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  #1  
Old 06-04-2011
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Embarrassed USA or Australia: which country holds better prospects & easier lifestyle for doctors?

I'd highly appreciate any input on this matter of mine: [Disclaimer - what follows might sound really really foolish, stupid & idiotic]

I was actually admitted to an Australian medical school but wasn't able to commence as my visa was refused & started a medical degree in my country. Since I still planned to go abroad for my post-graduation, I thought I'd try for a US residency as an American training is considered gold-standard and also more importantly because I thought I'll have a chance to get into a University residency program. Cause I've always wanted to be a part of a world-renowned uni & since I wasn't able to do it in my undergrad (despite getting an offer), I felt I'd be able to do it if I prep myself up for a US residency whereas if I had to go to Oz for Postgraduation, I wouldn't actually be a part of a university & have to serve a good amount of time in rural areas. Its not that I do not want to serve in under-served areas, but I do want to first live my dream of being part of a uni!

3 years have passed since & I'm now fully geared towards the USMLE & if all goes well I'll be sitting the steps in one or two years. But then my sister & brother-in-law, who are also doctors & will be heading to Australia shortly for their training, are telling me it'll be better if I tried the AMC exams & tried for Australia as they say it holds more prospects & yet is easier to go into with the no. of exams & steps and the whole tenure of the process is shorter & not to mention the climate is more suitable for us. My brother-in-law also said I wouldn't be able to get into a good residency program anyway cause they all go to AMGs & the IMGs get only the left out positions in community clinics, so my dream of getting into a university residency program might be crushed.

And now I'm left confused. I did have the plan to try for Australia if USA didn't work out for me but I wanted to try the USMLE first. As I'm being told, it could turn out to be financial & time loss. But I was willing to take some risks if I had a fair chance at a good residency program but is it just foolish of me to think I could get into a university affiliated program? I'm not saying I need to go to Harvard or Yale or such top programs, but perhaps I'd have a good chance at Emory or likewise? Or would that to be hoping for too much? Btw, I'm interested in Internal Medicine, which I think is good thing cause IM is not too competitive as a specialty & the residency programs might accept IMGs too.

So is it true that I wont be able to get into a good residency program, preferably a University one, in the US regardless of my scores? Will only community programs be left for me? Should I just try for Australia as holds better prospects & yet more convenient to get into and offers a better lifestyle?

Please do help me out in this situation. Any advice, suggestion, views...please do post them.

And if you've read my whole post, I applaud your patience & thank you from the bottom of my heart!
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  #2  
Old 06-05-2011
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the path to residency anywhere outside ur country is not an easy decision! what u must know is that in USA u still have a good chance NOT despite your scores as u said!. for surgical specialties as u know are very competitive. IM is also competitive but uslor, clerkships etc are bonuses. what u must do is that:
1. list the lifestyle preferences u are talking abt concerning the two countries are choose what u like
2. get better informed on the post residency prospect in each country
3. u must know that fulfilling ur mission on each least depends on the school u attend but much on the quality of services u discharge to humanity.
there are lots of poeple who went to low-class schools but now are making history!
4. get time to pray if u believe in prayer and decide well.
all the best.
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Old 06-05-2011
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Yes this is a good question. Do IMGs only get community programs? :S
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Old 06-05-2011
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@jeesan
how do u apply for australian pg?what exams do they have?wat do we have to study as IMG's?
nad i have heard in australia u have to pay them for pg ,rather than they paying u...

plz help
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  #5  
Old 06-05-2011
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rahul aren't u applying for 2013 match?:S
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Old 06-05-2011
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@add
im looking for other options also in austalia or others
but dont know much how to apply there
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Old 06-05-2011
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@nsesereso, thanks for the advice. I'm definitely trying to find out more about each country and if you're able to, could you link me to some sites where I can find further info? And I do believe in prayers and hope God will guide me through this process, I really need it. I wanted to know whether I can actually get into a University program or not if I develop my CV well enough. I just have this thing with being a part of a good uni and I might actually move to teaching pre-clinical years! Sorry if that sounds weird. And its also not that I don't want to give back to the community, I volunteer at a charitable hospital in my town, but its just that I also want to be associated with a renowned place...thanks for reminding me that it doesn't determine everything though!

by lifestyle I was actually referring to an easy-going, less strenuous life in general. actually the lifestyle isn't my main concern, I'm willing to work harder if that means I can get into a University program (again I'm sorry about blabbering on about unis, its just a fascination :S)

@add1, yup, that's one of my main questions! Can IMGs get into good programs if they have good scores & lors or do most get community programs in the end? Anyone else who might enlighten us?

@rahul1: From what I've read and heard, we first need to be certified by the Australian Medical Council (AMC) which does so by administering a 2 part exam. The first part is like Step 1 and the second clinical part is more or less Step 2. On successful completion of the AMC exams, you receive an AMC certificate which makes you eligible to apply for registration to the Medical Board of Australia. I'm not sure about the process henceforth but I think you apply to the Postgraduate Medical Council of one the states (e.g. Victoria or WA) for a trainee position. You can check the following sites: http://www.amc.org.au/index.php/img & http://www.pmcv.com.au/img . Its the same here, I too want to keep other options in hand.

Last edited by Jeesan; 06-05-2011 at 08:21 AM. Reason: copy-pasted an image by mistake :S
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Old 06-05-2011
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I think that in addition to 99s one needs to get US LoRs and do some USCE. That way I think university programs should be within reach for IMGs. Hope this helps

Last edited by add1; 06-05-2011 at 09:51 AM.
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Old 06-07-2011
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That does help add1. So if I can manage to score well & land USCE & US lors, I'll have a fair chance at those programs? Thats what I wanted to know, whether or not I'll have a fair chance at the uni programs or do they just remain open as a formality & ultimately I have to look to community programs in not so desirable locations. Another reason why I ask this is, from what I've heard, in order to obtain a full registration in Australia, you need to serve in rural areas & cannot work in the main cities like Sydney & Melbourne and this fact was one of my main reasons why I chose US over Aus; cause in the US I'd have some chance in the big cities/programs (again not the biggest ones!) whereas in Aus I'd actually be allocated to remote areas. So if the openness of all programs regardless of location to IMGs is just a pseudo-formality, I could weigh in Aus again. But if I do have fair chance, given my scores & other credentials allowing, at the good programs in US, I'll stick with my USMLE & Residency plan. Can someone confirm my doubts please?

Hmm...I guess I might really be beginning to tire out the viewer of this thread!
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Old 07-08-2013
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I realize I'm reviving a 2 year old thread, but ...

The majority of US residency programs provide composite pictures/rosters of their residents on their residency website, with a note of where they went to medical school.

So if you're really interested to see if IMGs are accepted at a particular institution, you don't need to waste time searching for opinions - go directly to the website and look up the resident profiles. For example, the University of Arizona IM program seems to take a lot of IMGs. The University of Chicago, from their current roster, seems to have none.

Also, just an FYI - Emory is considered a top-notch IM program, very elite. Don't go by the general reputation of the overall university name. Yale has the bigger name (because of the totality of their fields), but many in the IM world consider Emory to be superior in training. That's part of the challenge - you might be targeting a top 20 IM residency without realizing it.
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