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


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Old 07-01-2016
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Default UK Clinical Experience for US Residency Application

My post is relating to the clinical experience component of the US residency application.

I am an IMG based in the UK and will be doing my USMLE steps in the UK. While preparing for my exams over the coming months, I aim to do a 3-month clinical attachment/rotation in Internal Medicine at one or two UK hospitals. To satisfy the application requirement of letters of recommendation (LORs), I will gain these from UK consultants/attendings of whom I will have worked with..

While I appreciate that US clinical experience is more desirable and is stated as a clear prerequisite for IM residency, my time is very limited as I am only starting to prepare for Step 1 as of now. Having said that, I still hope to do an observership/externship after Step 2 CS when I go to the US and hopefully gain a LOR from a US physician.

Is this a good action plan?
So if I were to obtain 1 US LOR and 3 UK LORs, will this satisfy clinical experience requirements?
Are UK clinical rotations highly regarded by Program Directors for IM residency programs?

I have searched through previous posts regarding how valuable UK clinical experience and LORs are, however, there are no definitive answers. I look forward to hearing about your opinions on the matter.

O
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Old 07-01-2016
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Quote:
Originally Posted by Osala View Post
My post is relating to the clinical experience component of the US residency application.

I am an IMG based in the UK and will be doing my USMLE steps in the UK. While preparing for my exams over the coming months, I aim to do a 3-month clinical attachment/rotation in Internal Medicine at one or two UK hospitals. To satisfy the application requirement of letters of recommendation (LORs), I will gain these from UK consultants/attendings of whom I will have worked with..

While I appreciate that US clinical experience is more desirable and is stated as a clear prerequisite for IM residency, my time is very limited as I am only starting to prepare for Step 1 as of now. Having said that, I still hope to do an observership/externship after Step 2 CS when I go to the US and hopefully gain a LOR from a US physician.

Is this a good action plan?
So if I were to obtain 1 US LOR and 3 UK LORs, will this satisfy clinical experience requirements?
Are UK clinical rotations highly regarded by Program Directors for IM residency programs?

I have searched through previous posts regarding how valuable UK clinical experience and LORs are, however, there are no definitive answers. I look forward to hearing about your opinions on the matter.

O
Few programs consider UK and Canadian clinical experience and might prefer candidates who have had them but that alone might not be enough to be called for interview. I would definitely try to get more US LoRs inspite of UK clinical exposure. Several competitive programs actually require three LoRs from US physicians (Tufts among others for example)
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Old 07-03-2016
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Thanks for your response.

Unfortunate!y, due to time constraints I might not be able to get 3 US LoRs.
And with observerships being rendered useless by many residency programs, wouldn't it be prudent to get LoRs from UK consultants who have seen me perform in a fellow first world setting? I will have hands-on clinical experience - something perhaps I will not be afforded if I were to apply for US clinical experience.

I am led to believe some Caribbean students carry out their clinical rotations in the UK and also some Australian IMGs apply with clinical experience from their home institutions. Both sets of students have successfully matched to their respective IM programs, so I suppose there is precedent.

Any further information or opinions are welcomed...
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Old 07-04-2016
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Star UK Rotations

This is true that some people do complete their respective rotations in UK/Australia, but I"m not really sure about the LoR. I really don't know if a LoR would be the best option for someone matching in the United States. For example, if a program is naive to a program in Europe, they may not know what to do with the letter.

I don't think it would hurt you, but obviously if you could retrieve a few from a US or Canadian program, I feel would better your chances. Unless the program you are applying too has a connection to the UK Academic center you attended. I think maybe asking a specific program you are interested in what they are thinking, would be perfectly reasonable also.

Hope that helps,
Medmatchplus+
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