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


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  #1  
Old 04-25-2011
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Help Help me to choose the right residency (confused!)

Hello everyone,
I’ve been struggling having to make a big decision ever since I graduated from medical school a few years ago. I don’t think I am the only medical graduate who has been in such a dilemma: How to choose the right residency.
Before I go into the main topic, I will provide you with some information about me so you can understand more about my current situation.
I’m a US-IMG. I graduated from medical school overseas a few years ago. Then, I worked as a primary care physician for three years, and I spent a few months as an internal medicine resident. After that, I came to the USA to prepare for the USMLE. That was seven months ago.
Due to some personal and family issues, I didn’t do anything related to medicine, except for some sporadic and intermittent studies for USMLE Step 1.
Thanks to God, my life is finally getting back on track again. I’ll be doing an internal medicine externship in tow moths, and I’m hopeful I will be able to take Step 1.
I’m so glad I’m functioning again, but when I think about residency I feel worried. I want to do something important in my life. Yeah, I want to make difference in this life I think most of us do.
I believe that being an IMG with a five years gap in my studies would affect me when applying for the competitive residencies ( I will apply for a March 2013, so by 2013 I will have had a five years gap since graduation.) I’ve heard many stories about foreign graduates with great credentials who applied for surgery residencies, but their great credentials didn’t help them get a surgery residency.
I worked as an internal medicine resident for six months. During that time I was very dissatisfied. I felt impotent when dealing with chronic diseases. I hated myself every time we had to refer patients to the surgery ward so they could get definite solution for their problems. I still remember a female patient who kept coming to us for renal dialysis. She finally got a donor, and her transplantation went fine. When she left the hospital. I’m sure she was hoping not to have to visit us every again, except for short follow up visits. I felt that she hated us. But of course, she appreciated the surgeon who solved her problem with a solution that would be expected to serve her for the next 10 years.
Sometimes, I try to convince myself that internal medicine is not less than any other specialty, especially when I think about subspecialties like Cardiology or Hematology or Hematology. But even so , Surgery still has the upper hand in solving many medical problems.
When I think about some other specialties which are still competitive such as pathology and radiology, I feel they are very crucial and critical for patient lives.
What does an internist do anyway? Except to order labs and some imaging, and then to interpret the data to come up with a final diagnosis?
On the other hand, I’m a family man. I have many dreams other than medicine. I feel surgery would steal too much time from me. So, now you can see the dilemma.
A friend of mine keeps advising me to stop thinking so much about the residency, since it’s still too early for the the match, anyway. He said that the most important thing right now is to get decent scores in both steps, as that’s very impossible to show on my resume’.
Guys, I know he might be right but I’m not a machine. I have a lot of troubles studying with out having a long term plan. In fact , because I can’t see my long term plan. I’m struggling to keep studying well these days. I want to know what I’m going to be doing in the next year. I will finish the internal medicine externship by October 2011, What’ next?? Should I get another one? If so, exactly what externship should I get. Should I keep taking Internal medicine externships so I build my resume’? Should I take a risk and get a surgery one? Would, or wouldn’t that be a waste of time if I’m not going to apply for surgery?
Another friend has advised me to got the academic and research field because he thinks this field is more appropriate for me.
It’s worth mentioning that I’m not the only one who has felt dissatisfied with internal medicine. I've read some articles that a big percentage of IM residents feel the same way.
I heard a great man speak the late Randy Pauch, who said:” If you don’t have a passion, try to look for one. When you have a passion you can achieve success.” Up until now, I haven’t felt a passion for studying Internal medicine. I only know I want to make an important difference in this world but how, I don’t yet know.
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tangled (08-23-2012)


  #2  
Old 04-25-2011
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Arrow It's you call

Well I disagree with. Internal Medicine is the core of all medical sciences, it's the mother of surgery and it holds all the future.

Year after year, medicine is going less and less invasive. Think about it, would your rather get your peptic ulcer healed by the gastroenterologist or by the GI surgeon! Would you rather get your diabetic foot chopped by the surgeon or would you prefer a genetist making you immune to diabetes by playing with your genes!

Nevertheless, I am not here to convince you that Internal Medicine is better than Surgery or the reverse, I just want to lay the facts for you so that you can decide better.

It's always important and crucial to do something that you like (just like you said, you should be passionate about it) but also we should be realistic and we should not dream too much. For example, I cannot dream of being the president of the United States, because I was not born in US! So no matter what I do, I will never be the president.

So you need to ask yourself this question ... "Can I be a surgeon?" measure the opportunities in front of you carefully. Most of the times IMGs can do it but it requires determination, will, hardwork, humiliation, and years and years of dedication.

If you insist on surgery, you need to do externships in surgery and research and get great US LoRs and high USMLE scores and perhaps you have to go to a prelim year and apply again. So it's a long path, but it's doable and not impossible.

Bottom line, it's your call. Nobody should tell you what you like. You only know what you like to do.
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blueumbrellaas (06-01-2011), Freewill (04-27-2011), KaylaMD (04-25-2011), ommariam (04-25-2011), tangled (08-23-2012)
  #3  
Old 04-27-2011
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Quote:
Originally Posted by StepTaker View Post
Well I disagree with. Internal Medicine is the core of all medical sciences, it's the mother of surgery and it holds all the future.

Year after year, medicine is going less and less invasive. Think about it, would your rather get your peptic ulcer healed by the gastroenterologist or by the GI surgeon! Would you rather get your diabetic foot chopped by the surgeon or would you prefer a genetist making you immune to diabetes by playing with your genes!

Nevertheless, I am not here to convince you that Internal Medicine is better than Surgery or the reverse, I just want to lay the facts for you so that you can decide better.

It's always important and crucial to do something that you like (just like you said, you should be passionate about it) but also we should be realistic and we should not dream too much. For example, I cannot dream of being the president of the United States, because I was not born in US! So no matter what I do, I will never be the president.

So you need to ask yourself this question ... "Can I be a surgeon?" measure the opportunities in front of you carefully. Most of the times IMGs can do it but it requires determination, will, hardwork, humiliation, and years and years of dedication.

If you insist on surgery, you need to do externships in surgery and research and get great US LoRs and high USMLE scores and perhaps you have to go to a prelim year and apply again. So it's a long path, but it's doable and not impossible.

Bottom line, it's your call. Nobody should tell you what you like. You only know what you like to do.

Dear Step taker , I really appreciate your support.

I like your idea of being the internal medicine with great future because the Medicine is getting less invasive with time.

My question is , What do you think IM subspecialities with a promising future? Another question, How can somebody practice internal medicine and doing research at the same time , I mean what's the way to the Academic study in this field in USA of course.

Thanks in advance.
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  #4  
Old 04-30-2011
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Quote:
Originally Posted by Freewill View Post
Dear Step taker , I really appreciate your support.

I like your idea of being the internal medicine with great future because the Medicine is getting less invasive with time.

My question is , What do you think IM subspecialities with a promising future? Another question, How can somebody practice internal medicine and doing research at the same time , I mean what's the way to the Academic study in this field in USA of course.

Thanks in advance.
When you start IM residency. You can choose to do research and get hooked with academic professors and from there you can kick off your academic career.
This is specially true if you do residency in a University Program as opposed to a community hospital.
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  #5  
Old 06-01-2011
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Give a thought f choosin Emergency medicine,its very satsifyininstant cure,gud payment although its higly competitive in par wid radio
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  #6  
Old 06-02-2011
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it is really confusing..all the medical specialties are awesome..and i wish i can do them all...i am still a student and i am facing the same problem..every rotation i do i love it..which gives me a harder time to decide my residency!
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  #7  
Old 06-02-2011
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@steptaker
but isn't it that no matter how much medicine people may try,they can never earn as much as surgeons..i mean just after residency,medicine person 0n an avg gets 250,000 $ and surgeon gets around $500
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  #8  
Old 06-14-2011
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Originally Posted by rahul usmle View Post
@steptaker
but isn't it that no matter how much medicine people may try,they can never earn as much as surgeons..i mean just after residency,medicine person 0n an avg gets 250,000 $ and surgeon gets around $500
Hey, I think this is not 100% right. There is some variability.
for example cardiologists get around $400.
And don't forget that the chances for a surgeon to be a loser one or let's say infamous is more than that in Medicine.
Believe me it's not about money. If it's about money you can invest your money in anything related to business and you will get more than any surgeon.
It's about the satisfaction.
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