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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 04-30-2013
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Question Is Externship so important?

Hi Everyone,
I got a doubt, Is externship so important? If so then why aren't many people applying for it? Why are people still going for Observership?
Externship (hands on) is always better than Obsi right?
I haven't seen many people doing Externship.. If you think its certainly worth doing Externship then do leave a comment. All comments are welcomed.
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Old 04-30-2013
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Hands-on Externships are a great alternative for many foreign and international medical graduates that didnt complete all or a portion of their Internship/Core/Elective rotations in the US as medical students.

There are numerous research articles on the selection criteria for residency that rank hands-on clinical experience above observership, research and volunteer work.

Despite these findings many foreign and international medical graduates face additional challenges that prevent them from gaining appropriate hands-on clinical experience in the US.


"Non-clinical graduate work, such as research or observerships, does not qualify as clinical experience."
New York Phelps FM Residency Program

"Despite student perceptions that research in medical school is an essential ingredient for a successful application to residency, our findings indicate that research experience ranks low among selection criteria when all specialties are grouped together. The NRMP also found that research experience in medical school did not differ significantly among U.S. seniors who matched in their specialties of choice and those who did not.1 This was consistent across competitive and noncompetitive specialties. It should be noted, however, that in our survey, program directors in particularly competitive specialties (radiation oncology, plastic surgery, neurosurgery, and dermatology) ranked research experience highly (Table 3). It may be that when all other selection criteria are outstanding among applicants to a particular specialty, research experience or research publications may help discriminate candidates."
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Old 04-30-2013
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I did observerships last year and didn't match because program directors asked for clinical hands on patient care

Even my research didn't matter because it wasn't patient oriented and more involved with the science and lab components of medicine. For primary care they want good USCE.

People do observerships because they don't know any better or can't get into externships due to poor scores/applying late.
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