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GETTING INTO RESIDENCY TRAINING IN USA WELCOME TO THE JUNGLE

GETTING INTO RESIDENCY TRAINING IN USA WELCOME TO THE JUNGLE. Mustafa Saad, MD. International Medical Graduates (IMG) Facts (American Medical Association 2005 & ECFMG). 1 in 4 physician in US is IMG Number of Physicians in U.S 794,893 Number of IMG Physicians 185,234 (from 127 countries)

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GETTING INTO RESIDENCY TRAINING IN USA WELCOME TO THE JUNGLE

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  1. GETTING INTO RESIDENCY TRAINING IN USAWELCOME TO THE JUNGLE Mustafa Saad, MD

  2. International Medical Graduates (IMG) Facts (American Medical Association 2005 & ECFMG) • 1 in 4 physician in US is IMG • Number of Physicians in U.S 794,893 • Number of IMG Physicians 185,234 (from 127 countries) • % of IMGs in primary care 44% • % of US grads in primary care 33% • % of IMGs in academics 5% • 5000-7000 IMG unemployed • Since 1958, ECFMG has issued 13,047 certificates to Pakistani grads (5%)

  3. Rank Order of Countries Providing IMGs • India - 24.0% (44,585) • Philippines - 10.6% (19,656) • Mexico - 6.7% (12,448) • Pakistan - 5.7% (10,689) • Dominican Republic - 3.8% (7,147) • Russia - 2.9% (5,343) • Grenada - 2.8% (5,196)    • Egypt - 2.6% (4,884) • Italy - 2.5% (4,755) • South Korea - 2.5% (4,676) • China - 2.4% (4,523) • Iran - 2.3% (4,355)  • Spain - 2.3% (4,332) • Germany - 2.3% (4,269) • Dominica - 2.1% (4,050)  • Syria - 1.8% (3,491) • Israel - 1.6% (3,098) • Colombia 1.6% (3,095) • England- 1.6% (3,071) • Lebanon 1.5% (2,871) 

  4. Primary specialty of IMGs • Internal Medicine 30.1% (57,675) • Anesthesiology 29.6% (12,404) • Psychiatry 29.5% (14,510) • Pediatrics 28.3% (18,831) • Other 22.3% (27,193) • Family Medicine 17.3% (19,303) • Obstetrics/Gynecology 16.6% (7,408) • Radiology 15.1% (5,822) • General Surgery 13.8% (17,362)

  5. National Resident Matching Program Data

  6. Top States with IMG Physicians

  7. Steps in Getting a Residency in US • Clear USMLE Step 1 and 2, TOEFL • ECFMG Certificate • Step 1,2, TOEFL and CSA • Preparing your application; • Eras http://www.aamc.org/audienceeras.htm • Personal Statement • CV • Reference letters • US visit visa • The residency interviews • Match • Post-match (scramble)

  8. Residency Timelines • April/May: Collect info on programs • June/July: CV, Personal Statement, Reference letters • August: ERAS • Sept-Mid Jan: Interviews • Late Jan: Prepare your match list NRMP • March 3rd Mon: Match • March 3rd Tue: Post-match (scramble) • July 1: Residency begins

  9. Personal Statement (PS) • An opportunity to portray your personality, aspirations, your career goals. Include significant and aspiring events in your life • Be realistic, appear enthusiastic • Do multiple revisions, editing, ask for help in grammar and choice of words • Separate PS for each specialty you are considering • One to one and half page length

  10. Curriculum Vitae 1. Contact Information 2. Personal Data 3. Educational Background 4. Employment Experience 5. Professional Affiliations and Honors 6. Publications, Presentations and Other Activities 7. References Important: Leave no gaps in time periods Expect questions from your CV http://www.acponline.org/img/borg.htm tips for writing a cv

  11. Reference Letters • From US source if you did any US electives • Dean’s letter and usually 3-4 letters required • More weight-age if you waive your rights to see the letter • Best to get from a person in academics who supervised you • Provide your CV and Personal Statement to the person writing your letter A Reference Letter Would Typically Include: • Association of the person, who is writing, with you • Academic achievements • Research experience • Extracurricular activities • Interpersonal skills • Communication skills • Personality descriptions

  12. The US Consulate Visa Interview The First Taste of an Alien World The consular officer needs to be convinced that; • You have a valid reason to visit US • You have enough financial, family and professional ties to return to your country, after the residency • Provide evidence of ties to Pakistan and financial security e.g bank statements, evidence of property and assets owned by you and your family, letter of job offer. Commonest reason for visa refusal. • Education credentials examples • DS 2019 (for J1 visas) • Residency contracts • MBBS diploma • TOEFL results • PMDC certificate • Certificates of job experiences • Birth Certificate • Current job letter, should reflect on your position, duration of employment and how your residency training in USA will benefit your work and your position as an employee. • Apply well in advance to allow for security clearance delay • Be pro-active in the interview giving documents, presenting your case

  13. The Residency ‘Interview’ • Research the program from the website • Ask about opportunities for research, grand rounds, subspecialty exposure and fellowship training • Some Points to remember: • Arrive the night before, be well rested, dress smartly • Maintain eye contact, appear enthusiastic, be polite and courteous but don’t remain silent. • Address them by Dr and last name • Ask them to repeat if you don’t understand a question • Don’t ask about pay and call schedule • Remember the chief resident is part of your selection team • Be prepared for questions e.g; why you applied here, your expectations, your strengths and weaknesses, an interesting medical case, research mentioned in your CV • Follow up with a thank you note to the program director, explaining your interests and what you liked about the program. Mention other Drs names who you met.

  14. Other Considerations About Residency • Electives/Research/Observership • Step 3 • Prematch • Match • Post-match (Mid March) • NRMP will send the vacant programs list to unmatched applicants http://www.nrmp.org/res_match/yearly.html • Send applications directly to the program directors before the match saying that you would like to be considered in case there is an unfilled position at Match www.acgme.org • Have fax-tel ready on the day of match • Get help and call as many programs as you can • Have a generic cover ltr ready; scores, attempts, contact information cell phone

  15. Most Important Factors in Selection • Graduation within the last 3 years • No gaps in CV • US electives/observerships and US reference letters • USMLE Step 1 and 2 scores in 90’s • Good interview and spoken english

  16. Helpful Websites • Young Pakistani Physicians Resource Center http://www.ypprc.org/ • USMLE http://www.usmle.org/ • List of residency programs http://www.acgme.org/ • ACP-IMG page http://www.acponline.org/img/borg.htm Contains info on how to write a CV, letters of ref • ECFMG http://ecfmg.org/ • ERAS http://www.aamc.org/audienceeras.htm • FREIDA: Addresses of programs http://www.ama-assn.org/ama/pub/category/2997.html • NRMP: http://www.nrmp.org/ • International medical school database http://imed.ecfmg.org/ • Some unofficial sites with useful tips (authenticity not guaranteed) • http://www.scutwork.com/cgi-bin/links/page.cgi?d=1 • http://www.internationaldoc.com/ • http://medicalresident.net/ • http://www.medfools.com/img/index.php

  17. GOODLUCK

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