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


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Old 04-08-2013
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Info Quick question about fellowship

Hello,
I have a simple question that I would like answered:

I plan on doing all my steps before I graduate from med school in 2014.
Hypothetically, if I complete my residency training in Europe (IM) then get into a fellowship in the states (eg hematology), and then apply to an IM residency (a gamble) and get in - after I am done with my IM residency in the states, would I be employed as an IM physician or as a Hematologist?

Thanks for any insights
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Old 04-08-2013
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You will get to pick and choose. You can work as hematologist but you can also work as internist.

However, if you will be on J1 Visa then you have to go for a waiver job after you finish residency, as hematologist, it's extremely difficult to get a waiver job but it's very easy to get one if you work as a primary care internist.

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Old 04-11-2013
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Thanks for the quick reply.
I always find it strange when I read in this forum that J1 waiver jobs are
essentially primary care jobs - Don't people in these communities also suffer from glaucoma, AML, meniere's disease - that need to be treated by specialists?
Apparently that is how the cookie crumbles.
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Old 04-17-2013
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People in rural areas do have medical conditions that require subspecialist care but they go (travel) to the nearest biggest city to get that care, they don't get it in their small town.

When you have 20K population town, how many patients will have AML per year? Not many, therefore that medical center will say "Oh no, we don't need a heme/onc specialist, we just need a primary care physician who can then refer the cases if they ever pop up".

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