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USCE (US Clinical Experience) is a great value addition to International Medical Graduates seeking Residency in the United States!

Updated: Oct 13th 2008



Monday, January 1, 2007

DOES CLINICAL EXPERIENCE IN OTHER COUNTRIES HELP RESIDENCY CHANCES IN USA?

If you have been laboriously reading through the IMG criteria of various residency programs mention my IMGFriendly Programs List Blog, you may have noticed some websites mention clinical experience in the UK and Canada and at times even Australia as being looked upon in the positive light.


For example, this is what the Pediatrics Residency at the New York University says about selection criteria for IMGs:
"Prior clinical experience in the US, UK or Canada is strongly encouraged"

Another good example is the pediatrics residency program at West Virginia University, Morgantown, which says:
"International applicants are encouraged to have US or Canadian direct patient care activity"

Yet another example would be the Richard Lugar Family Practice Residency Program, which reads:
"We do prefer that you have at least 6 months of clinical experience in the United States, Canada, the U.K., or Australia"

To make sure the point drills home, let us look at one more example: Franklin Square Hospital Family Practice Residency Requirements say:
"Minimum of four months of clinical experience in the United States, Canada, the UK, Australia or South Africa. Research does not qualify as clinical experience."

Countries like UK, Canada and even Australia share or at least perceived to share by the American Medical system, the high quality standards of patient care and medical education training. An efflux and influx of physicians between these nations is common. For e.g. Docs tired of the US may pack bags to Australia and vice versa.

Another evidence is the many IMGs from UK that have flocked to the US after the visa problems and have largely found preference over other IMGs with less or no direct clinical care experiences.

In Conclusion, if you happen to be in Canada, UK, Australia, etc., do not underestimate the value of clinical experience in these countries and make the best use of your time there...
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3 Comments:

Anonymous Anonymous said...

Anonymous said...

hi
i have a 2yr clinical exp in india..will it help me wen i apply 4 residency?? pls help
9:45 AM
Digitaldoc, MD said...

If your clinical experience is ongoing while you apply or not been too long since you last practice..it will help that way, but not because it is India..as much it would help if it were in US, UK, etc.
9:40 AM
Anonymous said...

hi this 2yr exp tat i'm talkin is post mbbs..its been 2yrs since i finished my graduation n joined a hospital immediately after tat..so will this help?i have not started preparin 4 mle as yet so do u suggest 2009 residency or 2008??kindly help..thank u
8:28 PM
Digitaldoc, MD said...

You could certainly take a chance for 2008 match with targeted applying, good scores on step 1 and step 2 (atleast 3 to 4 months of prep time per step) and applying within the first week of September. US Clinical experience / research will certainly help even more though. Don't mess up scores - thats the bottom line if you cannot gather US Clinical experience before applying
8:41 PM
Anonymous said...

thank u digitaldoc.
9:02 AM
Anonymous said...

hi

i have scored 75% in step 1 because of hurry and my bad planning, now i afraid to give step2, what is the chance for me to get into residency if i done well in step2 how much i have to score,your advice will be very helpfull
5:42 PM
Digitaldoc, MD said...

The thing about getting a residency (some call it good - some call it bad) is that scores alone do not dictate whether you will get it or not - in a true sense, it surely is a gamble getting tougher by the year.

It's kinda a vicious circle that works either ways - score good on step 1, and the candidate will wanna go ahead since he/she now feels confident, on the other hand, a low score still drives the candidate to the next step to score better the next time. :-) All in all, your decision must be based on whether you gonna have backups, whether you have the financial capability, whether you are confident enough of better scores on the next steps, whether you will be planning well to have other credentials on your application and whether you are willing to wait more years than you plan to. People with low scores still get into programs by building up other credentials - though it may be tougher and may take longer to get in than the ones with good scores.

A good score on subsequent steps will certainly help a lot. And chances are logically better for the less competitive programs like Family medicine and pediatrics.

I know I have not given you the answer on a golden platter - but it's practical enough to set you thinking on the right terms. There are never any guarantees - even for the high scorers, hence practicality and thinking of all aspects is important.
6:26 PM
Anonymous said...

hello
i'm plannin to giv my step 1 in june n thinkin of applyin for 2009 residency.i plan 2 finish all steps by dec 2007.i want 2 do externship...how do i get it?? shud i apply for it wen i go 2 USA for givin cs?? shud i b in usa only 2 allpy for it?? pls answer..greatful 2 u..
7:26 PM
Digitaldoc, MD said...

Apply from within your home country itself, since you will be communicating mostly via email anyways. writing to programs or hospitals around your friends / relatives places is a good place to start with.
1:19 PM
Anonymous said...

hi
iam planning to get into us thru my mph program with my step 1 score following which i will plan to finish my step2 and cs..,whats your view on this
8:52 AM
Anonymous said...

hi... can i apply for 2007 residency in sept first week with just my step 1 n ck scores. wat r the chances of gettin a residency in that case?????
11:04 AM
Anonymous said...

hi digital doc , wanted to know tat apart frm the externship how does the clinical research experience under someone from a phd doc help?
can that lor be useful?
thanks in advance
7:48 PM
Anonymous said...

hi digital doc.
I am an IMG with score of 81 and 82 residing in canada and worked as an assistant with a family practitioner for over an year and from whom i will get an LOR..would it be helpful only for FM programs or for others like IM and peads also(or neither)
God bless u..
9:55 PM
Anonymous said...

Hey Digital Doc,I finished steps(93, 86,94)and completed 2 years PG in Radiology.Came here from India on a student visa.Could you please rate my chances of a residency here in Rad? Would you give me any suggestions/tips?Thanks a lot ...
1:01 PM
Anonymous said...

hi,im an undergraduate student and preparing for usmle,i wanna know factors which maximizes the chances of ur getting a good residency apart from good scores,is it clinical/research experience in india or other countries or some extracurricular activities etc?
1:45 AM

Digitaldoc, MD said...

Hi have covered all that on my Tips4Match Blog

:-)
4:20 AM
Anonymous said...

dear Digitaldoc: I am in hurry and need your help!I just started applying and I dont have a single LoRS.I was doing 1year and a half residency training in asia which was 2 years ago. Do you think it will work if I asked my own country supervisor to write me LoRS? They are not MD though:( help plz!!!
10:14 PM
Digitaldoc, MD said...

Sure - apply with you got - clinical LORs will be valued more for clinical specialties, but if you got nothing else, apply with what you got and try to secure some clinical experiences now too.
11:04 PM

December 24, 2007 7:01 PM  
Anonymous Anonymous said...

i am gettin a clerkship of 1 month in emergency medicine, but I want to apply to internal medicine residency. Should I go ahead with it?

June 28, 2008 5:34 AM  
Blogger Digitaldoc, MD said...

If no other options open out until then, an emergency medicine clerkship will still be a great addition on your Int. Med. resume

July 8, 2008 6:04 AM  

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