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


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Old 04-03-2014
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Default is externship legal

so i got to shadow a IM doctor and i want to buy malpractice insurance and make it an externship .. is that legal ?
please Step taker and Sabio
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Old 04-03-2014
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Official hands-on electives after Med School is not possible, unfortunately, and PDs know that.. An observership in an University environment is a way better option, just try to stand out and volunteer to do some research to get a nice LOR or even someone who will mentor will, try to build connections and stuff.. There are a plenty of FMGs that match every year without any hands-on training, just observers.. I know that some well reputed places like CCF and Jackson Memorial offer these, just search on google..
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Old 04-03-2014
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It is legal in most states but not all. I know that it is not legal in California. Contact the organizations that provide such services for IMGs like Residents Medical, Americlerkships etc.
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Old 04-04-2014
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Interestingly enough, there is not such a think as an "externships" in the US, it is a term adapted for international medical graduates, trying to insinuate that this is hands on clinical experience, but the only hands on clinical experience is the one that you got as a med student during your clerkships. It is a made up word.
That is why there is no real difference between an observership or externships, because "by law" you can not see patients, just shadow a licensed physician.
Don't fall for it

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Old 04-04-2014
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Quote:
Originally Posted by @usmlethree View Post
Interestingly enough, there is not such a think as an "externships" in the US, it is a term adapted for international medical graduates, trying to insinuate that this is hands on clinical experience, but the only hands on clinical experience is the one that you got as a med student during your clerkships. It is a made up word.
That is why there is no real difference between an observership or externships, because "by law" you can not see patients, just shadow a licensed physician.
Don't fall for it

GL
Any one else .. Ppl are doing hands on thing even promoting on web site Abd they are mentioning it I. The eras application and thy are matching
Just want to know the truth
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Old 04-05-2014
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i did 3 months clinical hands on work in USA after graduating through fmgportal.com it was physicians at their private offices. I took histories and performed physical examinations, and even gave shots n drew blood. even residents medical is promoting this. so it is possible
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Old 04-05-2014
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Quote:
Originally Posted by naghoma View Post
Any one else .. Ppl are doing hands on thing even promoting on web site Abd they are mentioning it I. The eras application and thy are matching
Just want to know the truth
I am not implying that you should not do it, I encourage you to do it, you will build a stronger application.
My point is that an externships and an observership are the same thing for a program director, don't fall for commercials scams, in which they charge you a lot of money for just using another word.
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Quote:
Originally Posted by @usmlethree View Post
I am not implying that you should not do it, I encourage you to do it, you will build a stronger application.
My point is that an externships and an observership are the same thing for a program director, don't fall for commercials scams, in which they charge you a lot of money for just using another word.
There is a clear difference: observerships - you don't touch patients, externships - you take history, examine etc.

And for the purposes of residency applications, it makes a big difference.
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Quote:
Originally Posted by Xaquake View Post
There is a clear difference: observerships - you don't touch patients, externships - you take history, examine etc.

And for the purposes of residency applications, it makes a big difference.
There is no difference, none of them is considered hands on clinical experience, Program directors know that , the so called externships , are done in private offices,small community hospitals with minimal patient interaction, with LORs of poor or not weight at all. At least observerships are offered in University hospital, where you can get areal idea of how does the residency programs work, interact with other residents, and you can get LORs with a lot of weight in your application. The only think considered housce, are clerkships, and those are only done by american trainned medical students.
Now whatever you can get will help you, PDs will appreciate your effort get familiarized with the american system, any of them is better than nothing.
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Old 04-05-2014
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Quote:
Originally Posted by @usmlethree View Post
There is no difference, none of them is considered hands on clinical experience, Program directors know that , the so called externships , are done in private offices,small community hospitals with minimal patient interaction, with LORs of poor or not weight at all. At least observerships are offered in University hospital, where you can get areal idea of how does the residency programs work, interact with other residents, and you can get LORs with a lot of weight in your application. The only think considered housce, are clerkships, and those are only done by american trainned medical students.
Now whatever you can get will help you, PDs will appreciate your effort get familiarized with the american system, any of them is better than nothing.
I did observership at university hospital . It was like a bazza of observers the pd didn't know any of us and I believe every body got a genetic LOR Abd all our efforts to impress her was a complete waste . She didn't give IV to any observer?! While friend of mind did externship in a clinic affiliated with big hospital , got excellent LOR and also matched in the program with that physician help inspite of having low step 1 score . So.......
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Old 04-15-2014
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Default Please share your experience.

Quote:
Originally Posted by kalsabek View Post
i did 3 months clinical hands on work in USA after graduating through fmgportal.com it was physicians at their private offices. I took histories and performed physical examinations, and even gave shots n drew blood. even residents medical is promoting this. so it is possible
I am also thinking about getting a couple of months USCE through fmg portal. Could you please share your experience with them and how was the clinic environment? Was there any inpatient exposure?
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Old 04-15-2014
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How legal is an externship?

Read Steptaker's comment. It's legal in some states, illegal in others.
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