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


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  #1  
Old 03-16-2016
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Default Neurosurgery

I am doing my residency in neurosurgery in Germany .. This my first year
Do I have any chance to get neurosurgery in USA with high usmle score and without US experience ??
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  #2  
Old 03-16-2016
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wow that must be great program in germany Neurosurgery will need like top scores 260 more for img in usa. u need some clinical experience to get the lors and research also will help a lot .. How high did u do on usmle ?
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  #3  
Old 03-17-2016
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Default Yes

Yes, it's feasible. Some residency experience is fine. Even better if you went to a german med school. Doing subinternships helps a lot to get your foot in the door. Since you can't do that anymore there are two possible ways forward: finish residency in Germany and then try to apply (looking at 12+years of training tho); or find a research spot in the US. Scores are definitely important; start there for sure. You have to really beat the mean here (for neurosurgery it's in the 240s). Step 1 is what most places look at. Absolutely no attempts. Pubs are very important. Having US LORs and people here vouch for you is by far the most important aspect. This generally means you'll have to spend a few years doing research with a neurosurgeon. If you play your cards right every step of the way you can make it. I just matched this year. Having a clear plan helps. I might start a short post about this since there is not much you can find on forums on how to get into competitive subspecialties as an FMG. Let me know if you have any questions.
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  #4  
Old 03-18-2016
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Thanks lot for your message neuromat.. Which field u matched into? Congrats
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  #5  
Old 03-19-2016
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Matched into neurosurgery. At my number 1. Amazing feeling. Put some years into this but absolutely totally worth it. Let me know how I can help.
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  #6  
Old 03-19-2016
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Thanks and Congrats neuromat. If I finished my residency in Germany,would I be able to do subspecialty in US ? and after that can i stay and work in US??
How long is ECFMG certificate valid??
best wishes
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  #7  
Old 03-20-2016
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Default Answered

The ECFMG certificate is valid indefinitely. However, to get a state license you'll need to take step 3 within 7 years of the first step you took (for most states). Once you take step 3 everything is locked in place.
You cannot practice in the US unless you do your residency here. To be board eligible you must have done residency in the US and you cannot practice in the US without taking the boards. Every now and then the ABNS does grant an exemption. This is extremely rare so I would not count on that. This is why people who have done residency in their home countries AND have done MULTIPLE fellowships in the US apply for residency and go through this again. It's simple: if you want to practice in the US you have to do residency here.
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  #8  
Old 03-20-2016
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Yeah neuromat great points .. That is so awesome u got into neurosurgery what a dream for IMG. R u us citizen as well? They made new rules for step 3 to take within 7 years but u can apply to take it in Florida or Connecticut without residency position. U can also take it first before other steps I believe
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  #9  
Old 03-20-2016
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No, not a citizen. I do have a green card. I applied for it based on my research. NIW is the way to go.
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  #10  
Old 03-22-2016
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Congrats neuromat! Way to go! Would you offer some advise please. I'm really trying to get into NSG but feel like I'm hitting my head against a brick wall. Done an obsie for 2 months. Scoured the institution I was at for research opportunities, but was untouchable due to my visa (temp. Non immigrant). I'm awaiting results after I applied to a pre-residency program (one of only two or three left in the entire States as most of these were shut down). Do you mind discussing in depth how to improve my CV? May I inbox you please?
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  #11  
Old 03-22-2016
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Default Research and pre-residency fellowships

Sure, feel free to pm me.

For people interested and reading this though: pre-residency fellowships are good, if you can get one. We're talking about neurosurgery pre-residency fellowships not prelim surgery spots. There are indeed very few. The Boston University one is the most advertised right now. Don't know of others, maybe you should list them here for others to see. There used to be a very good one at Cleveland Clinic. It was excellent because they chose a lot of those fellows for residency as well. This unfortunately is not the case at BU since they do not have a residency right now. This is the caveat. That being said, it's a path forward. You'll get to interact with neurosurgeons in a clinical setting and this could lead to excellent LORs. This would've been my backup most likely. I really did not want to go this route though. To me it seems that fairly few people make it out of these fellowships in recent years. Met one guy who found a spot outside of the match, but they hired him as an intern after he had already spent a lot of years doing a pre-residency fellowship. It's painful. That being said, this was a very tough year for IMGs in neurosurgery. Much fewer matched than in previous years (<5%). This is a solid back-up plan I would say.

Research was my way in. I learned a ton of new skills and the pubs I got will also hopefully help me in getting funding in residency and later on. Finding research is indeed a big hurdle, especially since most of us have little, if any, research experience right out of med school. There's no real secret recipe for this of course. I did a couple of subIs when I was still in med school; during the subIs this was my main goal: convince people to keep me on in their labs. You need to work hard on subIs anyways, it's 100 hours+ per week, so to convince them you need to go that extra mile. Have an excellent subI talk and so on. Sometimes work ethic trumps experience. Funding is a big issue. If you can find funding in your country then anybody would be more than happy to take you on board. Otherwise, it's a crapshoot and you'll need to knock on a lot of doors before finding anything. Offer to write grant proposals, be on the lookout for foundation grant deadlines (ABTA or VABC for brain tumor research for instance). Volunteering in a lab for a few months may help; again, working super hard during that time may convince them to keep you on. Just keep on trying. The trick is to work in a lab affiliated with or led by a neurosurgeon, ideally somebody well known in the field that is willing to mentor you through the process. Can't stress this enough: a good mentor is absolutely essential. I had a few amazing people guide me through the process. However, if they vouch for you, it's a huge deal - for you and for them. They put their name on the line so you need to totally earn it and prove yourself. You need to have everything in place for them to be willing to do that: an excellent CV (scores, pubs, school honors, english skills) and earning their trust. Working closely with them will get you there so this is why I think research is the better way.

Hope this helps.
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  #12  
Old 03-22-2016
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Thanks for the wise words. Will pm you.
These are the pre-residency fellowships that I know are left:-
1. University of Iowa Postdoctoral clinical training
2. University of Arizona(emphasis on strength in grant writing)
3. Boston University
Cleveland clinic pre-residency program closed- I emailed the PD to ask.
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  #13  
Old 07-29-2016
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Smile

Quote:
Originally Posted by neuromat View Post
No, not a citizen. I do have a green card. I applied for it based on my research. NIW is the way to go.
bro i do hope u do a post detailing your journey.
that would help a lot.
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  #14  
Old 3 Weeks Ago
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Hi there I am in 4th year of my medical school.I am an international student.I really really want to get into neurosurgery residency...Can anybody help what should I do at this point of my career.Thankyou.
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  #15  
Old 2 Weeks Ago
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thats great lot of chances for you
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