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Thread: Any school let you do US clinicals without STEP 1?

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    active is offline Newbie 511 points
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    Any school let you do US clinicals without STEP 1?

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    Hello,
    Are there any schools that let you do Clinicals in the US without step 1?
    I am currently studying for STEP 1 but I don't know if I will pass. I have no desire to do residency. I just want to graduate with an MD and MBA to do business/administration. I currently have a wife and child and cannot go to the Caribbean for 18 months. My wife is second year resident in Family Med.
    Are there any schools I could transfer to that would let me get my MD degree here in the US? I have completed MD1-5 basic science and passed the exit exam.
    I can pay full tuition for clinicals. With an MD/MBA I can have a good career here. There must be a path for getting a degree without wanting to do residency?
    Thank you.
    Last edited by active; 12-26-2018 at 01:44 PM.

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    leadsled is offline Senior Member
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    You wouldbe better off getting an MBA at a top notch school like Harvard and skip the MD altogether! With a MBA you could apply for a Healthcare administration fellowship as well or do you already hold an MBA? I mean why in the world would you want to get an MD if you have no desire to practice and just want an adminstrative position? Don’t know of any schools that accept transfer especially with the goal of not wanting to practice or take Usmle.
    Last edited by leadsled; 12-26-2018 at 06:01 PM.

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    active is offline Newbie 511 points
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    Quote Originally Posted by leadsled View Post
    You wouldbe better off getting an MBA at a top notch school like Harvard and skip the MD altogether! With a MBA you could apply for a Healthcare administration fellowship as well or do you already hold an MBA? I mean why in the world would you want to get an MD if you have no desire to practice and just want an adminstrative position? Don’t know of any schools that accept transfer especially with the goal of not wanting to practice or take Usmle.
    Well, Here's my thinking.
    1) I already have 50% of an MD which I paid $65,000 for, so I might as well finish it.
    2) The job opportunities in my area prefer an MD/MBA to an MBA (regardless of schools)
    3) I doubt I would get into Harvard or TOP MBA program.
    4) I might want to use my MD later on in life to teach abroad or work abroad. when I am 55 years old I may want to live in the Caribbean and teach a school or something.
    5) 50% of IMGs and Caribbean students who PASS STEP1/2/3 still NEVER get a residency, so it seems reasonable to just go to school for the degree. My wife went to a Caribbean school and matched but she's one of the few who did. Most people she went to school with finished rotations and passed STEP 1 and 2 with decent scores and still never got a residency. Its very competitive.

    I would like to have an MD/MBA, I think that opens a lot of doors, but I do not need to practice clinical medicine. Any school should be happy to want a student who has the potential to be a top administrator/CEO with an MBA/MD. I have a friend who quit residency after 3 months, started a company, and is more successful than most practicing physicians. That is better for a Caribbean school anyway, I would think, than someone just matching into some random Internal Med residency. I would think a school in the Caribbean/Central America would be happy to have people graduate and go into business/admin, those are the people who's names become important/recognized.

    I would think it would be beneficial for a Caribbean/Central American school to have a graduate in administration. Imagine, an MD/MBA administrator at a hospital who speaks highly of that school, and creates relationships between that school and wherever I work. Having a graduate going into hospital administrator type positions opens doors for that school as well.
    Business and administration have really taken the center stage of things these days.

    Also, My wife is in her second year of residency and we have a baby, I just dont have the ability to move back to the Caribbean, but I can drive to rotations in Illinois or somewhere in the US. That is something we could figure out.
    Last edited by active; 12-26-2018 at 09:11 PM.

  4. #4
    leadsled is offline Senior Member
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    Your current school won’t allow you to do clinicals without step 1? im pretty sure there are places that don’t require step 1 if that is okay with your current school.

  5. #5
    Doc Mobile is offline Member 510 points
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    Many Caribbean schools allow clinicals without Step I, the ones who don’t are the big 4 (formerly 3 maybe 5 now) that have “green book” clinicals in hospitals alongside US students. It seems that the others use mostly “blue book” hospitals. Each school will have their own requirements, some have very established relationships with a few hospitals, others expect the students to seek out their own clinicals in the immediate area they live in. I know of 2 schools on St Kitts that both allow that. You need to contact them for specific requirements in your case. In my opinion, I wouldn’t share your lack of interest to do residency, that’s not likely to help you. By the time you graduate, things might look different; more residencies available and your interest may change. I know of a graduate of a US school who announced during his last year of IM residency that he really didn’t want to be a Dr, he just felt pressured by his family. Later, after getting licensed and finding a job, he decided he liked it, but also continued on to another graduate degree program. Best wishes for your success!

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    mohamadmosa is offline Newbie 510 points
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    yes many schools do almost all caribean school allow this

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    leadsled is offline Senior Member
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    Quote Originally Posted by Doc Mobile View Post
    I wouldn’t share your lack of interest to do residency, that’s not likely to help you. By the time you graduate, things might look different; more residencies available and your interest may change. I know of a graduate of a US school who announced during his last year of IM residency that he really didn’t want to be a Dr, he just felt pressured by his family. Later, after getting licensed and finding a job, he decided he liked it, but also continued on to another graduate degree program. Best wishes for your success!
    I wonder if those kind of statements are a defense mechanism to preserve one's dignity and ego. Often people are afraid of failure or recognize their own shortcomings. At a minimum it is good to have a backup plan.

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    Doc Mobile is offline Member 510 points
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    Always, at least one back up plan! ��

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    EdwardUSA is offline Newbie 510 points
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    When i ask yourself in the event these style of transactions undoubtedly are a safety process to help keep an individual's self-worth in addition to confidence. Typically persons fear so much inability or maybe realize his or her mistakes. To begin with it truly is beneficial to get a burn approach.
    I am professional writer.

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    shanelowney's Avatar
    shanelowney is offline Junior Member 536 points
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    You can directly contact with Caribbean medical colleges for Clinicals program. According to me, All Saints University offers clinical clerkship program in US & Canadian hospitals. For more details about Caribbean Medical College Call at +1 (416) 675-0101
    smithben likes this.

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