IMG Friendly + Q&A (Live Broadcast from Kaplan Washington DC & Irvine, California)
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- Опубліковано 28 лип 2024
- Join Dr. Pedram Mizani, MD (former Chief of Morehouse Family Medicine Residency) & Mrs. Nerissa Pawluk (AmeriClerkships Senior Residency Enrollment Strategist) in this FREE live & online event to learn about what "IMG friendly" really means as it relates to you, and hear answers to 20 of the toughest residency entry questions asked by the audience.
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Amazing！
Thank you Dr. Yang.
I'm an IMG from India. Do you offer clinical rotations / electives for Psychiatry , especially in New York?
Also, is it really important to do my electives from/ or around the States where I want my residency or can i do my clerkships from anywhere?
Hello Dr. Das! We do offer rotations in New York and the surrounding area, use this link here to check out our available sites. Make sure to specify which start dates you would like using our MyClinicals system, as well as any other details you'd like in inquire about. If you have any questions, please use the chat option to speak with one of our Senior Residency Enrollment Strategists, who can recommend the best site for your needs and budget.
In terms of where you are doing your rotations, I want to ensure I understand you correctly before giving you advice. Are you asking whether or not it matters where you did your rotations during medical school, or are you asking about future rotations you are doing as a graduate? The reason I ask is because you mention the words "clerkships" and "electives", which usually are reserved for medical student rotations.
Do residency programs prefer IMG student clerkships to be hospital based as opposed to clinic or private practice based? Or does it depend on the particular program director?
Katina New , same question from me as well
Great question. Sorry for my delayed reply. It depends on the specialty of the program. For example, FM is mainly outpatient and the intent is to keep patients out of the hospital; additionally, the speed by which outpatient is conducted is very fast, so for FM, you would need to exhibit that you're able to handle US outpatient. Inpatient experience is also great for FM, but they want to see more emphasis on the 5 specialties FM covers, the outpatient setting, and some inpatient. General surgery though, is much more inpatient intensive (including OR) and therefore, your surgical experience must be much more inpatient than outpatient. But keep in mind that most inpatient for graduates (and even many international medical students) in the US is observation only, unless you do something like a postgraduate subinternship (acmedical.org/pgsi), or are processed similar to how a US medical student is processed at a hospital (which is very hard to come by, but AmeriClerkships does offer it in limited quantity). So regardless of inpatient our outpatient, the experience needs to be residency relevant, must cover all aspects of the 6 ACGME core competencies (www.acmedical.org/acgmecore/), and must be meaningful enough to make you a better interviewee.
Sir .i have got a doubt regarding mle.i got graduated in 2018 september.do i have less chnace or is it a downstaging factor if i start preparing for usmle step in 2020 mid onwards.and i havent got any reserach or publications too
Great question. It depends on what you have been doing, and what you plan to do from now till residency to not lose touch with patients. Some continue to practice as a general practitioner in their home country, others come to the US to gain clinical experience, secure letters of recommendation and prepare for the USMLEs. Also keep in mind that in 2020 there will most likely be major changes to the USMLE, including the very real possibility of the test moving towards Pass/Fail - which may change the way you prepare for exams.
As for research or publications: they are ranked very very low by program directors as factors to consider when offering residency interviews. Take a look at mk0nrmp3oyqui6wqfm.kinstacdn.com/wp-content/uploads/2018/07/NRMP-2018-Program-Director-Survey-for-WWW.pdf, page 45 (Internal Medicine) and you see that research is rated at 26% and 3.3/5 in importance, as compared to MSPE (85%, 4.3/5) and Step 1 score (95%, 4.2/5). So if applying to IM, then don't worry about research or publications. The story is way different if you're applying to much more competitive specialties (eg neurosurgery or dermatology).
Hope this helps everyone.
Does multiple attemps in passing a subject in med school affect residency match into neurosurgery ??? Despite having 260+ scores in step 1 and 2 ???
Hello! Yes it can! "Consistency of grades " was cited by 76% of neurosurgery program directors in the latest NRMP Program Director survey as an important factor for considering an applicant for an interview. This was ranked as a 3.9 out of 5 in terms of rated importance, which is the same as the average importance for USMLE Step 2 CK! Luckily there are many factors that must be considered before making a selection, so improving your application even after graduation with clinical rotations and recent LOR's is a great way to make up for other deficiencies.
Our Certified Membership provides our members with professional guidance on overcoming any setbacks in their application through professional guidance. If you are interested, you can enroll online at acmedical.org/memberships.
hello, great explanation, I resident of neurosurgery in mexico, I will application for fellowship in skull base ?
Thank you and nice to meet you Dr. Barajas. Feel free to schedule a free 15 minute private consultation with me at acmedical.org/try-us-for-free to discuss your question about applying to fellowship.
@@drmizani ok thaks, I will be schedule soon.
Sir do you help in getting electives?
Hello! Sorry for my delayed reply. Yes we do, we assist both medical students looking to complete elective rotations as well as postgraduate observerships, externships and subinternships. Please feel free to take a look at our clinical sites here (myclinicals.acmedical.org/) or if you want further guidance, a personalized consultation with our Chief Clinical Officer (www.acmedical.org/1on1/drmizani-free/). I hope that answers your question!
How much time of clerkship is needed for getting into residency programs as an img from india? I am interested in obgyn and anesthesiology so can i try for both and what about publications does our local newspaper publication count
Hello! The number, type and length of the clinical rotations all factor into the total amount of training you should aim to receive. Less rigorous rotations would of course help you less, so at AmeriClerkships we recommend completing rotations such as postgraduate subinternships to maximize the time you spend as well as any letters of recommendation. To truly elevate your chances of Matching, having 4-6 months of postgraduate subinternship rotations (with 4 letters of recommendation from those rotations) in the specialty you are applying for is a great starting amount.
In terms of publications, local newspaper publications will likely hold little weight, however it depends on the publication and nature of the topic. Our Chief Clinical Officer may be able to help you evaluate your resume further and see how prepared you are for the Match. Use this link here www.acmedical.org/1on1/drmizani-free/
Hope that helps!
hello sir, I am an IMG and I want to go for urology but I don't find any urology match so do we have to go for general surgery first and urology fellowship later ?
and also sir what USMLE step scores are considered good for surgery match these days ??
Hello, your approach to the Urology Match will depend on a number of different factors, and general surgery first isn't always the answer. I recommend speaking with one of our Residency Enrollment Strategists to get a strategy together. Here's the link!
www.acmedical.org/1on1/
thank you so much for your response sir and how about the USMLE score for general surgery match for an IMG sir ??
My apologies for earlier. I could have done a better job at answering you. Urology is one of the most competitive surgical specialties. Even for US grads, the urology match rate is about 65% (vs the regular 95% for the regular NRMP Main Match). You can visit www.auanet.org/education/auauniversity/education-and-career-resources/for-residents/urology-and-specialty-matches to learn more about urology and its specialty matches (which is run by the American Urological Association, or AUA). Here are some statistics for you to consider before you embark upon urology residency entry as an IMG. In 2017, there were 1,317 urology residents, of which only 63 (4.8%) were IMGs. At this point you may say "that's fine, I will be the 64th", which may absolutely be correct, but that all depends on how tough you want to make your life in making sure you become that 64th urology resident directly through urology. For comparison in 2017, there were 8,811 general surgery residents, of which 1,550 (17.6%) were IMGs, which means there are a bit less US medical graduates to compete against if you take the general surgery route, so you may begin with trying to match into surgery, then trying to transfer to a urology residency 1-2 years later (maybe after a PGY1 Preliminary in general surgery). However in order to become board certified in urology, you'll need to complete at least 48 months in an ACGME-approved urology program + 3 months of general surgery in an ACGME-approved surgical program + 3 months of core surgical training (e.g., intensive care unit, trauma, vascular surgery, cardiac surgery, etc.) in an ACGME-approved surgical program + 6 months of other rotations, not including dedicated research time, in an ACGME core surgery program + as part of the core urology training, you must have completed at least 12 months as a chief resident in urology with the appropriate clinical responsibility and under supervision in institutions that are part of an ACGME-approved program. However keep in mind, urology is a VERY different specialty than general surgery, but again the main issue: competitiveness as over 95% of urology residents are US grads!
Next as far as USMLEs and urology: the likelihood of entering a urology residency program with a Step 1 score of > 242 AND a flawless residency application which shows commitment to that specialty and has 4 US letters of recommendation from US urology clinical experiences is 75%; the likelihood drops to 55% with Step 1 score less than 234. Those odds may not seem bad after all and the science is not perfect when it comes to these predictions, however note that I said a "flawless application and 4 US LORs from urology", which is quite tough to secure when competing for only 650 slots!
Here are general surgery IMG match rates based on USMLE Step 1 score ranges (NRMP): 2 with 191-200; 6 with 201-210, 4 with 211-210, 17 with 221-230, 24 with 231-240, 33 with 241-250, 24 with 251-260, 6 with scores of >260.
Here are general surgery IMG match rates based on USMLE Step 2 CK score ranges (NRMP): 0 with 191-200; 1 with 201-210, 5 with 211-210, 11 with 221-230, 18 with 231-240, 31 with 241-250, 31 with 251-260, 17 with scores of >260.
The biggest issue with surgery and USMLEs is attempts; a single extra attempt in passing any USMLE can drop your chances of a match by over 95%!
So in summary, I recommend that you utilize AmeriClerkships to help you secure a general surgery "Categorical" PGY1, so at least you have a fantastic future ahead of you while you improve your competitiveness for urology as an ACGME surgery resident. Who knows... you may be extremely happy being a general surgeon (why not!?). If you're unhappy with general surgery, then you can make friends when a surgery resident with urology residents at that same teaching hospital and get more first-hand experience in urology. Hope this helped.
thanku so much sir it was really very helpful, I'll try for general surgery to begin with, that seems sensible then I'll see how things turn out to be
Yes I agree. If you are happy with our approach in mentorship, and how we help you figure out very complex questions like yours, then we'd love you to join AmeriClerkships as a "Certified Match" member so we can continue to guide you on how to secure a US general surgery PGY1. Please visit acmedical.org/memberships; you can enroll online. Looking forward to seeing you as a member in my online acmedical.org/officehours.
Hello Sir! I'm from Myanmar and graduated in 2020. I have been trying to take USMLE and I would like to know is there any possibility for me to join general surgery.How can i make sure to enter the surgical residency? It would be really appreciated if you could reply my comment.
Thanks
Hello certainly! The team would love to discuss this with you more in-depth. Feel free to go to our website at acmedical.org and chat with us live there! We will happily answer any questions, and get on the phone with you to discuss further!
Hello sir
I'm an IMG from India.
If any Indian student score 249 in usmle step l and then score well at Ck.
Is there any chance to get residency in orthopedic surgery or neuro surgery or cardiologist?
Hello @ Dr. Mondal. Great job on your USMLEs, however as you know, USMLE Step 1 score is already set to go away, and Step 2 CK score will be next. So you should focus on all the attributes that PDs look for outside of USMLE scores, which you can find in the 2020 NRMP PD Survey, such as LORs from specialty, quality of your MSPE and your commitment to these specialties. Also with super competitive specialties like the one's you're looking at, you'll need to have a solid US clinical experience in those specialties, but more importantly focus on just 1 specialty. Also note that cardiology is a fellowship, which you'll apply to after IM residency. Let me know of any follow up questions.
Great Service and Good Advice.
Hi Doctor:
My boyfriend is in the 3rd year of medical school in Philippines, MBBS program.
He wants to be a radiologist.
When should he sign up for your service for your full package membership service.
He will be graduating in 06/2020.
Is their alot competition for Radiology Residences.
Thanks for your apply in advance. Glad I found your channel.
☺💛
Hello! I would recommend starting out with a free consultation with one of our residency experts, they can determine when that time is depending on when your boyfriend plans to complete their USMLE's and additional clinical rotations. Looking forward to speaking with you!
www.acmedical.org/1on1/drmizani-free/
Hello and so sorry for our delayed reply. Not sure how this message was missed.
With all that's transpired this year, some of the graduations have been delayed in the Philippines. Many of the rotations have also gone fully online, but things are returning to normal. If he is still looking to gain US experience, but is unable to come to the US, we can enroll him in our Live Online Clinical Experience in Radiology. Have your boyfriend visit myclinicals.acmedical.org/?methodOfParticipation=Live%20Online&specialty=Radiology%20%28RAD%29, fill out a short form and see the details to this site. You can also look at acmedical.org/memberships and have him select a "Match Certified Membership" now. ERAS tokens will be released in less than 3 weeks, so he still has time.