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Discussion Starter #1
Hi I'm IV years IMG from Georgia/Tbilisi.
I'm just prepearing for my Step 1. Before I do this exam i'd like to know if oversea electives and externships have any kind of significance.

I have already done them in Germany 3 times:

I. IM ( Cardiology/ Nephrology/ Gastroeneterology/ Endocrinology) 2 Month
II. Cardiovascular Surgery Hands on Externship Duration: 3 Months
III. Neurosurgery Hands on Externship Duration: 2 Months

I have Testimonials for each of them. So I would like to ask you how do you think would these Papers and Electives have any kind of significance while residency matching?

P.S. Thanks :)
I've posted this in Residency Match Forum, but no answers about it :)
 

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Well its great you did some electives at Germany, but the objetive in doing them in the US is that they will give you:

1. US clinical experience
2. Letters of Recomendation of US physicians, how can residency programs trust the German Doctors? do they know them? i dont think so, even though they are great .... a US physicians LOR is way way more important.
3. Connections, connections, connections... you can meet residents, attendings, faculty that may know a program director that can help you out to get a interview.
4. You would know the program so if u liked it, it would be your top choice.


Any how hope it helped u...

U can get an observership at the us, just google the programs.. a clinical elective is ment for medical students so thats not a option.
 

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Discussion Starter #3
Oh thank you George. It's quite comprehensive information you've told.
Yeah I'm trying to plan and do my US Externship to get LOR and so on.
Well thank you again and lets see whats happens.
 

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Here is a part of an article about a survay they made to program directors in 2008 and 2010 about what they consider most important when deciding which applicants to interview and what criteria are most valuable when ranking residency applicants

Here is what the survey showed about 1) what factors influence program directors to offer a residency applicant an interview, presented as the percentage of program directors who considered each factor important, and 2) what specific criteria influence their decision to rank a residency applicant after the interview, using a scale from 1 (not at all important) to 5 (very important).

Letters of reference
Across all specialties, program directors surveyed indicated that letters of reference in the specialty were one of the most important factors in deciding whom to interview; on average, the percentage of program directors who considered letters of reference important was 71% and the rating across all specialties for how this factor influenced ranking was 4.2.
Residency applicants participating in the NRMP can submit up to four letters of reference via the electronic residency application service (ERAS) so it is important to select carefully! My general recommendation is that at least two letters be from individuals who are part of the specialty to which the applicant is applying.
 

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Discussion Starter #5
So it's inevitable to do USCE and get LOR ( At least 2 of them ).
As for me, I plan to do IM residency and than Cardiology Fellowship. Is it possible to do USCE in cardiology and some ather field of IM. And if so can i get 2 LORs ?

What would you recommend to me. Which IM field is better to choose for USCE ?

Thanks a lot !
 

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So it's inevitable to do USCE and get LOR ( At least 2 of them ).
As for me, I plan to do IM residency and than Cardiology Fellowship. Is it possible to do USCE in cardiology and some ather field of IM. And if so can i get 2 LORs ?

What would you recommend to me. Which IM field is better to choose for USCE ?

Thanks a lot !
Im still a senior in my medical school, so i was able to land a Clinical elective opportunity, i actually going there in 2 weeks.

Im doing them in Pulmonary medicine and Cardiology. Im aiming for IM as well.

Let me tell you that Gastro and Cardiology are the more competitive spots, you could get them but to be sure in your applications less competitive specialties are more possible. Any of the internal medicine areas other than cards and cardio are easier. Apply to lots of programs.. dont put all your energy to one program. I emailed hundreds of universities and hospitals and some programs opened the doors and otheres didnt but dont take it personally and move on. Apply apply and someone could help you out.

Another strategy, i read somewhere germans have a significant percentage of physicians in the us, google them and get their emails, perhaps a fellow german could help u out. And if u have a contact, use it.
 

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Discussion Starter #7
All right. i'll do it.
thanks for shareing your knowledge and experience about USCE.
than wish you all the best in US and than to rasidency matching and so and on.
that's it i think you've answered all qustions i had.

god bless you
 
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