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


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  #1  
Old 02-06-2013
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Surgery Chances of matching to general surgery.

My steps 1 and 2 CK scores are 249 and 214 respectively, what else could improve my CV and make the odds of matching to surgery much higher? a 1-year research?? how can i get it? i am currently doing general surgery residency in a university affiliated hospital in Egypt.
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Old 02-06-2013
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The experience you are obtaining in the GS residency program in Egypt will definitely help you apply to their affiliate GS residency program in the US.

There are several inpatient and outpatient clinical sites where you can obtain hands-on clinical experience in the US which would help to improve not only your CV but also your ERAS Application and Personal Statement and help you secure more competitive LORs and Clinical Evaluations from US Physicians related to the specialty you are applying to.

From the hundreds of FMGs/IMGs that we have spoken with so far regarding this years MATCH; they applied with an average of 2-6 clinical rotations in the US and using 3-4 LORs from US physicians.



Regarding Research rotations in the US:

"Despite student perceptions that research in medical school is an essential ingredient for a successful application to residency, our findings indicate that research experience ranks low among selection criteria when all specialties are grouped together. The NRMP also found that research experience in medical school did not differ significantly among U.S. seniors who matched in their specialties of choice and those who did not.1 This was consistent across competitive and noncompetitive specialties. It should be noted, however, that in our survey, program directors in particularly competitive specialties (radiation oncology, plastic surgery, neurosurgery, and dermatology) ranked research experience highly (Table 3). It may be that when all other selection criteria are outstanding among applicants to a particular specialty, research experience or research publications may help discriminate candidates."

Reference: http://journals.lww.com/academicmedi...s_of_a.24.aspx


What type of USCE do you have?
How many LORs from US Physician did you use?
How many GS programs did you apply to?

Best - Victor
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Old 02-07-2013
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I am too grateful, but isn't a research experience also a clinical one?? a general surgery research ain't an academic one, i mean i can shadow a professor, pre, post and intra-operatively and yield data to document a study. all in all, what do you advise me to do?? externships??
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Old 02-07-2013
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my 0.2cents.

-continue your residency till you get match here in US.
-do research there related to surgery.
-make friends w/ ur attendings/chairman/teaching officer so you can ask for a really good LOR someday.
-as much possible, have an elective surg rotation here

to urban43: there is really no exact number for the cut-off, but as an IMG to be competitive w/ AMG who have high scores on top of a good credential (reputable med school, research, publications, organization member,etc), i say one must target a score of 250+.. but again, this is not exact. some IMGs with <250 did got matched bcoz of some other factors (tons of research/publications, previous surg training, highly decorated transcript,etc)
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Last edited by dr.JPRizal; 02-07-2013 at 10:40 AM.
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Old 02-07-2013
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What's the easiest way to get rotations in US?
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Old 02-07-2013
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elective rotations? what do u mean by elective?? electives??
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Quote:
Originally Posted by MidoUSMLE View Post
What's the easiest way to get rotations in US?
well, if you ask me about the easiest, then it would be to use MONEY. you pay certain companies to have you find an available spot & get rotations easily.
but i know there are other ways obtaining rotations - you can do it yourself, or ask help from your admin's office, or ask from any of your attendings there who might have a contact here in US, etc etc..
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No, i wouldn't depend on my attendings, they're scums, lol. how could i do it myself?
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Quote:
Originally Posted by MidoUSMLE View Post
I am too grateful, but isn't a research experience also a clinical one?? a general surgery research ain't an academic one, i mean i can shadow a professor, pre, post and intra-operatively and yield data to document a study. all in all, what do you advise me to do?? externships??
For medical graduates that have completed all Internship/Core/Elective rotations, US Clinical Experience can be obtained by completing:

- Physician supervised insured hands-on clinical rotations (Externship/Clerkships)
- Observership/Shadowing/Volunteer clinical rotations
- Research clinical rotations

These are all forms of clinical rotations.

However, hands-on clinical experience is preferred by the majority of residency programs as the best way to prepare for residency. Wouldnt you agree?
Results of the 2010 NRMP Program Director Survey
http://www.nrmp.org/data/programresu...cialty2012.pdf


I have met IMGs/FMGs that matched with only US obserbership and research rotations. However, the majority have hands-on USCE.

We recommend IMGs/FMGs to obtain a well balanced amount of hands-on USCE. 70% inpatient experience and 30% outpatient experience.

Clinical rotations in the US not only help to obtain USCE but also network with US Physicians and residency program, obtain LORs and Clinical evaluations, and have ready a CV, Personal Statement and ERAS application that is filled with USCE.

This is proven to be an effective way to distinguish yourself from other ERAS applicant
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Quote:
Originally Posted by MidoUSMLE View Post
elective rotations? what do u mean by elective?? electives??
Internship/Core/Elective rotations are for medical students or recent medical graduates.

Depending in what part of the world you are attending medical school, the requirements for these rotations are typically set by the medical school, medical school supervisory board or government. Typically documentation is provided to the medical student or grad outlining the requirements of these rotations and when they can be started. In some cases having passed one of the USMLE exams is required.

If your medical school doesnt have affiliations with US Physicians or Teaching Hospitals for Elective rotations in the US we can assist you complete Elective rotations in the US.


Medical graduates that have completed 1 year of Internship/Core/Elective rotations outside of the US can obtain USCE by completing the following clinical rotations:
- Physician supervised insured hands-on clinical rotations (clerkships or externships)
- Observership/Shadowing/Volunteer rotations
- Research rotations

Hands-on experience being the most competitive for most specialties.
Having passed at least one of the USMLEs is recommended before starting these rotations.

Hope this helps
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Quote:
Originally Posted by MidoUSMLE View Post
No, i wouldn't depend on my attendings, they're scums, lol. how could i do it myself?
lol. same from were i'm from.
you check every surg programs here in US(depending which city or hosp you wanna do it), call the program coordinator (but i think now is not the right time coz they are busy w/ the match, maybe after june or july but it's still ok to call them now) and ask if there's a chance you could do elective rotation or some kind of a visiting/exchange surg resident (maybe you'd be forwarded to the PD or chairman & you wud get to talk to them). if they are up to it, then i guess they would be the one to coordinate it with your admin office there in egypt.
btw i am not sure about this, but i remember some 1 or 2 foreign residents doing electives in comm medicine back in the hosp where i came from (am asian IMG). so i guess it would be similar w/ surg..
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Visit their websites and contact each program to verify.

Quote:
Originally Posted by Urban43 View Post
Is there anywhere that we can go to find out what the minimum cut-offs for step 1 scores are for most programs? not a whole lot of sense in applying if programs automatically cut out your app based on step 1 scores.
This will also help:

Chart 6
USMLE Step 1 Scores of Matched Applicants
by Preferred Specialty and Applicant Type
Page 9

Charting Outcomes in the Match
Characteristics of Applicants Who Matched to Their Preferred
Specialty in the 2009 Main Residency Match
http://www.nrmp.org/data/chartingoutcomes2009v3.pdf
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