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About ronaldkapp

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  1. You have many options. I would not consider you "a very weak applicant" as you said .... on the contrary. Your interest and passion is obvious. Yes, a gap year might prove very useful in your case, although you already have demonstrated your dedication with your ECs. Again, and apparently some do not like my recommendation, but think about IMG schools. You probably already checked out sgu.edu in Grenada as they have hundreds of Canadian students there. (I have no affiliation with them). Their grads, as in many other schools also, succeed! Or, Post-Bacc programs, as there are many of those that could help that GPA that worries you. I will continue to harp on the long-term perspective of "what do you really want to do with your life?" That is your foundation. I took many gap years off during my career and each was useful. Scary but fruitful. Many students do not plan their careers properly and end up most frustrated and angry. Try not to become one of those, but think and plan long-term now (as you seem to be doing). I like it. Ronald Kapp, MD, PhD
  2. Thus, we are done with this topic. The take-home point remains that "anyone" considering a career as a doctor, who decides to 'major' in PreMed had better take the long-term, holistic perspective on what needs to be done over a 10 to 12 to 14 year time frame in order to reach their potential and accomplish their dreams. The road is long, complicated and competitive. To simply jump in and rush head-strong into this campus major is fraught with potential difficulties. The reality is that the "premed degree" is virtually worthless, unless eventually accepted into medical school, since there is no such beast in the first place. As seen this week in this forum, failure along the way leads to heartaches, anger and resentment. I believe that is a tragedy that should not continue. Unfortunately, the system as currently devised naturally leads to such. Sabela has asked an important question, albeit perhaps a few years late. Now it is up to each individual to decide what path to pursue in the future - yes PreMed 101 is a competitive dream. Ronald Kapp, MD, PhD
  3. I am saddened that you are not getting what you seemingly want, when others are. Obviously there are methods-to-this-madness, i.e., you also confirm you know other(s) who have so done the nearly impossible. Perhaps there is something else precluding your success in accomplishing your goal? As we both know, this is a political issue far beyond our control. We can only function within the rules set before us..... which have been inhibiting PreMed dreams for years on both sides of the border. While the U.S. system is unlikely to change for the better in the near future, from my vantage point of getting undergrads on the path to success, the IMG route remains a viable option; sadly, still a competitive option. Even more sadly, it is my personal opinion that that too will soon tighten even more based on numbers alone as PGY1 caps remain in place. Ronald Kapp, MD, PhD
  4. You have hit the proverbial nail on the head - so many students and campus gurus do treat PreMed as "THE MAJOR." It is my personal opinion that there is nothing more useless than a failed PreMed Major (correct, no such ugly beast) as little can be done with such. I call the premedical world THE PREMED TOURNAMENT because that is how it really is to so many. Either win or lose! There is no middle ground. Some might continue year after year (not a bad strategy if you have the time and money), some recommend the PostBac route (not the worst), but most just give up on their dreams. I hate to see dreams go unrealized. Thus, an early strategy is critical for eventual success. I was initially one of the Tournament Losers (long ago), but my dream kept me going. I'm not saying others should do what I did, unless they too have that dream, drive and determination. So the question today becomes - how vivid is your dream? How serious are you about medicine? And why? Ronald Kapp, MD, PhD
  5. You are correct in that most of the EM residents in the 2016 Match were US residents. Cost is not the issue, US Immigration policy is the issue. In 1991, Section 303(a)(5), the law was modified to allow Canadians to practice in the U.S. to "pursue graduate medical training." That is done via the H-1B visa that must be employer-sponsored. However, the kicker here is that the Canadian student must have passed all 3 steps of the USMLE and few Canadians even take the test (they take the LMCC). That is significant obstacle number one. Number 2 obstacle is that U.S. programs prefer US students because our residency programs are federally funded and program directors seem to prefer US citizens. I agree that may not be fair, but that is what is happening in this competitive market. PreMed is the most grueling, demanding major and the end-goal of graduate medical training becomes even more so. Some Canadians have also tried using the temporary TradeNAFTA (TN) work status - but that too does not work for the practice of medicine. Therefore, it seems like the best option is to take the USMLE tests if that is your goal to enter a US emergency med program and then compete on a more level playing field with all IMG graduates. Again, tough road, but not impossible. I might also ask - why do you want to practice in the USA anyway? Is the grass that much greener? Ronald Kapp, MD, PhD
  6. Question: Then why and how did nearly 100 IMGs graduates from 3 different, and well recognized, Caribbean Med Schools place in the 2016 MATCH for US emergency medicine programs? While you are correct that said programs are "not IMG friendly," that does not preclude acceptance. 3 years versus 4 years should not matter an iota for a passionate student, just as "tuition cost" should not hinder reaching one's potential. I also see nothing wrong with Family Practice, Internal Medicine, General Surgery as other options if one really has the drive and passion to practice emergency medicine. There are many paths to the bountiful and exciting practice of ER Medicine, if one simply thinks outside the box. It should be noted however that I practice only in the USA. In fact, reality in the "good ole USA" says that many docs do not have to even be board-certified to work in various ER departments, although I do not recommend that option. The IMG route remains a viable option for a passionate and studious PreMed. Just do the proper research and consider your options. Ronald Kapp, MD, PhD
  7. LOL posted an outdated reply. It is true that your chances for an ER residency were previously nil as an IMG, no longer true! I work with many IMG docs in ERs across the country ..... all boarded too. Yes, a tougher road it is, but many are doing it. Do not let money get in the way of your dreams. Do not let effort or work, or even a longer journey derail your potential. And most importantly, be most careful to whom you listen to, including me. Again, Good Luck, many have done it and many more will also. Never forget, it's your dream, not theirs. Ronald Kapp, MD, PhD
  8. Sabela, Your chances are good for acceptance. Please re-consider IMG schools. IF you have the passion, drive and motivation, then do not let money get in the way of your dream. If you now love ER med, you will probably love it even more as an M.D. I practice as an ER doc in the USA and also love it. Many R.N.s have made the journey, and your perspective is so valuable in this critical decision. Reach for the stars and max out your potential, i.e. it is worth the effort. You can do it if you want. And that is the key question for you today. Good Luck..... Ronald Kapp, MD, PhD
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