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Thread: Same as the US?

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    Doc12 is offline Junior Member
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    Same as the US?

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    Is Canada the same as the US.... do you have to do a basic internal medicine residency before you apply for a speciality (such as cardiology), or can you go straight into a cardiology residency. Thanks.

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    Steve is offline Member
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    Fellowships in Canada vs. US

    Yeah, fellowships in Canada are similar to the U.S. in that you have to do a general IM residency first. The main difference is that in Canada when you get accepted to an IM residency program you automatically get upto 5 years of funding from the MCC....3 years for General IM and 2 years for fellowship. So in other words you're pretty much guaranteed to get some kind of fellowship somewhere, although some are obviously more competitive than others. You can decide to just do General IM which is a total of 4 years, but the vast majority will do some sort of fellowship, usually at the same program where they did IM. In the U.S. roughly 50% of IM residents will go into private practice, with the other 50% going on to fellowship. Competition is pretty fierce since you're now going up against US grads as well as FMG's, and unfortunately a lot of the programs aren't all that keen on sponsoring visas.

    In a nutshell, if by some miracle you manage to get a spot in a Canadian IM program, you're basically set for fellowship. Assuming you wind up in the U.S., be prepared to work your butt off in order to get a fellowship position....
    Stephen Sloan, M.D.
    PGY2 Internal Medicine
    John H. Stroger, Jr. Hospital of Cook County (the NEW Cook County Hospital)

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