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


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  #1  
Old 12-11-2013
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Germany Germany or US Residency!

Hello guys,
I'm an IMG, it had been my dream to get a US residency from the first day in my med school in my home country. I graduated in 2013, I passed my Step 1 in 2013 scoring 222 and had an observership for 3 wks in FM in US. I started to study for Step 2, planning to finish it and CS until May, then go into Match and do Step 3.
But... I'm not sure now
I'm 34 and have a kid. The whole match thing is unpredictable. Now I have a real opportunity to start my residency in Germany in September 2014 (guaranteed), and my relatives live in Germany, so there's help with the kid.
A month is lost thinking it all over. To proceed with USMLEs and Match (costs, no guarantee) or to take a guaranteed position in Germany?
I would very appreciate your opinion. Thank you, guys. And God help you with all your endeavours.

Sorry if I posted into a wrong thread....
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  #2  
Old 12-11-2013
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Honestly if I were in your shoes I would probably go with the residency in Germany especially if it's guaranteed. You are absolutely correct that the matching process is unpredictable. Residency in the states is super competitive at this time and who knows how it will be like in the near future. But of course it's up to you to decide. Good luck!
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  #3  
Old 12-11-2013
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No kid gloves in this response:

You either want to go to the US for residency, or you don't. If you want to do it, you will.
I'm 40 with 3 children. I'm sitting in a crappy motel room after having an interview this am. All I know is that no matter what, I'm coming over here. My wife and children will adapt (as I will) and there's no question about it.
Like you, I have a guaranteed job if I don't match this year. But you can be sure I'll apply again next year if I am not successful.

At the end of the day, money is just that: money. I'm in debt up to my eyeballs, but the day will come where my family and I will not be.
It's like lamenting the fact that you didn't win Euromillions when you don't buy a ticket.
"You can't win if you're not IN".

Don't settle for anything other than what you want to do.
Sit the exams and at least give yourself a chance of matching.

Best of luck!
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  #4  
Old 12-12-2013
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Jet Airliner,

tough call.

which country are you from? I'm German and working hard to get a US residency position.. if this tells you something.

Germany is definitely a good option if you want to go into a specialty that is near impossible to get into in the US, e.g. neurosurgery, ophthalmology etc. It takes less effort to get into so you can also funnel all effort into actually becoming good in your specialty instead of USMLE test scores ;-)

We do have some immigrant doctors who have become very successful (e.g. surgeons from Iran) and probably have US level or greater incomes.

However, overall, in the German healthcare system, average salaries are much lower compared to the US and you get much less ancillary staff to help you with your daily work..

That being said it really depends on where you want to live, in Germany you will get "free" health care, good and free education for your kids and overall very high levels of safety and stability! In the US it is much more dynamic.. box of chocolate, you never know what you get. I love the US system but in the US I've met residents from foreign countries who would maybe prefer the Germany/European system

With completed Step1 I'd use the guaranteed residency position in Germany as a backup, finish USMLEs, and try to make it to the US.

Good luck!
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  #5  
Old 12-14-2013
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Default do both

do both...

study for usmle while you're waiting to start your residency in germany come sept 2014. then apply for the match while as a resident in germany. try to apply for leave during residency in germany to attend IVs in jan 2015. it's up to you whether to inform you r PD in germany regarding your us residency application. good luck.
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  #6  
Old 12-14-2013
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Quote:
Originally Posted by usmleire View Post
No kid gloves in this response:

You either want to go to the US for residency, or you don't. If you want to do it, you will.
I'm 40 with 3 children. I'm sitting in a crappy motel room after having an interview this am. All I know is that no matter what, I'm coming over here. My wife and children will adapt (as I will) and there's no question about it.
Like you, I have a guaranteed job if I don't match this year. But you can be sure I'll apply again next year if I am not successful.

At the end of the day, money is just that: money. I'm in debt up to my eyeballs, but the day will come where my family and I will not be.
It's like lamenting the fact that you didn't win Euromillions when you don't buy a ticket.
"You can't win if you're not IN".

Don't settle for anything other than what you want to do.
Sit the exams and at least give yourself a chance of matching.

Best of luck!
Ahh! You are 40 and older than you I am just starting!
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  #7  
Old 01-01-2014
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Default forget Germany

Well I am from Germany, I am 37 and have 3 kids. I was working in Germany 3 years in surgery and 2,5 years in dermatology.
Got sick and tired of it.
Earnings around 40-45k as an md? I am sorry but this is not for me.
I prefer to kick myself in my a... and take the steps.
And please don't tell me you got the residency in fm because with that lack of physicians that they do have in Germany right now there is no big deal.
So don't even think about it.
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  #8  
Old 01-02-2014
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Quote:
Originally Posted by kcbutterfly View Post
Well I am from Germany, I am 37 and have 3 kids. I was working in Germany 3 years in surgery and 2,5 years in dermatology.
Got sick and tired of it.
Earnings around 40-45k as an md? I am sorry but this is not for me.
I prefer to kick myself in my a... and take the steps.
And please don't tell me you got the residency in fm because with that lack of physicians that they do have in Germany right now there is no big deal.
So don't even think about it.
You only earn 40-45k that is unexceptable. Here in the US garbage pickup (sanitation) earn almost double that.
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  #9  
Old 01-02-2014
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I am from Germany...

if it's your dream to become a board certified MD in the US... go for it.
Remember:
"You have one life in which you can do everything you ever want to do!"

So why not try to get into residency in the states?
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  #10  
Old 01-02-2014
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Default no joke

Quote:
Originally Posted by laricb View Post
You only earn 40-45k that is unexceptable. Here in the US garbage pickup (sanitation) earn almost double that.
This is the sad reality!! as a resident you earn that much, and as a consultant physician 10-15k more. It is unexeptable, you are right.
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  #11  
Old 01-02-2014
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Guys...do you mean "unacceptable"?...lol
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  #12  
Old 01-02-2014
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Default yes

Quote:
Originally Posted by HOTdoc View Post
Guys...do you mean "unacceptable"?...lol

yes, sure. we just did some slang here
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  #13  
Old 01-03-2014
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Hi there,

My only advise for you is: Don't do it because of the money.
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  #14  
Old 01-03-2014
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I would take the position, German graduate medical education must be really good, later you can apply, with a residency in your resume if you are still interested
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  #15  
Old 01-04-2014
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I want to know the answer too. Does doing residency in other country help in getting more ivs?
@HOTdoc- What residency did you do out of US? You should be getting more IVs in that specialty, shouldn't you?
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  #16  
Old 01-05-2014
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Default assistenzarzt in germany

hi i would try US residency and meanwhile in germany if u can...

i am also considering doing specialty in germany, does anybody have any advice? i havent been able to match so im worried
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  #17  
Old 01-08-2014
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I would advise you do whatever suits you the most.
FM residency is not that demanding compared to other specialties so maybe you could try your luck on the states, however, bear in mind most FM programs demand more than 3 months of USCE because they are tired of people using them as a backup in case they didnt match in other more competitive specialties, USMLE stepwise they are not demanding but from a USCE standpoint they are really tough.

Off topic (kind of?) Im interested in knowing more about FELLOWSHIP programs in the Germany, specially in ophthalmology, I will start my residency in 1 month here in my country (Mexico). The only german I know is Ich Liebe Dich, Ich mochte eine weiss bier and thats about it lol.

I hope you make the best decision for you and your family.. And I would appreciate any feedback regarding my query. Have a nice day!
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  #18  
Old 01-08-2014
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Quote:
Originally Posted by ugk83 View Post
I want to know the answer too. Does doing residency in other country help in getting more ivs?
@HOTdoc- What residency did you do out of US? You should be getting more IVs in that specialty, shouldn't you?
In general community hospital based programs, value more previous clinical experience outside of the US, than university programs, but that is not a grantee that you will get more IVs than other candidates, they take a look at the complete application to give IVs,

GL
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  #19  
Old 01-08-2014
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XpaezX, unfortunately no idea about fellowship in ophtalmology
Good luck in your endeavors!
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Old 01-08-2014
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Quote:
Originally Posted by jet_airliner View Post
XpaezX, unfortunately no idea about fellowship in ophtalmology
Good luck in your endeavors!
Thank you anyways!
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  #21  
Old 01-08-2014
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I have lived in Germany and US, and end up staying in US, now as a mother looking back, I would choose Germany.
1. Education is much better in Germany, children speak two languages from very early age(english, german), and later even learn another language. Generally schools are better! Top 10 countries in the world for best education.
2. Food and air quality is better!
3. you might not make a lot of money, but what you earn will be enough for good life, human doesn't need a lot of money to be happy.
4. Happiness= safe, happy, well educated children+have favorite job (medicine)
5. you will be in the heart of Europe, Germany's economy is strongest in Europe, people are very stable there, again you don't need to have flashy mln $ mansion and have expensive car to be happy.
7. All doctors I know there live very well, travel Europe and world, current in their speciality.
8. I feel like it is just happier place to live.
9. You can always submit application and participate in Match if you are done with exams. If not, you can take exams for yourself, for a challenge, it will only enhance your knowledge, it wouldn't hurt!
10. All the best
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  #22  
Old 01-20-2015
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Default Germany or USA

I have been studying German language for a while now since i read it is less difficult to enter into residency there,Friends in the USA are convincing me to take the USMLES because as a fluent english speaker I would be more comfortable speaking English than German during my practise,I completely agree with them,I am in my 5th year in medical school in Russia.I will be done by 2016 next year,at least I want to accomplish either two steps of the USMLE or four levels of German language,I want to choose just one path way towards residency.Please advise me.Is it Germany or the USA.I am a Ghanaian citizen
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Old 01-22-2015
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Quote:
Originally Posted by Bobo View Post
I have been studying German language for a while now since i read it is less difficult to enter into residency there,Friends in the USA are convincing me to take the USMLES because as a fluent english speaker I would be more comfortable speaking English than German during my practise,I completely agree with them,I am in my 5th year in medical school in Russia.I will be done by 2016 next year,at least I want to accomplish either two steps of the USMLE or four levels of German language,I want to choose just one path way towards residency.Please advise me.Is it Germany or the USA.I am a Ghanaian citizen
US means talking the chance of starting your residency in couple of years post graduation as a rough estimate, passing all exams, gaining clinical experience and LOR, with all that being done the possibility of matching is really 50/50 percent. are you willing to take the risk?

Germany, means no exams , a whole new language, easy acceptance even for whats considered highly competitive specialities, somehow easier visa issues,
is that what your looking for??

P.S. Take what I mentioned above with much of grains of salt, I have no intentions of directing your decision, BTW I chose the US.
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  #24  
Old 05-06-2015
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Personally, I love Germany so that would be my choice
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Old 05-11-2015
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I have been preparing for the USMLE for knowledge only also learning German as my intention is to live in Germany ,,
life in Germany as seen by my colleagues who are already working in Germany for a while is cheaper , safer , more stable for a family life ,, than in the US ,, kids are more polite ,, less violent ,, more educated !
You have to make a list of adv. and disadv. of living in either the US or Germany from experiences of other people .
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  #26  
Old 02-11-2016
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Quote:
Originally Posted by kcbutterfly View Post
Well I am from Germany, I am 37 and have 3 kids. I was working in Germany 3 years in surgery and 2,5 years in dermatology.
Got sick and tired of it.
Earnings around 40-45k as an md? I am sorry but this is not for me.
I prefer to kick myself in my a... and take the steps.
And please don't tell me you got the residency in fm because with that lack of physicians that they do have in Germany right now there is no big deal.
So don't even think about it.
i am sorry for this stupid question but what is the currency you are using when you say.... 40-45K?
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  #27  
Old 02-19-2016
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LOL at 45K, I'd rather flip burgers at Mcdonalds and get a poverty Obama phone. That being said, medicine in the US is superior and the system of study is way more advanced than in Germany, we simply blow Germany out of the water. So, if you want to be a better doctor, I would definitely go with the US track.

I witnessed first hand how they practice/ teach Medicine in Germany (there are no specific standards like those set by the ACGME, each hospital is different) and I have a close friend there, it's like going back in time.
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