Sponsored Links
Results 1 to 7 of 7
  1. #1
    Locutusofborg's Avatar
    Locutusofborg is offline Member 535 points
    Join Date
    Oct 2005
    Posts
    372
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts

    Alternatives to US Medical Practice?

    Advertisements



    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. #2
    leadsled is offline Senior Member
    Join Date
    Mar 2004
    Posts
    827
    Downloads
    12
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    I think its great you have a passion to get board certified in EM but at this point, I don't see the big deal. Are you currently board certified in an ABMS specialty? Do you get to dabble in EM?? Count your blessings and make as much money as you can! Consider adding more to your portfolio where you can make a real difference!
    ATOM course https://atomcourse.com/
    FAA Aerospace Medical Examiner https://www.faa.gov/other_visit/avia...es/ame/become/
    Wound Care Physician Specialist http://www.abwmcertified.org/abwm-ce...certification/
    Hyperbaric Medicine, an online PhD for academics and research, etc. https://www.usd.edu/usd-online/onlin...ealth-sciences
    Last edited by leadsled; 12-02-2018 at 12:13 PM.

  3. #3
    Locutusofborg's Avatar
    Locutusofborg is offline Member 535 points
    Join Date
    Oct 2005
    Posts
    372
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    It's not so much board certification that I care about but training and being the best I can be in my field. Money isn't why I chose medicine and it isn't why I love EM. I would happily practice it in another country that would invest in me by training me in Emergency medicine even if it meant a lower salary. Then I will be blessed for having access to professional training and full competence in the specialty of my choice.

    Again thread topic is which are the other countries with a developed healthcare system with EM specific training and a pathway to practice for those who are not their nationals. I would appreciate the advice.

  4. #4
    leadsled is offline Senior Member
    Join Date
    Mar 2004
    Posts
    827
    Downloads
    12
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    The reality is, money gives you the Wattage to pursue your dreams in life without relying on the system to do it for you! Although, once in a while we get lucky! Good Luck!
    Last edited by leadsled; 12-06-2018 at 08:16 PM.

  5. #5
    devildoc8404's Avatar
    devildoc8404 is offline Ultimate Member 12699 points
    Join Date
    May 2004
    Location
    Confoederatio Helvetica
    Posts
    5,146
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    Hey, LoB

    If you are already BC in IM/FM (or even Peds or OBGyn, actually) then there could be a pathway to EM in Switzerland. In order to be an EM doc here you need to be BC in something else, and then you complete what we in the States would call a fellowship in EM. This leads to what is known as SGNOR accreditation as a specialist in pre-clinical EM or clinical EM, depending on the training pathway you complete. This is the only type of EM training here in Switzerland (i.e. it is not a "back door"), and in my experience it's good way of going about things.

    Upsides:
    1) not starting residency all over again, assuming they accept your US residency training (which seems likely)
    2) doctors make a good living in Switzerland, even residents
    3) it is an absolutely wonderful place to live and raise a family
    4) the hospitals and health care system are excellent
    5) there is no "Match" to go through - you simply apply until you are hired and get rolling as soon as possible

    Downsides:
    1) language requirement (German and/or French and/or Italian)
    2) getting hired as a non-Swiss or non-EU citizen can be a challenge, but it is possible
    3) FMH certification of non-EU medical education or residency training is not automatic
    4) it's not close to the States - although people seem to be willing to visit a lot when you live in Switzerland

    If you would be interested in some points of contact, let me know. I would be happy to put you in touch with the right offices.

    Good luck!

    DD8404

    "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


  6. #6
    Locutusofborg's Avatar
    Locutusofborg is offline Member 535 points
    Join Date
    Oct 2005
    Posts
    372
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    I would like to complete a full EM residency anywhere in the world where I can also remain and practice the profession. I am licensed in a US state, but neither board certified, nor board eligible. I want EM specific training, which I cannot get in the US because I am neither a recent nor a US med school graduate. I have been applying to EM residency for 3 years now without success. I am already PRACTICING EM as a GP, however, and I am doing so with caution, in high need areas, fully aware of my training deficiencies. I am not interested in obtaining tangential training in other specialties just to become "board certified" in a field of medicine that I don't intend to practice in. This isn't about money (replying to one of the comments), I have a license and I have access to work as an MD. This is about pursuing my passion, and having access to proper and pertinent training for it.

    I will look into Switzerland for their residency training. The Swiss fellowship pathway doesn't seem superior to the FM board certification followed by EM fellowship here in the US, except for the fact that isn't a "back door" in Switzerland.

  7. #7
    devildoc8404's Avatar
    devildoc8404 is offline Ultimate Member 12699 points
    Join Date
    May 2004
    Location
    Confoederatio Helvetica
    Posts
    5,146
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    Well, there is no "EM residency" here. There are three separate types of ERs here: 1) General, staffed by internists and traumatologists and anesthesiologists (etc.) who have completed SGNOR certification; 2) Pediatric, staffed by pediatricians and related specialists who have completed SGNOR certification; 3) Womens, staffed by ostetrician/gynecologists who have completed SGNOR certification. Depending on your emergency, you head to the ER that best meets your needs, and the teams are more specialized to attend to that type of emergent situation. In that regard, I think it is somewhat better because the docs are trained according to the specific patient base... but it ain't perfect.

    Good luck with your quest, LoB, whichever direction it takes you.

    "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


Similar Threads

  1. Alternatives to the Medical Council of Canada Examinations Parts 1 and 2
    By MJEG in forum American University of Integrative Sciences (AUIS)
    Replies: 4
    Last Post: 08-30-2010, 11:52 AM
  2. So what are the alternatives for loans now?
    By billydoc in forum St. James Medical School
    Replies: 10
    Last Post: 07-12-2007, 06:46 PM
  3. With Key Bank Gone Wut Are The Alternatives
    By canadiankid in forum Financial Aid Forum
    Replies: 2
    Last Post: 12-24-2004, 05:08 PM
  4. Financial Aid alternatives
    By bagel in forum Ross University School of Medicine
    Replies: 7
    Last Post: 03-19-2004, 08:26 PM
  5. Best Alternatives to the US
    By sisjay in forum Main Foreign Medical Schools Forum
    Replies: 6
    Last Post: 01-06-2004, 11:40 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •