learn medicine and how mental illness correlates, MD/DO is the way to go with specialization in psychiatry. I agree that OP will likely not match psychiatry and could consider PA or NP school.
 
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Reddit has an IMG group. According to what they say, OP is going to struggle getting a residency unfortunately. If you want to be a shrink, it may be best to go back and get a Masters in Social Work or a PhD in Psychiatry so you can work. Better yet, go to PA school and you will probably be able to get a decent paying job. The other thing you could do is apply to work at Epic (EMR), your combination of having Computer skills and medicine will be appealing to them. They have tons of jobs and great benefits.
A few points of clarification.
A. Shrink is an outdated and in some circles, offensive term as it dates back to times of stigma against the mentally ill.


B. There is no such thing as a PhD in Psychiatry. It's not a thing. You're talking about a Ph.D. in Psychology, which is different (and not just because psychologists in most states can't prescribe). A psychiatrist went to med school and later specializes in psychiatry just like every other med school grad. A psychologist entered a Ph.D. or Psy.D. program which is very different.

C. If the patient wants to do therapy, SW is the way to go or licensed mental health counselor or Psy.D. If the patient wants to learn medicine and how mental illness correlates, MD/DO is the way to go with specialization in psychiatry. I agree that OP will likely not match psychiatry and could consider PA or NP school.
The first post is pretty valuable and I do agree with the clarifications as we want to be precise in our terminology. Psychologists practice psychology, not Psychiatry (Rx).

1.) OP completely switches gears, continues, and goes for Family Medicine. They can apply Internal Medicine, but there's not much of an upside in training unless they really love adults with chronic diseases or plan on doing a fellowship which would be a long uphill battle for OP. This is the likely best plan financially for OP but it comes with some risk if they do not match.

2.) If OP doesn't want to be a Family Medicine physician, he or she can get out of the Caribbean and escape the 150K+ incoming debt and change careers entirely knowing the door to medicine is permanently closed. It's a completely new start. I never recommend NP/PA school because I personally feel like people choose medicine to be leaders and putting them in NP/PA roles will lead to burnout/career dissatisfaction.

3.) OP can finish medical school and try to get a job, but honestly prospective job offers for a Caribbean medical graduate without residency are probably terrible and I would think OP will not get anything non-entry level at Epic, Vohra Wound Care, the Pharmaceutical Industry, or any company medical school graduates pivot to.
 
The first post is pretty valuable and I do agree with the clarifications as we want to be precise in our terminology. Psychologists practice psychology, not Psychiatry (Rx).

1.) OP completely switches gears, continues, and goes for Family Medicine. They can apply Internal Medicine, but there's not much of an upside in training unless they really love adults with chronic diseases or plan on doing a fellowship which would be a long uphill battle for OP. This is the likely best plan financially for OP but it comes with some risk if they do not match.

2.) If OP doesn't want to be a Family Medicine physician, he or she can get out of the Caribbean and escape the 150K+ incoming debt and change careers entirely knowing the door to medicine is permanently closed. It's a completely new start. I never recommend NP/PA school because I personally feel like people choose medicine to be leaders and putting them in NP/PA roles will lead to burnout/career dissatisfaction.

3.) OP can finish medical school and try to get a job, but honestly prospective job offers for a Caribbean medical graduate without residency are probably terrible and I would think OP will not get anything non-entry level at Epic, Vohra Wound Care, the Pharmaceutical Industry, or any company medical school graduates pivot to.
So sorry about saying ‘shrink‘I was trying to think of a term that represented any type of therapist (which is the term I should have used)
 
Ouch i wasn't expecting my pessimistic questions to be realistic
US graduates from high level schools, great LORs, honors in 80% of classes. Okay step 1 220s and v
A few points of clarification.
A. Shrink is an outdated and in some circles, offensive term as it dates back to times of stigma against the mentally ill.


B. There is no such thing as a PhD in Psychiatry. It's not a thing. You're talking about a Ph.D. in Psychology, which is different (and not just because psychologists in most states can't prescribe). A psychiatrist went to med school and later specializes in psychiatry just like every other med school grad. A psychologist entered a Ph.D. or Psy.D. program upon finishing undergrad which is very different.

C. If the OP wants to do therapy, SW is the way to go or licensed mental health counselor or Psy.D. If the OP wants to learn medicine and how mental illness correlates, MD/DO is the way to go with specialization in psychiatry. I agree that OP will likely not match psychiatry and could consider PA or NP school.
and I meant psychology
 
Hello everyone,
Nice to meet you.

I'm currently a Caribbean medical student in a certain school.
I unfortunately did not pass one 2nd semester class...physiology 2.

My father wants me to work for sometime as I have somewhat of a software background.

May I ask everyone...

1. Does an F grade in medical school automatically dismiss the chance of a residency even if the other grades are good?
2. Does a LOA in med school also lower the chance of a residency?

3. My goal is to do psychiatry.

If one has an MD but does not get into a residency, what else can they do?
Can they teach at the medical school level?

Would like to get your feedback.

Thank you very much
There are two questions:
Does the F show up in the transcript? Or does it get replaced once you remedy? Talk to your administrator to find out.
Are you concerned that this fail will indicate that you may have problems with other classes? How have you done so far in your other classes?
 
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