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USCE & Clinical Rotations IMG discussions of United States Clinical Experience (USCE), clinical rotations, clerkships, externships, observerships, electives, and internships.


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Old 05-22-2012
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Question clinical experience question...

Which is better..
A 3 months hands on clinical experience or 12 months of observership at various places?
further more, many programs put 5 year cut off. can they consider a 6 year old graduate even if he has been doing clinical experience in USA for last 1 year?
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Old 05-22-2012
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I'd say 12 months of observership at various places is better than 3 months externships.

But it all depends on the place where you do the experience, I'd say a 3 months of even observership at Harvard is better than 12 months of even hands-on at unknown private clinics.

The 5 years cut-off is usually set by programs so that they avoid people who have been out of experience for long time and therefore the fact that you'll be in clinical settings for the last year will significantly dilute this issue but you have contact the program directors and coordinators one by one and tell them your story so that hopefully you can automatically avoid the ERAS filter they put.

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Old 05-22-2012
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In almost all cases clinical experience will trump observership. Most programs will adjust their graduate cut-off date if you have been engaged in serious medical activity. I doubt you'll get a chance to explain your personal circumstances to anyone, except through your personal statement. The most important filter is the USMLE score, especially Step 1. Make sure that is good and you will get through the first cut.

Ed
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Old 05-22-2012
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Quote:
Originally Posted by eduardod View Post
In almost all cases clinical experience will trump observership. Most programs will adjust their graduate cut-off date if you have been engaged in serious medical activity. I doubt you'll get a chance to explain your personal circumstances to anyone, except through your personal statement. The most important filter is the USMLE score, especially Step 1. Make sure that is good and you will get through the first cut.

Ed
I disagree with you on this one. I'm applying for the 2013 match and have contacted around 50 programs as I graduated way over 5 years ago but have a completed residency in Europe and have been in ongoing clinical activity in a university hospital ever since. Well, most of them have responded basically saying that I shouldn't apply to their program as they take their cut-off pretty seriously... There are some who said to apply. Anyway, I think this is a individual program decision and whatever issue you have you should check with them, no matter what. You can even write them and ask if they consider externship or observership more depending on the time and whatsoever.
Good luck
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Quote:
Originally Posted by dr_mhm View Post
I disagree with you on this one. I'm applying for the 2013 match and have contacted around 50 programs as I graduated way over 5 years ago but have a completed residency in Europe and have been in ongoing clinical activity in a university hospital ever since. Well, most of them have responded basically saying that I shouldn't apply to their program as they take their cut-off pretty seriously... There are some who said to apply. Anyway, I think this is a individual program decision and whatever issue you have you should check with them, no matter what. You can even write them and ask if they consider externship or observership more depending on the time and whatsoever.
Good luck
Interesting information. Thanks! But I'm still not convinced, though...

If you ask 50 university-based programs, they are unlikely to express a great interest in an old IMG grad (no insult intended). They are used to an over-abundance of freshly-minted, bright young people, eager to join their programs.

50 programs in IM makes less than 15% of the total programs on offer.

The PD survey shows 'Gaps in Medical Education' as an important consideration, but not a paramount one.

I have come across hundreds of programs who don't care when you graduated and, if they do, are willing to adjust it for relevant experience. Depends on the specialty, of course, and the type of program it is.

If any one has any contrary evidence, I'd love to hear it.
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Old 04-16-2015
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Default emergency observership for internal medicine applying?

Hi.
I am IMG.
Can anyone have any idea whether observership in Emergency medicine would be a point in resume while applying for internal medicine?

Thanks.
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