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jnuts last won the day on December 30 2015

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  1. H1b most commonly Very rarely O-1 (established elite practitioners) Very very rarely TN (academic only, clinical duties less than 10% of total employment duties)
  2. This is an interesting question because it highlights a big difference between the US and Canada. It's not easy to give a straight answer regarding the US. The provincial licensing bodies (e.g. CPSO) in Canada--with very few exceptions--will not let you practice without Canadian board certification (RCPSC or CFPC). In the US, the State medical boards don't look at your specialty qualification at all. They give the same licence for everyone who's done all 3 steps and done a certain number of post-graduate years in a recognized jurisdiction (Canada or the US). Its up to the hospitals/clinics/physician organizations, local insurance companies, Medicare/Medicaid, malpractice insurance providers to determine if you 'need' a US board certification to work for them or bill from them. Some places will therefore just not require any board certification. Some will recognize Canadian board certifications. Some will only accept US board exams. If your question isnt about working in the US, but is more limited to: does a Canadian residency/CFPC cert allow you to sit exams or avoid exams through reciprocity, then you should contact the board directly or see if there's an answer on the website.
  3. That's all fair. I'm a surgeon so my perspective is a bit different.
  4. Ok, so this is the confusion I'm trying to address because I think it's a little glossed over when statements are made by proponents of the USDO route to Canadian practice. Correct me if I'm wrong, but I dont think there is a "pathway 3"for the Royal College specialties. There's the PER route which requires an existing Canadian licence (i.e. you're enrolled in a Canadian fellowship or are teaching staff before you seek RC certification ) and have already been in independant, board certified, practice in your country of origin for greater than 5 years. In other words, it's an option that exists for importing established practice foreign academics in their mid careers and beyond who want to work outside of an academic licence. At least that's the only use I've ever directly witnessed of the PER pathway. The PER path also still requires you pass the exams http://www.royalcollege.ca/rcsite/credentials-exams/exam-eligibility/assessment-imgs/practice-eligibility-route-per-specialists-e As per the College, completion of an ACGME residency alone MAY confer eligibility to write the board/royal college exams. ACGME and/or US board certification is never granted reciprocal recognition in Canada and always requires completion of the full RC exam series. http://www.royalcollege.ca/rcsite/credentials-exams/exam-eligibility/assessment-imgs/approved-jurisdiction-route-international-medical-graduates-e As I stated above, passing the RC exams would be difficult, if not impossible, without access to a Canadian training program. The subject matter and review materials just aren't public. Unlike the US, in Canada you cannot practice, independantly or supervised (outside of rare, high profile academic positions) without Royal College certification. https://www.cpso.on.ca/Physicians/Registration/Requirements I dont want to start any back-and-forth about the merits of various pathways but I believe the US route is much less viable outside of family practice (unless I'm missing something). I think prospective medical students considering non-traditional educational paths should be aware that USMD and DO might limit repatriation options in their future due to the difficulty US grads have in securing Canadian residencies. Completing a US residency as a back-up (provided the goal is to return to Canada) is only practical via family practice.
  5. I'm assuming you're talking USMD (competitive R1 match with CMGs) and not USDO (compete with IMGs, very tight). Match determinations in Canada are based primarily on soft factors. Canadians do not sit standardized test like the USMLE prior to the match process. There is no mechanism for comparing a USMD to a Canadian objectively so scores and grades tend to just get thrown out. Family is an exception to that rule where the size of the applicant pool neccessiates some type of quantitative sorting (though I've no idea how they go about that). Most specialties dont rank very deeply and would much prefer a spot go unfilled than take someone they're unsure about. Programs rely on the second round to deal with match irregularities which, of course, runs after ERAS has completed removing USMDs who may have been available. Unfortunately, my experience on match committees is that even USMDs from very high profile schools are seen as red-flagged prima fascia just because they are seeking a position in Canada. There's a stigma about it based in Canadian psychology and misperceptions of the size, scope, and accessibility of the US training system. US applicants also--for whatever structural reasons--seem to present applications with fewer known references and less Canadian experience. It usually gives an impression (despite the known mechanics of the match process) that USMDs are backing up in Canada. Overall insight into Canadian USMDs is very limited at Canadian programs. I think the problem is mostly self perpetuating.
  6. I'm not knowledgeable at all about family med so I'll leave that to Drake. I dont think there is a huge number of D.O. grads on the ground in Canada, but that observation is hard for me to support objectively in a quick google search. Shouldn't there at least be a strong caveat here that the D.O. to US residency to Canadian practice pathway only really works if you're doing Family Medicine? I can't imagine getting through the RC exams if you're not doing residency in Canada (but, TBF, that may just be me). I think subjectively, UK/Ireland CSAs are still doing better than US DOs in the Canadian Specialty matches.
  7. You may also run into problems as the UK is pretty permissive (or was the last time I investigated) about granting foreign graduates of their Colleges permanent status in the country quite shortly after graduation. Because of that trend, it's possible no one is collecting the statistic you're looking for. But a recent graduate from a UK school may be better able to answer this question.
  8. 5 years at the fastest. You need to get accepted into a training scheme which isn't automatic like residency after medical school; there can be further delays.
  9. I just don't think that many Canadian grads intending to return to Canada attempt to complete residency in the US. Canadians studying abroad get stuck in the US a lot, but that's not really relevant here other than mentioning they rarely make it home. In terms of match quality, most foreign schools recruiting Americans can boast of similar matches. At least they do in my experience. Notably McGill, just like every other foreign school, doesnt provide it's overall match back statistics. Also, typically of 'offshore schools' the reported matches are spread over several years and it doesnt look like they've been updated in a decade. Someone from McGill can comment on the overall numbers but I think "a LOT" is a generous phrasing. There were 12 Canadian matches to PGY1 US programs this year in total. I think a fair number of those were the McGill group and a fair portion of the rest dual citizens or such. I brought it up as there is a population of Americans at a Canadian school--which recruits American students to generate revenue--that may colour the match statistics and viability of the US pathway as reported in this thread.
  10. Anatomy.tv is part of the library collection. It's a very high quality 3D application that I've used since medical school, and still use to plan some of my surgeries.
  11. I think writing "attending Pride" would come off as disingenuous unless you were involved in an advocacy or organizational role. I'm not trying to disparage the event's personal importance to you, and I think that being open about your identity is a good idea in general. However, that particular phrasing rubs me the wrong way.
  12. I don't think the US is a viable option for backing up if you'd like to return to Canada one day. There are some specialties that are more competitive in the US than Canada (Ortho); I assume there are reciprocal situations where it may be easier to match which may be why this route is discussed at all. But, I'm really not aware of any. I think the 30 odd Canadian grads who match in the US each year are primarily the US students McGill recruits (https://www.mcgill.ca/medadmissions/applying/categories/int/post-graduate-residencies). I assume no one is going to the US from Canada for FM with the goal of repatriating, so I'm not going to speak about that. If your goal is to return to Canada as a specialist, then looking ahead to your RC exams, choosing the US would be a potential disaster. Canadians--in an odd clandestine and yet open way-- hand down RC review materials and a substantial amount of time in the final years of residency is spent on practical coaching for the orals. Without these resources I think the RC exams would be close to impossible. On the flip side, Canadians can pass US board exams as most of the material is public and the exam structure is very different. If you're looking to keep your options open on both sides of the border, residency in Canada with a US fellowship is your best bet. If your goal is to relocate to the US permanently, then I suppose a US residency is a viable option if your chosen specialty is less competitive in the US than Canada. However, I think you'd be 'red-flagged' out of most truly competitive matches as a perceived IMG no matter how strong your application is unless you had a strong personal backer in the program. There is more objective data available to Residency selection committees in the US, but ultimately there's still a post-algorithmic adjustment of the ROL which is entirely human. Those McGill matches in the link above speak to that to a certain extent. That list looks no different than those from a top Caribbean or European school.
  13. The job market isnt getting better. The Staff interviewing me for CaRMS 10 years ago told me it would get better and look where we are now. The factors creating this situation are structural not market driven. I was personally very lucky that the SCOTUS changed a certain law during my residency otherwise I would have been up shit creek at this point in my career. To any medical student reading this, unless you have a very viable fall back plan in another jurisdiction, my advice is to not start surgical training.
  14. Then it mostly doesnt matter. USMLE scores are used for residency matching not really beyond. It's a bit like a residency program asking for your MCAT scores for the match. A couple of fellowships that are highly competitive MIGHT look at your USMLE scores but most will just want you to have passed them (with a few exceptions for the odd state AND hospital combo that will honour the MCC in lieu of the USMLE for Fellows). That said I've heard residency programs are looking at undergrad grades these days so who knows what the next 5 years will bring for competitive fellowships. But it's hard to imagine a world where something like USMLEs will matter for fellowships more than the usual known-person-recommendations and research. For credentials in the US later in your career, you just need to have passed them. No one will ask for your score. Invest your time accordingly, but remember that the Canadian medical system doesnt teach to the USMLE material at all, so additional prep is definitely required. If you get 70% consistently on Uworld you'll likely pass.
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