Sir or Madam,

You have me totally confused and therefore will take this step at a time and slowly.
I shall put your sentences in small case and mine in upper case to differentiate easily if that is ok.

“most state borads require and will not accept anything other than, US clinicals from Caribbean medical students.”

THEN YOU STATE THE FOLLOWING….

“If You Are An International Medical Student, Your Fine To Do Rotations In That Country.
However, Any Dominican School Is Considered "caribbean" And Will Be Expected To Do Us Clinicals.”

AND AFTER READING IT SEVERAL TIMES I THINK I HAVE DISCOVERED THE “PROBLEM”. YOU ARE MAKING A DISTINCTION BETWEEN WHAT YOU CALL AN INTERNATIONAL MEDICAL STUDENT (IMG) AND A CARIBBEAN MEDICAL GRADUATE. YOU SEE, I WAS TOTALLY UNAWARE THERE IS A DIFFERENCE. I THOUGHT THEY WERE FMG’s (FOREIGN MEDICAL GRADUATES). APPARENTLY THERE IS A DIFFERENT SET OF RULES AND REGULATIONS THAT APPLY TO AN IMG AND A CARIBBEAN GRADUATE? CAN YOU PROVIDE ME WITH SOME MORE INFORMATION ON THIS PERCEIVED DIFFERENCE IN IMG.

“after any email that states the “truth” about Dominican Medical Schools, you come to defence, and say “please provide domumentation. That is why at the end of my post I said pm me for more info.

FIRST, AN OLD CHINESE PROVERB DESCRIBES WHAT YOU SAY….


IF I PERCEIVE WHAT YOU SAY TO BE MISINFORMATION I AM OBLIGED TO ASK FOR DOCUMENTATION AND IF YOU ARE RIGHT AND I AM WRONG, I SHALL APOLOGIZE PROFUSELY. IF YOU SAY ELVIS IS STILL ALIVE; WOULD YOU FAULT ME FOR ASKING FOR YOUR PROOF?
THEN, YOU STATE IF THERE IS FURTHER INFORMATION REQUESTED TO pm YOU. DON’T QUITE UNDERSTAND THIS. YOU BEGIN A DISSERTATION ON A PUBLIC FORUM BUT WANT TO SHARE DETAILS ON A PRIVATE MESSAGE. NO, THAT IS NOT THE PROPER WAY. FULL DISCLOSURE TO ANYONE AND EVERYONE WHO READS YOUR POST.

“True it is dominican republic, But it is considered Caribbean as far as getting residency, etc......”

GEOGRAPHICALLY THE DOMINICAN REPUBLIC IS LOCATED ON THE ISLAND OF HISPANIOLA THAT IS LOCATED IN THE CARIBBEAN.

REGARDLESS OF GETTING RESIDENCY, IT IS STILL IN THE CARIBBEAN AND ALWAYS WILL BE.

“There is a difference between international medical school, and Caribbean medical school.”

PLEASE EXPLAIN THE DIFFERENCE TO ME IN THE CONTEXT YOU ARE SPEAKING. IF YOU ARE REFERRING SPECIFICALLY TO RESIDENCY PROGRAM DIRECTORS IN U.S. PROGRAMS, ALL MEDICAL SCHOOLS OUTSIDE OF THE U.S.A. ARE INTERNATIONAL MEDICAL SCHOOLS. DOMINICAN MEDICAL SCHOOLS ARE INTERNATIONAL MEDICAL SCHOOLS LOCATED GEOGRAPHICALLY IN THE CARIBBEAN.

“And for your information 5 former Unibe students despite passing etc are jobless, driving cabs in Miami.”

AND FOR YOUR INFORMATION, FULLY 50% OF AMERICAN GRADUATES OF FOREIGN MEDICAL SCHOOLS NEVER PRACTICE MEDICINE. (DEPT HEW). JUST BECAUSE YOU HAVE AN M.D. DEGREE AND PASS THE USMLE IS NO INDICATION YOU ARE GUARANTEED/ENTITLED A RESIDENCY SPOT. THE FINAL DECISION IS BASED ON YOUR PERSONAL INTERVIEW, WHERE THE REAL “YOU” COMES THRU, YOUR PERSONALITY AND YOUR ABILITY TO WORK WELL WITH OTHERS. IF YOU DON'T GET A POSITION AND HAVE THE QUALIFICATIONS, THERE IS USUALLY A REASON AND THE REASON IS USUALLY PERSONAL.


“I Understand You Work For Unibe, And I Know You Very Very Well.
-keep In Mind-
So Plaese Do Not Mislead People”

YES, I AM EMPLOYED BY UNIBE AS A PROFESSOR AND ASSOCIATE DEAN FOR INTERNATIONAL MEDICAL STUDENTS AS THE LOGO STATES. NOT TRYING TO HIDE ANYTHING HERE. LOOK AT THE POST AND IT STATES I AM A SCHOOL OFFICIAL. AND IF YOU KNOW ME VERY, VERY WELL (AS YOU STATE) THEN YOU WOULD ALSO KNOW THAT I AM DEFINITELY AN ADVOCATE FOR THE STUDENTS WITH THE UNIVERSITY AND WITH PROGRAM DIRECTORS! MY HONESTY AND INTEGRITY SPEAK FOR THEMSELVES AND HAVE NEVER BEEN CALLED INTO QUESTION UNTIL YOUR ACCUSATION…. “So Plaese Do Not Mislead People”
I GO THE EXTRA MILE; WHY/HOW WOULD I MISLEAD ANYONE?
NOW, BACK TO THE ORIGINAL PREMISE OF THIS DIATRIBE. CURRENTLY THERE ARE 370+ FORMER STUDENTS IN VARIOUS STAGES OF RESIDENCY TRAINING IN VARIOUS AREAS OF THE USA AND 2/3 (TWO THIRDS) NEVER DID CLINICALS IN THE USA PRIOR TO THEIR RESIDENCY TRAINING. SO YOU CAN SEE MY skepticism REGARDING YOUR COMMENT…… most state borads require and will not accept anything other than, US clinicals from Caribbean medical students.

__________________
ERNEST C. HOLBROOK, M.D. FACS

First Ernest has been a honest contributor on this forum for a long ,long time.It would be sacralegious not to come to his defense, not that he needs a defense , though.

taki or tacky or wachy comes a from a unfortunate family, no doubt,who pulled their sister out of DR, AS SOON AS THEY LEARNED THAT in the US<YOU NEED US ROTATIONS-----------Oh how touching, Oh how sweet, that love man, real love,with no brains what so ever.If a medical student hears a rumour, that you need ONLY US rotations, and pulls out of the DR, without checking the facts, Well to say it politely,that person would have to drive a cab, or well ...may have to work at the unmentionable counters at Macy's.

But I think tiki or taki or wacky is actually lying.He may be disgruntled student, who is probably mad at his parents that they did not let him be cab driver, as he always dreamed of, but instead send him to the DR to be a Dr.So in his taxing rage, he comes and picks up a fight with our beloved Ernest.

Now that I have sung peans of glory about Ernest, lets have some well deserved sauce for some wrong info he posted.

First-Students in US med schools, when they go for their rotations , are not MDs.
Second-Students in US med schools after 4 years (2 years of Basic science and 2 years of rotations or INTERNADO), do ther residency, and depending on their choice of residency and STATE, they may do 1 or 2 or 3 or more years of residency.Residency is not INTERNADO, residency is residency and Rotations is their Internado,Kapish Ernesto).Oh and its not necessarily a 1 year residency as you inform-usually backward and 3rd grade states like Miss.,Albam., etc , may have 1 year residencies in FP,IM etc.
Third-You said-There is a huge difference in the Internado of the D.R. and Internship in the USA. In the former, you are still a medical student; in the latter you are an M.D. and you have patient responsibility. The advantage of a rotation in the USA is it teaches you the nuances of American Medicine that is very different from foreign countries; especially the required paper work. Questions?

Ernest my brother, you are absolutely and totally off the mark here.
In the US, during rotations, you are a pure med student, with no patient responsibility.You cant even touch a patient, except his charts,Period!
In DR,during rotations, you can freak out, do surgery, go on a date, still no patient responsibility or liability.
In the US, during residency,YOU are the DOCTOR, you are responsible for the patient.

Ernest I am a little dissapointed with you.You have a JOB, Unibe pays you, and you have not been able to do justice to that, by not educating yourself about the very basics of medical practice in the US,that is you do not know the difference between Rotations and Residency.Come on Ernest,pull up your socks, and read through this forum,open up your mind.All the best to you.And you know you are good.I beleive in you .
Adios Amigo!

__________________
Why do old guys with nothing to do end up at the forums...........

I think what we have here is a failure to communicate. There may be a problem with semantics and this may be due to the fact that English is not your primary language.

First-Students in US med schools, when they go for their rotations , are not MDs.

This is absolutely true. We are speaking of course of Medical student clinical rotations.

Second-Students in US med schools after 4 years (2 years of Basic science and 2 years of rotations or INTERNADO), do ther residency, and depending on their choice of residency and STATE, they may do 1 or 2 or 3 or more years of residency.

Students in U.S. Medical Schools spend two years in Basic Sciences and two years in medical student clinical training. Not Internado. Students do not do internship. Only graduates (M.D.) are eligible for internship. In distinction to the Dominican Republic where the students do INTERNADO prior to graduation and receiving their M.D. degree. Speaking again of the USA, following internship or as some times called PGY-1 (Post graduate Year # 1) students are eligible for residency or may elect to do general practice; they are licensed as M.D. at this stage of their career.

Residency is not INTERNADO, residency is residency and Rotations is their Internado, Kapish Ernesto).

In the USA, Residency officially begins after PG1 and may last a various number of years, depending on the specific program. Medical Student Rotations are not equivalent to Internship. One does two years of medical student clinical rotations (Surgery///Ob/Gyn/Peds///Internal Medicine) usually lasting 3 months for each core rotation during each year of the third and fourth year.
Plainly put…Residency is POST GRADUATE training after M.D. degree and Internship. While we are playing definitions; Fellowship is training following completion of a Residency Program. Kapish?

Now to confuse you even further, one also does “rotations” in their Internship and Residency. For example, during internship one might do three months Pediatric Rotation. Or in General Surgery Residency they will do a ROTATION in Gyn surgery or Pediatric surgery. Back to semantics again we can see it depends on how and where you use the word “Rotation” and who the listner is. Kapish?

Oh and its not necessarily a 1 year residency as you inform-usually backward and 3rd grade states like Miss. ,Albam. , etc , may have 1 year residencies in FP,IM etc.

I think you have misunderstood my original declaration. One needs 1 year post graduate training (that means one year following conferring your M.D. degree) to be eligible for licensure. It is sometimes referred to as PGY-1 post graduate year one. Some programs are “straight” internships, meaning you might spend 12 months doing Internal Medicine (or surgery) without rotating in Pediatrics or Surgery (or medicine). Some programs will count this as completion of the equivalent of your first year of Residency. And, upon completion of this year you are eligible for a license because you have fulfilled the requirement of a year of post graduate training. There are some states that require a year of rotating internship with exposure to all of the core requirements.

Ernest my brother, you are absolutely and totally off the mark here.
In the US, during rotations, you are a pure med student, with no patient responsibility. You cant even touch a patient, except his charts, Period!


excuse me but what did i say……………
Third-You said-There is a huge difference in the Internado of the D.R. and Internship in the USA. In the former, you are still a medical student; in the latter you are an M.D. and you have patient responsibility.

PLEASE READ VERY CAREFULLY…
In the former, you are still a medical student; TRANSLATING FOR YOU THIS MEANS THAT IN THE FINAL “INTERNADO” YEAR IN THE DOMINICAN REPUBLIC YOU ARE STILL A MEDICAL STUDENT.

CONTINUING RIGHT ALONG…

in the latter you are an M.D. and you have patient responsibility. THE LATTER IS REFERRING TO INTERNSHIP IN THE USA, you are an M.D. and you have patient responsibility.

You cant even touch a patient, except his charts, Period!

DEPENDS ON WHERE YOU ARE AND THE REGULATIONS OF THE TEACHING HOSPITAL WITH WHICH YOU ARE AFFILIATED. IF YOU ARE AT THE UNIVERSITY MEDICAL CENTER, THE PATIENTS ARE AWARE THEY ARE TEACHING CASES.

In DR, during rotations, you can freak out, do surgery, go on a date, still no patient responsibility or liability.

AGREED. YOUR ROTATIONS ARE EXACTLY WHAT YOU CHOOSE TO MAKE THEM IN THE D.R. THEY ARE NOT GOING TO SPOON FEED YOU OR INSIST THAT YOU REALLY LEARN SOMETHING.

In the US, during residency, YOU are the DOCTOR, you are responsible for the patient.

SO THAT WE DON’T GIVE NEOPHYTES THE WRONG IMPRESSION, YES, RESIDENTS ARE RESPONSIBLE FOR THE PATIENT BUT THE ULTIMATE RESPONSIBILITY RESIDES IN THE ATTENDING PHYSICIAN. THE PROGRAM DIRECTOR. AND YOU CLEAR YOUR PLAN OF TREATMENT WITH HIM PRIOR TO INITIATING IT.

Ernest I am a little dissapointed with you. You have a JOB, Unibe pays you, and you have not been able to do justice to that, by not educating yourself about the very basics of medical practice in the US, that is you do not know the difference between Rotations and Residency. Come on Ernest, pull up your socks, and read through this forum, open up your mind. All the best to you. And you know you are good. I beleive in you .
Adios Amigo!

FIRST, YOU DO NOT THINK FOR ONE MINUTE THAT I WORK AT UNIBE BECAUSE I NEED A JOB! WHAT UNIBE PAYS ME IS NOT WORTH GETTING UP IN THE MORNING TO GO TO THE UNIVERSITY. I THOROUGHLY ENJOY WORKING WITH THE STUDENTS, ESPECIALLY THOSE WHO ARE MOTIVATED TO LEARN.
THEN YOU REALLY ADD INSULT TO INJURY BY SAYING I HAVE NOT EDUCATED MYSELF TO THE BASICS OF MEDICAL PRACTICE IN THE USA. MY U.S. EDUCATION BEGAN IN FIRST GRADE AND WAS CONTINUED THRU MEDICAL SCHOOL, RESIDENCY AND FELLOWSHIP TRAINING, NOT TO MENTION PRIVATE PRACTICE FOR 30+ YEARS. I THINK I AM FAR MORE QUALIFIED TO SPEAK ABOUT THE BASICS OF MEDICAL PRACTICE AND TRAINING IN THE USA THAN YOU ARE. I THINK YOU ARE THE ONE WHO REALLY DOES NOT UNDERSTAND THE DIFFERENCES OF ROTATIONS AND RESIDENCY.
BE ADVISED I CAN SLEEP WELL TONIGHT WITH YOUR VOTE OF CONFIDENCE.

__________________
ERNEST C. HOLBROOK, M.D. FACS

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Why do old guys with nothing to do end up at the forums...........

[Edited by Mod for flaming]

__________________
Why do old guys with nothing to do end up at the forums...........

If you would only check the post on 22 August you would see….my remark regarding caps.

I shall put your sentences in small case and mine in upper case to differentiate easily if that is ok.

Apparently this is annoying for you, therefore will d/c so I guess you will just have to wonder who wrote what to whom.

As for vision problems…refractive error corrected to 20/20 with lens. Can still see where to apply the scalpel.

I speak and write it better than you people.

YES, WITH ALL THE MISSPELLING AND GRAMATICAL ERRORS i.e.
Sacralegious
Cant
This is really not the King’s English.

Look at our history for 300 years to see where we stand.

Well, we have only been a country for 230 years so guess I will have to wait a bit but doubt if I shall make another 70 years.
Hummm, not too swift in History either I see.

Nope, no one could pass the USMLE 30 years ago because we did not have the USMLE 30 years ago. They were just beginning the National Board Examinations in 1960 following this it was the FLEX exams the precursor to USMLE.

“this big ego, that disables you to own up to your mistakes. You have erred, in presenting facts, later you try to hide it with more mumbo jumbo.”

Would you care to help me by enumerating the facts that I have erred in??? If you can show me the error I shall be glad to apologize and correct same. Or, If I am correct I shall be happy to try and explain it to you further.

And in closing, keep in mind I said I enjoy working with the students; that does not necessarily mean I LOVE my work.

Just remember, I was where you are and hope that you can be where I am one day…… a retired physician who is trying to share with you and your fellow students, something you don’t have currently…..experience.

__________________
ERNEST C. HOLBROOK, M.D. FACS

[Edited by Mod for flamining]

__________________
Why do old guys with nothing to do end up at the forums...........

u r so wrong..

...........hey ytorres u should finish everything in DR, don't split you clinical rotations only because you want to stay close to your home, by doing that you might have problems in the future with your medical license...... going back to US two or three months earlier could jeopardize you career. It is safer to do basic and clinicals in the same country nowadays, unless you are going to another “Caribbean medical school” that offer basic science in the island and clinical rotations in an approved hospital in the US…e.g., St Matthew’s
chao my friend.....

Yes but your only allowed one semester or two rotations if your gpa is above 3.0! These are cones rules.