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jnuts last won the day on December 30 2015

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  1. I think I've beaten this to death in other posts, but briefly, the US isn't like Canada. Just getting a licence is easy. The barriers are getting malpractice insurance, getting the diverse private insurers to accept you as a provider, and getting privileges at a (or more commonly multiple) hospitals. It is a huge mistake to not complete the USMLEs if you'd like to work in the US. One or more of those entities will want to see them. For more information on how FMGs are treated in the US, check out studentdoctor.com. My lived experience as a surgeon who's relocated is that Canadia
  2. Not bad arguments. Possibly Canada contributed by not advocating for TN rights for physicians when the carve out was created. But at the end of the day it's a US immigration policy that was pushed by the AMA. I don't really accept the position that because the US physician population is worried about mid-levels they can't also be worried about also competing with FMGs. (Incidentally, surgeons aren't generally affected by advancing mid-level providers) Lastly, individual physicians don't determine national policy, but they form aggregate advocacy groups to lobby for their interest
  3. I can clarify here. American board certification is not required to work in the US in general. If you pass all the Steps (or in some States they'll take the LMCE) you can get a licence to practice medicine. There are definitely work arounds that allow you to work with just the RC. The barrier to practicing without American board certification is at the hospital and local predominant insurance provider level. By-laws can be changed and insurance companies can be reasoned with if the employer wants to put the effort in. They are much more likely to do that for an established pr
  4. Sure.... Other notable positive factors in recent neuro staff selection criteria: Did you marry your program director? Did you support a certain faculty member in a recent academic coup? Have you shamelessly publication jumped? I really wish the post above were true, but I think the truth is a LOT messier.
  5. Agree with the above that surgeons, especially new surgeons, are highly unlikely to operate outside her or his specialty ever. Hate to say it, but this is one of those things that drives inequities between rural and urban populations. That said, the opportunities to do procedures outside your subspecialty, but within your specialty, is higher outside academic centers. In Ortho for example, doing some joints and some sports.
  6. I think it's more that the hospitals aren't profitable (high ratio of medicare to commercial payors) so the contracts are really shitty.
  7. Seems a little egotistical on the Canadian side. The decision is ultimately up to the American Boards to allow or not allow Canadian applicants. The Americans set and revise their criteria for acceptable training all the time without consulting Canadians. If anything, I think the restrictions are a protectionist pressure from the American side to prevent possible flooding of their market (if they think about Canadians at all). There's other evidence of this in the NAFTA agreement (or whatever it's called now). Most Canadian professionals, including lawyers, nurses, and RTs can just sho
  8. https://www.google.com/url?sa=t&source=web&rct=j&url=https://www.durbin.senate.gov/imo/media/doc/Healthcare%20Workforce%20Resilience%20Act%20Summary.pdf&ved=2ahUKEwi659CsoavtAhVeFVkFHSIhA9sQFjABegQIAhAF&usg=AOvVaw2msoU5HliLA5ucjeWxA8zj It's interesting. May open things up for people here on an H1b. Passing is a big if.
  9. Possible in some cases, but not easy. Echoing what's been said many times on here: don't do surgery if you can see yourself doing anything else.
  10. Mine's more than a little dated, but I 've posted pretty extensively if you go back through my history.
  11. Briefly, US fellowship on an H1b or J-1 (requires USMLE). Then job on A SIMILAR visa -- with concerns about ability to transfer and possible requirement to leave the country for 1-2 years at visa expiration (3-6years with conditional annual renewal required as of this year). Ultimately, you need your employer to sponsor you for permanent residency which right now has anual caps and--at best--a processing time of 3-5 years during which time you may not be allowed to stay in the US. At the end it's possible with a moderate to high level of difficulty and adds a good deal of uncertainty an
  12. Check the pathway with the CPSO that doesn't require RC certification (pathway 3).
  13. Happy to discuss more; but the bottom line is that it's much more complicated than 'not usually an issue' and worse in the current climate. The number of employers willing to go for the H1B has dropped dramatically recently (and the J-1 is basically indentureship) Here's some info on that path from one of the locum companies (https://comphealth.com/resources/foreign-physicians-residency-advantages-disadvantages-h-1b-visa/#:~:text=Disadvantages%20for%20the%20physician%20%E2%80%94%20An,granted%20in%20three%20year%20increments.): Disadvantages of the H-1B Visa Disadvantages for t
  14. Viability of this option will depend on your specialty and specific personal factors. It is possible in some circumstances. Relocation should not be considered as an 'easy out' to surgical employment difficulties after Canadian surgical training. The number of people who are successful at it would be about 5% of all graduating Canadian surgeons (rough estimate based on observations of my peer group).
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