Do I need to learn bedside procedures and surgical skills before starting residency? - USMLE Forums
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IMG Residency Match Forum International Medical Graduates (IMGs) discussing the residency matching process.


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  #1  
Old 04-04-2011
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Question Do I need to learn bedside procedures and surgical skills before starting residency?

I am in a unique dilemma, actually I have done step1 (score more than 90) and step 2 (score more than 85) and have scheduled my CS in late May, though so far haven't got the visa...

I went to a med school (which is not in my native country) and finished my MBBS in Sept 2010, I came back and took my country's licensing test and passed it, now I am afraid may be I don't have much clinical exposure (such as no exp of Establishing central line, intubation, catheterization, thoracocentesis etc, though i have seen them but never got an opportunity to do them and hence I am not 100% confident in doing that), but my diagnostic skills and bed side manners are fine, I can take proper history, do physical and all but yah as I mentioned above those maneuvers I have never done

I am afraid it will make me not very good candidate for residency, can any one who has gone through or experienced such feelings or doing residency in IM/FM suggest me what shall i do, shall I apply this yr (2012) or shall I do a job for 1 yr and polish my skills and apply next year, my only concern is those surgical skills !!! but i am fine in medical knowledge as well differential diagnosis.

pls suggest,

thank you
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Old 04-04-2011
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Stop You don't need those skills

Absolutely No.

You don't need to know any of the procedures you mentioned in order to excel in FM/IM residency.

All you need to know is how to take history and perform physical examination and the ECFMG will test that part in the CS exam.

My advice is to come to US as soon as you can and do not waste your time in your country (I mean it's a waste of time because your ultimate goal is US) so do it today, not tomorrow.
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Old 04-04-2011
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OMG you have no idea how much I am relieved by you reply,
I have been keep reading how people got fired during their PGY1 and some even claimed that it was all due to lack of clinical skills (some one mentioned he got fired because he was placed on Ob-gyn rotation and he couldn't do well, one guy mentioned he wasn't able to perform thoracocentesis properly etc) and that left me panicked.

I am confident about my bedside manners (I mean I did fairly well on my IM rotation and subspecialites, I am familiar with basic EKG finding, lab report, i do have idea about auscultatory findings etc..) but after going through those post on various forums i got very scared and today i even started looking for primary care physician position in my city (i have graduated around 6 month back and i was never employed, all i did during this time, was preparing for step1 and 2 and i am glad those 2 exams are over), but after seeing your reply i am very much relived, your advice is like high dose XANAX

thank you!
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Old 04-04-2011
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Most residency kick outs are due to severe and extreme behavioral and/or communication skills issues.

I have never seen a resident who was fired because of lack of clinical skills! those stories you read elsewhere are justifications (mental defense mechanism) to hide on the real issue, such as clinical depression or even sometimes schizophrenia. By the way we do sometimes see such non-sense posts in our forums but we delete them.

US Residency training is created to teach the residents how to do the clinical skills, if the resident could not do it, means the problem with the whole system not the resident him/herself. That's why the ECFMG (an institute that costs Millions of Dollars) has been created! just to make sure that ECFMG certified doctors are OK to kick start residency.

In addition, the procedures you mentioned, such as intubation and chest tube insertion are seldom done by residents. Most US teaching hospitals rely on attendings and fellows for such procedures. You will be very lucky if you get the chance to do one of these during your residency training.
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  #5  
Old 04-04-2011
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indeed this is the answer what I was looking for, thanks again.
your explanation is awesome.
May God bless you now I can solely concentrate on my CS exam
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