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  #1  
Old 04-07-2014
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Listening advise for very old graduate

Hii every body
I am planning usmle , and i am 36 yrs.old now,graduated 2001,
could *advise me should i proceed in this plan or too
late to get residency.I know all non USCE
dosn't matter but just to know that all my experiences
in cardiology ,M.sc,cardiology 2008 from Egypt,MRCP (UK) 2011.
plz give me your sincere advise.
Waiting for your advise
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  #2  
Old 04-07-2014
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The whole process will last at least 2 years. 1 year for the steps and 1 year for application and match.
So if you start now you will be at least 38 years old at the beginning of your residency.

I think 38 years old is ok, but generally PDs think it's too much. The biggest problem is that ecfmg certification is almost useless if you don't match. So you must have a plan B, maybe a research fellowship since you are already a cardiologist.
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  #3  
Old 04-08-2014
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I think it's hard to say if it's too late for a U.S. residency for you. There's a lot of things that go into getting a position. Your age is a disadvantage but your clinical experience is valuable. If you go for it, you should really work hard to score highly in Step 1.

I do think that non USCE matters, particularly if you have some training in the UK. Systems in places like the UK and Australia are fairly comparable to the U.S. and so experiences there are good (I am from Australia).

I agree with Corinthiano that you should have a plan B as well. I wonder what your long-term plan is (I'm guessing you want to move permanently to the U.S.)
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Old 04-08-2014
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thank you for reply ,Corinthiano and StepsToResidency. The guess is true, I want to move permanently to US.But i am a little bit confused here about some issues, if you can help me to clarify those.
-If there are any other ways to practice medicine in us rather residency match.what and how??
-what do you mean by high score in step 1 ?There is a particular average number?
-finally,I would be grateful if you know success stories about old graduate.
>>>thank for help and advise.
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Old 04-08-2014
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well, i don't know many things from the inside, because i am still preparing for the steps, but from everything i have read and being told is that you v be ECFMG certified to touch patients in the US. I mean that you can still practice as a cardiologist, but it is extremely difficult to find a job because cardiology is highly competitive. If you manage to find a job as a physician you will get less money from the US doctors.
These are things that I have heard. YOu'd better cross check them...
I suggest start studying for the steps. It is important to score high.There are many threads discussing on preparation.
I don't think that you should feel uncomfortable with your age.You have clinical experience and UK is very important for your CV. Just make a good plan and stick to it.
Everybody should always have a plan B, but I think that you must have thought of it and after your clinical experience you might have decided what you want for your job.
I wish best of luck....
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  #6  
Old 04-08-2014
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I wanted to add something on your last questions....I know about neurology somebody that had completed residency in his country and took the steps. He followed the same procedure with everybody. A professor I had finished his residency in my country in pathology and decided to go to the US afterwards.
The difficulties are the same for everybody and there are many, you just have one more, our age, but it is not a big issue. IM is not competitive BUT the cardiology fellowship is highly competitive. It is sure that you will find a position in IM in a hospital if you have high scores and 1-2 months USCE, but the cardiology fellowship will need more.
The only difficulty for your age personal i think, i mean it is really difficult to decide and change your life plans, but i think you should give it a try if you think there are many and serious reasons that make you go to US.
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  #7  
Old 04-08-2014
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@nimo and @ba.sofia

Just to clarify ECFMG is not a license to see patients. It's is a certification that let you enter a residency program. In order words, you need ECFMG in order to get a limited state license which is only valid for residency. And you won't be able to become a licensed physician without at least one year of residency. So Ecmfg is pretty much useless without a residency. Hospitals don't hire imgs with ecfmg without residency because they don't want, they don't hire because it's ilegal.

@ nimo as you are already a cardiologist you can use this training to enter a international fellowship program. This fellowship won't be useful to get a license in US. But will be considered as very good USCE. .

Please don't misunderstand me, I think you can match. I am 36 year old and matched in Internal medicine. I am a hematologist in my country just like you are a cardiologist in your. I just wanted to open up your eyes to some possibilities.
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Old 04-08-2014
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@ nimo and @ba

Year Of Graduation or YOG is a major factor. After 5 years you are already old and after 10 you are very very old. Most programs have graduation cut off of 5 years. So in most cases your application won't even be considered no matter scores you have.

To minimize your YOG problem you can't have gaps in your cv. So continue to practice medicine while you do the steps! It will really help you.
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Old 04-16-2014
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it depends. I know too many people older than 40 got matched when new graduates even couldn't. Of course being younger helps but don't listen to discouraging people. Take one step at a time. You are old enough to know that life is not all about silly rules and stuff. Opportunities will always arise.
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  #10  
Old 04-23-2014
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Quote:
Originally Posted by Corinthiano View Post
@ nimo and @ba

Year Of Graduation or YOG is a major factor. After 5 years you are already old and after 10 you are very very old. Most programs have graduation cut off of 5 years. So in most cases your application won't even be considered no matter scores you have.

To minimize your YOG problem you can't have gaps in your cv. So continue to practice medicine while you do the steps! It will really help you.
Corinthiano hello, can i ask you question about my situation.

I was graduate from Russian University 2011 and have gap without intership and without practice for 2 years. Last year i got limited medical registration in African medical counsil where i do my job without any contract with hospital. By international level i am general physician.

i am preparing for USMLE ( i need 2 steps) for NZ. i need enough time and it is my single way right now. i want to contunie here to practice medicine do i need some additional experience for future career. can i ask your opinion about all situation.

Sincere Timon
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  #11  
Old 07-01-2014
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Listening residency in their own country

Are you saying that IMG who finished the residency in their own country can apply fellowship in US directly, but it will never help them get US medical lisence?

Quote:
Originally Posted by ba.sofia1987 View Post
I wanted to add something on your last questions....I know about neurology somebody that had completed residency in his country and took the steps. He followed the same procedure with everybody. A professor I had finished his residency in my country in pathology and decided to go to the US afterwards.
The difficulties are the same for everybody and there are many, you just have one more, our age, but it is not a big issue. IM is not competitive BUT the cardiology fellowship is highly competitive. It is sure that you will find a position in IM in a hospital if you have high scores and 1-2 months USCE, but the cardiology fellowship will need more.
The only difficulty for your age personal i think, i mean it is really difficult to decide and change your life plans, but i think you should give it a try if you think there are many and serious reasons that make you go to US.
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