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  #1  
Old 12-10-2014
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Unhappy High Step 1 Score but low hope

Hey guys!

I got my Step 1 score last week - 255, and I'm on my way to Step 1 CK. I have to admit that I've become quite exasperated and disillusioned lately. I have come to the realization which I'm sure many have faced already, and that is the fact that not having done any electives as a student in USA puts you at humongous, excruciating disadvantage.
For several days now I've been sitting in front of the PC for 10+ hours a day, researching and looking for any opportunity for a proper externship and/or research placement (not funded ofc.), I've been writing a lot of emails, so far to no avail. I don't want to spark a discussion about how stupid the fact is that IMGs are not allowed to participate in electives/hands-on experience (I am aware of the whole malpractice insurance bs) but I kinda feel I've completely missed the train here.
I have come to the conclusion that you either HAVE to have done electives as a student or you HAVE to know somebody from inside who can aid you in getting in the system. Observerships, it seems, are more or less waste of resources, since you are not allowed to participate in the clinical work, which means you are not going to be able to impress your attending and its not going to count as clinical experience during the matching.
I don't know, I feel pretty frustrated right now, and I'm seriously considering giving the whole thing up and just continuing the residency in my country.

So, what do you guys think of all that? I'm hoping to hear some success stories of ppl who were somehow able to overcome the obstacle of not having done electives. Any thoughts/suggestions/scold are highly appreciated.
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  #2  
Old 12-11-2014
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You're right to a certain extent. Observerships count for nothing, and most Hospitals openly admit this. However, when browsing through lists of IMG Friendly hospitals a few months ago (don't remember where I found them exactly, googled them), I found that most didn't require any US Clinical experience in order for you to be considered.

I'm absolutely certain it helps to have this experience, but it's not mandatory.

On another note, there are organizations that hook you up with actual Clinical Rotations in the States (my roommate did one in Cardiology during the summer, but hes away now so I can't ask him for specifics)
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LoaLoa (12-11-2014)
  #3  
Old 12-11-2014
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Hey, don't worry. Congrats on your high score.
you can apply through www.kapsites.com/residency/experience. It is expensive but at least there is a chance to get us experience.
Quote:
Originally Posted by LoaLoa View Post
Hey guys!

I got my Step 1 score last week - 255, and I'm on my way to Step 1 CK. I have to admit that I've become quite exasperated and disillusioned lately. I have come to the realization which I'm sure many have faced already, and that is the fact that not having done any electives as a student in USA puts you at humongous, excruciating disadvantage.
For several days now I've been sitting in front of the PC for 10+ hours a day, researching and looking for any opportunity for a proper externship and/or research placement (not funded ofc.), I've been writing a lot of emails, so far to no avail. I don't want to spark a discussion about how stupid the fact is that IMGs are not allowed to participate in electives/hands-on experience (I am aware of the whole malpractice insurance bs) but I kinda feel I've completely missed the train here.
I have come to the conclusion that you either HAVE to have done electives as a student or you HAVE to know somebody from inside who can aid you in getting in the system. Observerships, it seems, are more or less waste of resources, since you are not allowed to participate in the clinical work, which means you are not going to be able to impress your attending and its not going to count as clinical experience during the matching.
I don't know, I feel pretty frustrated right now, and I'm seriously considering giving the whole thing up and just continuing the residency in my country.

So, what do you guys think of all that? I'm hoping to hear some success stories of ppl who were somehow able to overcome the obstacle of not having done electives. Any thoughts/suggestions/scold are highly appreciated.
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  #4  
Old 12-13-2014
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Default externships university based

I agree it's become very tough for IMGs to do externships. Many states have tough insurance laws and it's just getting more limited. The Caribbean schools pays for their rotations at US ACGME programs for their students.
I know of one group Residents Medical that offers actual us med school hands on externships and/or rotations. There are other groups that offer clinical for grads and even IMGs but it's usually with a private doctor, no university based, and often in a clinic. Good luck.
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