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NAMSA Education Night

NAMSA Education Night. Preparing you for the next step…. Tonight’s Schedule. MCCEE Talk - Krista Adlington-Monkhouse USMLE Step 1 (June) - Amy USMLE Step 1 (December) – Bryan Schnabel Overview (Timelines) – Alia Karmali. Overview of Exams. United States

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NAMSA Education Night

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  1. NAMSA Education Night Preparing you for the next step…

  2. Tonight’s Schedule MCCEE Talk - Krista Adlington-Monkhouse USMLE Step 1 (June) - Amy USMLE Step 1 (December) – Bryan Schnabel Overview (Timelines) – Alia Karmali

  3. Overview of Exams • United States • USMLE Step 1 (US Medical Licensing Examination) • USMLE Step 2 Clinical Knowledge (CK) • USMLE Step 2 Clinical Skills (CS) • USMLE Step 3 • Canada • MCCEE (Medical Council of Canada Evaluating Exam) • MCCQE Part 1 (Medical Council of Canada Qualifying Exam) • MCCQE Part 2

  4. MCCEE & MCCEQ1 • Think about which programs you want to apply to – different deadlines for each provinces • Alberta IMG (AIMG) • Must sit MCCEE before July of matching year (4th year), last MCCEE date is usually around May • OSCE in September, Interviews in October, Offers in December • MCCEQ1 can be taken later, but only offered May and November of each year • Most programs will prefer if you have MCCEQ1 when they consider your application in December • People who sat the November MCCEEQ1 were more likely to get interviews

  5. Canadian Residencies • Watch Sandra Banner’s talk from May 2009 - CaRMS Presentation: http://www.namsa.med.usyd.edu.au/index.html • Visit the CARMS website: http://www.carms.ca • Visit the MCC website: http://www.mcc.ca/en

  6. Application to CaRMS • *Note: dates of exams and application deadlines change each year- it is best to check the website: www.mcc.ca

  7. Application to CaRMS

  8. Basic eligibility for CaRMS • MCCEE results • Permanent residency/citizenship • Language proficiency • Must be attending or have graduated from a school listed with the IMED published by FAIMER

  9. Return of Service • All IMGs will be required to sign a return of service contract with the Ministry of Health and Long Term Care of the Province of Ontario, in the specialty (including Family Medicine) to which they have completed residency training. • Provinces that do not require ROS: Alberta, Manitoba

  10. International Medical Graduates in the USA • IMGs make up 23% of the US physician workforce, and 24% of residents. • The heaviest concentrations of IMGs are in New Jersey (50% of the workforce), New York (48%), Florida (42%) and Illinois (38%). • Specialties with highest proportion of IMGs = Family Practice, Internal Medicine and Pediatrics

  11. Steps to getting a residency in the USA • 1. Pick your desired residency (internal medicine, surgery, radiology etc.) • 2. Send away for an ERAS (Electronic Residency Application System) application • 3. Research your destination hospitals (see AMA's FREIDA online for help) • 4. Complete and dispatch the ERAS application to ECFMG • 5. Register as an independent applicant with the National Residency Matching Program • 6. Watch the Automated Document Tracking System (ADTS) for the progress of your ERAS submission • 7. Call/e-mail the hospitals that have received your ERAS application, and ask about interview schedules. Request early decisions based on your need to complete international travel

  12. Residency in the USA • 8. Attend your interviews • 9. Rank your favourite programs • 10. Submit your rank order list by internet to the National Residency Matching Program • 11. While awaiting the match results, research your visa options and send for the licensing application packs for the states that you feel most likely to match with. • 12. Obtain your match results (or enter the scramble if unmatched) • 13. Sign and return your contract • 14. If immigrating on a J1 visa, get the DS2019 form from ECFMG and apply through your local consulate. If immigrating on a H-visa, you'll need to get your state license completed first (requires your ECFMG certificate and a copy of the signed contract with the hospital) • 15. Organise accommodation, flights, cargo etc.

  13. You will optimise your chances of matching by... • Being organised and ready • having good grades, USMLE scores and references • performing well at interview • having done an elective at the hospital you're applying to • knowing about your visa plans

  14. Visas for Non-Americans • 7A. The J-visa  The J-1 non-immigrant visa permits completion of an accredited residency or fellowship program of up to seven years duration which leads to board certification. Following this, the resident *must* return to his/her native country or country of last residence for a period of at least two years. • 7B. The H-1B Visa The H-1B visa allows the prospective trainee to avoid the J-1 visa requirement to leave the U.S. for two years by petitioning for permanent resident status in the U.S. while in residency training. An applicant for an H-1B visa must be • (1) ECFMG certified (ie have passed USMLE 1, 2ck and 2cs); (2) must have ALSO passed USMLE step 3 AND (3) must hold a license to practice in a U.S. state before application (it takes about three weeks to get a training license after your match).

  15. http://www.internationaldoc.com/

  16. Advice • 1st years: start thinking about your plan and what exams you might want to write • 2nd years: prepare for your USMLE 1, plan for next exams • 3rd years: think about writing your USMLE exams (if you haven’t already) and start preparing for MCCEE • 4th years: study/write board exams, stay on top of deadlines, apply for the Match

  17. USMLE Step 1/2CK/2CS • Many options of when to write USMLE Step 1 • Summer between 2nd and 3rd year • 3rd year anytime – option take rotation off • During electives (December-March of 3rd-4th year), keep in mind if doing N. American electives of time constraints • 4th year May/June in time for US applications which open in July-August – option to take rotation off, delay PRINT

  18. Things to keep in mind… • You nominate a 3 month “window period” for the USMLE • Must be at least 2 months away. • You nominate a region which you CANNOT CHANGE • Must pay upon registration • MCCEE and USMLE Step 2CK similar material, so some study/take both together

  19. Timeline (Canada) Sit MCCEE: May (4th yr) – AIMG, August-September – other provinces CARMS application closes – end of November Sit MCCEQ1: November (4th yr) in time for December application review Interviews: January-February Match Day: 1st wk of March

  20. Timeline (US) Sit USMLE Step 1: before June/July 4th yr, register for USMLE Step 2CK early 4th yr Sit USMLE Step 2CK before August/September 4th yr (in time for deadlines) US application closes – October/November Sit USMLE Step 2CS: November (4th yr – PRINT) US locations ONLY Interviews: January-February Match Day: 2nd wk of March + Scramble!

  21. Rotations/PRINT GP/Psych/Peds/ObGyn can all be done in home country (2 months) – possible changes currently in discussion with the faculty Take a rotation to study for USMLE, delay PRINT Pre-internship term (2 months) – if you don’t get internship, this is a great option to go spend time at programs you are applying to around the time they are considering applications = extra exposure

  22. Electives Everyone has a different strategy! Some competitive programs (ex. Orthopedics Surgery) prefer if you have 3+ reference letters from North American supervisors Most N. American medical students will do their electives at programs they want to eventually apply to Usually around 14-15 weeks between 3rd and 4th year

  23. Don’t lose hope! USyd grads matched in Canada last yr – Internal Medicine, Cardiothoracic Surgery Flinders grads matched at UofT Orthopedics, UWestern Pediatrics Past Usyd grads at Tufts (Boston), NY schools in various competitive specialties Be prepared, map out a timeline EARLY and try to integrate USMLE/MCCEE study into your Barrier study.

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