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  1. #1
    xxgunnerxx is offline Newbie 510 points
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    How Competitive is Anesthesia?

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    Hi, I'm just wondering how competitive is Anesthesia and where exactly does it stand compared to the other possible residencies? Also how likely is it for a Caribbean student to get into it?

    Thanks.

  2. #2
    Scientific is offline Senior Member 529 points
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    Anesthesia is VERY competitive now a days. Being a Caribbean student just makes it all that much harder to get into. Caribbean schools are geared moreso to get you into a Primary care field (Family Practice, Internal Med, Pediatrics, etc). It's not impossible to get into more competitive fields, but in order to do so, you need good grades (very hard to do) on top of Good scores on Step 1 and Step 2 (also very hard to do), as well as getting that extra push by doing your rotations at hospitals where you would like to do your residency. It's not impossible, but it is very difficult to do.

  3. #3
    arga's Avatar
    arga is offline Member Guru 661 points
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    caribbean schools are "geared" for primary care field? I don't really see that. Yes most caribbean grads end up in Primary care, but its not because the schools focus on it. Its because its tough to get competitive residencies as an IMG.

    So i would say your second part is right that residencies are competitive and people have better chance at primary care than specialty but if an individual works hard then Caribbean schools will give the same oppurtunities (if we don't consider the IMG part).

  4. #4
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    DrFraud is offline Elite Member 6131 points
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    According to MRPM, 4/7 of IMGs with a step 1 score over 220 who applied to Anesth. matched.

    http://www.nrmp.org/data/chartingoutcomes2007.pdf

  5. #5
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    slevit1MD is offline Ultimate Member 665 points
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    Caribbean schools are not geared towards anything. People are less likely to get more competitive matches because they're more competitive, not because AUC is geared towards them. It's also not very hard to get good grades at AUC, and many people I know are getting fantastic step scores. There are plenty people from AUC who get non-primary care fields and competitive residencies. There was only 1 person this year on the list that got anesthesiology, but it's possible that not many people tried. Previous years have had more anesthesiology matches. There were also a bunch of general surgery matches this year and two radiology matches.

    Do well in basic sciences, do well on the step, impress people in rotations, and you should be fine. People match anesthesiology every year. It's certainly not like derm or plastics.
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  6. #6
    SchoonerJay is offline Member 526 points
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    To reiterate Dr. Fraud's excellent link from a previous post:

    http://www.nrmp.org/data/chartingoutcomes2007.pdf

    Looking at that link, you can see that anesthesiology is quite competitive, among US applicants let alone IMG applicants. That's not to say impossible to get into, though! A little more than 1500 residency spots were offered last year, of which 1000 were claimed by US grads. Nearly 300 more spots were claimed by IMG. (Guessing the remaining spots were unfilled for whatever reasons).

    I don't agree, however, that IMG schools are geared towards primary care specialties, nor is the opposite corollary that US schools are geared towards specialty care correct either (the two public schools in my state, plus one just over the border, are heavily focused on primary care, for instance). Looking at Table 1 from the above link, you can see that the most-applied for specialties for US grads were internal medicine, family medicine, and pediatrics; no surprise that those were also the most-applied for specialties for IMGs. The numbers don't follow exact trends for the most competitive specialties, but the general trend is there: US grads and IMGs seem to go largely into primary care fields.

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    SchoonerJay is offline Member 526 points
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    Quote Originally Posted by DrFraud View Post
    According to MRPM, 4/7 of IMGs with a step 1 score over 220 who applied to Anesth. matched.

    http://www.nrmp.org/data/chartingoutcomes2007.pdf
    Blah, beat me to it! Teach me to study while scanning VMD.

  8. #8
    slevit1MD's Avatar
    slevit1MD is offline Ultimate Member 665 points
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    Quote Originally Posted by SchoonerJay View Post
    Looking at that link, you can see that anesthesiology is quite competitive, among US applicants let alone IMG applicants. That's not to say impossible to get into, though! A little more than 1500 residency spots were offered last year, of which 1000 were claimed by US grads. Nearly 300 more spots were claimed by IMG. (Guessing the remaining spots were unfilled for whatever reasons).
    Some people, despite having made it through medical school, are very dumb when it comes to the match. I've read the instructions and they're very clear...rank the programs you want, in the order you want them, regardless of if you think you'll get them or not. Despite this, many people choose not to rank programs that they don't think they'll get, or order their list on what they think they'll get, rather than what they want to get. It amazes me that there were people who applied to competitive residencies (like surgery, plastics, ortho, derm, etc) that only applied to 1 spot!! This probably has a lot to do with why there are often a couple unfilled spots in pretty competitive residencies. You probably won't see an unfilled neurosurgery, but I've definitely seen unfilled categorical university surgery. If someone would have just ranked that place, even if they thought they were underqualified, they would have matched!
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  9. #9
    SchoonerJay is offline Member 526 points
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    Agreed! Lesson to all: fill out a long match list! (If you can afford to, anyway.) Also: if you're going to apply for a highly competitive specialty, be prepared for a very long match list, and maybe even a backup specialty! (Typically a transitional surgery year for the surgical specialties like neuro or plastic.)

    How long is long? I've heard of around 20 for ortho. That's crazy. But as slevit pointed out, you'd feel silly if you didn't apply to a particular program only to find out they didn't fill all their spots because no one applied.

  10. #10
    slevit1MD's Avatar
    slevit1MD is offline Ultimate Member 665 points
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    Quote Originally Posted by SchoonerJay View Post
    Agreed! Lesson to all: fill out a long match list! (If you can afford to, anyway.) Also: if you're going to apply for a highly competitive specialty, be prepared for a very long match list, and maybe even a backup specialty! (Typically a transitional surgery year for the surgical specialties like neuro or plastic.)

    How long is long? I've heard of around 20 for ortho. That's crazy. But as slevit pointed out, you'd feel silly if you didn't apply to a particular program only to find out they didn't fill all their spots because no one applied.
    If you're trying for a competitive specialty, I'd say probably a lot more than 20! I've heard of people ranking 60 or more places for IM (given, there are many more IM residencies). After paying for 4 years of med school, it shouldn't be a big deal to pay a little extra to make sure you match in the specialty you want. It may be different for other specialties, but you don't want to match prelim surgery, if there's anyway you can avoid it.
    slevit1, M.D. Hidden Content
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