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  #1  
Old 03-15-2014
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Default Advice required urgent.

Hii
Im an intern from India,my internship is almost about to get over,but I can extend it for the purpose of doing electives,I dint give any of the steps yet.

My only confusion is that,I feel it's better to go for USCE after giving Step-1,because in case I dont score very well in Step-1,i'll quit the MLE journey coz low step 1 scores itself will be a big black mark on my CV.

Now i got 2 months electives chance in a univ affilated hosp in Chicago and they are charging me 1800$ a month,so it's a costly affair n in case after coming to India,I dont do well in step-1,the money I spent on electives will be a waste.

So im planning to complete my internship give step 1 and then go to US,depending on my step-1 scores,but I wont be able to do electives and I can only do observership(which I heard doesnt carry much value).

Im quiet confident that if I put in all my effort for 6months n study for step-1,ill get a very good score.

And im planning to give CS when I go for USCE.

So im in a real dilemma as to what to do next?

Could someone please answer my question..Would be of great help to me,thanks in advance..
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  #2  
Old 03-16-2014
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I can empathize with your dilemma.

First thing that may be helpful for you to know is that you have more options than a hands-off observership after you graduate. There's something called an externship which is hands-on clinical experience for IMG grads. You can arrange it yourself or you can pay a company to arrange that service for you. If you look up "IMG externship" on google you'll start to see what I mean. This will be somewhat like an elective that you can do while you are in medical school. Of course, these do cost money as well. Also, you may not be able to do a rotation at the place you are most wanting to be at if they don't offer externships.

I can understand that you don't want to waste money and time doing an elective if you end up with a poor step 1 score. Maybe you can have a look at externship options that can coincide with your CS exam and see if you would be happy with that. If you feel that doing a 2 month elective now is more helpful, you should consider going ahead with that. I have a blog and wrote about some of these issues here if you want to read a little more in depth.

Good luck!
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  #3  
Old 03-16-2014
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Thanks a lot for the reply sir.

Yup I have heard of externships,but heard it is highly competitive to get one in a university affilated hospital.
Is their any option of research externship for IMG's?

My plan as of now is to give step 1 in september and then go to US for externship(hopefully) and give CS along with it in december and january,come back to India give CK in July ending(so that my results would be available by august ending) and I can safely be ECFMG certified before the application process begins for 2016 match.

Do u think this plan is workable?

Would be eagerly waiting for ur reply.
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  #4  
Old 03-17-2014
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Great. I'm glad you're aware of externships. I'm not aware of research externships for IMGs though. Have you heard of any?

What I might suggest is to make sure that you can get some direct patient care if you can and not just research. When it comes down to it, I think that the program directors and residency selection committees want to know if you will be a good resident. That primarily means that they want to know you'll be good with patient care, teamwork and have a nice personality. This will need to come through in your recommendation letters, and that's what you would hope for from an externship.

In terms of your timeline, it's hard for me to comment but I would just trust your judgment about your abilities and scheduling. I'm sure you've thought about it a lot! I found that doing CK first was a good fit for me because it consolidated my knowledge in preparation for CS. But I'm sure if you prepare well you will do fine doing the CS first.
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  #5  
Old 03-17-2014
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No I don't have any idea about the reasearch externships,just asked u if they were any..
Ya totally agree with u,clinical externship is far better than research electives.

Regarding the timeline,even I feel it's better to do CK first and then switch over to CS but I heard it takes around 2 months for CS results to be published..

So if I take 6 months from now for step 1 and another 5 months for CK,I'll be done with step 1 n CK by feb ending.
1-2 months of preparation for CS and then 2 months of observership/externship,so I can give CS by June ending or July 1st week.
Hopefully I should be able to clear all in first attempt,then would I be ECFMG certified before the application date begins?

But I guess it's a very tight schedule.
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  #6  
Old 03-19-2014
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I think you're pretty accurate about the time it takes for results to be published. You've probably read the official website already but I double checked for you about the CS here and the CK here. They do say give your self at least 8 weeks from the time you finish CK to get your result (I don't know why they don't put an upper limit on this!). So yes, timeline is tight.

You should keep mind the announcement below by ECFMG about the 2013 CK reporting timeline. Worst case scenario, if the same announcement applied to you, you may not get your CK score in time for the application opening day. You should check with the official USMLE or ECFMG organization to make sure what your situation will be, but I wonder if you should try to go for the CK a bit earlier.

http://www.ecfmg.org/news/2013/06/20....nXXYMC9n.dpbs

Step 2 CK Schedule for Score Reporting
June 20, 2013
Filed under: Step 2 CK, USMLE Score Reporting
Score reports for Step 2 CK are usually available within four weeks of testing. However, because of routine modifications to the test item pool, score reporting for most Step 2 CK examinations administered in late July and August will take longer. The target date for reporting Step 2 CK scores for most examinees testing in late July and August is Wednesday, September 25, 2013. For examinees whose circumstances require that they receive Step 2 CK scores before September 25, it is recommended that they take Step 2 CK no later than July 27, 2013.
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  #7  
Old 03-19-2014
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Thanks for doing so much work for me.

I did go through the links u have posted,in the links it's mentioned that those who take CK after July,will get their results late.

Im planning to take step 1 by september ending this year and then CK in feb/march-2015,then CS latest by June 1st week of 2015(with this schedule,I would be able to give 3 months for CS results,to be on the safer side).

So would I be ECFMG certified by September first week?
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  #8  
Old 03-19-2014
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If you already have the chance for doing an elective now even if its costs 1800 $ , do it !!
you can start studying for step 1 after you are done with electives..in any case you will be spending $$$ for usmle ..as far as step 1 goes If you prepare well and assess yourself chances are you'll score good..
besides who can get done with CS if you want while doing electives if you want..just my 2 cents..
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  #9  
Old 03-19-2014
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Yup even im thinking of doing that,but the problem is I need to extend internship for around 6 months.

And moreover the electives im getting is through chicagoclerkship,is it reliable??
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  #10  
Old 03-20-2014
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Quote:
Originally Posted by doctor_ind View Post
Yup even im thinking of doing that,but the problem is I need to extend internship for around 6 months.

And moreover the electives im getting is through chicagoclerkship,is it reliable??
oops..I cant say how much reliable its going to be if its from chicagoclerkships..you'll have to look up for it..as far as extending 6 months internshp is concerned that wont matter..anyone who does electives in US, their internship gets extended..besides you will need a year on average to be done with both step 1 and CK..Its not that you'll be wasting your time in those 6 months..if you havent started studying for step 1 , chances are your application for september 2015 will be a toughroad ..aim for 206 september instead...because by september 2015 you'll barely be done with the steps..dont rush your step 1..assuming that you take 8-9 months for step 1 and 3-4 months for CK and 1 month for CS , you are already in september 2015..
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  #11  
Old 03-20-2014
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and if you are going to do USMLE , dont be afraid of spending money..this is a costly affair..I wouldnt say apply randomly anywhere or do any kind of obserevership etc..try to save as much as you can..but if you are going to think that 'what if you screw up step 1'..that uncertainity is always going to be there in this process..Think it like that..once you have paid so much for an externship or elective, you cant afford to score less..
I wish I could have done an elective before my step 1 , I would have been more focussed in my step 1 preparation..Think it like this..all the best
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  #12  
Old 03-20-2014
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Thanks a lot,ur post is very helpful

Yup I have decided to extend my internship for electives,give CS along with and then come back to India for step 1 n CK.

".if you havent started studying for step 1 , chances are your application for september 2015 will be a toughroad ..aim for 206 september instead...because by september 2015 you'll barely be done with the steps..dont rush your step 1..assuming that you take 8-9 months for step 1 and 3-4 months for CK and 1 month for CS , you are already in september 2015.."

I din't understand this part of urs,first u say my application for 2015 will be a tough road,later u mentioned that by september 2015 i'll be ready??

5-6months of dedicated preparation for step 1 and around 4-5 months for CK would be sufficient rite?
I won't do any job while studying,just lock myself in a room n study
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  #13  
Old 03-20-2014
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I meant by the time you finish all your steps ONLY starting from today (considering you dont do any electives) , there are high chances that you might miss september 2015 deadlines..and I am sure you dont want apply without getting any USCE right? I am just warning you to not delay any step or elective and keep a proper timeline in mind before you prepare for the match..2 months here and there and the whole matching thing gets screwed up..thats what I am trying to say
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  #14  
Old 03-20-2014
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Yup understood what u said,I'll try to fit in and be as perfect as possible,but some stuff is out of my hand,so I have to keep that in mind.

Now since I'll be extending my intership now,my internship period will almost be for more than 18 months,won't the PD's question why I took so long when usually everyone's gets over in 12months.

How important are MBBS marks?I dint have any backs but my marks most of the time was average(60-65%)

I'm really scared of CS exams,im not that great in clinics,in final year mbbs,I got very good marks in theory but my over all aggregate came down because of clinics(which I just managed to pass).

Thanks a lot for answering my questions so promptly,thanks again..
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  #15  
Old 03-20-2014
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Quote:
Originally Posted by doctor_ind View Post
Yup understood what u said,I'll try to fit in and be as perfect as possible,but some stuff is out of my hand,so I have to keep that in mind.

Now since I'll be extending my intership now,my internship period will almost be for more than 18 months,won't the PD's question why I took so long when usually everyone's gets over in 12months.

How important are MBBS marks?I dint have any backs but my marks most of the time was average(60-65%)

I'm really scared of CS exams,im not that great in clinics,in final year mbbs,I got very good marks in theory but my over all aggregate came down because of clinics(which I just managed to pass).

Thanks a lot for answering my questions so promptly,thanks again..
To tell you the truth,
MBBS marks are useless in USMLE..If your dean is cool he can sign on a good dean's letter and MSPE..your college seniors can guide you in this as each college is different. If a PD asks you why the 6 months extra, well obviously you were doing an elective and in India the colleges require you to have 12 months of internship..This you can explain..As I said before , anyone who does an elective in internship , their internship gets extended accordingly and thats acceptable.

Dont be scared of CS but dont take it lightly too..This is why am telling you do an elective before you give CS..and forget about clinical stuff and hospital rounds in India, nobody teaches us anything there..Once you do a rotation here you'll realise how different it is from Indian setup and when you go back you'll be even more serious about step 1..Not that am saying people who havent been exposed to the US healthcare system dont pass CS but if I was in your position ,I would have done it this way..Good luck..

Regarding answering your questions promptly, well I am totally free these days waiting for the final match result..
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  #16  
Old 03-20-2014
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I have a good rapport with my dean,so not a prob..

Good luck for ur matching process..

I'll begin with step 1 preparation as of now,keeping internship at hold,as and when I get an elective,ill do it.

Do u suggest to apply for CS now itself?
I just want my electives date n CS date to be together,so that I need to travel only once for electives n CS.

Will step 1 and CK be of any use for CS?or preparing for CS directly will be enough?

Thanks once again..
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  #17  
Old 03-22-2014
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@aaru20 - nice input!

@doctor_ind -
I just wanted to comment on USCE. I think you're making a good decision getting the experience as a medical student. You have the best chance of getting good hands-on experience and network. Getting solid USCE becomes much more difficult after you graduate.

Also, I don't think it's bad at all to extend your internship back in India. In general, the more clinical experience you have, the better, and your reason for extention is a good one (getting exams done, etc).

Good luck on your journey!
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  #18  
Old 03-22-2014
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StepsToResidency-Thanks once again..

Yup im keeping my internship at hold(many seniors from my college did it actually)
I started with step 1 and CS preparation.
As and when I get an elective I'll go to US and do it.

Do u suggest me to apply for CS nw?
I want my CS and elective dates to coincide.
I applied to univ,which dont require step 1 or TOFEL for electives
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  #19  
Old 03-23-2014
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Sure, applying now for CS sounds sensible. You will need to prepare very well for it of course, but it will save you time and money to do the CS at the same time as your USCE.

You need to make sure you focus on doing very well in your elective. Your biggest objective is to get good letters of recommendation. So make sure you can study for the CS while performing well with your colleagues.

If it was me, I would try to schedule your CS at the end of your elective so that you can use all of the clinical experience (interacting with patients in the U.S. and getting tips from U.S. med students + residents) to your advantage.
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  #20  
Old 03-23-2014
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Yup I'll do my best during electives and try to impress the doctors as much as possible.

I agree with u,i'll try to put CS at the end of electives(but it all depends on when and where I get my electives)

For step 1,what would u advice?
To go through FA first or do kaplan notes and videos and then go to First Aid?
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Old 03-26-2014
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Hi I just saw your conversation plzz help m also,, I m final yr md anesthesia resident in mumbai..hav completed my step 1 with score of 229..in june I ll b completing my md.i wanna plan my cs and ck, n also thinkin of doin externship..plzz help me how to plan this, is there any way I can apply for 2015matching and wat are the chances m getting anesthesia over there??
Can I get externship or observership in anesthesia over there??
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Old 03-26-2014
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Quote:
Originally Posted by dranaesthetist View Post
Hi I just saw your conversation plzz help m also,, I m final yr md anesthesia resident in mumbai..hav completed my step 1 with score of 229..in june I ll b completing my md.i wanna plan my cs and ck, n also thinkin of doin externship..plzz help me how to plan this, is there any way I can apply for 2015matching and wat are the chances m getting anesthesia over there??
Can I get externship or observership in anesthesia over there??
Ur step 1 score is good,congrats.

To be eligible for 2015-match,u need to finisch ur CK and CS and be ready with the results by september 2014(it takes around 8 weeks for CS results to be out) and more over u have ur final year exams in June(which is more important I guess),so it'll be a next to impossible schedule for u to be ready for 2015 match.

When did u finish MBBS?because most of the programes,require the applicant to be less than 5 years from year of graduation.

Anesthesia is not a so IMG friendly branch,but there are people who made it.
Since u already finished residency in India,it'll be a very good point in ur CV.

And getting externships/observership is getting difficult day by day,so u need to apply in advance for it.

Good luck..
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Old 03-30-2014
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Quote:
Originally Posted by doctor_ind View Post
Yup I'll do my best during electives and try to impress the doctors as much as possible.

I agree with u,i'll try to put CS at the end of electives(but it all depends on when and where I get my electives)

For step 1,what would u advice?
To go through FA first or do kaplan notes and videos and then go to First Aid?
sorry for being inactive here..For step 1 go through kaplan videos and lecture notes, Goljan and First aid..do kaplan first and then first aid and then start U World ..UW is most important..make notes ..assess yourself every month with an NBME to see how you are progressing. In the end focus on first aid and UW..all the best
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  #24  
Old 03-30-2014
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yup i'll be doing that,got xerox notes of kaplan.

where did u match finally?
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Old 03-30-2014
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It's a community program in Massechusetts
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  #26  
Old 03-30-2014
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k congrats..


keep in touch n good luck for ur residency..
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Old 04-23-2014
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Congrats,,, thanks for your effort....
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