Saturday, February 23, 2013

Email from a reader

I got this email from a reader some time ago:

Thank you so much for sharing your experience in your blog. I came across your blog regarding training in US, just like how many others did.
My plan is to apply for the coming match in 2013 September. However, as I made this decision of pursuing post graduate training in US rather late, I did not do my elective in the states when I was a medical student. Thus, I think it puts me at slight disadvantage compared to others candidate in terms of letter of recommendation and also the part on US clinical experience, even though we may have the same scores. I am actually looking at internal medicine programs, which may be considered the least competitive compared to other programs. But I am interested in university affiliated hospitals so that I can have more research opportunities in the future, which is rather tough for international medical graduate. But either way, I am happy if I can secure a spot in any hospital.
I have tried sending emails to a few university affiliated hospitals for externship experience, but most of them only offers clinical elective to medical students, which I am not already. Some offers observership, but I think it would not be considered as part of USCE in the residency application. I also came across a few websites eg FMG portal which offers help to seek for externship spots at a sky high price - but from the list they gave me, there are only categorised to specialty and areas, but not the name of the hospitals, so I am not sure how reliable it is.
1) Should I apply to the FMG portal?
2) Should I wait for the observership from the universities hospital, which I can only apply after I am ECFMG certified, after passing my Step one in April? ( then I may not be on time for this year's application in september, since it takes time to process the certificate , then the letter of recommendation.)
3) Or should I go ahead with the application in September without any USCE and letter of recommendation from US?
4) Do you know any hospital in particular which offer such elective spot to IMG?
5) What are your experience with other students/IMG ? ( I mean how many actually manage to secure a spot, in particular the internal medicine?)
The truth is, I'm feeling more and more rusty with the application process since I did this 12 (gulp) years ago. And so things undoubtedly have changed much.
However, if any of you readers find yourself in a similar situation, I have this to say. And I humbly acknowledge that I am not directly involved in any residency selection processes (so I can't speak from firsthand experience) though am on faculty in 3 residency programs and a medical school here.
It might be 'ideal' to do a US elective. Especially in the specialty you seek, and in the hospital to which you hope to apply. And to get a letter of reference from a US physician.
However, just because you don't have the above, is not the end of the world. Ideal is one thing, but there are many things to consider too.
I know of quite a few IMGs who got into residency programs here without the above. I for one didn't do any US electives when I was a student (though granted, Canadian hospitals are probably seen in a similar light). And I am of the opinion that almost everyone can potentially secure a spot. The question will always be, how flexible are you?
If you are worried that your credentials might not be strong, to consider less-competitive specialties. And to apply to less popular programs/locations. At the very least, have a few of these backups.
Also, I know of some foreign-trainees whose US-elective plans backfired- I met numerous students who wanted to apply to work at the 2nd-ranked top hospital in the country (ahem)- but their performance in that month was less than satisfactory which gave them not-too-good letters. And firsthand feedback to the program director that they were not suitable candidates. So, a US elective isn't always a plus.
While it might be true that letters from overseas physicians might not carry as much weight, I'm sure these do account for something. And I'm not sure the letters I've written for students here, would be seen much more differently from letters coming from elsewhere, since the program directors probably know as much about me, as they do about some Dr. X in Malaysia. Hence I doubt I have any more credibility than anyone else.
I do feel strongly though, that a clinical observership carries very little weight. Do it if you're curious about how things are done in a different country. But don't do it to try to get your application any stronger. As an observer, for medicolegal reasons, the hospitals cannot allow you to directly involved in patient care. So your mentor would not be able to make an assessment and write you a good letter with this.
So, whoever you might be, and wherever you are, getting a spot certainly is possible. Don't lose faith!


Blogger Kent Yong said...

I always love to have another Malaysian to apply this year match. It makes me not feeling lonely. Anyway, GO GO Malaysians.

8:23 AM  
Blogger Dr Rehan said...

The observership application should be as good as it should be required. We must know how to write it and include information about it.

11:15 AM  
Blogger ninest123 said...

ninest123 16.02
ray ban sunglasses, replica watches, tory burch outlet, nike air max, michael kors, tiffany and co, oakley sunglasses, michael kors outlet, nike air max, polo ralph lauren outlet, louis vuitton, ugg boots, replica watches, uggs on sale, tiffany jewelry, oakley sunglasses, longchamp outlet, prada handbags, louboutin shoes, prada outlet, michael kors outlet, nike free, louboutin outlet, louis vuitton outlet, longchamp outlet, michael kors outlet, chanel handbags, ugg boots, ugg boots, burberry, oakley sunglasses, louis vuitton, burberry outlet online, ray ban sunglasses, michael kors outlet, ugg boots, nike outlet, polo ralph lauren outlet, ray ban sunglasses, louboutin, michael kors outlet, oakley sunglasses, cheap oakley sunglasses, louis vuitton, jordan shoes, longchamp, gucci outlet, christian louboutin outlet, louis vuitton outlet

11:07 PM  
Blogger ninest123 said...

ray ban pas cher, ralph lauren uk, michael kors, vans pas cher, oakley pas cher, true religion outlet, air force, nike free run uk, true religion jeans, nike air max, nike free, sac guess, converse pas cher, mulberry, coach outlet, nike roshe run, timberland, nike roshe, north face, tn pas cher, burberry, lacoste pas cher, coach purses, north face, michael kors, longchamp, hollister pas cher, new balance pas cher, ralph lauren pas cher, nike blazer, hermes, true religion jeans, air max, michael kors, longchamp pas cher, louboutin pas cher, nike air max, lululemon, abercrombie and fitch, vanessa bruno, air jordan pas cher, hogan, sac longchamp, michael kors, hollister, replica handbags, true religion jeans, nike huarache, ray ban uk, nike trainers, nike air max

11:09 PM  
Blogger ninest123 said...

iphone 6s plus cases, abercrombie and fitch, bottega veneta, north face outlet, ray ban, vans, valentino shoes, wedding dresses, nike air max, chi flat iron, timberland boots, mcm handbags, nfl jerseys, converse, celine handbags, ghd, giuseppe zanotti, hollister, s5 cases, nike roshe, north face outlet, vans shoes, nike air max, mont blanc, instyler, babyliss, iphone 5s cases, p90x workout, gucci, soccer jerseys, iphone 6s cases, oakley, ferragamo shoes, lululemon, iphone 6 cases, ralph lauren, beats by dre, birkin bag, louboutin, herve leger, iphone 6 plus cases, reebok shoes, baseball bats, new balance, hollister, soccer shoes, asics running shoes, iphone cases, ipad cases, mac cosmetics, jimmy choo shoes, insanity workout

11:11 PM  
Blogger ninest123 said...

links of london, louis vuitton, moncler, pandora charms, toms shoes, canada goose uk, louis vuitton, canada goose, pandora jewelry, ugg,ugg australia,ugg italia, converse outlet, sac louis vuitton pas cher, swarovski crystal, canada goose, canada goose, pandora jewelry, replica watches, moncler, hollister, barbour, ugg boots uk, karen millen, moncler, juicy couture outlet, moncler, marc jacobs, wedding dresses, doudoune canada goose, barbour jackets, doke gabbana outlet, moncler, canada goose, supra shoes, pandora charms, bottes ugg, louis vuitton, louis vuitton, thomas sabo, swarovski, moncler, moncler, juicy couture outlet, coach outlet, moncler outlet, canada goose outlet, montre pas cher, lancel, canada goose outlet, ugg pas cher, ugg,uggs,uggs canada
ninest123 16.02

11:15 PM  
Blogger 柯云 said...

coach outlet store online
louis vuitton handbags
coach factorty outlet online
michael kors outlet
jordan 11
ralph lauren polo shirts
true religion outlet
coach factorty outlet
ray ban sunglasses
tiffany and co jewelry
louis vuitton outlet
ralph lauren
nike uk
coach outlet online
coach outlet online
nike huarache black
kate spade outlet
kobe shoes
coach outlet
oakley sunglasses
oakley sunglasses
air max 95
coach outlet
cheap air jordans
coach outlet
tods outlet store
louis vuitton outlet online
louis vuitton bags
nike roshe run mens
lebron 12
cheap air jordans
montblanc pens
louboutin shoes
hollister clothing
louis vuitton outlet
air max 90
fitflop shoes
oakley outlet
true religion outlet store

3:36 AM  
Blogger نور الهدى said...

تعد شركة الرحمة افضل شركات التنظيف ومكافحة الحشرات بالرياض والممكلة فهى توفر افضل عماله مدربة على جميع اعمال التنظيف للمنازل والفلل والشقق والخزانات بافضل المنظفات العالمية العالية الجودة وارسعارها في متناول الجميع
افضل شركة تنظيف منازل بالرياض
شركة نقل عفش بالرياض

شركة جلى بلاط بالرياض

كشف تسربات المياه بالرياض

خدمات التنظيف تحتاج الى عماله ماهره لتقوم بها في اسرع وقت نوفر افضل العمالة الفلبينية والمصرية والهندية لتتم عمليات التنظيف وجلى البلاط على اتم صورة وباسرع وقت وبارخص الاسعار
افضل شركة تنظيف بالرياض

افضل شركة تنظيف شقق بالرياض
افضل شركة تنظيف فلل بالرياض
افضل شركة مكافحة حشرات بالرياض
شركة تسليك مجارى بالرياض

نوفر افضل مستودعات تخزين الاثاث وافضل سيارات نقل الاثاث بالاضافة الى خدمات تنظيف الخزانات وعزل الخزانات والاسطح باتصالك بالرحمة توفر على نفسك التعب والمجهود في التعامل مع غير المحترفين وصرف الكثير من الاموال فالرحمة افضل شركات التنظيف ومكافحة الحشرات بالرياض وبشهادة عملائنا
افضل شركة تنظيف خزانات بالرياض
افضل شركة عزل الاسطح بالرياض
افضل شركة تنظيف مجالس بالرياض
افضل شركة تنظيف سجاد بالرياض
شركة تخزين اثاث بالرياض

وان كنت تريد ان تتخلص من الاثاث القديم الذي يسبب لك الازعاج فشركة الرحمة تقوم بشراء الاثاث الستعمل فهى افضل شركة شراء اثاث مستعمل بالرياض

1:37 PM  
Blogger نور الهدى said...

شركة تنظيف اثاث بالرياض

شركة تخزين عفش بالرياض

تقوم كذلك بتقديم كافة التسهيلات وسيارات النقل لتحصل على افضل خدمة شراء اثاث مستعمل بالرياض
علما بان الشركة تستخدم افضل المنظفات والمطهرات والمعقمات التى تحقق اعلى نتائج التنظيف المطلوبة فى تنظيف منازل بالرياض
وتنظيف الفلل والشقق وكافة المؤسسات الاخرى
لتصبح شركة الاخلاص افضل شركة غسيل خزانات بالرياض بجانب خدمات التعقيم والتطهير المميزه التى تتم باستخدام افضل المواد المنظفه والمحاليل المطهره والتى تحقق اعلى نتائج خاصة بتنظيف خزانات المياه بالرياض

وتقوم ايضا بتنظيف كنب بالرياض فهى افضل شركة تنظيف كنب بالرياض وبالمملكة فابتصالك بنا تحصل على افضل شركة تنظيف
مع العلم ان شركة نقل عفش بالرياض تقدم خدمات نقل الاثاث الدولى خارج الممكلة بكل سهولة بالاعتماد على احدث سيارات الشحن الدولى والتى تتميز بالسرعه والامان عند نقل الاثاث

فشركة الاخلاص شركة كشف تسربات المياه بالرياض تسعى بكل جهدها للوصل لحل لهذه التسريبات والتقليل من فاتورة المياه الخاصه بك بعد حل مشكلة التسربات بالاعتماد على اقوى وافضل عماله متخصصه وخبرة فى استخدام هذه الاجهزة باحتراف
شركة رش مبيدات بالدمام

شركة مكافحة النمل الابيض بالرياض

شركة مكافحة صراصير بالرياض
ونقدم افضل خدمة جلى بلاط بالرياض فشركة البيت الافضل تشتهر بانها افضل شركة جلى بلاط بالرياض
تعمل على جلى جميع انواع البلاط والرخام

1:38 PM  
Blogger LCc 03 said...

skechers outlet
adidas tubular
lacoste outlet
timberland boots
links of london outlet store
adidas tubular
Kanye West shoes
fitflops sale clearance
kyrie shoes

10:42 PM  
Blogger alice asd said...

hugo boss sale
true religion jeans
ugg boots
nike outlet
cheap uggs
fitflops shoes
cheap ray bans
ecco shoes outlet
ugg outlet

9:17 PM  
Blogger alice asd said...

nike trainers
michael kors handbags
air max 90
michael kors outlet online
adidas yeezy
nike blazer
ed hardy uk
michael kors outlet online
gucci outlet
nike huarache trainers

8:13 PM  
Blogger raybanoutlet001 said...

jerseys wholesale
ugg boots
coach outlet store online
michael kors handbags
nike tn
polo ralph lauren
adidas nmd
ugg boots
cheap ugg boots
ralph lauren polo

12:50 AM  
Blogger terrialonso said...

Vroot apk on your android gadget then aim to APK Download get the most up to date variation of it. Individuals APK 2018 that have been making use of the New APK obsolete variation of vroot apk will certainly.

10:24 PM  

Post a Comment

<< Home