Technically, this is all the U.S. schools provide also. These are the milestones to earning the M.D. No individual school has the best teachers in every department. The coursework and clinical rotations in numerous U.S. schools are also suspect. This explains why school is not enough to pass the boards; they don't always teach you what you need to know! Hence, the annual failure rates have been constant and, in the past 5 years, slowly rising at U.S. schools.

You can attend a private U.S. school at $45K per annum or a slightly cheaper state school and have crappy teachers and poor facilities. Wake up to reality, you don't always get what you pay for. Tuition hardly always translates into academic excellence.

In fact, you may not even know about most of the American programs, including residencies, which are on probation currently or in the past, because these state and private schools never let the cat out of the bag. If they did so, complainers like those on this board would have a field day. However, those students in U.S. schools are more mature about it than it appears on these boards.

It boils down to being independent. In the end, nobody is going to be holding your hand in the operating room, when there's an occult bleed and the patient's vitals are deteriorating or she's in DIC. If you cannot manage problem solving and learning on your own, please get out of medicine because you're an extremely dangerous liability.

If you think otherwise, good luck. Perhaps, we'll read about your shortcomings in the papers.


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The best doctors know what they have to do and do it. No complaints. No excuses.