post graduation in europe?

[123.nav]

hi i am doctor and have done my medical graduation M.B.B.S from india in 2010. Now i want to do my post graduation/residency in field of internal medicine from europe. Can any one help me with the programs that offer internal medicine residency in europe for indian medical graduate. program details,requirements,fees. any information will be highly appreciated

[devildoc8404]

This is come down to which languages you speak fluently, and how well you know your stuff in an interview setting, etc. If the only European language that you know is English, you are in a bad spot, because getting a residency spot in the UK as a non-EU/UK citizen is virtually impossible. (Also, it would probably help your case if you had an EU medical diploma, but it's too late to change that now.)

In W-EU, there are no fees for residency. You are paid for your work. In E-EU, there are tuition fees for residency, which is ridiculous but a simple matter of economics.

[123.nav]

thank you for reply doc.Right now i only know English but i had learnt french few years ago but i have forgotten, anyway what's the procedure for getting into french medicine residency. right now i am going through financial and mental agony but surely i will come out of it. i sincerely love internal medicine and i want to do something in this field.i tried for medicine in my country but due to reservations system i am not able to do so. i know i am asking you too much but can you guide me what next step i should take for getting a internal medicine residency in a European country as a IMG, which countries should i try for(if its language i will try to learn it asap) and which provides good opportunities and have good medicine system.

[devildoc8404]

Unfortunately, the French regions (France and French-speaking Switzerland) are a virtual impossibility without EU citizenship, no matter how well you can speak the language. According to chapelier, a French medical student in Romania who posts on VMD, as a non-EU citizen with a non-EU diploma, you could potentially apply to train in France as a GP only... and you would have no practice rights in France thereafter. Even that training is not guaranteed by any means.

The most feasible option right now in W-EU is probably in Germany, although it is getting tougher there and it is definitely more difficult without an EU diploma. Immigration is likely an issue, so you would need to speak the language with a very good level of fluency and be seen as someone who could "integrate" well into German society. Germany has an excellent medical system and will not tolerate poor language skills or shoddy medical work -- I mention this not because I suspect you would be a bad hospital employee, but rather because a few German hospitals accepted some bad foreign doctors in the past years with tragic results (i.e. dead patients, etc.) and they are really cracking down on foreign physician employment in many areas. If you want to try for Germany, I would recommend doing a Google search German medical recruiters... there are hundreds of them. They will be able to tell you what you should do to apply for an Internal Medicine position in Germany, and what your chances are. On the good side, IM is a specialty that seems to have a lot of openings there at the moment.

Otherwise, you would likely be looking at E-EU (Bulgaria, Romania, perhaps Poland, etc.) as the most likely locations for your IM training. This would mean that you would have to pay for your residency training, rather than being paid for your work, which would be a dramatic shift of financial fortunes. Still, depending on where you want to work, it could be a potential path to your goal. We have an Indian physician working as a resident in cardiology in Sofia, and he seems to be doing fine... but be aware that there is a significant drop-off between the health care systems of W-EU and E-EU.

[123.nav]

thank you for the guidance doc, you have been a lot of help, thank you once again...can you tell me about the procedure of getting admission in E-EU like Poland and Bulgaria, how much is the fees, and is regional language necessary here also and what do you mean by significant drop-off in health care between E-EU and W-EU.

[devildoc8404]

Nope, I really can't. I have no idea on most of those details, as I am not interested in pursuing residency training in Poland or Bulgaria. I would suggest checking out the websites for the medical universities in those countries, as I am relatively sure that basic details like the admissions requirements and tuition fees are outlined there.

Absolutely, the local language is always going to be a requirement... you can't interact with patients and colleagues if you don't speak their language! You need to be able to take a patient history and communicate in order to do the job, right? FWIW, I know that here in Bulgaria they offer language training (at a fee) to prepare foreign physicians for residency training. I am sure they have similar offerings in other E-EU countries as well, to some degree or other.

With regard to health care, E-EU generally (but not always) has worse facilities than W-EU, and there is generally far less money/technology available for training. They also often do not pay their resident trainee physicians, and require them to pay tuition... while in W-EU there is no tuition and the resident trainees are paid for their work. Visit the countries you are considering before you make a decision, if at all possible. That will help you more than almost anything else.