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Thread: please advise!!

  1. #1
    Nikhil.Das is offline Newbie 510 points
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    please advise!!

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    Hey Everyone,

    How are you? I just want to ask everyone's advise regarding residency. I am a US citizen and an ECFMG certified IMG. Unfortunately, due to some tough situations I passed Step 1 on the 5th attempt and passed Step 2 CS on the second try. I Passed Step 2 CK on first attempt. Do you guys have any advise as far as residency goes in the USA? I am from here so I would like to stay and advance my career here. I am looking for any way to use my education and the ECFMG certification in my career choices. If residency is not an option what can I do to stay in medicine related field where I can still use my education from the med school.


    I will really appreciate any advises and suggestions.


    Thanks!!



    -Nikhil

  2. #2
    devildoc8404's Avatar
    devildoc8404 is offline Ultimate Member 12699 points
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    You probably already know that your chances are slim for a match at this stage, and they are getting slimmer the longer you wait. If you are to have any chance whatsoever, you will need to apply incredibly broadly (like, to several hundred programs), and to programs that have a history of taking FMGs and/or people with red flags. You are almost certainly going to be restricted to looking at FM, Psych, or Peds, and you will need to be one hell of a good interviewee with some very good answers for your personal set of red flags. Yeah, I have read about people (and know a few people) who matched after multiple failures, but these were a few years back. The match is presently getting harder and is projected to be extremely FMG-unfriendly rather soon. And being completely honest, 5 is quite a few failures.

    So, with all of that said, there is a very good chance that you will not match. If that turns out to be the case, you either need to look at alternate careers (teaching, research, pharma, etc.) or going someplace else for a career in medicine. Those options will depend on the school and country from which you graduated, your CV, your professional skill set, your citizenship(s), and your language abilities. ECFMG certification will not matter one whit if you are not in a US residency program. It will be nice to have on your CV, but that is about it.

    "When I haven't any
    blue... I use red
    ."
    - Pablo Picasso

    BA - Oregon MS - BYU MD - MU-Sofia
    Clinical Research Fellow / Resident
    Fleet Marine Force Hospital Corpsman 1996-2003


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    Dare2dream is offline Newbie 510 points
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    What devildoc said.

    Also depending on where you are located, if its near a town with a small community prog, you may consider doing an observership, and do an amazing job, where they get to know you well. Psych tends to be more forgiving of failures than any other specialty, but you'll need to have extensive Psych experience, and show deep passion for it. It'll also help if you pass Step 3 on 1st try.
    Jobs depend also on other degrees you have (any masters? any US degrees? any other job experiences? any research skills?

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    Crispy's Avatar
    Crispy is offline Senior Member
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    Most programs will not allow more than 3 failures between all the steps to even interview you. I believe state boards even have guidelines for this? There is nothing you can do to overcome that many failures to get a residency. Don't waste your money applying. Programs get dinged for failures on their board exams (board pass rates are supposed to be >90%). They will not want to take a chance on someone who took 5 times to pass step 1. Any failure on CS is a huge red flag. ECFMG certification is not going to help your application. You need to start thinking about another career.
    Dr Crispy, MD
    Board Certified Family Medicine Physician

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    kaybam20 is offline Junior Member 510 points
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    @OP:

    I can help you out. There are things you can do where your medical knowledge would be valued & useful, and still be able to make six figures. Contact me at [email protected]

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    C35
    C35 is offline Member 534 points
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    Quote Originally Posted by Crispy View Post
    Most programs will not allow more than 3 failures between all the steps to even interview you. I believe state boards even have guidelines for this? There is nothing you can do to overcome that many failures to get a residency. Don't waste your money applying. Programs get dinged for failures on their board exams (board pass rates are supposed to be >90%). They will not want to take a chance on someone who took 5 times to pass step 1. Any failure on CS is a huge red flag. ECFMG certification is not going to help your application. You need to start thinking about another career.
    This!





    PGY 1 - Medicina de familia

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