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  1. #1
    Locutusofborg's Avatar
    Locutusofborg is offline Member 535 points
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    Alternatives to US Medical Practice?

    I am a licensed physician. I have undergone non ACGME as well as ACGME training and I should just sit back and enjoy my laurels, right?

    But I can't. My passion is Emergency Medicine and all I want in this world is to be trained in it. Don't get me wrong, I have worked in rural and high need EDs and can continue doing so. But I yearn for categorical training. I yearn for the right to be a part of higher acuity emergency care, something that back door EM practice just doesn't get me.

    I am giving up on getting access to EM training in the US. No matter how much experience i get, and even after ACGME training in another specialty I get the same old B.S. about year of graduation, USMLE scores, medical school geography, and other indirect predictors of fitness for the specialty intentionally ignoring my years of commitment to the practice itself.

    It's not my place to criticize or question the establishment - it is what it is. But common sense dictates that this is illogical and in other countries my dedicated post graduate work towards being an Emergency Physician would be recognized and I would certainly get an opportunity to train and fully practice in the specialty that I am best at.

    I am looking for suggestions for foreign health systems for possible immigration and long term practice of emergency medicine. Requirements would include:

    1. A developed health system with established EM post graduate training
    2. A pathway to immigration so that if need be I can bring my parents with me once I establish practice
    3. The health system must recognize my WHO listed medical school in the Philippines. I would prefer a system that would potentially give credit for my non ACGME internship in a US territory and ACGME training as Well, but I'm willing to start from scratch if it leads to full emergency training and practice.

    I am still in the match this year but I am done putting thousands of dollars and countless hours of effort into a system that paradoxically permits me to practice emergency medicine in the periphery but not train in it to do it better. I want to establish a good plan B abroad and pursue it if once again I am unmatched in EM in the US.

    Thank you very much for any suggestions. Learning a new language isn't a problem for me if that's what it takes.

    PS: suggestions that will not be entertained include more ACGME training that is NOT in EM in order to get into EM fellowship which once again does not provide full categorical EM training and leaves me as a back door practitioner ++.

  2. #11
    MDPOKER is offline Newbie 510 points
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    You got to be kidding me. It happened again. ***.

    A quick version since I have to go.

    1. You can be licenses without being Board eligible. Only 1 or 2 years you can be licensed. But still need 3 years to sit for boards.
    2. Australia is worth looking into. I remember reading that you can work or train there with 2 years ACGME.

    Are you Filipino original poster?

    I am not a newbie to Value MD; SMU graduate with Family Medicine Residency.

  3. #12
    TriageModerator's Avatar
    TriageModerator is offline Moderator 7161 points
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    I have met a couple of EM residents, both AMG & USIMG, who started their categorical 3 year EM residency immediately after completing residency in FM (NOT the 1 year fellowships). Both did their FM residency in academic medical centers where there also was an EM residency program.

    Obviously a long and risky pathway, but worth considering if nothing else pans out.

    " You must be the change you wish to see in the world."
    - Mahatma Gandhi
    Main Foreign Medical Schools Forum Moderator

  4. #13
    leadsled is offline Senior Member
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    Quote Originally Posted by MDPOKER View Post
    You got to be kidding me. It happened again. ***.

    A quick version since I have to go.

    1. You can be licenses without being Board eligible. Only 1 or 2 years you can be licensed. But still need 3 years to sit for boards.
    2. Australia is worth looking into. I remember reading that you can work or train there with 2 years ACGME.

    Are you Filipino original poster?

    I am not a newbie to Value MD; SMU graduate with Family Medicine Residency.
    True statement! License and Board certification are two separate concepts! However, I have known licensed Physicians not
    'board certified" that were able to obtain sub specialty certification with less than 3 years residency (not board eligible). Although, many hospitals require board certification for privileges.

    CWSP:
    American Board of Wound Management > Why Certify?

    PNS:
    NBPNS Certification – National Board of Physician Nutrition Specialists

    ATOM certified:
    https://atomcourse.com/

    Also: FAA Aviation Medical Examiner (AME):
    https://www.faa.gov/other_visit/avia...es/ame/become/
    Last edited by leadsled; 01-11-2019 at 10:37 AM.

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