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IMG Secrets

Author name: IMG Secrets

How Long Does It Take To Be a Licensed Doctor in Canada?

Obtaining a medical license can vary significantly, ranging from 2 years to 9 years or more, depending on your background and the specialization you desire.  With regard to this matter, I would like to share my perspective, taking into consideration three crucial factors regarding how you enter Canada: Residency Province-based specialization Royal College pathway Let’s jump to find out more.  How Long Does It Take To Get a License as an IMG Through Residency? To obtain a license in Canada as an International Medical Graduate (IMG) through residency, several steps need to be followed. I am giving you a high level overview.  You must complete medical training from a WHO-recognized school You must be a Licentiate of the Medical Council of Canada You must become a Canadian permanent resident You will need to take the MCCQE1 examination You must take the National Assessment Collaboration Finally, you must successfully match into a Canadian Residency program. Based on my experience with IMGs, the best-case scenario is that this entire process typically takes around two to three years. Afterward, you can pursue your desired residency program. For instance, if you choose Family Medicine Residency, the duration of the residency would be two years. Hence, in total, you can expect to obtain your license within a span of approximately five years. Of course, there are IMGs who take more and also who take less. How Long Is Residency in Canada? IMGs embark on their journey into the R-1 Royal College program through residency, which varies in duration based on the chosen specialization. Residencies can range from 2 to 6 years in length. To provide clarity, here’s a comprehensive list of residencies along with their respective durations.  [table id=38 /] It’s worth noting that if an IMG opts for sub-specialization training, additional years will be added to the overall training program.  For example, anesthesia residency is 5 years long. A super specialization in Pediatric Anesthesia would take one more year after anesthesia residency for a total of 6 years.  How Long Does It Take To Get a License as an IMG Through Province Based Specialist Path? If an individual chooses to pursue the province-based specialist pathway, the most favorable outcome would involve them undertaking a clinical fellowship lasting two to three years.  Consider a scenario where they spend three years in fellowship and subsequently secure employment as a consultant through the province-based specialist pathway. The hospital would grant them a generous timeframe of 7 years to complete all the necessary requirements before their license becomes unrestricted. Consequently, the best-case scenario for an IMG to obtain a full license via the province-based specialist pathway spans a duration of 10 years.  Although this timeframe may appear lengthy, it’s important to note that during this period, the IMG would be working as a consultant, receiving compensation accordingly, and would not be required to repeat the entire residency program. How Long Does It Take To Get a License as an IMG Through Royal College Pathway? Lastly, let’s discuss the Royal College pathway for IMGs. In this pathway, certain IMGs who have received training in specific countries are granted direct eligibility by the Royal College to take the certification exam. They are given a maximum of five years to obtain the Royal College certification.  Based on my experience, IMGs following the Royal College approved jurisdiction route have typically achieved certification within one to two years. This represents the most favorable outcome in Canada. However, it’s important to note that these individuals have already completed their postgraduate or residency training in other countries before moving to Canada. When factoring in the duration of their residency training abroad, the overall timeline would still range from seven to ten years or longer, depending on their chosen specialization. It’s crucial to keep in mind that these estimates may vary based on the specific field of specialization, but overall, this is the general timeframe to expect. What is the Time Line if the IMG is a Canadian Citizen? The timeline for a Canadian citizen pursuing a medical career varies based on the chosen pathway and residency specialization. However, it’s important to highlight that the previously mentioned timelines apply to all IMGs, regardless of their immigration status. Whether individuals are Canadian citizens, permanent residents, or have moved to Canada on a work permit, the timelines for obtaining licenses and achieving certification remain consistent. Of course, there may be some exceptions.  The author Dr. Rajeev Iyer, MBBS, MD, FASA is an experienced IMG and has helped many IMGs, American & Canadian Medical Graduates be successful. He is an Associate Professor of Anesthesiology at the University of Pennsylvania in Philadelphia, USA. The opinions expressed in this article are solely those of the author and do not reflect the views or opinions of the University of Pennsylvania or any other institution. Book an appointment with Dr. Rajeev Iyer

How to Become a Surgeon in Canada as an IMG?

Becoming a surgeon in Canada as an International Medical Graduate (IMG) involves several steps and requirements. There are many different pathways IMGs can take. The process can be complex and competitive, but with dedication and persistence, it is possible to achieve your goal. In this article, I will tell you the general steps and tips to match into surgical residency. Let’s jump on this right away! What Are the Steps to Become a Surgeon in Canada? Assess your eligibility: Verify if you meet the basic requirements to work as a physician in Canada. This includes having completed medical school from a WHO recognized institution, holding a valid medical degree, and almost always having completed postgraduate training in your home country. You can check the status of your medical college/school by clicking here.  Document evaluation: Have your medical degree and postgraduate training evaluated by the Medical Council of Canada (MCC) to determine their comparability to Canadian standards. This step will help you receive a letter from MCC stating that your credentials are evaluated. Submit your documents for verification here.  Complete the Qualifying Examinations: Medical Council of Canada Qualifying Examination (MCCQE 1) is a computer based exam consisting of a written component. As an IMG, your focus should be to not just pass, but to obtain a score of 260 or higher. There is an objective structured clinical examination called National Assessment Collaboration (NAC). These exams assess your clinical skills and knowledge. Passing both parts is necessary to be eligible for licensure. You can find out more information about MCCQE1 by clicking here and about NAC here.  Language proficiency: Demonstrate proficiency in either English or French by passing the International English Language Testing System (IELTS) or the Test d’Évaluation de Français (TEF). To book an IELTS test, click here. To book the French test check here.  Postgraduate training in Canada: Apply for a residency program in surgery through the Canadian Resident Matching Service (CaRMS). The competition for residency positions can be intense, so it’s important to have a strong application, including letters of recommendation, research experience, and clinical rotations. I will provide you some specific tips below to increase your success of matching into a surgical specialty residency program. Explore the details of CaRMS by clicking here.  Complete residency training: Successfully complete the residency program in surgery, which typically lasts five years. The surgery residency is offered in 17 Universities across Canada and you can access the details by clicking here. This involves gaining practical experience and acquiring the necessary skills under the supervision of experienced surgeons. Royal College of Physicians and Surgeons of Canada (RCPSC) certification: After completing residency training, you must pass the Royal College Examination in General Surgery to obtain certification as a specialist in surgery in Canada. This is the final exit exam after residency and consists of a written and a oral component.  Licensure: Apply for licensure from the provincial medical regulatory authority in the province where you intend to practice. Although, each province may have its own specific requirements for licensure, once Royal College certified getting a licensure should be straight forward. For e.g., in the province in Ontario, this is College of Physicians and Surgeons of Ontario.  If you are someone who is experienced and certified from an approved jurisdiction or otherwise eligible, there are options to become a consultant without having to repeat residency all over again. You can check the article about this by clicking here. It’s important to note that the process may vary slightly depending on the province, and there may be additional requirements or assessments specific to certain provinces. If you browse the website of College of Physicians and Surgeons website in each province or contact the medical regulatory authority in the province where you plan to practice, you will find detailed information about the process. Can I Become a Surgeon In Canada? How to Match Into Surgical Specialties in Canada as an IMG? 1. Dedication & Passion First and foremost, it’s crucial to understand that programs in Canada seek individuals who are genuinely dedicated and passionate about their chosen specialty.  Let’s take cardiac surgery as an example. It’s important to showcase prior experience as an IMG in cardiac surgery to demonstrate your commitment. This means you either have worked in Cardiac Surgery or have completed specialization in the specialty. Programs want to avoid situations where a resident decides to quit after being hired, so they are particularly interested in applicants who already have some exposure and experience in their desired field. https://videos.files.wordpress.com/MCAA4vSa/video-cardiacsurgery.mov 2. Know The Specialty  Secondly, it’s vital that you have a clear understanding of what you’re getting into. For instance, if you aspire to pursue neurosurgery, you must be aware of the demanding nature of the specialty, with long working hours and a heavy clinical workload. It is essential to showcase your commitment and provide evidence of your experience in the specific specialty you’re interested in.  https://videos.files.wordpress.com/McCSTIoK/video-neurosurgery.mov 3. Demonstrate Research Experience in Your Sub specialty Thirdly, having research experience in your chosen subspecialty can be highly beneficial. As an IMG, you often have a couple of years before entering a program in Canada. Utilize this time effectively by engaging in productive research. Seek positions as a research fellow, strive to publish abstracts and papers in your area of interest, and actively contribute to the academic community. Show initiative by proposing ideas for book chapters, case reports, systematic reviews, or meta-analyses. Building a strong research portfolio alongside Canadian consultants will significantly enhance your CV. https://videos.files.wordpress.com/ZiiUpEhG/video-research.mov 4. Volunteer in your desired specialty  If finding a job proves challenging, consider volunteering in your desired specialization. Voluntary work can help you establish connections, gain insight into the Canadian work culture, and closely interact with Canadian consultants. When applying for a program and going through interviews, you’ll be able to draw upon your experiences to discuss both the similarities and differences between the Canadian program and your home country’s. Here is a guide on how to look for paid jobs in Canada.  5.

10 Tips to Match Into a Top Canadian Residency Program

1. Aim for More Than 280 on MCCQE1 To secure a spot in a top Canadian residency program as an International Medical Graduate (IMG), it is crucial to prioritize achieving high scores on the MCCQE1. Now, if you believe this is common knowledge, let me delve deeper into the subject. Canadian medical graduates often aim for a passing score on the exam, spending less time preparing compared to IMGs. However, as an IMG, it becomes essential to recognize that program directors lack a comprehensive means to assess your candidacy. While program directors may claim they won’t consider scores, I firmly believe that scores play a significant role. It is vital to set your sights on obtaining exceptionally high scores. A passing score on the MCCQE1 is 226, but your target should be at least 260, ideally reaching 280 or higher. The reasoning behind this lies in the assumption that if a candidate performs remarkably well on the MCCQE1, it sends a positive message to the program. It indicates that you are an outstanding candidate with a solid foundation of medical knowledge. From the program director’s perspective, choosing such a candidate implies that they would excel in the residency program, making everyone’s lives easier. Does this perspective make sense to you? Shifting your mindset to that of a program director, rather than an applicant, can significantly benefit your chances. https://imgsecrets.com/video-mccqe1-mov-2/ 2. Make Your Letter of Intent a Story You have to submit a letter as a part of your residency application for the Canadian programs. Craft your letter of intent as a captivating story. When the program director lays eyes on it, the initial three or four lines should pack such a punch that they are compelled to read the entire letter. Starting with mundane details would only deter them from delving deeper, ultimately diminishing your chances of being matched significantly. Instead, enthrall them by showcasing your excellence as a candidate and sharing your unique background. Highlight the specialized skills and attributes that you bring to the program. Can you envision the impact this approach could have? By engaging the program director from the very beginning, you increase the likelihood of leaving a lasting impression. If this concept isn’t crystal clear to you, fear not. I specialize in assisting IMGs in writing exceptional personal statements. If you’re interested in receiving my assistance, feel free to visit my website at www.imgsecrets.com. There, you’ll find all the information you need to access my services and elevate your letter of intent to new heights. I Need Help With a Letter https://videos.files.wordpress.com/nXBibJHg/video-story.mov 3. Highlight Your Negatives but in a Positive Way When crafting your personal statement for the Canadian Programs, it’s essential to address any negative aspects while highlighting how they make your situation unique. I will give you a specific example. Suppose you come from a program in your home country where you lack any research experience, particularly in the realm of video research. In your personal statement, explicitly mention this absence of research experience and emphasize how the program you are applying to can provide unique opportunities that will contribute to your success. Highlight how these new learnings can enable you to give back to the program by becoming highly productive in terms of research. By acknowledging and addressing potential shortcomings in this way, you demonstrate self-awareness and a proactive mindset. It showcases your ability to adapt, learn, and contribute positively to the program, emphasizing the value you can bring to the research endeavors within the program. Does this explanation clarify the importance of addressing negatives while emphasizing unique circumstances and the potential for growth? https://videos.files.wordpress.com/AJu1Jrfs/video-no-research.mov 4. Medical School Performance Record The Medical School Performance Record (MSRP), commonly referred to as the Dean’s letter, holds immense significance as a mandatory requirement for your application when you apply for matching into Canadian Residency programs. However, it is widely acknowledged that not all Deans are eager to write these letters. Nonetheless, it is crucial to ensure that you obtain an exceptional letter from your Dean, one that effectively showcases your capacities and capabilities. Furthermore, while the Dean’s letter is crucial, obtaining a letter from your specialization, even if it is from your home country, can significantly bolster your application. It doesn’t necessarily have to come from a high-ranking individual within your hospital, but having someone speak about your clinical knowledge and experiences holds great value. This becomes particularly crucial in surgical specialties, as surgeons pay close attention to such details. By securing a letter from someone who has observed you in clinical practice, you provide a tangible testament to your abilities and dedication. These insights serve as compelling evidence of your clinical prowess, validating your qualifications for the residency program. In summary, prioritize obtaining an outstanding Dean’s letter, despite the challenges, and consider acquiring a letter from your specialization to strengthen your application further. Remember, surgeons, in particular, value firsthand accounts of your clinical work, so make sure to garner support from those who have witnessed your skills in action. https://videos.files.wordpress.com/e76BTq03/video-dean.mov 5. Excel as a medical student As a medical student, it is crucial to excel in your medical school or medical college. As you are planning ahead to match in a top Canadian Residency program there are some things you should keep in mind. The significance of achieving higher scores and accumulating awards cannot be overstated, as these achievements speak for themselves. When reviewing your application, residency programs take note of your exceptional performance, recognizing you as an outstanding candidate. Ultimately, programs seek individuals who possess exemplary clinical knowledge and skills, while also minimizing any potential complications. They desire professionals who can seamlessly carry out their duties and demonstrate remarkable productivity in all aspects of their work. It truly is as simple as that. To ensure you present a comprehensive application, make certain that your transcripts are readily available. These documents are a mandatory requirement and provide valuable insights into your academic performance. Additionally, if you have the opportunity to undertake clerkships or

How to become a consultant in Canada without residency as an IMG?

How to become a consultant in Canada without residency as an IMG? There are three ways International Medical Graduates (IMGs) can directly be a consultant in Canada without repeating residency all over again.  Hospital Based Consultant  Province Based Specialist Royal Collge Specialist In this article, you’ll discover detailed insights on accessing the province-based specialist pathway and achieving success as an IMG as I share my personal experience. Let’s delve into the topic together and explore the valuable information awaiting you. What are the steps to get into province based specialist path? Here is a guide outlining the steps to enter the province-based specialist pathway: Ensure you have completed your medical school/college training from a WHO-recognized institution. If you are unsure about your training, you can click this link to access additional information about your medical school/college. Successfully complete your post-graduate training/residency training in your home country, gaining the necessary experience and expertise in your field. Obtain a specialization certificate in your area of focus, validating your advanced knowledge and skills. Apply for a clinical fellowship position in Canada, which allows you to further enhance your training and gain exposure to the Canadian healthcare system. Once you have secured a clinical fellowship position, you can enter the province-based specialist pathway in Canada, where you will have opportunities to practice and specialize within your chosen province. By following these steps, you can progress towards your goal of entering the province-based specialist pathway in Canada and pursue a rewarding career in your desired field. How do i get into a clinical fellowship in Canada from my home country? The first step in pursuing a clinical fellowship in Canada involves applying to the desired program. To begin, research and identify the Departments of your specialization in Canadian universities that offer fellowships. Click this link to find out how to find clinical fellowships and other jobs in top Canadian Universities.  Once you find a suitable fellowship, you’ll compose a professional email address to the Department Chair and the fellowship program director. This email should include the following A powerful cover letter A comprehensive CV, and Your profile photo, all aimed at making a strong impression. It’s important to avoid sending a generic email merely expressing interest in a fellowship, as it may not yield a response. Instead, your email should be crafted meticulously to captivate their attention. Your aim should be to entice them with your impressive CV and a compelling personal statement, prompting them to call you for an interview. I understand that many IMGs face challenges with their CVs and writing personal statements. If you require my personal one-on-one assistance in editing your CV and personal statement, click the link below.  I need help with my CV/Personal Statement How does an interview for province based specialist path look like? Once the hospital expresses interest in your application, they will invite you for a video interview. Congratulations on reaching this stage! Reaching the stage of being called for an interview is a significant achievement.  During the fellowship interview, the focus will be on various aspects of your background and interests. This includes your motivation for moving to Canada, your passion for the specific specialty, and your aspirations upon relocating. It’s crucial to utilize this opportunity to highlight your unique professional and personal experiences that are relevant to the position. Emphasize the different perspectives you bring to the table and how they can contribute to the field. This is your chance to showcase your individuality and how it aligns with the fellowship’s goals and requirements. If the interview goes well and the hospital likes you, you will be offered a clinical fellowship. Congratulations! I’ve received messages from IMGs who have successfully secured clinical fellowships, and I commend you on this significant accomplishment. I need mock interview to boost my confidence and increase my chances for getting selected What happens if i get selected for a fellowship in Canada? Congratulations on your selection for a fellowship in Canada! As you embark on this exciting journey, there are a few important steps you need to take to ensure a smooth transition: Credential Evaluation: It is crucial to have your credentials evaluated. You can initiate this process by applying for credential evaluation on Physiciansapply.ca. They will carefully verify your credentials and provide you with a report. Medical License: As a clinical fellow, you will need to obtain a license to practice in Canada. Depending on the province where you will be undertaking your fellowship, you will send all your required documents to the respective regulatory body. For example, if you are pursuing a fellowship in Ontario, you would submit your documents to the College of Physicians and Surgeons of Ontario (CPSO) for the issuance of a training license. Visa/Work Permit: It is essential to start working on your visa paperwork. This will be issued by Immigration and Citizenship, Government of Canada. You will need to apply for a work visa that allows you to engage in your fellowship activities in Canada. This visa is typically a work permit, which enables you to legally work in the country. By completing these necessary steps, including credential evaluation, obtaining a medical license, and acquiring the required visa/work permit, you will be well-prepared to embark on your fellowship journey in Canada. https://videos.files.wordpress.com/yhxZI8gF/video-pg-training.mov Can my spouse and children join me to Canada? Spouse: If you have a spouse accompanying you, it’s important to know that your spouse may be eligible to obtain a dependent visa. This visa would allow them to join you in Canada and, in addition, they can apply for an open work permit. The open work permit enables your spouse to seek employment in various job sectors, subject to certain restrictions and regulations. This provides your spouse with the opportunity to work in Canada and contribute to the household income or pursue their career goals, within the established guidelines. Children: If you have children, they are eligible to receive a dependent visa, allowing them to accompany you to Canada. Once

How to Become a Doctor in Canada as an IMG?

There are 4 pathways to becoming a doctor in Canada as an International Medical Graduate (IMG). I have personally seen IMGs take these pathways and I will share my experience here. These are Traditional pathway Job-based pathway Atlantic Province program pathway Clinical fellowship pathway Repeat Residency Province-based specialist pathway Royal college pathway Let’s jump to find out more about each of these. I Need Help to Become a Doctor in Canada 1. Traditional Pathway The first and perhaps the commonest pathway to becoming a doctor in Canada as an IMG is the traditional pathway. I have seen many IMGs take this route. Essentially they apply for Canadian permanent residency from their home country. They apply for residency matching in Canada after finishing their medical training in their home country. Here are the steps for this: Medical College/School Recognition: Make sure your medical school or college is recognized by World Health Organization. This is easy to check. I have included a screen recording example below from Google. You go on a website called World Directory of Medical Schools. You click on search the medical directory and then you see all these options now because I am an IMG from India, I’m going to say India in the country and I’m going to say New Delhi in the city. The very first thing that opens is All India Institute of Medical Sciences now I click on it and go to sponsor notes I see two options one is Canada the other is USA this means if I’m a graduate of All India Institute of Medical Sciences in New Delhi India, I am good to move to Canada. You can check your medical college or medical school anywhere in the world similarly. Credential Evaluation: The next step is your medical degree should be verified by the Medical Council of Canada. For this, you have to submit all your credentials like a medical degree, internship certificate, and PG training (if applicable) on this website called physiciansapply.ca.  Medical Council of Canada using a third party will verify all these documents to make sure they are genuine. This does cost a lot of money but it’s part of the process. Below is the screen recording of Google and physiciansapply.ca  Knowledge Check: The next thing is checking your medical knowledge, so this takes the form of two different exams Medical Council of Canada qualifying examination part one or the MCCQE1: This is a computer-based one-day examination that checks your medical knowledge based on MCQs. I have included a screen recording of the MCCQE1 website. NAC or the National Assessment Collaboration: This is a one-day OSCE-based exam. This is structured similarly to USMLE Step 2 CS, but thankfully the USA has moved away from this and instead uses the OET. Since Canada is still doing NAC, the expectation is you pass this examination. I have included a screen recording of the NAC website. Apply for PR:  As you’re working through the above steps simultaneously you must plan to get your Canada permanent residency (PR). Canada offers PR on a point-based system. You could start your application right from your home country. CARMS Matching: Now let’s assume you get your Canada PR and you’re through with all the above steps, the next step is you apply through a website called CARMS for matching in a Canadian Residency program. Complete Residency Training: Residency training is variable depending on your specialty and is based on requirements by the Royal College of Physicians and Surgeons of Canada. I will give some examples below: Family Medicine 2 years Internal Medicine 3 years Pediatrics 3 years Anesthesiology 5 years Radiology 5 years Pediatric Surgery 7 years Clear Royal College Exams: Congratulations, you have accomplished the last step and you’re now a fully certified doctor in Canada. Obtain a License: The next step is you need to obtain a license to practice in any province of your choice where you want to work. During your residency training your license will be called a training license, but once you have a full license you can work as a consultant in your specialization. It is long, it is complicated, and it takes time, but this is how the process is. Once you’re certified by the Royal College of Canada getting a license is pretty straightforward. After this, you have the choice of opening your own clinic (of course depending on your specialization) or joining a small clinic, or an academic practice. Ultimately, this would be your choice. 2. Job-Based Pathway The second pathway to becoming a doctor in Canada as an IMG is to first move to Canada through a job.  This is the option I personally suggest IMGs take. Although this is more difficult, to begin with, it makes life easier in the long run. Here are some job examples: Research Associate Research Fellow Research Assistant Lab Assistant Medical Lab Technologist Dental Assistant Any job you may like to do Here is what you should watch to be eligible for obtaining PR through Canadian Experience Class Skilled job Be on the job for at least 1 year Paid job Here is how you should apply for these jobs. Simultaneously you prepare for applying for matching by doing the following steps: Make sure your medical college is recognized by the World Health Organization Credential evaluation MCCQE1 exam NAC Exam CARMS Matching Residency Royal College Exams Licensure   The benefit of this approach is, you’re already in Canada, you understand the Canadian system, make connections, and get to know Canadian Consultants who can write a letter of recommendation. All this will help you match into the Canadian Residency program much more successfully than the first option. 3. Atlantic Immigration Program The third pathway to becoming a doctor in Canada as an IMG is the Atlantic immigration program. This is where IMGs focus to go to four Atlantic provinces in Canada. This is called the Atlantic program because these provinces are located right next to the Atlantic Ocean.

How to Look for Paid IMG Jobs in Canada?

I will walk you through the process of finding a skilled job as an International Medical Graduate (IMG) in the top 17 Universities with Medical Schools in Canada. Whether you are an experienced IMG or a fresh graduate, these IMG jobs in Canada will help you gain Canadian experience through which you become eligible to apply for Canadian permanent residency through the express entry pathway and enjoy a high quality of life. Navigating the vast landscape of training programs and IMG jobs in Canada can be a daunting task, especially with medical universities located in only 8 out of the 13 provinces. But fear not! I am here to guide you through the process of finding these sought-after positions with ease. In this article, I will provide you with invaluable tips and insights on how to discover the best training programs and IMG jobs in Canada. From research jobs for fresh graduates to clinical fellowships or consultant jobs for experienced physicians, we’ll explore the different types of opportunities available to you. So sit back, relax, and let me show you how to unlock your full potential in Canadian Universities. Help me Find a Job Alberta The province of Alberta has the following 2 Universities where IMG jobs are available. University of Alberta Faculty of Medicine University of Alberta Faculty of Medicine is in Edmonton in the province of Alberta. This is one of the top five universities in Canada. This is a great University and if there is an IMG Job and you’re able to get into, will be great for your career. Edmonton is a beautiful place and I personally know of IMGs practicing there. This is the screenshot of the University of Alberta website. If you click this link and go to the University of Alberta faculty of medicine and Dentistry website, you can click on the Departments and Institutes to find the links to individual departments. If you are a fresh graduate, you could explore basic science departments. One example is the Department of Pharmacology. They may have many laboratory research opportunities which will give you Canadian experience through which you can be eligible for an express entry pathway for permanent residency.  University of Calgary Faculty of Medicine The University of Calgary is in Calgary, in the province of Alberta. Below is a website screenshot for the University of Calgary Cumming School of Medicine.   You can go to the University of Calgary Cumming School of Medicine by clicking this link here. On this page, if you click on the list of departments, it will give a drop-down list of all the departments. Many Departments mention the research and clinical opportunities that you can explore to apply for a fellowship. British Columbia University of British Columbia Faculty of Medicine This is located in the beautiful city of Vancouver. I have been to Vancouver and have enjoyed visiting. In general, this is a competitive place and you may have difficulty finding a spot but the good news is that there are IMGs who are working there. Never hurts to try! Recently one of my IMG friends visited the University of British Columbia and he said the campus is amazing. Here is the University of British Columbia website below which you can get to by clicking this link.  I spent quite a bit of time on the website but I could not find departments easily. When this happens you could use the help of google to find the departments. Manitoba University of Manitoba Faculty of Medicine The University of Manitoba is in Winnipeg in the province of Manitoba as the name says. You can get to the University of Manitoba School of Medicine by clicking here. Once you are on this page, you can scroll down to find the departments where you can look for jobs. You will find the below page from where you can explore the Departments you are interested in.   New Brunswick There are no medical schools in the province of New Brunswick. Newfoundland and Labrador Memorial University of Newfoundland Faculty of Medicine The Memorial University of Newfoundland is in the province of Newfoundland and Labrador. The population of this province is approximately half a million. There are probably more people in a small city in India like Udaipur or Vellore! I have not personally come across IMG’s going to Newfoundland, but that does not mean it’s not happening. What I’m trying to say is this might be a great opportunity for you because I cannot imagine a lot of competition in places like this. Newfoundland can be a very cold place because this is the easternmost province of Canada right next to the Atlantic Ocean. If you are wondering if Canada is very cold? then yes you are right! You can go to the Memorial University Website by clicking on this link here. Memorial University of Newfoundland & Labrador Once you are on the University website, you can click on the link that says “Disciplines and Divisions”. The Memorial University website is user-friendly and easy to find things around. Northwest Territories There are no medical schools in the province of Northwest Territories. Nova Scotia Dalhousie University Faculty of Medicine Dalhousie University is a large University located in the province of NovaScotia. I have relatives in Halifax, Nova Scotia and I have heard great things about Nova Scotia from them. You can get to the Dalhousie University Faculty of Medicine website by clicking the link here. Below is the screenshot of the website. Dalhousie UniversityIn this screenshot, if you click on departments under the faculty of medicine, this will give options for you looking for IMG jobs in Canada. Nunavut There are no medical schools in the province of Nunavut. Ontario The province of Ontario has the most Universities. Approximately 40% of Canada’s population is clustered in the province of Ontario. University of Ottawa Faculty of Medicine The University of Ottawa is located in the province of Ontario. Ottawa is the capital of Canada, it’s a beautiful city. I have been there

How to Use ChatGPT for USMLE Preparation?

ChatGPT has passed USMLE. I tested ChatGPT for 4 weeks to find out how to ace USMLE using ChatGPT. I will share my experience on the 5 ways you can use ChatGPT into your USMLE preparation starting today and that too for free!  If you are in Canada, you can use the exact same principles for MCCQE1. Let’s jump to find out right away from the article below with screenshots. If you are interested in an actual demonstration with video screen recordings of how actually ChatGPT helped with USMLE, watch the video from the link below.  Click Here to See How You Can Get Help What is ChatGPT? I have to tell you about ChatGPT first, which is especially important if you have not heard of this. ChatGPT is also known as Chat Generative Pre-trained Transformer and is an artificial intelligence chatbot. This was recently developed by a company called open AI in November of 2022. You can ask ChatGPT any question, it’s going to answer you like it’s a real person except that everything is happening through chatting or texting. You can use this on your phone or on your laptop I honestly got excited but also scared when I tested ChatGPT. The number of things it knows and it can do is unbelievable. ChatGPT was tested on various topics and so far has passed the following exams: USMLE Examination Law Examination Business Examination This makes ChatGPT a Doctor, Lawyer & Business Entrepreneur. My focus here is on Doctors and I will give you 5 ways I tested ChatGPT to ace USMLE. Whether you plan to enter the USA to do a residency, direct fellowship, or come in directly as an attending physician, through the alternate entry path program, you will need to ace USMLE. How to Use ChatGPT? To get ChatGPT, the first thing I did is to go on google and search for ChatGPT. Then I clicked the very first thing that said “Introducing ChatGPT – OpenAI”. Once I clicked on this link, this is the screen that came up next. On the screen above, I clicked on “Try ChatGPT” at the bottom left of the screen. Once I did that, the next screen asked “Verify you are a human”. Of course, I had to sign up and log in. I realized this can be done either by logging in or Signing up using an existing google account. This is where the magic happened. ChatGPT Interactive Screen[/caption] There are two options to use ChatGPT. One is free and the other is a paid version. At this time it costs $20 a month to use the paid version. I however used the free version and this is what I am going to show you here. I wouldn’t be surprised if all of this becomes a paid tool! You can do this on your phone, laptop, desktop, or any compatible device. 1. How to use ChatGPT to generate sample USMLE questions? Sample USMLE Question 1 Yes, I asked ChatGPT to give me sample USMLE questions. I typed a question “Give me a sample USMLE question” on the ChatGPT text tab and hit the return button on my Mac computer (enter button on windows). This gave me a sample question within a span of a few seconds along with the answers and explanation! Here you see. USMLE Sample Question 2 Then I decided to be more specific about the way of questions I asked ChatGPT. I typed Give me a sample USMLE question that is difficult and is about thoracic surgery. My idea was to include two specific keywords here – difficult and thoracic surgery. I couldn’t believe what I got – A sample USMLE question that was both difficult and related to thoracic surgery, along with the options and an explanation. Try this for yourself and I bet you will be surprised at what you will see. A word of caution: although ChatGPT is giving the answer, I can’t say for 100% sure this gives the right answer every time. On one question, I tested it gave me an answer that was not in agreement with the USMLE official website. Then I told ChatGPT that the answer should have been different. Believe it or not, ChatGPT apologized for the wrong answer and gave me the correct one. Either way, the point I am making is just to be cautious. Make sure you have your concepts really solid because as you can imagine, you cannot blame ChatGPT if you get the answers wrong!! These were just two simple examples that I showed but you can use the same concept for any specialty and any question that you want to generate. In fact, this will be a lot more high yield for topics on Biostatistics Population health Psychiatry, etc. 2. How to use ChatGPT for answer explanations to USMLE questions? Sample USMLE Question 1 I found USMLE sample questions on USMLE.ORG. This website has many questions with answers but with no explanation. So I tested the utility of ChatGPT’s explanations it gave for questions from the official USMLE website. I searched for USMLE Sample Questions on Google. Then I clicked Step 1 Sample Questions. With this, I entered the USMLE official website and clicked on sample test questions. I accepted the cookies. Below are the sample test questions that the USMLE website had. I clicked on this question that says social sciences communications. I liked this question since this is asking for the most appropriate initial statement by the physician, it’s not asking for treatment. Questions on treatment are easily answered by International Medical Graduates (IMGs), but, these types of concepts related to the practice in my experience where international medical graduates (IMGs) have some difficulty compared to US graduates. In this case, I already knew the correct answer is Option “A” based on the answer given below. But I assumed I don’t know why the correct answer is option “A” but not the other options. This is where I tested

How Can IMGs Get Pre-residency Fellowship in the USA?

International Medical Graduates (IMGs) can get pre-residency fellowship in the USA by applying to those programs that offer a medical fellowship in the USA hospitals. These IMGs can apply after their post graduate and specialty training in the home country. I have seen many IMGs do this to gain US clinical experience and subsequently use this experience to apply for residency matching of their choice. Let’s jump to find out more about this pre-residency fellowship including the types, where to apply, how to apply, what is the pay and many more. Click Here For Help Finding a Fellowship What types of pre-residency fellowships are available for international medical graduates (IMGs)? There are two types of pre-residency fellowship. I have seen IMGs being successful getting into residency using either of these. Clinical Fellowship Research Fellowship If you think about these, your ultimate goal in this example is to match into residency. This fellowship will help you do that. Clinical Fellow: If you come in as a clinical fellow, you will have to be ECFMG certified which means you have to complete the following USMLE Steps USMLE Step 1 USMLE Step 2 CK OET (Occupational English Test) I recommend, based on the IMGs I’ve seen, that you also complete your USMLE step three. Then this will help you get an H1-B visa & get an independent license when the time comes. When you come in as a clinical fellow, you will be given a training license. So, once you have step three, this will also help you get an independent license because step three is a must for you to get an independent license which is what consultants used to work as. Research Fellow: The second option is a research fellow. If you are interested to move into the USA and yet to complete USMLE, then this is an option you can explore. not completed their USMLE yet. But this is a short-term fellowship. If you want to get back to residency, you have to still complete all the USMLE steps, which can be done while you’re doing your research fellowship. Typically research fellowship for those who have completed medical college and have research experience although the latter is not a must. I have seen some IMGs get residency directly from their home country this is those IMGs who have already finished the residency training, but for the most part, most IMGs will require some kind of experience in the USA. So, when you’re going through your clinical fellowship or research fellowship, you can do the following to make yourself competitive for residency matching. Develop great relationships with US consultants & program directors Attend conferences Publish manuscripts Present lectures Work hard towards your goals Use this as US experience What kind of pre-residency fellowship should IMGs apply for? I have seen IMGs apply for all types of fellowships. In general, it is wise to pick a fellowship that is not very competitive. This means the fellowship specialty should not be very well known. I will give you an example in anesthesia. Fellowships like pain medicine, pediatric anesthesia, cardiac anesthesia are desirable and may be competitive to get. This keeps changing depending on the demand. If cardiac anesthesia stays the most desirable anesthesia fellowship for lets say 5 years, the next 2-3 years it may go down in the number of graduates seeking this. In general, you can pick a fellowship like clinical anesthesia which in my humble personal opinion may not be chosen by many IMGs. Spend time to find fellowships like this. This way you can increase your chances of getting a fellowship. Where can IMGs apply for a pre-residency fellowship? Well, not all the programs will take IMGs. Although getting into a fellowship from your home country is not super easy, there are some steps that can be taken to increase your chances. Pick cities where US graduates are less likely to go to. If you think of New York State, it is obvious to think of New York City but this can be competitive and put you at a disadvantage. Instead, pick a city that is not well know. For e.g. in New York State for example, Buffalo & Upstate New York are some options you can explore. Apply a similar strategy for other cities. Is this super easy? NO. But your chances will be much higher here than bigger and well known cities.  Niagara falls is in Buffalo and you can get there so frequently. When i lived in Toronto, Canada i used to visit Niagara Falls very frequently & Niagara-on-the-lake and loved it. Pick specializations that are less well known. [videopress NHF8pux4] How much salary are IMGs paid for pre-residency fellowship? I will explain this based on whether this is a clinical or a research fellowship to make it easy for you. Clinical Fellowship: The salary you’ll be paid as an IMG clinical fellow directly coming from your home country will be equal to any other US graduate doing a clinical fellowship. Here are the differences. [table id=35 /] After your fellowship, the goal is to get back to residency in the USA or Canada. I encourage you to explore the alternate entry path program that you can read about here.  [videopress KSpnjBdG] How do I apply for pre-residency fellowship as an IMG? To apply for a fellowship, whether it’s research fellowship or a clinical fellowship follow this steps. Write to the Chair or the Head of the Department and copy the program director in an email. Keep the email brief and mention that you have attached the following One page personal statement Curriculum Vitae (CV) ECFMG Certificate (if applying for Clinical Fellowship) The personal statement is just a one-page summary about yourself, where you’re going to highlight all your accomplishments and then give a summary of what you are looking in the fellowship and how the hospital will benefit because they want to hire you. The CV has to be very nice and crisp without

10 Elite US Hospitals Open Doors for IMG Observerships

Observerships are informal experiences provided to IMGs and will not involve patient contact. They are limited to one to two weeks and sometimes can be offered for a longer duration. Many of these observerships help you get into residency or fellowship at reputed US & Canadian Hospitals. I will give you a list of 10 Elite US Hospitals that accept International Medical Graduates (IMGs) for Observership. These Elite hospitals have been consistently ranked as one of the top by US News World Report. I will give you a link to apply for each hospital and tell you how to apply. The hospital requirements may vary but have a lot in common, which I will summarize for you. This list is not exhaustive and has 8 pediatric and 2 adult hospitals as examples. The observership opportunity is provided for all specialties. This observership is available for IMG consultants IMG Fellows IMG residents IMG medical students Let’s jump in to find out more about the hospitals and how to apply. Click here For Help Getting an Observership 1. Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, USA The Children’s Hospital of Philadelphia (CHOP) is the oldest Children’s Hospital in the World established in 1885. It is also one of the largest and most prestigious children’s hospitals in the World. CHOP is affiliated with the University of Pennsylvania, an Ivy League university, and provides state-of-the-art pediatric care. When I say Ivy League Universities, these are reputed universities in the US, and in fact, most US graduates want to do their training in Ivy League universities. CHOP has an international observership program that accepts eligible IMGs for observership. CHOP provides observership in all pediatric subspecialties. Rotating through CHOP as an observer is considered prestigious. You can apply for the CHOP observership program as an IMG at this link. There are certain restrictions specific to CHOP that you can check on this website. 2. Boston Children’s Hospital, Harvard Medical School Boston Children’s Hospital, is located in Boston, Massachusetts. This is affiliated with Harvard Medical School. Most people in the world have heard of Harvard University.   Here is the link to where you apply for an observership at Harvard Medical School.  You might have read during your medical school or during your USMLE/MCCQE1, that hydroxyurea is a medication used for sickle cell disease. I read that this drug was first used for sickle cell disease at Boston Children’s Hospital. [videopress P6A41dtm] 3. Cincinnati Children’s Hospital, University of Cincinnati, Ohio The next on the list is Cincinnati Children’s Hospital, located in Cincinnati in the state of Ohio. This is affiliated with the University of Cincinnati, Cincinnati Children’s is an outstanding hospital. This was built in the 1800s. You must be familiar with the oral polio vaccine right called the Sabin vaccine. This was discovered by Dr. Albert Sabin at Cincinnati Children’s Hospital.  Here is the link to apply for an observership at Cincinnati Children’s Hospital Medical Center.    4. Texas Children’s Hospital, Baylor College of Medicine, Texas The next elite hospital on the list is Texas Children’s Hospital located in Houston, Texas. This is affiliated with Baylor College of Medicine within the Texas Medical Center. Texas Children’s has some limitations on what the purpose of observerships should be. Some hospitals may have this, but other hospitals may not. When you apply to an observership as an IMG, be upfront about what you’re trying to get out of this observership, and what your ultimate goal is. You can apply for an observership at the Texas Children’s Hospital using this link. 5. Children’s Hospital of Colorado, Denver School of Medicine Next on the list is the Children’s Hospital of Colorado, which is located in Aurora, Colorado. This is a more than a 100-year-old hospital. This is affiliated with the University of Colorado, Denver School of Medicine. In fact, Colorado is an excellent place for any winter adventurous activity. So if you are into any of this, you can explore Colorado. You can have a great vacation there plus do your observer trip. You can apply for an observership at the Children’s Hospital of Colorado using this link.   6. Children’s Hospital of Los Angeles, California Children’s Hospital of Los Angeles (CHLA) is affiliated with the Keck School of Medicine of the University of Southern California.  CHLA was established in 1901 and is one of the Elite US hospitals. CHLA has been consistently ranked amongst the top 10 pediatric hospitals by the US News World Report. You can apply for an observership at the Children’s Hospital of Los Angeles using this link.  7. Nationwide Children’s Hospital, Columbus, Ohio The next on the list is Nationwide Children’s Hospital. This is a children’s hospital located in Columbus in the state of Ohio. Nationwide is affiliated with The Ohio State University College of Medicine. This is, again, a more than a hundred-year-old hospital that provides you with various opportunities to rotate through many specialties. You can apply for an observership at Nationwide Children’s Hospital, Columbus, Ohio using this link.  8. Lucile Packard Children’s Hospital in Stanford, Palo Alto, California. Lucile Packard Children’s Hospital provides opportunities for a lot of different observers. Lucile Packard was established in 1991. Although fairly new compared to other examples on this list, Lucile Packard is an elite hospital affiliated to the Stanford University Health System. You can apply for an observership at Lucile Packard Children’s Hospital, Palo Alto, CA using this link.  The list so far is all children’s hospitals. This will still make you competitive for both pediatric and adult residency programs. Of course, there may be a few programs that put a restriction on how you can use this experience and whether you could use this towards your benefit to apply for residency or fellowship or not. 9. Einstein Medical Center, Philadelphia Now I’m going to give you two adult hospital examples. Next on the list is Einstein Medical Center in Philadelphia. This is part of the Jefferson Hospital Network in the city of Philadelphia, Pennsylvania. Below

Specialties Difficult For IMGs to Match – 2023 Update

I analyzed the most recent National Resident Matching Program (NRMP) data for PGY1. Based on this and my own experience as an IMG of many years in the USA, here are the 11 specialties that are difficult for International Medical Graduates (IMGs) to match. This information will help you focus as you’re going through the matching process. Thoracic Surgery General Surgery Physical Medicine & Rehabilitation Anesthesiology Plastic Surgery Dermatology Obstetrics Gynecology Medicine-Pediatrics Emergency Medicine Orthopedics ENT   On the other hand, there are also many IMG friendly specialties. I have left the list of these IMG friendly specialties that you can check here. Let’s jump to find out the match rate and more information about these specialties that are difficult for IMGs to match. What are the Specialties Difficult For IMGs to Match? The following 11 specialties are difficult to match based on my NRMP data analysis and my own experience. I have excluded combined residency programs which in my opinion are not popular amongst IMGs. 11. Thoracic Surgery, Match Rate 6% Here is the specialty number 11 that is difficult for IMGs to match and it is thoracic surgery. Only six percent of IMGs matched into this. The number of spots in thoracic surgery is also very less. Due to a combination of the low percentage of matching and less number of residency spots, the number of IMGs who are successful in thoracic surgery is less. Thoracic Surgery also offers an alternate pathway for certification where outstanding specialist IMGs can directly become board certified without repeating residency all over again in the USA. [videopress D1us1iFM] 10. General Surgery – Categorical, Match Rate 5% The next specialty is surgery, as a categorical residency. If you’re not familiar with this term, categorical residency means that your internship plus residency will all be done in one hospital. So essentially, you’re in one program. Only five percent of IMGs matched into surgery. I personally know of Surgeons who are IMGs and given the number of spots in surgery, five percent matching I would say is still pretty good.   9. Physical Medicine & Rehabilitation, Match Rate 4% The next specialty is Physical Medicine and Rehabilitation. Only four percent of non-us IMGs matched into this. The number of spots for this is also less I’m not sure if this is driven by a lack of knowledge about the specialty or just that IMGs are not interested 8. Anesthesiology, Match Rate 4% The next specialty is anesthesiology. Only four percent of IMGs matched into anesthesiology. Anesthesiology does have more than a thousand Spots. I’m an anesthesiologist, and I have personally seen many IMG anesthesiologists. Based on my experience that anesthesiology is still an IMG friendly specialty, but it is difficult to match because it’s a desirable specialty and many U.S graduates do want to do anesthesiology. I think that probably might be the reason why many IMGs have not been successful in matching for anesthesiology. Anesthesiology offers an alternate entry path program for outstanding IMGs to directly become a specialist in the USA without repeating residency all over again. I have the details of this pathway that you can check here.  7. Plastic Surgery, Match Rate 4% The next on the list is plastic surgery. Only four percent of IMG is matched in plastic surgery. I have rarely come across an IMG plastic surgeon. Plastic Surgery is a desirable specialty for U.S. graduates which makes the competition stiffer. Also, the number of plastic surgery spots is very less. These in effect make plastic surgery a difficult specialty for IMGs to match.   6. Dermatology, Match Rate 3% The next specialty on the list is Dermatology. Dermatology is another desirable specialty for IMGs but only three percent of IMGs are matched into Dermatology. I’m really surprised by the number of Dermatology residency spots available, it’s less than 50. I didn’t imagine the spots to be so less. I have come across IMGs in dermatology but looks like it’s not very common.   5. Obstetrics & Gynecology, Match Rate 3% The next on the list is obstetrics and Gynecology (ObsGyn). Three percent of IMGs matched into ObsGyn. The number of OBGYN spots is more than a thousand. Given that three percent match Into ObsGyn, the total number is more. I have personally seen IMGs ObsGyn. [videopress KOh791e6] 4. Medicine-Pediatrics, Match Rate 3% The next specialty is a combined medicine Pediatrics Residency program.  Three percent of IMGs have been successful in matching into this program. Coincidentally I recently met a combined medicine-pediatrics resident who told me the Residency program is mainly focused on Primary Care. Typically, these residents pick either medicine or Pediatrics as one of their primary focuses but they do continue to see patients of all ages. 3. Emergency Medicine, Match Rate 2% The next on the list is emergency medicine where two percent of IMGs were successful in matching into this Residency program. Emergency medicine does have a few thousand spots, so two percent of a few thousand is still a pretty good number. I have personally seen emergency physicians who are IMGs. Emergency Medicine also offers combined residency programs with Anesthesiology & Family Medicine. 2. Orthopedics, Match Rate 1% The next specialty which is difficult to match is orthopedics, only one percent of IMGs are matched into Orthopedic residency. I have come across IMG who are orthopedic surgeons but the number is quite less. The good news is orthopedic surgery offers an alternate entry path program. 1. ENT, Match Rate 0.5% Finally, the number one specialty which is difficult to match for an IMG is ENT. Only point five percent of total residents are non-us IMGs. I’ve been thinking if I have seen any IMG ENT physicians I have personally not come across any but that doesn’t mean they don’t exist. This article was initially published in IMGSecrets.com, If this appears anywhere else this is a stolen content. Bottomline Check out the other important articles What visa do you need to move to the USA as an IMG? ECFMG 2024 Update Book An Appointment

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