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IMG Residency Match Forum International Medical Graduates (IMGs) discussing the residency matching process.


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  #1  
Old 12-13-2015
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Default Part Time Residency ? When should I mention it?

Hi,
i am an IMG from Europe and hope to match into Psychiatry 2017 .
My Scores and LORs (from US psychiatry programs) are really good (at least for Psychiatry) ,I have a GC ,research experience and a PhD and my YOG is 2015.
The problem is, i am only willing to do part time. (Because of our kids).One month on one off would also be okay, but i do not ever want to work fulltime (not just for the first year but the whole residency /fellowship). 50 to max 75%.
Do you think it would even be possible to match? When should i tell it to programs? In my personal statement? During the interview? After the match??I also do not know HOW to tell it. I dont want people to be offended during the interview(i am sure they might have kids too, and worked fulltime and it turned out fine for them. and it is always such a sensitive point for lots of people. But for me it would never be an option to work fulltime and not be able to spend time with my kids. I guess this is a very personal decision ).
Any advice would be helpful.
Thank you!!
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  #2  
Old 12-13-2015
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LOL, not to be mean but I think you're in for a rude awakening
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  #3  
Old 12-13-2015
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thank you for your answer. i am glad that i made you laugh, even if it is about my situation. why rude awakening? it either works or it doesn't. (meaning i stay at home for a few more years, what is also not the worst option)
my husband told me he thinks it would not be a big problem and that it would be possible to work something out but i am not quite sure that it would be this easy.(he also works in a hospital, as an attending, but a totally different specialty so i do not think he could help me out a lot).
i also do not see how he might help me. it all goes through the match, right? so i see no possibility to talk to people and get a job through this..
but he is always like "we'll see, dont worry, it will all work out.."
we have 3 little kids and he works like all the time , the kids are not fluent in english and they have to move across the world and leave everything behind , i really cant leave them in daycare or with a nanny all day long where they dont even understand them.
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  #4  
Old 12-17-2015
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I couldn't find anything for psychiatry, but this link will give you an idea about special training policies for board certification in internal medicine. Basically, part-time training is not possible, but you can do interrupted full-time (at least 1 month at a time, at least 6 months in a 12-month period). To see if you can do something similar in psychiatry, contact the American Board of Psychiatry and Neurology.

Keep in mind though that even if it is theoretically possible, that doesn't mean you'll be able to do it - in fact I think the chances are exceedingly low. I'm not saying this to be harsh, but you need to manage your expectations. This is a very unusual situation, and programs don't like unusual situations. It's extra hassle that they don't want to deal with. You'll have to find a program that would be willing to allow you to train in this way. With regards to when you should tell them, again your best bet would be to contact the ABPN.

Good luck. I hope this works out for you!
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  #5  
Old 12-17-2015
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thank you so much!!!i will contact them for sure!
what do other moms do for example? it it either full time, and basically not seeing your children grow up or SAHM?
here almost every woman works part time ..
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  #6  
Old 12-17-2015
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Quote:
Originally Posted by miama View Post
thank you so much!!!i will contact them for sure!
what do other moms do for example? it it either full time, and basically not seeing your children grow up or SAHM?
here almost every woman works part time ..
I,m myself mother from Europe. The environment for mothers here are very different. There are no mechanism to help mothers to combine their family and work responsibilities. Mothers are forced by unfriendly system (expensive daycare, full time work with no adjustment) to stay home even when they are highly educated. Just for your information, during IV they can not ask questions regarding for example: age, religion and having or not kids.
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  #7  
Old 12-18-2015
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thank you!!!!
but during the internet they will ask what i have done the previous years,won't they? or what i like to to in my free time..and they might know my husband.
do you think i should mention it in my statement?better not,right? could they kick me out of residency if i want to do the "interrupted" residency?
i wonder if there is any possibility i haven't thought about yet..
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  #8  
Old 12-18-2015
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I do not understand your situation fully. From my experience maybe will be easier to have research position it is more flexible.
If your spouse is getting super position, you may negotiate your interrupted residency ( I never met anyone who had that) , depending on the program and the institution.

If you are applying through match through eras, being open about your situation is risky, but those Program who respond will be more open to work for you solution. Be prepare that the culture here in US is very different for mothers as well as working hours than in Europe.
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  #9  
Old 12-20-2015
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Quote:
Originally Posted by aloalo2001 View Post
Be prepare that the culture here in US is very different for mothers .
what exactly do you mean?
thank you!
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  #10  
Old 12-20-2015
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He laughed because there is no program that would do this. Please understand you're in graduate training in a professional job. Do you know how selfish this would be?

First assuming any program would do this, highly unlikely they would. Your co-residents would absolutely hate you. Why you ask? Well they would have to pick up an exponential amount of more call with you having this schedule. I'd be pissed if I had to cover someone's call.

Residency is a finite period that once over you can pick and choose your hours.

I'm in a surgerical field and you'd be laughed out of the building by this request. The system here is simply not built to accommodate requests like this for how our training is designed.

Acgme rules state you can be worked up to 80hours averaged over 4week period and it's totally legal. That means you could work way more than 80hrs one week, but maybe 30-40another so long as it averages no more than 80 per week. I know psych doesn't do as many hours, none the less they expect you to take call and be in clinic.

Last edited by Ketafol; 12-21-2015 at 04:41 AM. Reason: Spelling
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  #11  
Old 12-20-2015
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Default It's a simple choice

residency or kids

You clearly want both but that's not going to be possible. Mention you want 75% max of the normal to every program you interview at and I can bet you'll go unmatched. Many men and women have gone into residency with children of all ages, why should you get special treatment if they could do it? If you chose to keep quiet and end up matching only to take time off for sick days/personal days/emergencies/etc, you may be forced to repeat a year or may even be kicked out depending on how your peers and attendings view you.

Many have done it before you. You should be able to handle it. If you have any concerns about balancing both, it would be in your best interest to pursue a medical career in your home country where they may be more understanding of a work-life balance
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  #12  
Old 12-20-2015
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I am just going to be honest. I have never heard of anyone doing part-time residency. Like what the previous post said, it will be unfair to your co-residents and if you mention it during the interview, I assure you that you will go unmatched. Residency is getting super competitive and everyone is proving how much they are willing to work HARD and learn during residency. No offense intended. Just being real.
If you do not want to miss your kid's childhood, be a mother till they grow up and do your residency then.
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Old 12-20-2015
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Quote:
Originally Posted by littlereddot View Post
I am just going to be honest. I have never heard of anyone doing part-time residency. Like what the previous post said, it will be unfair to your co-residents and if you mention it during the interview, I assure you that you will go unmatched. Residency is getting super competitive and everyone is proving how much they are willing to work HARD and learn during residency. No offense intended. Just being real.
If you do not want to miss your kid's childhood, be a mother till they grow up and do your residency then.
I agree with everything here except what I bolded. If you wait too long, your yog along with no clinical experience for years will disqualify you from residency in the future. If you consider yourself to be a competitive candidate, you realistically only have a year or two at most to apply for residency. I don't mean to offend as well but practicing medicine in the US is a privilege that requires much sacrifice. If you can't put up with the hours of psych (considered the easiest of all specialities), perhaps this is not for you
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  #14  
Old 12-20-2015
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thank you a lot for all your input.
i am sure a lot of your thoughts are true. i asked my husband yesterday to talk to a Psy PD via phone and he wrote me an email that it would not be so much of a problem, there is a concept called shared residency and we have an appointment next week where he can fill me in and i can talk to residents there and might shadow them for some days to get an insight.
it is a nice university program, not too far from our new hometown.
unfortunately my husband does not want me to interact and talk about my (and his) future career pathes via internet .
so i cannot tell you how it will go and if i will get a job there.
but i am thanking you a lot again!! just one last thing: i do not think that it is selfish to take care of your own kids and do not put them into any kind of care until the evening..
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Old 12-21-2015
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If you can't see how this is selfish, I don't think you'd fit in culturally here.

You're essentially saying YOUR time is more important than mine, YOUR kids are more important than mine therefore I should take more call (essentially making me take extra call you should be taking) because of the above. When you're private practice/Job hunting, this all can be negotiated, but not in graduate TRAINING programs.

I'm serious, even if your program does offer that, as an IMG they'd prefer to take a local grad or an IMG that doesn't have time constraints. Maybe psych does this, but even if they did, you better believe if your co-residents take more call because of you, they're going to hate you and it won't be a pleasant experience.
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  #16  
Old 12-21-2015
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Quote:
Originally Posted by miama View Post
what exactly do you mean?
thank you!
It seems like they really want your spouse. In this case you may put in his contract your residency position, remember to be realistic when you asking about interrupted residency (month/ hours). Working hours in Us are often more then 40/week, especially for residency. Good luck!

I hope you have ECFMG certificate in hand, because if all of this is theoretical if not.
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  #17  
Old 12-29-2015
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Default Interesting question that highlights the challenges of residency

Hello,

I read over your post and wanted to offer my congratulations. Firstly, for raising three kids and successfully getting through medical school. I will take a different approach instead of adding to the wonderful commentary below.

Your question is valid after you enter residency. For now, just focus on getting an interview and a offer as programs look for reasons to eliminate applicants from their pool. This will reduce the burden on any committee members reviewing your application. By taking away applications that fall outside the norm (your's would, with this special request) it will get pushed into the 'reject' pile.

My best friend just finished his psychiatry residency and was on the admission committee for 3 years, so I have had first hand knowledge of what they look for.

Good luck and message me if you have any questions.

Raj
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