Podcasts about ecfmg

En este episodio, exploramos paso a paso el proceso para aplicar al Match a través del sistema ERAS. Hablaremos de los requisitos esenciales para los médicos internacionales (ECFMG, Steps, OET), los componentes clave de la aplicación (carta personal, cartas de recomendación, rotaciones, señales) y consejos prácticos para optimizar tu postulación. También revisaremos la línea de tiempo, los errores más comunes, la preparación para las entrevistas y el proceso posterior.Ya sea que estés comenzando o finalizando tu aplicación, este episodio te brindará la información y estrategias necesarias para afrontar el proceso con confianza. ¡No te lo pierdas!

Listen to JCO Oncology Practice's Art of Oncology Practice article, "Did I Mess Up Today?” by Dr. John Sweetenham, ASCO Daily News Podcast host and recently retired after 40 years of practice in academic oncology. The article is followed by an interview with Sweetenham and host Dr. Lidia Schapira. Dr Sweetenham shares his reflections on his shrinking clinical comfort zone. TRANSCRIPT Narrator: Did I Mess Up Today? By John W. Sweetenham  Reflections on My Shrinking Clinical Comfort Zone Hindsight and the passage of time have made me realize how much this question began to trouble me after each clinic as my clinical time reduced to one half day per week. After 40 years in oncology, I had reached the point where I had to ask myself whether a minimal commitment to clinical cancer care was best for my patients. I decided that it was not. Reluctantly, I left the world of direct patient care behind. Despite the identity crisis that resulted from giving up the foundational bedrock of my career, I felt substantial relief that I would no longer have to ask myself that question after each clinic—I felt that I had made the decision before (hopefully) I really did mess up. Reflecting on this in the past few months has made me question whether we have devoted sufficient resources to asking the question of how much clinical time is enough to maintain the clinical skills, knowledge, and competency that our patients deserve and should expect from us. Although we can continually refresh our clinical knowledge and understanding through continuing education and maintenance of certification, we mostly rely on our own judgment of our clinical competency—few of us receive outside signals that tell us we are not as sharp as we should be. There are many reasons why we may choose to reduce our clinical commitment over the course of a career and why it may be important to us to maintain some level of practice. The spectrum of reasons extends from being truly altruistic, through being more pragmatic to those driven by career advancement and self-interest. Many of those have played into my own decisions about clinical commitment, and I will use my own story to describe my journey of changing motivation and growing (I hope) self-awareness. I entered oncology fellowship in the United Kingdom in 1984. I chose oncology as a specialty because of the unique opportunity it provided then (and now) to combine new scientific discovery and understanding of this disease with compassionate, patient-centered care, which might improve lives for patients and their caregivers. I was trained in the UK tradition, which placed an emphasis on clinical experience and clinical skills, backed up by knowledge of emerging scientific discovery and data from clinical trials. Like many others at that time, I undertook a laboratory-based research project and was inspired by the work of true physician scientists—they became role models for me, and for what I thought would be my career trajectory. Once I finished fellowship and became junior faculty with a growing clinical and clinical research practice, I quickly began to realize that to make a meaningful contribution, I would not be able to sustain a clinical and laboratory presence—I admired those who could do this, but soon decided that I would need to make a choice. I knew that my primary passion was the clinic and that I did not have the skill set to sustain a laboratory project as well—it was an easy choice, and when I left the United Kingdom for the United States, I left my physician scientist ambitions behind but felt confident in my chosen clinical career path and had no sense of loss. I experienced many examples of culture shock when I moved to the United States. One of the least expected was the attitude toward clinical practice among many of my colleagues in academic oncology centers. Many sought to minimize their clinical commitment to give more protected time for research or other professional work. I found this puzzling initially, but have since observed that this is, to some extent, a reflection of the overall institutional priorities and culture. There is often tension between the perceived need for protected time and the expectations of academic departments and health systems for clinical revenue generation. Protected time becomes a contentious issue and increasingly has become the subject of negotiation during the recruitment process. In my early years in the US system, I found this difficult to grasp—why wouldn't trained physicians want to spend as much of their time as possible doing what we were trained to do? I could understand the need to achieve a balance in commitment for those with labs, but not the desire to do the absolute minimum of clinical work. After all, I was not aware of anyone who thought that they could be competent or competitive in bench research with a half day per week commitment to it, so why would anyone think that level of time commitment would be adequate for a clinical practice, especially for those coming straight out of fellowship? Over the next few years, as I began to take on more administrative responsibilities, my perspective began to change. The earliest signs that my clinical skills might be dulling came to me while on a busy inpatient service—I was beginning to feel that I was moving out of my comfort zone—although I was comfortable with the day-to day care of these patients, I wondered whether there were nuances to their care that I was missing. I had also started to realize that I was taking more time to make decisions than I had earlier in my career and started to wonder whether I was losing my edge. I decided it was time to leave the inpatient service. I continued with 2 full days in clinic for several years, which fitted well with my administrative commitment, and I felt fully back in my comfort zone and working at the top of my game although I no longer felt like quite the same, fully rounded clinician. The next step in my career took me to a new leadership position, a reduced clinical commitment of 1 day per week, and a growing sense of unease as to whether this was adequate to stay sharp clinically. I was still gaining great enjoyment and satisfaction from taking care of patients, and I also felt that as a physician leader, clinical practice earned me credibility among my physician colleagues—I could still relate to the issues they faced each day in taking care of patients with cancer. I was also strongly influenced by a former colleague in one of my previous positions who advised me to never give up the day job. That said, there were warning signs that I was becoming an administrator first and a clinician second—I was spending less time reading journals, my time at conferences was being taken up more with meetings outside of the scientific sessions, my publication rate was falling, and the speaker invitations were slowing down. I had to face the reality that my days as a KOL in the lymphoma world were numbered, and I should probably adjust my focus fully to my administrative/leadership role. As I made the decision to drop to a half-day clinic per week, I realized that this marked the most significant step in my shrinking clinical role. I became increasingly conflicted about this level of clinical practice. It was much more compatible with my administrative workload, but less satisfying for me as a physician. I began to feel like a visitor in the clinic and was able to sustain my practice only because of the excellent backup from the clinic nurses and advanced practice providers and the support of my physician colleagues. My level of engagement in the development of new trials was diminishing, and I was happy to leave this role to our excellent junior faculty. As with my inpatient experience, I started to feel as though my comfort zone was shrinking once again—some of my faculty colleagues were developing particular expertise in certain lymphoma subtypes, and I was happy that they were providing care for those groups, leaving me to focus on those diseases where I still felt I had maintained my expertise. Looking back, I think it was the credibility factor which persuaded me to continue with a minimal clinical commitment for as long as I did—I was concerned that giving up completely would result in a loss of respect from clinical colleagues. Subsequent experience confirmed that this was true. When I ultimately decided to hang up my stethoscope, I felt some relief that I had resolved my own internal conflict, but there is no question that it diminished the perception of me as a physician leader among my clinical colleagues. There is little published literature on the issue of clinical commitment and skills in oncology. In his wonderful perspective in the New England Journal of Medicine, Dr David Weinstock1 describes his experience of withdrawing from clinical practice and compares this process with bereavement. His account of this process certainly resonates with me although my feelings on stepping down were a mixture of regret and relief. Recognizing that oncology practice remains, to some extent, an art, it is difficult to measure what makes any of us competent, compassionate, and effective oncologists. We have to rely on our own intuition to tell us when we are functioning at our peak and when we may be starting to lose our edge—it is unlikely that anyone else is going to tell us unless there is an egregious error. For me, one half day per week in clinic proved to be insufficient for me to feel fully engaged, truly part of a care team, and fully up to date. Giving up was the right decision for me and my patients, despite the loss of credibility with my colleagues. There was a sense of loss with each stage in the process of my dwindling clinical commitment, but this was offset by the knowledge that I had not waited too long to make changes. Dr. Lidia Schapira: Hello and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the field of oncology. I'm your host, Dr. Lidia Schapira, Professor of Medicine at Stanford University. Today, we are joined by Dr. John Sweetenham, whom you may recognize as the host of the ASCO Daily News podcast. Dr. Sweetenham has recently retired or partly retired after 40 years of practice in academic oncology, and in this episode he'll be discussing his Art of Oncology Practice article, “Did I Mess Up Today?”  At the time of this recording, our guest has no disclosures.  John, welcome to our podcast and thank you for joining us today. Dr. John Sweetenham: Thank you for having me. Dr. Lidia Schapira: I'd like to start just by asking a little bit about your process and perhaps why you wrote this. Was this inspired sort of by a conversation? Did this just gush out of you when you saw your last patient? Tell us a little bit about the story of this article. Dr. John Sweetenham: Yeah, it didn't really gush out of me. In fact, I originally started to write this probably back eight or nine months ago, and I wrote a couple of paragraphs and then I'm not quite sure what happened. I didn't think it was very good. Life took over, other things were going on, and then I revisited it about a month to six weeks ago. So the process has been actually fairly slow in terms of putting this down on paper, but it wasn't really the result of a conversation.  A couple of things spurred me on to do it. The first was the most obvious one, that it really did occur to me, particularly as I hung up my stethoscope and walked away completely from clinical practice, that I did have some sense of relief. Because I didn't have that nagging voice in the back of my head saying to me anymore, “I just want to make sure that I did everything right today.” And so I think that was a part of it.  And then it was also partly inspired by something which I read a few years back now. And I actually referenced it in my article, which was that wonderful article by Dr. David Weinstock, who had a somewhat different but parallel experience. And that had really resonated with me. And particularly over the last two or three years of my clinical career, like I said, I began to feel uneasy. And so it wasn't really a kind of blinding flash or anything. It was really just over time, wanting to get it down on paper because I felt that I can't be the only person who feels this way. Dr. Lidia Schapira: John, let's talk a little bit about some of the themes that I found so compelling in your article. The first is your experience of how we value clinical activity in the United States. And you contrast that very much with your experience in the UK. You talk about having started your fellowship in oncology in the ‘80s in the UK and then transitioning to the academic culture in the US. Can you reflect a little bit on that for us, both how it was then and how it is now? Dr. John Sweetenham: I preface that by saying it is 25 years since I practiced in the UK, so I don't really know whether it's now as it was back then. As I mentioned in that article, I think at the time that I went through medical school and undertook my fellowship, the training at that time and the culture was very, very clinically based. I always remember the fact that we were taught very heavily, “Don't rely on tests. Tests are confirmatory. You've got to be a good diagnostician. You have to understand, listen to the patient, he'll tell you the diagnosis,” and so on and so forth. So that the grounding, particularly during med school and early fellowship, was very much based on a solid being as a clinician. Now, in 2024, I think, that's actually a little unrealistic, we don't do it quite that way anymore.  And for me, the contrast when I moved to the US was not so much in terms of clinical skills, because I think that clinical skills were very comparable. I don't think that's really a difference. I would say that clinical skills and clinical time are not always consistently valued as highly from one institution to the other. And I think it is an institutional, cultural thing. I've certainly worked in one or two places where there is a very, very strong commitment to clinical work and it is very highly valued. And I've worked in one or two places where that's less so. There isn't really a right or wrong about that. I think different places have different priorities. But I did find certainly when I moved and was probably somewhat naive moving into the US system because I didn't really realize what I was coming to, and there were definite culture shock elements of that. But at that time, in 2000, when I made the transition, I would say that at that time, overall, I think that clinical medicine was probably more highly valued in the UK than it was in the US or clinical skills. I think that's changed now, almost certainly. Dr. Lidia Schapira: Interesting that you referred to as a clinical culture, a term that I will adopt going forward. But let's talk a little bit about this process of having your time basically devoted more to administrative governance, leadership issues or tasks, and going from being comfortable in the inpatient setting to giving that up and then going to outpatient two days a week, one day a week, half a day a week. And then this moment when you say, “I just can't do this,” is there, you think, a point, a threshold? And how would we know where to set that, to say that below that threshold, in terms of volume and experience, one loses competence and skills? Dr. John Sweetenham: I certainly don't have the answer. And I thought really hard about this and how could we improve on this. And is there some way that we would be able to assess this? And the thing that I thought back to was that back in the early 2000s, when I first moved to the US. At that time, for ECFMG purposes, I had to do something that was called the Clinical Skills Assessment, where you went to Philadelphia and to the ECFMG offices and you saw actor patients and you had to do three or four of these and someone had a camera in the room and so they were watching and assessing your clinical skills. And honestly, I slightly hesitate to say this, but it was probably pretty meaningless. I can't imagine my clinical skills could have been judged in that way. I think it's made me believe that there probably isn't an outside way of doing this. I think it's down to all of us individually and our internal compass. And I think that what it requires is for, certainly in my case, just to be aware. I think it's a self awareness thing. Dare I say it, you have to recognize as you get a little older you probably get a little less sharp than you were, and there are signals if you're prepared to listen to them.  I remember on the inpatient service, and I used to love the inpatient service. I love teaching the house staff and so on. It was really good fun. But then I got to a point where I was on a very, very busy hem malignancies inpatient service and started to have to think about which antibiotics to use just a little bit longer than I had done in the past. And it was little things like that. I was not so familiar with the trials that some of these patients could be able to get on when they were inpatient. And so little signals like that started to ring in my ear and tell me, “Well, if you're taking longer and if you're thinking harder, then maybe it's time to move on from this.” And I would say the two most difficult things for me to do overall were obviously giving up clinical work entirely. But before that, giving up the inpatient service was a big deal because I never really felt fully rounded as an oncologist after that. As the hem malignancies docked back 15 years ago, a very big component of the care was still inpatient, and I wasn't doing that part of my patient care anymore. And that was kind of a big change. Dr. Lidia Schapira: So many things to follow up on. Let me try to take them apart. I'm hearing also two different themes here. One is the competence issue as it relates to aging. And there have been some recent articles about that, about whether or not we actually should require that physicians above a certain age demonstrate their competence. And this is, I think, an ongoing theme in academic medicine. But the other that I hear relates to volume. And even if you are sort of at the top of your game and very young, if you're only in the clinic half a day a week, you can't possibly have the clinical experience that just comes from seeing a lot of patients. Can you help us think through the difference between these two sort of running threads that both, I think, contribute to the idea of whether or not one is competent as an expert in a field? Dr. John Sweetenham: I think that the discussion around age and clinical competence is a very interesting one. I just don't know how you measure it other than your own internal system for judging that. I'm not sure how you would ever manage that. I suppose in some of the more procedure based specialties, maybe there would be skill based ways that you could do this, but otherwise, I just don't know. And I certainly wouldn't want to ever be in a position of making a judgment based on age on whether somebody should or shouldn't be working. I just felt that for me, it was the right time.  In terms of this issue of volume and time in the clinic, I actually do feel that there are some important messages there that maybe we need to think about. And I say this with total respect, but I think straight out of fellowship, a half a day in a clinic, to me doesn't feel like it's going to give that individual the experience they need for 30 years of clinical practice. I may be wrong about that. I'm sure there are exceptions to that and highly competent individuals who can do that. But I worry that someone who starts out their clinical oncology career with a minimal clinical commitment, I worry as to whether that is the best way for them to develop and maintain their clinical skills. Dr. Lidia Schapira: And this brings me to another question, which is sort of our oncology workforce and the investment that we all have in our excellent clinicians and experts in diseases. If we are to pluck some of our best to perform more and more leadership, administrative and governance roles, aren't we doing a disservice to our patients and future patients? Dr. John Sweetenham: I think that in terms of our oncology leadership, both clinically and academically, it could use a bit less gray hair and I think that there are enormously talented mid-career folks who aren't necessarily advanced and getting the opportunities that they should have to really shine in those areas to develop full time clinical and academic practices and be the ones who are really clinically engaged. And then the people of, I won't say my generation, maybe the generation below me now, it seems to me that there is a benefit to gaining administrative leadership roles for those who want to go in that direction as you advance further through your career and that perhaps making sure that those people in their mid-career role, where they're probably at their most productive, are able to do clinically the things that they want to do. What I'm trying to say is I think that you're quite right that we do pick off people who are going to be really talented in a specific direction and distract them from their clinical practice. Maybe we just have to be a bit more reserved about how we do that and not distract those people who are really strong clinicians and pull them in directions that they may, indeed, be attracted to, but perhaps it's a little bit early for them to be doing it. Dr. Lidia Schapira: It's an interesting question and dilemma because on the one hand we say we don't want people who just have business degrees administrating in medical spaces. But on the other hand, we don't want to distract or pluck all of our clinical talent for administrative roles that take them away from what we prize the most and what our workforce actually needs. And that sort of brings me to my next question, which is something I'm sure you've thought about, which is, as we get older and as we have more gray hair, those of us or those of you who choose to allow yourself to be seen as gray, some of us still cover, how do we present interesting career tracks also that acknowledge the fact that perhaps people want to pivot or take on new roles and still keep them engaged in actively seeing patients because they have so much to offer? Dr. John Sweetenham: I think the key there is that there has to be a balance between how much of somebody's time, a physician's time should be taken up in those roles. I'll only speak for myself here, but when I got into a more administrative role, it was quite seductive in a way and I quite enjoyed it. It's a very different perspective. You're doing very different things, but you do get this feeling that you're still having impact, you're just doing it in a different framework. It is intriguing and it's a lot of fun. In a way, I think it comes down to time. I think that somewhere around, for me, a 40% clinical commitment, I think I could have continued that. And I think if I could have resisted the temptation to be drawn more into the administrative side, or if somebody had said to me, “No, you're not going to do that,” then I would have resisted the temptation to do that. I think that there are people who would say, “Well, you can't take on a physician leadership role in a busy academic center and do it as a part time job.” Well, there's probably an element of truth in that, but you certainly can't take care of patients as a part time job either. And I do think that one of the things that we should ask ourselves maybe in terms of developing physician leaders is should we insist that there is a minimum amount of clinical time that the individual still has to commit to? And that may be the answer. I think that it does help to maintain credibility among colleagues, which, I think, is very important, as I mentioned in the article. So that's my only perhaps suggestion I would make is just don't allow your physician leaders to get so wrapped up in this that they start to kind of walk away from what we were all trained to do. Dr. Lidia Schapira: I'd love to hear you talk a little bit more about your experiences, reflections on what you call the ‘art of oncology' and the ‘art of practicing in oncology.' Dr. John Sweetenham: I think that many of us, myself included, tried throughout my career to be evidence-based. I tried really hard to do that, and I hope for the most part, I succeeded. But I think there are times when that does get challenged. Let me give you one example that comes to mind, and that would be just occasionally, from time to time, I had the good fortune to take care of people of some power and influence. And there is, I think, in that situation, a temptation to be drawn into doing what those people want you to do, rather than what you think is the right thing to do. It can be very, very difficult to resist that. And so to my mind, part of the art is around being able to convince those folks that what they're suggesting would not necessarily be in their best interest. That would just be one example.  I think the other thing also that strikes me is you can't walk away from the emotion of what we do. And I still think back to some of the folks that I took care of when I was practicing bone marrow transplantation. This would be even back in the UK and folks would contact me some years afterwards. Some of my former patients from the UK would contact me and would still keep in touch and had medical complications, oncology complications, that followed them. And it struck me then, they were 5,000 miles away. I had no useful advice to give them, really, other than to listen to their physicians and get second opinions and those kinds of practical things. But it did strike me that part of the art is, and perhaps art is the wrong word, but there is a big emotional commitment when people feel 20 years on that they're still wanting to keep in touch with you and let you know what's happening in their lives, you know. And so I think that however much we try to be scientific and detach ourselves from all of that, our interactions with folks, I think sometimes we don't realize how impactful and long lasting they can be. Dr. Lidia Schapira: I would say that that speaks to your success in establishing a therapeutic alliance, which is probably one of the things that we often undervalue, but is a huge element of truly human-centered, compassionate practice, whatever we want to call it.  But I do have one last question, and that is how you have dealt with or how you have learned to deal with in your practice, with some of these feelings of regret and relief that you mentioned that came with hanging up the stethoscope but the huge emotions that accompany making decisions about one's practice. Dr. John Sweetenham: It has almost been a natural sort of stepwise progression. So it's almost a journey for me. And so like I mentioned to you earlier on, I struggled around the time when I gave up inpatient practice. I struggled again a little bit when I gave it up completely. Although it was very much balanced by this sense that I didn't have to worry if I was kind of screwing up anymore, so that was good. But I think the other thing is there are other things going on. And so rather than dwelling on that, I've stayed active to some extent in the oncology world by some of the other things I do. I'm still trying to write one or two other things at the moment. And I guess it's partly a kind of distraction, really that has helped me to get through it. But I think in the end doing other stuff, I've actually traveled a fair bit. My wife and I have traveled a fair bit since I actually stopped working. And the other thing, I guess it sounds a bit lame and corny, but after 40 years or so, there are a lot of good memories to think back on. And again, it sounds very cliched and corny - I console myself with the fact that I hope for some of the folks that I took care of that I made a difference. And if I did, then I'm happy with that. I have closure. Dr. Lidia Schapira: What a lovely thought. I was thinking of the word distraction as well before you said it. Well, listen, I look forward to reading what you write and to being inspired and to continue to be in conversation with you. Thank you so much for joining our show today. And for our listeners, until next time, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review and be sure to subscribe so you never miss an episode. You can find all of the ASCO shows at asco.org/podcasts.   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.  Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Show Notes: Like, share and subscribe so you never miss an episode and leave a rating or review.   Guest Bio: Dr. Sweetenham, host of ASCO Daily News podcast, has recently retired after 40 years of practice in academic oncology.

Dr. Alexa Angulo is an international medical graduate (IMG) from Mexico who graduated from UABC in Tijuana and has just started her residency in pediatrics at Thomas Jefferson Medical School in Philadelphia. She shares her journey, from challenges in high school and medical school in Mexico to passing the additional requirements for IMGs before they become ECFMG-certified and can apply for a residency position in the US. Every journey is unique! Dr. Angulo will inspire other IMGs to pursue their career dreams and navigate their path to matching a residency position in the US.

Gear up for an update on the ever-changing regulations for international medical students and graduates to practice medicine in the US. In this week's episode, our host Sophie Neale unravels the mysteries of the upcoming ECFMG requirement changes with the insights of Dr. Tomáš Petras, AMBOSS's new Educational Partnerships Manager! Join in as they dissect the effects on international students and share tips to help students navigate this brave new world.  Read more:Dr. Tomáš Petras: https://www.linkedin.com/in/tomaspetrasECFMG Certification for IMGs: https://www.ecfmg.org/certification-pathways/World Directory of Medical Schools: https://www.wdoms.org/AMBOSS Qbank Q: https://next.amboss.com/us/shared/questions/O7100INRUe/12 Book rec: "Four Thousand Weeks" by Oliver Burkeman from 2021: https://www.oliverburkeman.com/booksFun fact: https://daily.jstor.org/the-1910-report-that-unintentionally-disadvantaged-minority-doctors/  Sign up for a free 5-day trial at https://go.amboss.com/pod-5day-trial. Read more at the AMBOSS blog: https://go.amboss.com/blog-ambosspod. Find out more about the AMBOSS podcast: https://go.amboss.com/int_podcast-23.

SD204 - Caminho para exercer a Medicina nos EUA. Neste episódio, Dr. Lorenzo recebe Fabrício Violaro, CMO | VP Marketing e Vendas no MedUSA, e o cardiologista e expert em imagem cardíaca em Boston, Dr. Bruno Lima, para falarem sobre carreira médica internacional, os caminhos para se chegar lá e a atuação deles na MedUSA, braço educacional da Editora Atheneu. O MedUSA é um curso preparatório voltado para médicos que querem exercer a medicina no exterior. Participe da nossa Comunidade de Cardiologia CardioGram! Acesse AQUI. Neste episódio, o que você vai encontrar: O Background do Fabrício Formado em Engenharia Mecânica, trabalhou na área da indústria da saúde e depois a atuar em educação na área da saúde. Hoje ele atua na Atheneu Educação, dedicado à MedUSA para carreira médica internacional. O Background do Bruno Médico formado na Universidade Federal do Ceará, fez seu doutorado em Farmacologia. Como tinha feito um intercâmbio nos EUA quando adolescente e gostou, voltou ao país para fazer sua residência em clínica médica e Cardiologia e está finalizando seu 2º ano de Imagem e começando como Professor Assistente na Vanderbilt University. A Atheneu e o digital A empresa de educação EAD nasce da junção de uma experiência de 94 anos da editora, networking e muito material educativo para trazer uma alternativa para o médico que se forma no Brasil. Processo para a carreira médica nos EUA Para o médico que quer atuar nos EUA, o médico deve: ver se a sua faculdade de formação está listada no diretório mundial; se ela tem o Sponsor Note do ECFMG; se inscrever nas provas do processo USMLE® e obter nota 7; fazer o teste CK (Clinical Knowledge); fazer uma prova de inglês médico. Para exercer a medicina de fato nos EUA Passar por todas as etapas de testes; Precisa fazer residência nos EUA com duração mínima de 3 anos.  O MedUSA Curso preparatório para o Step 1: o USMLE®; Entrega do CK no 2º semestre de 2023; Vão entregar o Match USA: preparatório para a entrevista dos programas de residência. Comunidade Online Saúde Digital Podcast Você é médico? Quer interagir com o Lorenzo Tomé e com outros colegas inovadores da medicina digital?  Entre na Comunidade do Podcast Saúde Digital na SD Conecta! Assista este episódio também em vídeo no YouTube no nosso canal Saúde Digital Ecossistema! ACESSE AQUI! Episódios Anteriores - Acesse! SD203 - Cultura da Transformação Digital em grandes empresas SD202 - Dr. Antônio Buzaid e a Quality 24 SD201 - Caneta para Diagnóstico de Câncer Músicas: Declan DP & KODOMOi - Jellyfish | Declan DP - Raindrop "Music © Copyright Declan DP 2018 - Present. https://license.declandp.info | License ID: DDP1590665"

Drs. Yusuke Kishimoto and Jasmin Custodio discuss everything you need to know on financial planning for ECFMG certifications, residency applications, match day and more for #Match2024 on the AAEM/RSA podcast.

Jane Lo, Singapore Correspondent speaks with Dagmawi Mulugeta, Threat researcher with Netskope Threat Labs.Dagmawi has his OSCP and has previously worked at Cyrisk (a subsidiary of 4A Security), Sift Security (acquired by Netskope), and ECFMG as a researcher, security engineer, and developer. He has innate interests in public CTFs, exploit development, and abuse of cloud apps. He has his MSc in Cybersecurity from Drexel University.In this interview, Dagmawi shared the behavioural insights found for employees preparing to leave, and how these indicators could enable organizations to protect their data more effectively.He noted the concern that many organisations have with “flight risk” users – that is, employees that are getting ready to leave – taking corporate data with them.A common question to address this concern, is how to efficiently identify such risks - without sifting through hundreds of alerts and spending hundreds of man-hours.Dagmawi shared how they approached this problem by analysing anonymized data of over 4 million users from more than 200 different organizations worldwide., and some interesting key revelations: (i) 15% of leavers used personal cloud apps (e.g. Google drive, Gmail) to take data with them (ii) 2% were violating corporate policy (exfiltrating sensitive corporate information) (iii) majority of the data movement happens 50 days before leaving.Dagmawi highlighted how they identified three key signals to filter out alerts with potential flight risks:a) volume – identifying whether the data being moved is anomalous for the individual in the organisationb) nature of data – whether the data being moved is sensitivec) direction – whether the cloud application is outside of the organisation's management (e.g. google drive).Wrapping up, Dagmawi recommended that encoding the three signals into the detection systems could help reduce the size for reviews by 43x – that is, for every 50 alerts, the signals could help to filter out the 1 or 2 concerning ones.Recorded 11th May 2023, 3.30pm, Black Hat Asia 2023, Singapore Marina Bay Sands.#bhasia#mysecuritytv #insiderthreat

The LabOpp Global Leaders podcast is a series of conversations about Careers, the Lab Industry, Training, and People. Our special guest in this episode is Emmanuel Anasonye. After completing his MLS degree in Nigeria and completing his internship, his drive for seeking an affordable medical school opportunity led him to Guyana. Beyond medical school, he found ways to leverage his medical laboratory background. He is currently an instructor in multiple local medical schools in the areas of microbiology and pathology. After progressing through the US Medical Licensure Exam he is now awaiting his ECFMG certification. His longer-term aim is to specialize in Pathology, a passion reinforced during his MLS. If you would like to get in touch with Emmanuel, you can find him on LinkedIn. Some of the organizations mentioned during this podcast: · Nnamdi Azikiwe University https://unizik.edu.ng/ · Texila American University, Guyana https://tauedu.org/ · Lincoln American University https://www.laumed.org/ · American Society of Clinical Pathology https://www.ascp.org/content# · Educational Commission for Foreign Medical Graduates https://www.ecfmg.org/ If you have suggestions for future guests or comments about this podcast, please visit us at labopp.org/podcast/ Thank you for leaving a rating and review to help us share this podcast! --- Send in a voice message: https://podcasters.spotify.com/pod/show/labopp/message

Joiner's model of desire and capability is used to explain the high risk period that health practitioners face when they have had a notification to AHPRA (any health regulator for that matter). Manaan explains the training that is on offer for health regulators in this episode.We also take the opportunity to welcome listeners from the English Schools Foundation in Hong Kong as we start a 12 month journey to support 22 schools embellish their suicide prevention pathway through skills training for school counsellors, Principals, Heads of Years and Teachers. 

Please tune in to Episode 45 of The Lebanese Physicians' Podcast with Dr. Ahmad Mahdi documenting his transition from Beirut, Lebanon to Wichita, Kansas to start his residency in internal medicine at KU-Wichita Campus. In this episode, we discuss the process of applying to residency in the United States and the practical and emotional aspects of this transition. Dr. Mahdi recently wrote his story on the ECFMG blog, Journeys in Medicine, and it was shared widely by ECFMG. This episode is available on the following: - Apple: https://podcasts.apple.com/us/podcast/the-lebanese-physicians-podcast/id1545290394?i=1000555406261 - Spotify: https://open.spotify.com/episode/0bGwirCY3L3x8IQxvecFCO?si=ps7AxaWrTk6250yD1gIuuw - Anghami - iheart radio - YouTube: https://youtu.be/c55i1NNCV_c   #IMG #ECFMG #Medicaleducation    

The Education Commission on Foreign Medical Education (ECFMG) is the primary body in the United States that oversees the policies and regulation around licensing International Medical Graduates (IMGs).  In order to take the USMLEs, and to apply for residency all IMGs must be certified by ECFMG.  This certification typically takes place after the completion of the 2nd year of a medical program, and before taking the USMLE Step 1 examination.It's a common misconception that ECFMG accredits schools. That is not true. ECFMG does not conduct visits and inspections to determine the quality of education. As long as a local government recognizes a business entity as a school, ECFMG has had no problems certifying them until now. With this new rule ECFMG will be leaning on recognized accrediting bodies to ensure that students get the quality of education they need and deserve.  In 2010, the ECFMG announced a new requirement that will become effective in the year 2024 (was set for 2023 but was moved to 2024 due to COVID).  The new rule states that “starting in 2024, individuals applying for ECFMG Certification must be a student or graduate of a medical school that is appropriately accredited. More specifically, the school must be accredited by an accrediting agency that is officially recognized by the World Federation for Medical Education (WFME).”

Want to stay inspired with content tailored specifically to IMG's looking to create their medical success story? Sign up for the IMGRoadmap Newsletter so you never miss a beat! ***** Quick pause: If you are an international medical student or graduate seeking to start residency in any of the 135 specialites in the USA next June, then this is for you! You don't want to regret missing out on this HUGE opportunity! Join the waitlist to be considered for the next round of the IMG roadmap course. The only course that helps you become a more competitive applicant for residency. Seats are limited. Sign up here to be considered! ***** Have you faced failure along your medical journey and you're worried about your future? Dr. Deborah Makinde's story will definitely prove to you that any roadblock can be overcome, to land yourself the residency position of your dreams. Keep listening to find out more! Nigerian-born Dr. Makinde moved to the US as a teenager and attended medical school at St. George's University in Grenada. After her graduation in 2020, She decided to apply to 150 programs for the 2020/2021 match cycle where she scored 4 interviews, but unfortunately, she went unmatched. During the 2020/2021 application period, she highlighted the following roadblocks: She failed the CS exam, but ended up taking the OET exam thereafter. She could not get ECFMG certified until the following year. Dr. Makinde then decided to take a gap year and reapplied in for the 2022 match cycle, scoring her over 11 interviews and a place on a few waitlists. She has since matched and is now about to be a resident in internal medicine. When asked what she changed about her application the second time around, she highlighted the following steps she took: Applied through SOAP. Tried to achieve a preliminary position, but did not get through. Applied to 250 programs instead of her initial 150 though she does not believe that it made a huge difference. Developed an application packet that was better and that had a theme to it. Wrote personalized statements customized to the prospective programs. Wrote Step 3 and passed. Contacted the programs she didn't get into asking for feedback, which she applied during her second application. And so, Dr. Makinde hopes to inspire you, who may be coping with one failure or another to: Let yourself grieve. Never see yourself personally as a failure. Always visualize yourself at a hospital with the career of your dreams. Keep yourself together, though it may be hard. Get involved in the community through volunteering and outreaching. Remember that you are stronger than your problems and your challenges. Trust the process, as this is your waiting period. You can reach out to Dr. Makinde via her email (tmakinde1@gmail.com) and her Instagram @toyin_20 You can also listen to the full episode on Spotify, Apple & Google Podcasts. --- Support this podcast: https://anchor.fm/ninalum/support

"**LISTEN HERE, THEN WATCH THE VIDEO FORM OF THIS EPISODE ON YOUTUBE.COM/ACMEDICALORG** This episode is part 2 of a 2 part series discussing the highlights that occurred in 2021 where we discuss the remaining 3 events out of 9. 1. NRMP Program Director Survey released 1 year early (August 2021) - After looking at many new data points, including the importance of USMLE Scores (and in particular Step 1), programs are looking at applicants holistically vs using a standardized filter. 2. ECFMG Certificate Pathways approved for 2021 Match was extended to 2022 Match - With the discontinuance of the USMLE Step 2 CS examination, ECFMG implemented the 6th pathway to permit IMGs who did not qualify under any of the 2021 Pathways additional opportunities to obtain ECFMG Certification. 3. Recommendations for Comprehensive Improvement of the UME-GME Transition - A 275-page report from the Graduate Medical Education Review Committee (UGRC) of the Coalition for Physician Accountability provided 34 recommendations for a complete GME overhaul! Have questions? Contact us at podcast@acmedical.org

En este video estaremos compartiendo con la Dra. Dessire Cordero sobre la aplicación a residencias medicas en USA, las pathways que fueron implementadas luego del COVID-19 para ser certificados por la ECFMG y los tips para una buena aplicación. Muchas gracias por el apoyo y esperamos que lo disfruten. Links de interes: -https://students-residents.aamc.org/a...-https://freida.ama-assn.org Somos dos IMG apasionadas en ayudar a las personas que desean ejercer su especialidad médica en Estados Unidos. Para mas información seguirnos en youtube e Instagram @imgroadtousmle o contactarnos a imgroadtousmle@gmail.com

Though this year's ERAS season may be over, it is never too early to start preparing for next year. This episode features a live session which was geared at helping IMGs to fill out their ERAS application in a way that ensures success. Keep listening to find out more! Here are some invaluable tips and tricks to make your application count: AMC account information: State your basic information including your address regardless of whether it is within or outside of the US. Do not be fraudulent! Are you allowed to work in the US? Pick the most applicable category which corresponds to your specific situation, otherwise, you can choose “other” which is fine! NRMP match information: Fill in as applicable with NRMP ID. It's fine if you don't yet have that information. You can add it later on. American Urological Association (AUA) number, if applicable, should also be included here. If you are a couple's match, this is the place to include this. Additional information : ECFMG certification should be added here. Other certifications such as Basic Life Support (BLS), while good to have on the application, come second place to your USMLE step scores. Military information: Describe your military obligations if applicable. In the US, military service is regarded highly and honorably! Hobbies/Interests: Contrary to popular belief, hobbies are valuable and can serve as icebreakers. Find something unique and special to mention as your hobby. Higher education: Include programs which resulted in you obtaining a degree. This is not the place for other types of certification. Put expiration dates for certifications where applicable. Research opportunities and any other certifications/ training that do not fall under any other categories can come under work experience. Was your medical training extended or interrupted? Be precise, honest, express reasons concisely. Membership, professional societies, medical school awards, other awards and accomplishments: List all relevant awards and achievements. Write as succinctly as possible. Training experience: List any prior American Osteopathic Association (AOA), Accreditation Council for Graduate Medical Education (ACGME) and other residencies and fellowships. You can list these certifications regardless of if you finished the program or not. Clinical and Teaching experience should be treated as work experience: In the description do the following: - Use action words and descriptive terms. - In a single sentence, state: time spent, role, actions taken and lessons learnt. - Include reasons for leaving. - Add Numbers -- it's quantifiable and adds credibility. Are you board certified in another state or country? Include organization's name, address and relevant details. Board certification in any country matters! Publications: For any type of publication, be sure to include the following: - Title - Author - Publication name - Publication date For a more in depth guide on how to fill your ERAS form successfully, sign up for the IMGRoadmap Course where in Modules 6 & 7 this topic is examined in detail! Listen to this full episode on Spotify, Apple & Google Podcasts. --- Support this podcast: https://anchor.fm/ninalum/support

Dr. Faith Nawagi, Nursing Leader from Uganda to Minneapolis Faith Nawagi, RN, BSN, PGC. Clin Epi, MIPH, PHD-HPE is the Africa Regional Hub Chair of the Nursing Now challenge, and as African Representative for ECFMG|FAIMER. She currently serves in a global health academic role with the University of  Minnesota, Institute of Environment, ACARA program where […]

Dr. Faith Nawagi, Nursing Leader from Uganda to Minneapolis Faith Nawagi, RN, BSN, PGC. Clin Epi, MIPH, PHD-HPE is the Africa Regional Hub Chair of the Nursing Now challenge, and as African Representative for ECFMG|FAIMER. She currently serves in a global health academic role with the University of  Minnesota, Institute of Environment, ACARA program where […]

Are you curious as to how you can combine your Family Medicine residency with your other passions? Family Medicine attending Dr. Esther Nkem Ufot who also specializes in Obesity and Lifestyle Medicine is here to show you that it is possible! Currently serving in Atlanta, Dr. Ufot attended medical school at the University of Benin, Nigeria, where she graduated in 2011, before migrating to the US that same year. Dr. Ufot was always passionate about preventative medicine. As such, she elected to focus on Obesity Medicine. She also stated the following as some of the possible Family Medicine pathways and opportunities: Obstetrics Geriatrics Obesity medicine Dr. Ufot also discussed the following challenges that she experienced when transitioning to working in the US: She did not have the proper paperwork from Nigeria needed for the ECFMG process. She lacked guidance. Because the initial part of her process took quite a while, she decided to do all of her USMLE steps within one year. She worked in addition to preparing for the USMLE. When asked how she was able to achieve success, Dr. Ufot stressed the importance of networking and mentorship. Here are a few of the highlights of her story which exemplified this: Dr. Ufot, through networking, got a job in a medical capacity that cemented her interest in family medicine. Her employer motivated and supported her throughout her USMLE journey by granting her time off and bonuses. This doctor also helped her to score observerships with his colleagues which led to her gaining valuable letters of recommendation and clinical experience. As such, here are a few of the highlights of Dr. Ufot's match story: Passed Step 1 with a score of 216 Achieved a Step 2 score of 239 Passed CS Passed Step 3 with a score of 229 Applied in 2014 and matched in 2015 Became pregnant during the interview process Applied to 140 programs, landing 5 interviews Looked at criteria carefully to select programs Personalized and made each personal statement specific to each goal program Took care to stand out during the interview process and asked intelligent questions to mutually vet target programs. With her journey in mind, Dr. Ufot states the following inspirational key points to share with IMGs: Stay focused at every step. Make everyday count. Everybody's path is different - own your story and put in the hard work. Don't give up - constant improvement is all that matters. Consistency, commitment and passion are key. Healthy living should always be one's priority! You can reach out to Dr. Ufot to find out more about her extraordinary journey via her Instagram @drnkemufot. Listen to the full episode using: Apple, Spotify & Google Podcasts. --- Support this podcast: https://anchor.fm/ninalum/support

El día de hoy está con nosotros Mauricio González. Mauricio obtuvo su licenciatura de nutrición humana en el 2005. Posterior a esto ingresó a la Facultad de medicina de la universidad autónoma de Campeche, México en donde trabajó activamente en el departamento de Neurociencias bajo la tutela de un reconocido investigador mexicano. Publicó como co-autor sobre la fisiología del ciclo-sueño vigilia en una revista científica americana. Además, colaboró en la publicación de un libro de divulgación académica en la red estudiantil Anahuac. Es autor del ya famoso libro: Bases científicas para la restauración física y moral de una nación”(http://www.librosenred.com/libros/basescientificasparalarestauracionfisicaymoraldeunanacion.html) Mauricio ha realizado rotaciones clínicas en el Jackson Memorial Hospital y en University of Miami Hospital. Allí trabajó en los departamentos de medicina interna, endocrinología y cardiología. Recibió excelentes cartas de recomendación. Ha aprobado satisfactoriamente todos los USMLE steps y ha recibido su ECFMG certificate a principios del 2014. Actualmente colabora con la Universidad de Bochum, Alemania en el desarrollo de estudios clínicos que permitan revertir la obesidad en niños y adolescentes. Desde el 2007 diseñó el Programa de Restauración Humana, el cual es un plan de 90 días para adoptar una dieta centrada en plantas. Ha dado su conferencia “bases científicas para una nutrición sana y natural” en varias partes de la república mexicana y su visión es presentarse en toda Latinoamérica. El día de hoy está con nosotros para hablar de la mente, como alimentarla y que aspectos podemos implementar en nuestro día a día para la prevención y cura de enfermedades mentales. Es una entrevista que te permitirá conocer un poco más a fondo la vida del Dr. Mauricio y al mismo tiempo te dará información científica para poner en práctica. Espero la disfruten tanto como yo. Abrazos

"How I Do It: Ultrasound-Guided Temporomandibular Dysfunction Prolotherapy," by W. Francois Louw, CCFP(EM), FCFP, MBChB (Pret), DA(SA), ECFMG, Physician, Bill Nelems Pain and Research Centre, Kelowna, British Columbia, Canada. From ASRA News, May 2021. See original article at www.asra.com/asra-news for figures and references. This material is copyrighted. 

Great conversation with Dr. Udoete, a Nigerian-born physician and public health champion on insights in managing HIV/AIDS in Nigeria.Iboro Udoete, MD is a trained and ECFMG certified physician and graduate learner in public health at Central Michigan University in Mount Pleasant, MI. She grew up in Nigeria and gained her medical degree from All Saints University, Dominica. Her experience in healthcare delivery includes Nigeria, Dominica, and the United States.Dr Udoete is a global health enthusiast with a focused interest on HIV/AIDS care services, especially among resource-challenged and underserved communities. She currently works with the HIV surveillance department at the Michigan Department of Health and Human Services (MDHHS) to increase pre-exposure prophylaxis awareness, prescribing efforts, and promotion among at-risk HIV populations across the state.She previously worked with a USAID funded Non-profit organization, FHI360 whose goal is to assist the Government of Nigeria to enhance sustained cross-sectional integration of HIV/AIDS services in the different high-risk states. She is very passionate about mitigating global health disparities and improving the quality of care of people living with HIV.

Did you attend a Caribbean Medical school and you are interested in matching into a residency in Family Medicine in the US? Keep listening to find out how US-IMG Dr. Jessica Udeogu navigated this process and came out successful despite the COVID-19 pandemic! Dr. Jessica Udeogu was born in Texas, but went to St. James School of Medicine in the Caribbean Island of St. Vincent. Though she had always wanted to be a physician, due to life's constraints she first worked for ten years in the medical field before graduating with her medical degree in January of 2021, with her residency beginning this summer. Her story was truly one of bravery and overcoming various obstacles in the path toward her dream. One of these challenges was indeedCOVID-19 which caused her to have to participate in the first-ever virtual residency interview process. In light of this, here are a few points that IMGs can note and learn from Dr. Jessica's journey: Routine is key: Dr. Jessica noted the importance of having a schedule and sticking to it when preparing for exams such as the USMLE which led to her scoring 236 and 235 on her step 1 and 2 exams respectively, all while managing a full time job and pursuing a master's degree. Understand the importance of ECFMG certification: It's important to keep in the loop with the ECFMG organization so that you're not caught off-guard by anything. During her interview process, she was constantly asked about her ECFMG certification status. She was able to stay on top of things by being organized and prompt in her preparation. Stratify your applications according to relevant criteria: She was able to meticulously select the 95 programs that she would apply to based on her passions and eventually landed six interviews, all at institutions she had ranked. Optimize your virtual interviews: Dr. Jessica maximized her resources and ensured that her internet connection was reliable, that her lighting and background were optimal and paid attention to the requirements of each of the interviewing programs. But how was Dr. Jessica able to surpass various difficulties, financial and otherwise, to land her residency position? She states that it's because she lives by the following mantras: Have a growth mindset - be open and receptive to the positive things that this world has to offer. Slow and steady wins the race - your journey is yours and takes place within your specific timeline. Never compare yourself to others! You can contact Dr. Jessica via her Facebook @Jessica Udeogu and her Twitter @jessudeogu Watch the full episode using the links below: Apple: https://podcasts.apple.com/us/podcast/the-img-roadmap/id1490731292 Spotify: https://open.spotify.com/show/45NNJ7ewtqynqyssbwm1xz Google Podcasts:https://podcasts.google.com/?feed=aHR0cHM6Ly9hbmNob3IuZm0vcy9mOGMzY2EwL3BvZGNhc3QvcnNz Overcast: https://overcast.fm/itunes1490731292/the-img-roadmap-podcast RadioPublic: https://radiopublic.com/the-img-roadmap-GE0MMg --- Support this podcast: https://anchor.fm/ninalum/support

A discussion with NRMP's Dr. Donna Lamb and ECFMG's Dr. William Pinsky about this year's residency Match and what went well, what we learned and how it was influenced by the pandemic. Visit FREIDA to start your residency research at freida.ama-assn.org

Are you interested in taking your IMG journey to the next level? The IMG Roadmap Course is back again to help you reach your full potential! In this episode, you will learn the details about the upcoming IMG Roadmap Course hosted by Dr. Lum. It is carded to begin on April 5th 2021 and seats are getting filled already! To get answers to your frequently asked questions, read this article here: https://www.drninalum.com/faq and you can also sign up for one of the upcoming webinars where you will learn more about the course before enrolling. Dr. Lum will be there to answer any questions you may have about the course and offer guidance as to how you can join. You can sign up for the FREE webinar by clicking here. For an idea of what's to come, you can also CLICK HERE to read and watch the webinar on "What to do if you did not match as an IMG" Now to talk about the most pressing issue at hand; the residency match results according to the ECFMG: 132 more IMGs matched this year when compared to last year! This is a freaking big deal, though the percentage looks lower, its just because the denominator (i.e. number of available spots) is higher. You get it? The fact that there are more spots available only serves to give us hope that even more IMGs will match in years to come. Some more granular data from ECFMG : 928 + first year positions were available this cycle compared to the last one (2020). That means over 900 opportunities to achieve your dreams as an IMG! 56.7% IMGs matched this year compared to 61.1% last year! Though this percentage may seem smaller, it actually represents the fact that 132 more IMGs in total matched, compared to the increase in the number of available spots. Here is some more information specific to the demographics of all applicants: 3,152 US citizen IMGS matched out of 5,295 participants. 4,356 non US citizen IMGs matched out of 7,493! 2,143 US citizen IMGs did not match & 3,587 non US IMGs did not match! Aren't these statistics inspiring? Now is a greater time than ever to take the leap as an IMG to go for the residency position of your dreams. IMGs are rightfully taking up space in all areas of medicine in the US from Family Medicine to Orthopedic Surgery among so many other specialties. Stay tuned and secure your spot in the IMG Roadmap Course as soon as possible! Listen to the full episode at the links below: Apple: https://podcasts.apple.com/us/podcast/the-img-roadmap/id1490731292 Spotify: https://open.spotify.com/show/45NNJ7ewtqynqyssbwm1xz Google Podcasts: https://podcasts.google.com/?feed=aHR0cHM6Ly9hbmNob3IuZm0vcy9mOGMzY2EwL3BvZGNhc3QvcnNz Overcast: https://overcast.fm/itunes1490731292/the-img-roadmap-podcast RadioPublic: https://radiopublic.com/the-img-roadmap-GE0MMg --- Support this podcast: https://anchor.fm/ninalum/support

Intro 1:40 Reviewing the timeline for Match Week 2021 2:42 Changes to SOAP rounds & ECFMG pathways for this year 3:23 What to do and expect from Match Week, starting Friday, March 12th, 2021 4:15 What to do if you did NOT match, plus the SOAP offer round breakdown 11:41 Friday of Match Week Answering Your Questions: 13:29 Can I enter the SOAP if I did not enter the main Match or if I didn't get any interviews in the main Match? 14:35 How do you optimize your chances to match in the SOAP? 15:51 Can you make changes to your application when you reapply for SOAP? 18:38 If I have to enter the SOAP, how hard is it to apply to a different specialty? 19:35 What does partially matched mean? 22:15 Should you apply to programs in the SOAP that you already applied to in the main Match? 24:13 Can you clarify what it means that we can apply to 45 programs? When do we apply to the rounds? Plus a reminder about a SOAP violation. 26:38 What recommendations do you have for finding open positions post-SOAP? What are my options if I don't match in the main Match or the SOAP? 29:28 Are you still in the SOAP if you accept an offer? 29:52 Can you clarify where I can find the list of programs that have open spots? 32:17 Can we change our application after Monday at 3p ET?  32:40 Can you submit if you don't have USMLE transcripts, etc? Can you do a separate personal statement for each program?

This episode discusses the six pathways for ECFMG certification for IMGs following the cancelation of the Step 2 CS exam.

In this week's episode, The Layman's Doctor speaks with Dr. Tariq Parker, a Jamaican Rhode Scholar, who shares his medical journey with us. We speak about various paths to assimilate into the UK medical system, touching on the MRCS and PLAB examinations. Dr. Parker gives helpful tips on how to maximise on time while transitioning into the UK. He shares with us how he prepared for USMLE and the various resources he used and gives tips and tricks he has learnt to put forward an excellent application for matching. In this series "The Medical Doctor's Journey: Non- Traditional Pathways", The Layman's Doctor speaks with medical doctors about their careers and journey's so that more and more Caribbean doctors are aware of the different pathways they can take and the options that are out there for medical doctors. Resources mentioned:First Aid USMLE Step 1 available on amazonKaplan Q Bank hereLink to ECFMG.NBME hereUSMLE websiteUWorld Qbank linkCatch up with Dr. Tariq ParkerInstagramTwitterFacebook Keep up with The Layman's Doctorwww.thelaymansdoctor.comwww.instagram.com/thelaymansdrwww.twitter.com/thelaymansdrthelaymansdoctor@gmail.comDon't forget to rate, review and subscribe!

https://www.youtube.com/watch?v=B64UEcqI148&feature=youtu.be En este video estaremos mostrando un paso a paso y cuanto es el tiempo estimado de cada proceso para hacer la solicitud en ECFMG para la certificación. Del mismo modo estaremos explicando el uso de NotaryCam, la nueva plataforma por la cual un notario certifica nuestra identidad. Esta es la primera parte del proceso, en lo adelante estaremos anexando los próximos pasos hasta llegar a la compra del STEP 1. Recuerden suscribirse y activar la campanita para que les avise de las proximas publicaciones, tambien recuerden seguirnos en nuestras plataformas digitales porque tendremos muchos invitados. Somos dos IMG apasionadas en ayudar a las personas que desean ejercer su especialidad médica en Estados Unidos. Para mas información seguirnos en youtube e Instagram @imgroadtousmle o contactarnos a imgroadtousmle@gmail.com

In response to the suspension of the USMLE Step 2 CS exam due to COVID, the ECFMG has identified new pathways for ECFMG accreditation for international medical graduates (IMGs) who have not yet taken and passed the CS exam. Join Drs. Rajani Katta and Samir Desai as they discuss the five new pathways for certification and what steps you should take next.

USMLE step 2 CS has been suspended for 12-18 months. This means anyone who was scheduled to take it this year is no longer able to do so! But this isn't news to you because if you have been alive in 2020, CHANGE is the new CONSTANT in all our lives. Life has never been more uncertain as it is now with this pandemic. When dealing with test taking anxiety, uncertainty is the last thing anyone needs to perfect their medical success story in America. So, if there is any way to alleviate some of the questions you have, I am here to do that. After combing through the ECFMG and USMLE websites, here is what I can say about the changes with USMLE step 2 CS which we DID NOT see coming! In this episode I share: - My perspective on how I think USMLE step 2 CS being postponed will affect IMGs. Also, if you are interested in getting on the waitlist for my next LIVE IMG Roadmap Course, then click HERE RIGHT NOW AND JOIN THE WAITLIST! Listen for more and if you are not yet subscribed to the blog, do so at www.drninalum.com and follow me on instagram @drninalum. --- Support this podcast: https://anchor.fm/ninalum/support

In 2010, the Educational Commission for Foreign Medical Graduates (ECFMG) announced a new policy. Starting in 2023, all international medical graduates seeking ECFMG certification to complete graduate medical education training in the US must have graduated from a medical school accredited by an agency that has been formally recognized by the World Federation for Medical Education. Discussing this new policy and its workforce and other implications for physicians in the US and abroad are Sean Tackett (Twitter: @stacket1) and Dale Dauphinee and Academic Medicine editor-in-chief David Sklar and senior staff editor Toni Gallo (Twitter: @AcadMedJournal). Read more about this topic, including the articles discussed in this episode, at: journals.lww.com/academicmedicine…ges/default.aspx.

When you go to an international med school, including the Caribbean, there are many steps you must take to practice in the US, including going through ECFMG. Links: Full Episode Blog Post MedEd Media Network ECFMG Accreditation 2023 Initiative World Directory of Medical Schools ECFMG medical school selection guide USMLE website ECFMG requirements NRMP match data

Questions on today’s podcast come to us from Dr. Sagar Shah via twitter - you can follow him @thisissagarshah In a short exchange he asked questions a lot of our IMG clients ask, and I thought the answers would be valuable to a wider audience, so I’ll answer them here. There is a lot of good information available online from different sources like the ECFMG, ERAS, etc.  so I won’t regurgitate a lot of that stuff and will instead give more personal advice. Any US student who wants to get a bit of understanding may also gain some insight from today’s topics. As you may remember from earlier episodes, only about 50% of any given match year over the last 10 years has been US allopathic MDs, IMGs made up about 40% of the pool or may not know, IMGs currently make up about 25% of the physician workforce. Most of those in Internal medicine, psych, pedi - more primary specialties. Regionally, New Jersey, New York, Florida, and Illinois had the highest concentration of IMGs when last polled in 2009 - could have shifted a bit since. The country supplying the most IMGs is India, the Caribbean schools collectively make up a huge chunk - Dominica, Grenada, Netherlands Antilles, then Pakistan, China, Philippines, Mexico - overall 127 different countries granting ECFMG certificates in this 2009 paper. So, a bit of perspective - as a US student you will absolutely work with an FMG in the near future, and as an FMG, you will not be alone when you match into a US residency program. Let's get into the questions: Dr. Shah asks: Can you give a good strategy for IMGs? This is a very loaded question with about 50 questions encapsulated into this one - so I think I know what you are asking and I’ll try and outline a “good strategy” for any IMG.  When we work with clients, each individual candidate is unique - geography, speciality, graduation year, family concerns, US experience, visa status, etc - so it is hard to point a whole group of people in one direction with advice, but there are some highlights: Do as well as you possibly can on the USMLE. I can not emphasize this enough.  Some foreign schools already have credibility in certain states or in certain programs so that PDs and state licensing boards are familiar with the caliber of graduates that come out of them. Lots don’t - so doing well on a standardized test makes you look good comparing apples to apples. Be prepared to do whatever it takes - multiple review courses, thousands of dollars, multiple months off for individual study.  SImply put, the higher your score, the better your chances. Know your priorities - as an FMG, getting a US residency spot is already a hard process, for you and your family, and it is a hard choice both personally and professionally when deciding what you are going to prioritize. Ultimately you may find yourself needing to choose between practicing any type of medicine in the US vs practicing a specific specialty anywhere on earth. You will often see IM or FM residents in US programs who were Orthopedic Surgeons or Ophthalmologists in their home countries, but they choose to change specialty to practice medicine in the US. On the flip side you see US citizens who go out of the country for medical education, fall in love with Dermatology or Otolaryngology to the point that they remain in their training country to practice that passion instead of trying to get into the hyper competitive US options. Think about these options when deciding what would benefit you and your loved ones the most.   Be flexible - the saying “beggars can't be choosers” absolutely applies here - apply to a huge number of programs, and absolutely apply to multiple specialties. Consider multiple geographic regions.  If finances are a strain, you can focus your efforts, but the reality is that extra 12/16/26 dollar fee to tack on one more program is a drop in a bucket and can get your foot in the door to a six figure salary for the rest of your career - now is not the time to pinch pennies. Be realistic - short term - knowing where to apply and how to go about it, and long term as well. Some IMGs end up compromise too much and get stuck in patterns of multiple prelim years, malignant programs, grad school, and other endeavors to try and become more competitive for the match and can paradoxically become less competitive, and really mount up debt. Some test prep courses can be these endless loops of multiple time test takers, who can ace qbanks but not get residencies - end up a tutors, advisors, lab assistants, phlebotomists, foreign MDs are definately not guaranteed anything in the US. Know how competitive you are and focus your efforts accordingly. Use your connections - anyone you know - and I mean anyone, previous alumni, any friends or relatives, anyone you rotated with on AI or observership. Play to your strengths - whenever the opportunity arises - PS, LORs, interview, make sure you let them know you speak multiple languages, talk about your hands-on experience, paint a picture of IMGs as a group that is hungrier, harder working, more resilient, more flexible - willing and able to move countries to train.  As any US students listening may not realize that different countries have regulatory bodies and medical training outside of the US can be drastically different - US students have curriculum that can be evidence based, problem based, well researched, validated tools, etc. learn from an online module, and get excited when an attending lets them throw a few simple interrupted sutures during closing - when students in Mexico for example don’t have the luxury of having a note taking service, or even professors who know what is covered on Step 1, but they were first assist in transplant cases with a resident in charge  - no fellow, resident, other students fighting for the case. Be optimistic - don’t believe everything you read on SDN or valueMD or other forums. Plenty of IMGs have jobs. In fact, IMGs make up about 25% of the current physician workforce.  This is a subject that hits close to home as personally, I am an IMG, and it is the reason I wrote my book and the reason I started this business was to help IMGs - I think they are a vital portion of the medical workforce and bring elements to US medicine that will continue to drive it forward. “Millennial” generation with note taking services, angry when a professor didn’t tell them what question was going to be on a test, upset over anything less than perfect on an evaluation form - nauseating and not indicative of patient care. IMGs traditionally flying blind, fighting tooth and nail for any position available often taking USMLE on their own, with bootleg study review materials, fighting for any leg up, fighting to find material relevant to the USMLE vs deciding between 4-5 books to see which is best. A handful of common US student complaints are about not getting enough away rotations, or the lack of financial support or housing, or getting an evaluation from a resident that an attending signs, or even an attending you didn’t really spend time with. Meanwhile IMGs may have clinical rotations in 7 different cities with a loose word-of mouth network of where to live, and shared subway cards, IM in Chicago, then OB in NYC, Psych in LA - and they are grateful for a LRO in English from ANYONE, much less the person who will give them the best letter.  Long list of intangibles that IMGs deal with often that departments may or may not know - you have been through a lot, you will get through this too. Dr. Shah asks: What is more important for IMGs - research work, or electives and observerships? Clinical, clinical, clinical. Research is important, but to frankly answer this question, I have to emphasize clinical patient care. You are looking to get into a program to take care of patients, so show them you can take care of patients - the more involved the better. Get an LOR out of the experience, and if possible get it at a hospital you want to train at. Dr. Shah asks: What are the common mistakes made by IMGs when applying to residency programs? Prior to applying - Not doing your homework - not using connections, not looking at the specifics of visa paperwork, how to get one, which ones you need, if a program will sponsor it. State specific in some cases, program specific. Commonly overestimate their value - look at your scores, look at your application, you will not get ortho - there is a difference in being optimistic and being delusional - miracles may happen elsewhere, but don’t bank on it in the Match. Commonly underestimate their value - in the current landscape, there are still not enough US grads to fill all of the available spots - your life, happiness and career are not worth too much compromise. Bad program, on probation, abusing residents, poor education, poor employment opportunities - that will be a bigger stain on your record than your foreign school - at the next level you are always judged by the most recent level - you are no longer a *** grad, you are a *** resident. Common mistakes during the interview I have seen - focusing too much on justifying academic performance - many foreign schools work on strictly objective, merit-based rewards - highest score gets the highest spot. I encourage all of our IMG clients to remember the social component - telling families they lost a loved one, discussing cancer diagnoses, end of life care, navigating health system beliefs. Nuances of the english language lost in translation - miscarriage vs abortion, obesity vs fat, spanish culture.     Forgetting that this is a job to learn - when coaching US clients we usually work on US lifelong student changing a mindset from student to employee - need to work on projecting leadership / confidence / reliability / autonomy that go with patient care, and dampen the submissive, passive traits. IMGs I see a lot of the opposite - well established physicians that may carry respect / klout to a degree that need to change mindset to a more traditional learner. Programs don’t want to but heads with someone for multiple years who is coming in and telling them how to do things or how they used to do things back home - you are there to learn from these people, learning pt care, learning communication, learning procedures - even if you have performed 200 knee replacements back home, you are interviewing to be an intern  next year - wound vac changes, bowel disimpaction, perhaps someone half your age being your superior, etc - show THAT aspect of your personality. For our last question today, Dr. Shah asks: Looking at the current scenario can an IMG with a green card get into Radiology residency? Yes - do your homework, be flexible, be realistic, know yourself - all of the above apply. Know that they are not going to hand it to you, and you are going to have to work for it, but be optimistic. FIrst I would make sure I was a competitive applicant - are my scores well above average? Would my application as a US student be competitive? Look at “Charting outcomes in the Match” - diagnostic radiology - step 1 235, step 2 240 - Data shows while most applicants matched at 240 and above, 14 of these “independent applicants” matched with 200 or less. If you were a client, I would polish your application - make sure your strengths come across as strengths, and any red / yellow flags are addressed. CV polished, appropriate experiences highlighted, perfect multiple PS, LORs appropriately uploaded. Etc. Create a spreadsheet, look at every website to determine if they are “IMG friendly”, or call them all - or even outsource that.  When I was applying freelancing was taking off, I hired a virtual assistant call every program coordinator I was interested in and ask bluntly about cutoffs and multiple attempts, IMGs - whatever your specific situation. If you were my client, that is something we can arrange for you. Once you have your list, polish your application - would tweaks in your PS add to your application? - geography specific or school specific - are you familiar with a professor’s works, research,etc. Mention these specifics so they stand out once you clear the initial hurdles. Then, apply to every single one you can afford. That would then generate a handful of interview invitations, I would walk you through how to communicate with programs, how to best schedule, and we would practice radiology-specific mock interviews with explicit feedback on body language, diction and word choice, confidence, how to tell your story given different interviewer styles or different question types to make sure you are your best self to these handful of people in a handful of hours. We would help you create your rank list, and sit back and wait patiently. There are some other pre and post communication nuances we could coach you through if they arise. As a backup plan, take that same list of programs, and apply across the board to preliminary medicine (or surgery) programs with radiology departments you want to train at - if you don’t match in radiology, you will at least have a US residency spot as a foothold. I would show you how to structure your rank list to set you up to rank at any radiology program first, then fall to your top choice IM program. During that year, spend every free moment with the radiologists and let them know your interest. Radiology reading rooms - trauma call in the ED - hang out with the residents, and talk with faculty if available - let them know your interest bluntly and that you will be applying next year. To a US residency program, a year spent in US clinical medicine is better than 5 years at the best hospital in any other country, research, perfect step scores, etc. You would now be Dr. Shah, intern at *** IM program. Keep up with radiology CME websites / trending news - be able to discuss specifics of scans - really impress these people.  They will be doing the interviews, can pass the word up the ladder, and the more senior resident will be the chief residents. In addition, there are rare opportunities to jump into available spots mid-year - so we would be looking for any available spot that opens mid-year - funding is attached to resident slots, so if people leave secondary to illness or family crisis, or disciplinary action,etc. , there are opportunities to move laterally into programs. Not foolproof, and no guarantees, but a solid plan to set you up to be that approximately 30% of the entering PGY 2 class that comes from outside of US allopathic seniors.

I want to break format today and talk exclusively about the personal statement this episode. I know a lot of you already have one, or have at least a draft of one, but with enough time between now and September 15th (and even after that) I will help you make it better.   I think there is a sort of comfort level and confidence that med students approach the PS with and that is fair - because all of your previous personal statements up until now worked. Lots of positive reinforcement - positive thing - however those were personal statements for you to convince people you are good at reading, studying, and taking tests. Residency is a job. Literally the first “real” job you will have as a physician. This is a personal statement to convince programs you deserve a job.  Lean away from telling them you have objective skills, and towards subjective skills. Demonstrate professionalism, communication skills, teamwork, goal setting, and understand the challenges and demands of the road ahead, and still want to make a living at it. Almost breeds an inherent difficulty as the typical med student had curriculum focused on math and science, or at least prioritize them over language and arts, now asked to produce a written piece that we are not necessarily that comfortable with. To add to the discomfort this a rare moment that you are both the salesperson and the product. NRMP data from the 2014 program director’s survey ranks it as the fifth factor used when deciding who to extend interview invitations to (Step 1, LORs in the speciality, MSE (Deans letter), step 2 CK, then personal statement) and about halfway down when deciding who to rank - so it is up there to get your foot in the door. I would consider it one of the only subjective methods to tell your story before the interview - CVs and transcripts, USMLE scores all fit into boxes well, LORs and dean’s letter are what others say about you - PS is the only chance you have to tell you story - talk about yourself.   More important to a program that does not know you - no rotations, no sub-Is, no away rotations - how are they going to get to know you and your work ethic?   Opportunity to briefly explain any gaps in your record - if done carefully and cast in a positive light   Proficiency in english language - for IMGs from unknown schools   Behavior patterns: Writing styles that can identify positive or negative behavior traits - I,I,I,I - narcissism, whereas too much self-depreciation or responsibility sloughing may shine through   If you haven’t looked at MyERAS yet - there is no specific prompt - extremely open ended - what should you write about?   Personal statements need to be:   Written by you   A study performed by the Brigham and Women's Hospital In Boston, Massachusetts published in MedScape article ''Level of Plagiarism in Residency Application Essays Worrisome'' revealed that 13.7% of Personal Statements submitted by IMGs to IM, Anesthesiology, and Surgery programs at the hospital were plagiarized.   Plagerism http://www.ncbi.nlm.nih.gov/pubmed/26462161 - plagerism scanning software in anesthesiology applications 4% of US grads, 13% of IMGS 8 words or more of unoriginal content - as much as 58% percent of the statemetn unoriginal.   Polished of all spelling errors - spell check, multiple edits, multiple proofreaders.   Friends and family are ok, but they already like you - i recommend involving a third party for an unbiased approach   Reddit / SDN “PS swaps” are a decent choice - although the opinion of other 4th years is not necessarily the best   Does benefit you to get it read by someone who has done it before - even last year’s MS4s / current interns.   Read it out loud - clear / concise wording   Polished of all grammatical errors   I love Grammarly /   Consider using a professional service / scribindi / fivver / odesk / Match Gurus   Formatted appropriately for MyERAS - one page, 600-700 words - ASCI formatting - so no bolds, italics, or underlining shows up - no emojis - you need to make your points pop with actual english words.   The MyERAS application can be viewed as a PDF version of the information entered in MyERAS by selecting View/Print MyERAS Application located on the Application section on the Dashboard and top-right area of every page under the Application section. This allows you to see how the contents of the MyERAS application will be displayed to programs. Steps to take: Start now - sometimes attendings ask for PS and CV for writing your LORs   Brainstorm - entertaining stories, even and maybe especially even inappropriate ones - what elements of your personality can you draw out of those moments?   Structure - opening, closing, know what you want to say and how you want to say it   Aim for a balance of past, present, and future in the speciality   Familiarize yourself with the ERAS requirements - length and formatting   Don’t be afraid to start over - if you hit on something that really resonates with you - start again   Answer the obvious questions - why this speciality, why do you think you will excel? http://www.ncbi.nlm.nih.gov/pubmed/25342950 - 2012 resident class of UC Davis Derm residents matched vs unmatched - surprisingly those that specifically why they liked derm were higher in the matched, much higher trait were those who mentioned their desire to contribute to the medical literature.   Know your audience - all interviewers, not just PD, will look at to ask questions.   Know that if you are applying to different specialties, can use different statements, you can upload specific versions to specific programs if they have specifics in geography and school name - just make sure to send the correct one.   Things to avoid: Lies / exaggeration   Plagiarism   Dashes / slashes, short abbreviations   “I knew i wanted to be a doctor when”   The opening impact statement / the opening quote “webster's defines” - overdone, may come back like fashion waves. I am personally guilty of this in a previous personal statement   Anything too outrageous - no ZDogg raps here - works well for him now, but don’t forget that he is still an internist from Stanford. I would actually love to have him on the show and find out his advice - I’ll reach out to him.   Too long = too boring   Don't talk shop - avoid medical jargon - these people already know more than you   Do not restate your CV in narrative or prose form   Don't rehash your medical school PS - you are already “in medicine” this is a statement of why this specialty - why specifically pathology or why specifically dermatology   Dont talk about personal illness - boring and an illegal question if they ask it another way - may even add some unconscious bias - just avoid it   No mention of religion, politics, or any other controversial issue. NOt a soapbox   Pearls and resources: Knowing what I know now, if i were reapplying to family medicine, I would talk about my newfound passion for growing food, how I arrived at that passion through personal weight loss journey, then see health benefits in individual patients in published medical literature in Mediterranean diet, anti-inflammatory diet on cardiovascular risk, community health as far as community gardens, how these real live social networks help educate and promote health, simple upstream interventions that benefit pubic health. That can demonstrate an understanding of preventative health, community outreach, knowledge of health literature, goal setting and achievement, it is relevant to the specialty, personal reflection, long term involvement.   Medfools   AMA has good resources   UNC   ECFMG   MCW sample personal statements   Really knock it out of the park, talks about various sentence structure, diction and word choice, crisp and elegant writing, “The Elements of Style” by Strunk

International Medical Graduates In our ongoing series with Medical Association of Georgia, we discussed International Medical Graduates on this episode. Today, we continue to extend the age to which we humans live. This, coupled with the large post-war baby boomer population that is now entering the elderly population, compounds the effects of the period […] The post International Medical Graduates – Top Docs Radio appeared first on Business RadioX ®.