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Old 01-06-2016
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Default Clueless - advice please!

Hey guys,

I have just completed step 1 in the past week and I am looking to try and move onto step 2. I have just started 2ck and have realised it is a lot harder than I thought it would be. My initial plan was to get it done by April this year but i now understand the utter futility of doing this considering i have finals to do here as well (in the UK). I tried doing 13 hour revision sessions but now i am just getting ill and am missing on clinical experience which may mean i fail my attachments. I have therefore decided to focus on 2cs and do 2ck slowly in the background for the next few months. In june i would like to do 2cs (the only reason why i give myself so much time is because the exam costs a lot more for us than for you guys!) and then i go to my elective. Unfortunately i was unable to get an elective in the USA so i am going to australia. There i will continue 2ck in the background for 4-5 hours a day until i get back. Then I will start my final year and i will continue to work slowly until i finish some more exams in december. From there, the hardcore revision will start (no exams until june). I will hopefully have it all done by early 2017.

This brings me to my question. What on earth do i do after that? I will finish my clinical training here in the UK and i could potentially start working here for a year before I apply for residency. however, i have no US experience. Would it be better for me to step out for 1 year and try and get some experience in the US before I apply for residency? the only issue there is money. I will miss out on a year's salary and will have no means of income. I will have plenty of references from here but none from the US. I don't want to sound like a pretentious person but I do study at the University of Cambridge. Surely that should lend weight to my application seeing as it is prestigious?

I would really appreciate some direction because right now i am clueless and quite frankly scared of what to do next.
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Old 01-15-2016
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I am pretty much in the same place as you. I graduated from medical school (in the Philippines) in April 2015. Taking step 1 in a few days...step 2 ck/cs in a few months..then applying for residency (hopefully). I have been researching what I should do to get into residency programs. IMG's have a lot to prove because the competition with US graduates is pretty tough.

Basically what you need for residency applications are the following:
- US clinical experience.. a lot of programs will dictate how many months/years you need..but I'm sure they require this so you are familiar with how medicine is practiced in the states

- Letters of's really about who you know and what connections you have..preferably in the states...but since you're coming from Cambridge, I'm sure your LORs will come from prestigious doctors.
- USMLE scores.. super important that you score high to beat the US med students..I heard step 1 is the most important one to do well in and step 2, they just want to see that you pass.
- Something that makes you stand internship, research, volunteer work..anything that you can list as a contribution to the medical field...the fact that you're coming from Cambridge might be enough.

With all that being said, although you lose your's just another sacrifice you would have to make if you were to become a doctor in the states. You want to make your application as strong as possible. So get the clinical experience in the states. OR take a huge leap of faith and finish up over there first..then come to the states! I hope that helps in some way! Good luck!

Warmest wishes,
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