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IMG Pathways to the USA/Canada via New Zealand

We had the privilege of interviewing Dr. Prakash Vishnu, an exceptionally accomplished International Medical Graduate (IMG) with extensive experience in the United States. Dr. Vishnu is a highly respected hematologist, and we are fortunate to have him here with us today on IMG Secrets. He generously shared his remarkable journey, which took him from India to New Zealand and eventually to the USA. In this article, Dr. Vishnu provides invaluable insights into how you can replicate his path, starting from your home country and making your way to New Zealand. He provides insights into the various pathways available in New Zealand, and if your ultimate goal is to move to the USA or Canada, you’ll find comprehensive answers to guide you on this remarkable journey. Home Country to New Zealand Dr. Iyer: Could you please share your journey of relocating from India to New Zealand and provide insights for other international medical graduates (IMGs) on how they can replicate your path? Dr. Vishnu: We relocated to New Zealand almost two decades ago. Both New Zealand and Australia are part of the Commonwealth Consortium of health systems, which closely resemble the healthcare systems of the UK and Canada. They adhere to various medical colleges, such as the FRACP (Fellowship of the Royal Australasian College of Physicians), surgeons, anesthetists, and others. If you obtain certification from any of these Commonwealth Health Consortium colleges, you can practice medicine in New Zealand. Let’s discuss two aspects here: one, for individuals who wish to move to New Zealand, reside there, and practice medicine, and the other, for those who intend to use New Zealand as a stepping stone to the United States. Dr. Iyer: That sounds great. Dr. Vishnu: Indeed, we chose the latter path. We moved to New Zealand, where I pursued my master’s program at the University of Auckland. While I was studying for my master’s, I also took the USMLE exams, and the research I conducted during my master’s program proved beneficial in facilitating our subsequent move to the United States. Pathways from Home Country to New Zealand Dr. Iyer: Alright: Could you please explain the pathway you opted for when transitioning from India to New Zealand? Dr. Vishnu: I initially entered New Zealand as a student by enrolling in a graduate program, which is a step I highly recommend to any medical graduates from India. This approach provides an opportunity to immerse oneself in the healthcare system, gain a deep understanding of its functioning, establish valuable connections, and network with medical institutions affiliated with the university. Additionally, engaging in research during this time can significantly enhance your application for further postgraduate training programs or employment in the country. My experience with the Master’s program in molecular medicine at the University of Auckland was exceptionally beneficial. While pursuing my master’s degree, I had the privilege to work as a research associate in a laboratory dedicated to studying the genetics of Crohn’s Disease. This opportunity allowed me to actively participate in a genetics gastroenterology clinic, providing me with valuable exposure to the clinical aspects of medicine in New Zealand. Subsequently, after successfully completing all the USMLE steps—Step 1, Step 2, and Step 3—I was able to make the transition to the United States. What visa is required for New Zealand? Dr. Iyer: Before getting into the discussion about your move to the United States, could you please share the type of visa you used to relocate to New Zealand and discuss any significant implications or considerations associated with it? Dr. Vishnu: Visa policies are subject to change, and when my wife and I made our move, we were fortunate to obtain permanent residency status in New Zealand, which is akin to the Green Card in the United States. At that time, New Zealand operated on a point-based system, allowing us to apply directly from India. This presented us with the opportunity to relocate to New Zealand. I believe this system still exists today, offering individuals the chance to move to New Zealand based on their combined qualifications and corresponding point score. Another option is entering New Zealand as a student, particularly at prestigious universities such as these University of Auckland, The University of Otago in Dunedin, and The University of Wellington. Among these, two medical schools stand out: The University of Auckland and The University of Otago. Both institutions offer exceptional medical and paramedical programs, including Health Informatics, Molecular Medicine, Nutrition, Genetics, Sports Medicine, and Occupational Medicine. These courses provide a solid foundation for transitioning back into clinical medicine. It’s worth noting that New Zealand’s permanent residency system resembles Canada’s, as both countries employ point-based systems. So, for international medical graduates (IMGs) interested in New Zealand, you now have insight into the pathway to securing permanent residency. What happens after Master’s in New Zealand? Dr. Iyer: After completing your Master’s degree in New Zealand, did you pursue a residency program in New Zealand, or did you take a different path?” Dr. Vishnu: After completing my Master’s in New Zealand, I did not pursue residency training in the country. Instead, I focused on preparing for and successfully completing USMLE Step 1, Step 2, and Step 3, with the ultimate goal of securing a residency position in the United States. However, if I had chosen to continue my medical journey in New Zealand, there are established pathways available. One such route is the vocational training course, with an emphasis on primary care, much like in the United States. General Practitioners make up a significant portion of the medical workforce, and there are also opportunities for subspecialty training through the vocational subspecialty training pathway. This pathway typically involves progressing from a junior house officer to a senior house officer and eventually a registrar. Depending on the available positions and your training progress, you can ultimately attain the status of a consultant or specialist. If you intend to pursue further postgraduate training in New Zealand, the system closely resembles that of the United Kingdom. You start

How Do IMGs Enhance Their CV While Awaiting a Match? A Survey

I approached accomplished and highly experienced international medical graduates (IMGs) who have established their careers in the United States and Canada with a pertinent inquiry: How do unmatched IMGs enhance their CV while awaiting a match? To ensure a comprehensive perspective, I sought the counsel of these seasoned professionals currently practicing in the US and Canada. Employing a systematic approach, I devised a survey comprising eight distinct options: Exploring Research Roles: Involvement in research-oriented positions. Navigating Medical Coding & Billing: Engaging in medical coding and billing tasks. Venturing into Industry Sectors: Pursuing opportunities within the pharmaceutical industry. Assuming Medical Scribe Roles: Assisting physicians with administrative tasks and documentation. Contributing to Clinical Settings: Participating in non-physician roles within clinics or hospitals. Embarking on Medical Writing: Crafting medical-related content and documentation. Undertaking Non-Skilled Employment: Seeking employment in sectors such as retail, gas stations, or factories. Exploring Other Avenues: Remaining open to alternative avenues beyond the predefined options. Through these distinct options, I aimed to encapsulate a wide array of potential paths for unmatched IMGs, all of which were gleaned from the firsthand experiences and knowledge shared by these accomplished IMGs. Let’s check what I found: Click here to book an appointment Experienced IMGs Say This (Survey Results) 1. Research Jobs The insights provided by these seasoned professionals uniformly revealed that a common route observed among unmatched IMGs is their engagement in research-oriented roles. This encompasses positions such as research fellows, research coordinators, and research associates. In certain instances, these individuals might be under a J1 visa arrangement, receiving compensation for their contributions. Alternatively, for unmatched IMGs, a promising avenue entails initiating voluntary involvement in research endeavors, eventually transitioning into a remunerated role when circumstances permit. Understanding this trend proves invaluable, particularly for unmatched IMGs seeking a strategic direction. Opting for the path of least resistance and aligning with established trajectories emerges as an optimal approach based on this collective wisdom. 2. Non-Physician Roles The second prevalent avenue pursued by unmatched IMGs is engagement in non-physician roles within clinics. This option holds immense promise. For IMGs who have yet to secure a match, the approach involves proactively approaching local clinics, and offering assistance with various administrative tasks. This entails responsibilities such as organizing files, managing phone inquiries, and coordinating patient appointments. While these tasks might not initially demand specialized skills, the strategic advantage lies in the establishment of professional connections and collaborations with U.S. or Canadian consultants. The potential benefits extend beyond the role itself: it opens the door for obtaining valuable letters of recommendation from board-certified or Royal College-certified consultants. Notably, this arrangement typically offers compensation. Interestingly, this trajectory is particularly prevalent among international dental graduates, who often leverage their expertise by stepping into such roles upon completing their training programs in their home countries before venturing to the U.S. or Canada. Similarly, unmatched IMGs also find this avenue appealing and viable. 3. Medical Writing Insights gathered from 33 percent of seasoned experts underscored that medical writing stands as the third prevalent path undertaken by IMGs. In this realm, medical writing serves either educational or regulatory objectives. For IMGs, the focus predominantly veers towards educational content creation. This involves aiding in crafting diverse materials such as newsletter articles or potentially engaging in research-related endeavors where tasks encompass abstract and manuscript composition. This avenue holds dual possibilities—it might entail compensation, or it could be a voluntary undertaking. The overarching objective here is twofold: to bolster one’s CV and to foster connections within the U.S. medical landscape. This trajectory proves instrumental in attaining both these aspirations. 4. Industry Jobs The next pursuit adopted by IMGs revolves around striving to secure positions within the pharmaceutical industry. While this avenue might appear promising at first glance, I can personally attest to its challenges based on my own experiences. I’ve encountered instances where my efforts to assist individuals in accessing pharmaceutical roles encountered roadblocks, despite the presence of my own professional connections. This highlights the considerable difficulty in breaking into this sector, particularly for individuals who are recent graduates. It’s crucial to understand that gaining entry into the industry job market, especially for those who are fresh graduates, is an arduous task. While possessing board certification in the U.S. or Royal College certification in Canada can potentially alter the landscape, IMGs who are concurrently navigating the journey toward residency face distinct challenges. While success stories do exist within the IMG community, it’s essential to recognize that this accomplishment remains the achievement of a minority. How about non skilled jobs? Among the experiences I’ve personally encountered, I’ve come across instances involving two IMGs that offer important lessons. The first case involves an IMG who, due to a myriad of personal reasons, found themselves unable to secure a residency position in the U.S. As time passed, they became a more seasoned graduate and found themselves employed in a retail store. I am not saying any particular job is good or bad but rather i would expect as an IMG you move out of your home country to focus on a skilled job. Although these stories are fortunately rare, they do underscore the significance of making well-informed decisions, standing out amidst competition, and seizing every opportunity available. In this pursuit, I strongly recommend exploring www.imgsecrets.com, a platform where valuable insights can be gleaned. Furthermore, I invite you to schedule a personal appointment with me by clicking here, where we can delve into your unique journey as an IMG. During our one-on-one video call, I will attentively listen to your circumstances, review your CV, and provide tailored recommendations to guide your next steps. This ensures that your efforts are strategic and well-directed, minimizing the risk of investing considerable time and resources without achieving the desired outcomes. As an IMG, your ultimate aspiration is undoubtedly success. Often, achieving this requires thinking outside the conventional paradigms. For instance, I recently engaged with an IMG who, while pursuing matching into a Residency program, was also contemplating a venture into the business realm. I encouraged this individual

How Much Money Do Doctors Make in Canada During Fellowship?

The typical middle salary for clinical fellows in Canada sits at around $86,000. To be super accurate, it’s exactly $85,932. But, the pay playground stretches from about $58,000 to a max of $110,000. So theoretically, your pocket should be jingling with $7,166 each month. But, hold on tight, we’re not wrapping up just yet. There’s more to the story. Benefits are in the mix, and the taxman wants his share too. Stick around till the finale, so you can master these ideas and truly grasp what you’re diving into. Book an Appointment What does the salary of a fellow in Canada depend on? The amount you earn really hinges on the type of specialty you’re in and where you’re stationed. Trust me, I’ve seen it firsthand – your field of expertise can be a game-changer. And here’s the scoop: Canada rocks a government-funded healthcare system. That means the money comes straight from the bigwigs in Ottawa. Now, if the hospital or department’s rolling in the green, that translates to bigger paychecks for you, the fellows. This is how Canada shapes its salary structure. Alright, let’s switch lanes and talk about the perks. Oh, and by the way, if you’re curious about your potential paycheck based on your training and specialty, you can snag an appointment with me by clicking here and we’ll break it down for you. What benefits do Fellow Doctors get in Canada? Alright, let’s dive into the perks you’re in for as a clinical fellow, step by step. 1. Academic Expenses The very first thing that really matters is the extra bit fellows receive, known as professional expenses or academic funds. Think of it as a bonus on top of your regular pay. The amount can vary – could be anywhere between two to ten thousand dollars per year, all depending on your specialization and the money the department has to spare. Hold on, though – this won’t be handed over as part of your salary. Instead, it’s set aside for academic expenses. Let me break it down with a few examples: Say you grab a textbook or reading materials crucial for your fellowship. Or you jet off to a conference and even present a paper – all of this gets covered from that academic funds pot. Cool, right? Here’s a real-life tale: During my time as a clinical fellow in Toronto, Ontario, I put my professional funds to use for my USMLE exams. Yep, I basically aced those exams without spending a dime. And guess what? You can do the same. If you’re gearing up for MCCQE1 or any other tests, ask your department if they’re up for supporting you using these academic funds. You could even snag study materials like a USMLE World subscription or the Toronto notes you need to conquer your exams. 2. Health Insurance Canada, has a system where everyone who’s legally residing there – whether you’re a citizen, a permanent resident, or even on a work permit – gets health insurance. Let’s take the example of Ontario, a place I know like the back of my hand. They offer this card called OHIP, which stands for Ontario Health Insurance Plan. So, once you’ve landed in Canada as a clinical fellow and settled in, you can apply for this OHIP card. This card is like a ticket saying, “Hey, I’ve got my health insurance sorted!” And the cool part? If you’ve got your family with you – spouse, kids, the whole crew – they’re covered too. They’re part of the health insurance gang. Now, on paper, it might sound like you’re getting healthcare for free. But, hold on a sec – it’s not exactly free, because the money comes from your tax dollars. But let’s just say it’s like getting a free pass. Now, here’s the catch. While this so-called free health insurance sounds grand, it’s got its limits. It won’t foot the bill for prescription medications, for instance. 3. Prescription Medications So, this free health insurance isn’t like a magic wand. It doesn’t cover everything, like prescription meds. But here’s the cool part: the hospital might have a plan that helps with prescription meds. Say you need antibiotics – Well, those can cost a bunch in Canada. But if your hospital has this special benefit, you can use it to pay for those meds. When I was a clinical fellow in Toronto, I had this perk. It’s very helpful to have this benefit! 4. Dental Insurance Dental stuff in Canada can cost a lot. Dentists charge big money. So, having dental coverage is super smart. If something goes wonky with your teeth, fixing it might cost thousands of dollars. That’s why it’s a must to see if your hospital gives dental benefits. Lots of hospitals I’ve seen do offer this special dental insurance. It’s like a safety net for your teeth and your wallet. You can’t predict when you’ll need it, so it’s a good thing to have just in case. 5. Eye Care Oh, and guess what? Some hospitals throw in extra perks, like eye insurance. It’s pretty cool – you get a free eye check-up, and maybe even a prescription for glasses or contact lenses. They might let you do this once a year, or once every two years, depending on how they set up the plan. So, it’s like a little bonus for your eyes! So, here’s the deal – they bundle up all these extra goodies for us clinical fellows. Now, if you were an consultant or attending physician, you’d pay more to get these benefits. But, since you’re a clinical fellow and kind of like a short-term player in Canada until you become a permanent resident or a citizen, you’re in a different lane. You following? It’s all about the different systems and how they work. How much income tax will i pay as a clinical fellow in Canada? Now, let’s chat about the income tax, my dear IMGs. It’s like paying Uncle Sam his

Deciding My PG Training: Home Country or Canada?

As a medical student on the cusp of completing your training, a monumental question invariably arises: where should you pursue your postgraduate training or residency – in your familiar home country or amidst the uncharted territories of an overseas opportunity? In the following discourse, I will share my insights, informed by six pivotal factors, aimed at aiding you in this decision-making journey. Ultimately, I’ll also provide valuable guidance tailored to you International Medical Graduates (IMGs) to assist you in arriving at an informed and personally fitting choice. Book an Appointment 1. Long-Term Career Goal Absolutely, the most important thing to think about is what you want to do in the long run as a doctor. Let’s make this easier to understand. Just imagine your journey as a doctor: where do you want to work the most? If you want to focus on practicing medicine in your own country, then it makes sense to do your training there. On the other hand, if you’re thinking about working as a doctor in Canada, then you have options – you could do your training in Canada or even in the USA. But remember, this is a simple way to look at it. There are many other things to think about too. Choosing to train where you plan to work has some big benefits. You’ll get used to how things work there, and you’ll meet lots of important people during your training who can help you throughout your medical journey. I’m saying all of this based on my own experience over many years. https://videos.files.wordpress.com/VJfIyEvC/video-goal.mov 2. Family Connection The next big thing to consider, which is really important for many IMGs, is your family. Where does your family live? Are they in your home country, and you want to be near them, or do they live in a different country? Now, if you don’t get along with your family or don’t like them, that’s a different situation. But if you care about staying close to your family, then you should focus on those countries. Being near your family is so important, and many IMGs realize this. It’s not just IMGs; even other people who have moved from one country to another feel the same way. I talk to many people from different jobs who are immigrants, and they feel this too. After all, family is family, and parents are parents. https://videos.files.wordpress.com/ox3QjWfN/video-indian-family.mov 3. Financial Situation The third factor that often comes into play is money matters. For some IMGs who don’t have a lot of money, they might be thinking about moving to Canada or the USA because they believe they can earn a higher income there and have a better quality of life. They could face challenges paying for their exams, affording the travel to the U.S. or Canada, and dealing with other money-related issues. In such cases, it could be a good idea for these IMGs to think about doing their residency in their own country first. Then, once they’ve got their footing, they could consider moving to the USA or Canada for further specialized training, like a fellowship. 4. Training Opportunities Another important aspect to think about is the training options offered in your home country. Sometimes, there are places where the training opportunities are quite limited. In situations like these, IMGs might find it helpful to move to the USA or Canada for their residency where there are more structured programs available. They could even think about returning to their home country after their training to make a positive impact. This might involve starting new programs, engaging in research, or introducing innovative ideas to benefit their own community. There’s a whole range of possibilities for IMGs to explore. 5. Country in a Mess! The fifth consideration is if you’re living in a country facing tough times, like an economic crisis or a war that makes it really challenging for you to stay there. This situation has two perspectives. I don’t mean to suggest that you should immediately leave your home country when there’s a problem – often, your home country might need you more than ever. In such cases, IMGs can explore the option of completing their training abroad and then returning to their home country to make a positive impact. It’s all about finding a way to contribute meaningfully. 6. Dual Exposure Lastly, the sixth point I’d like to highlight is what I refer to as “dual exposure,” and this is something I hold in high regard. If you have the opportunity to pursue your postgraduate training or residency in a top-notch institution within your home country, I strongly suggest you consider that option. Even if it means that you might have to redo your residency when you later move to the USA or Canada, it’s a decision worth considering. While it might seem like you’re repeating three to five years of training, the substantial exposure you can gain from exceptional institutions in your home country can genuinely bolster your career journey. My Experience From India.. Let’s dive into a specific example from my own experience as an IMG from India. Imagine you have the opportunity to secure a residency spot at a prestigious institution like the All India Institute of Medical Sciences (AIIMS) in New Delhi or the Postgraduate Institute of Medical Education and Research (PGIMER) in Chandigarh, or Any other renowned medical centers in India. In this scenario, I would wholeheartedly encourage you to seize that opportunity. The clinical exposure and experience you’ll gain in such institutions are simply unparalleled. To put things into perspective, I underwent my anesthesia residency at PGIMER in Chandigarh, and I was truly impressed by the program’s structure, the caliber of the faculty, and the exceptional co-residents I had. As IMGs, we recognize that the quality of training can vary significantly across different locations – and this holds true not just in the U.S. and Canada but everywhere. Canada, for instance, has 17 universities, and some of these institutions might be situated in

Why Opt for a Work Visa Instead of Permanent Residency?

If you are an international medical graduate (IMG) doctor, let me share why obtaining a Canadian permanent residency (PR) from your home country might not be the best approach. Believe it or not, there are valid reasons to consider before taking this step, and I’m here to explore them with you. Drawing from my personal experience, I once resided in Canada and held a Canadian permanent residency. However, I discovered some crucial aspects that may alter your perspective on this matter. Let’s delve into these factors together. Click Here to Book an Appointment Having lived in Canada with a Canadian permanent residency, I must admit that this beautiful country offers diverse pathways for acquiring PR. Many IMGs I’ve come across secure their permanent residency from their home country, often through family-based immigration. Canada’s generosity in providing these opportunities is commendable, and it’s worth pondering upon. Imagine the excitement when you apply for Canadian permanent residency from your home country. Picture this: you have a fulfilling job or run a successful business as an IMG, and one day, a letter arrives from Canada, beaming with good news – congratulations, you’ve been granted permanent residency, and you’re invited to relocate to Canada as a proud permanent resident. This moment would undoubtedly evoke a mix of emotions and prospects for a better future. When You Move as a PR… Let me paint a vivid picture for you: you’ve taken the leap, quit your job, or closed your business, and with anticipation, you’ve packed your bags and embarked on the journey to Canada. The excitement is palpable as you land in this new and promising land. But now, reality sets in – you don’t have a job, you don’t have a business. Where do you go from here? This situation has been a major challenge faced by many IMGs. They find themselves in Canada without a job, and the struggle to secure suitable employment becomes daunting. Despite being skilled workers, they often end up taking non-skilled jobs just to meet their basic needs like housing, groceries, and sustenance. The financial burden of taking exams like the Medical Council of Canada exam adds to the pressure. Now, here’s the thought-provoking question: as an IMG who came to Canada as a skilled worker, shouldn’t you be able to continue working in your area of expertise? After all, that’s the very expectation that brought you to this country. So, while there’s no judgment on any job being better or worse, the ultimate aspiration is to utilize your skills and qualifications, contributing your expertise to the Canadian workforce. Isn’t that the core reason for your move to Canada, to pursue a fulfilling career as a skilled professional? When You Move on a Work Visa… Here’s a game-changing strategy that ensures a smoother path to Canadian Permanent Residency for IMGs. Instead of applying for PR from your home country, consider the following approach: Step 1: Move to Canada as a skilled worker. As an IMG, one effective way is to come to Canada as a fellow if you’re already a specialist. This opens up a world of opportunities. Step 2: The advantage of starting as a fellow is that it provides you with valuable Canadian experience. This experience becomes the key to unlocking an outstanding option – the pathway to PR in just six months under the Canadian Experience Class. This Express Processing is designed to facilitate the entry of skilled workers into Canada. Step 3: I speak from experience when I say that going through the Canadian Experience Class is remarkably straightforward. All you have to do is apply, and your chances of obtaining PR are significantly enhanced. Imagine the possibilities: you move to Canada as a skilled worker, you secure a job in your area of expertise, and on top of that, you receive the coveted Permanent Residency status. These are the secrets that many aren’t aware of, but they can make all the difference in your journey toward a successful and fulfilling career in Canada. So, seize the opportunity and make your dream of becoming a Canadian Permanent Resident a reality. Let me share some invaluable insights straight from the official Government of Canada website -canada.ca – regarding the Express Entry immigration system. This platform speaks volumes about why choosing Canada as your destination is an exceptional decision. Canada, undoubtedly a stunning country, boasts a thriving job market and a plethora of opportunities awaiting skilled immigrants like yourself. The lure of a high quality of life is undeniable here, and it extends not only to you but also to your cherished family members. So, why not embrace the path that leads to a high-quality life as they confidently assert on the website? Trust me, having experienced this beautiful country firsthand, the possibilities that Canada offers are truly remarkable. However it is extremely competitive and you can book an appointment to get guidance how to succeed with this competition. So, don’t hesitate to follow their guidance and embark on a journey towards a prosperous and fulfilling life in Canada. The possibilities are endless, and a brighter future awaits you and your loved ones. Have IMGs Who Have PR Matched Successfully? Absolutely, let’s delve into this concept further. Firstly, it’s crucial to emphasize that being a PR is indeed a mandatory requirement for matching into a Residency program in Canada as an IMG. Surprisingly, there are cases where IMGs who moved to Canada as PRs didn’t secure a Residency program placement, despite possessing specializations and ample experience. Instead, some found themselves working in research-oriented roles, which are commendable jobs, but they don’t provide the pathway to becoming an established IMG doctor in Canada. To achieve that goal, IMGs must pursue traditional residency programs or explore the provincial-based or Royal College options. On the other hand, moving to Canada as a skilled worker on a Work Visa holds significant advantages. The Government of Canada itself assures a high quality of life for skilled immigrants, which aligns with their

IMGs: Apply Here to Become a US Consultant in 2 Years

If you’re an international medical graduate (IMG) who’s already completed residency or postgraduate training in your home country, I’ve got an exciting opportunity for you in the state of Tennessee, USA. Guess what? You can fast-track your way to becoming a fully licensed physician without having to go through the entire residency process again. Now, isn’t that absolutely amazing? In this article, we’re going to dive into the details and explore which hospitals you should be considering for this incredible opportunity. Let’s embark on this journey together! Tennessee, known for its vibrant cities and breathtaking landscapes, offers a range of options for IMGs like yourself. However, to maximize your chances of success, I recommend focusing on the following 14 hospitals, spread across nine cities. Keep in mind that, in my experience, larger cities tend to provide greater opportunities for IMGs within their hospitals. With this groundbreaking pathway opening up for international medical graduate doctors, it’s no surprise that there’s a surge of applications flooding in. If you’re seeking guidance on where to direct your energy and receive valuable assistance to ensure your success, I encourage you to explore a remarkable resource: www.IMGSecrets.com. 1. Nashville, Tennessee Let’s delve into the exciting details, shall we? First up, we have Nashville, the bustling heart of Tennessee and its largest city. Not only is Nashville a vibrant metropolis, but it also holds the esteemed title of being the state capital. With a population of over seven hundred thousand, this city offers a thriving environment for medical professionals like yourself. When it comes to hospitals in Nashville, you have three exceptional options to consider. Vanderbilt University Medical Center Meharry Medical College School of Medicine HCA Healthcare/TriStar Southern Hills Medical Center The well-known among them is the renowned Vanderbilt University Medical Center. I’m sure many of you are already familiar with this prestigious institution. In fact, it’s not just a significant player in Nashville’s medical landscape; it also happens to be the largest employer in the entire city! Therefore, it’s no surprise that Vanderbilt University Medical Center should be at the top of your application list. Speaking from personal experience, if I were in your shoes, my very first application would be aimed squarely at Vanderbilt University. Trust me, it’s a strategic move that can yield tremendous opportunities for your career. I hope this advice makes sense and resonates with you. If you’re looking for guidance on which hospital to focus your application on and increase your chances of success, I invite you to book an appointment with me for a personalized one-on-one session. During our video call, I’ll provide you with a tailored plan designed to enhance your chances of success. Book an Appointment Now, let’s talk about the captivating view you see in the background. That iconic tall building, often referred to as the Batman Building, dominates the Nashville skyline. It’s hard to miss with its distinctive appearance, resembling Batman himself. Remember, if you’re fortunate enough to secure an interview at one of these hospitals, bringing up noteworthy aspects of the city, such as the Batman Building, can add an interesting touch to your conversation. Of course, while discussing your training and expertise is crucial, don’t overlook the social aspects that hospitals in the USA or Canada may value. Now, it’s important to note that the opportunities I’m discussing apply to all specialties. Whether you’re a cardiologist, pediatrician, orthopedic surgeon, neurosurgeon, or any other specialized field, these hospitals cater to a wide range of medical disciplines. Their size and accreditation ensure that they offer comprehensive training programs, making them an ideal choice for IMGs like yourself. Remember, the road to success in your medical career lies ahead, and by considering these hospitals in Nashville, you’re taking a significant step toward realizing your goals. So, keep watching, stay focused, and absorb all the critical insights shared in this article. https://videos.files.wordpress.com/e9wR4BwD/video-batman-building.mov 2. Memphis, Tennessee Now, let’s direct our attention to the second-largest city in Tennessee—Memphis. This vibrant city offers a host of opportunities for international medical graduates, with four notable hospitals that you can focus your applications on. These hospitals include 1. Methodist Healthcare 2. Baptist Memorial Medical Education 3. University of Tennessee College of Medicine 4. Christ Community Health Services But let me share a delightful fact about Memphis that might pique your interest, especially if you’re a fan of mouthwatering barbecue food. This city is renowned for its delectable barbecue cuisine, earning it a well-deserved reputation among food lovers. In fact, Memphis proudly hosts the World Championship of Barbecue every year. So, not only will you have exciting professional prospects in Memphis, but you’ll also get to indulge in some exceptional barbecue delights. It’s truly a win-win situation! Furthermore, Memphis has a rich history and unique characteristics that can serve as interesting talking points during your interviews. For instance, in the early part of the 20th century, Memphis was a significant hub for the production of Ford cars. Additionally, the well-known tire company, Firestone, used to manufacture their tires in Memphis. Demonstrating your knowledge of these aspects can showcase your enthusiasm and understanding of the city’s cultural and industrial heritage. And let’s not forget one of Memphis’s most famous cultural icons—Elvis Presley. This legendary musician and entertainer hailed from Memphis, adding an extra touch of fame and musical heritage to the city’s legacy. Mentioning Elvis Presley during your interview can help forge a connection between your passion for medicine and your appreciation for the city’s cultural contributions. So, as you prepare for your interviews, remember to highlight these fascinating aspects of Memphis—its delectable barbecue, its historical significance in the automotive and manufacturing industries, and its association with the iconic Elvis Presley. Demonstrating your knowledge and appreciation for the city can leave a lasting impression on your interviewers. Click here to get help with applying to hospitals 3. Knoxville, Tennessee Now, let’s turn our attention to the captivating city of Knoxville, which holds a special place in the history of Tennessee. Did you know that

How Can IMGs Score 260+ on MCCQE1? A Study Strategy

Once you make the decision to take the MCCQE1 exam, it’s common to start searching for blogs, watching videos, or even seeing someone going through a question bank. MCCQE1 is mandatory to become a resident physician in Canada. But often, this leads to confusion, leaving you unsure of what to do next. That’s why I’m here to help! Instead of getting overwhelmed, I’ll guide you on how to study smart and focus on high-yield topics using the right test materials. This way, you can achieve an excellent score on the MCCQE1. Remember, as an IMG, it’s not just about passing the MCCQE1; you should aim for high scores. While the passing score is 226, your goal should be to exceed 260 or even 280 on the MCCQE1. Doing so will significantly increase your chances of matching successfully. So, let’s get started! Click here to get help with your exam preparation What Is an Effective Study Strategy For MCCQE1? I’ve noticed that many IMGs rely solely on textbooks for their study approach, but this may not be the most effective strategy. On the other hand, some IMGs spend excessive amounts of time reading all day long. While this may work for a few individuals, for most people, it leads to burnout and frustration. That’s why I want to share with you the three essential study materials that you must have: Toronto Notes USMLE World and First Aid These three resources should form the core of your study strategy, and you should use them in a smart and efficient manner. If there are concepts that you’re still unclear about, then you can refer to textbooks for further clarification. I want to emphasize that this article is not sponsored, but I also want to mention other helpful materials like Sketchy Pathoma Goljan Videos, etc. If you decide to use other study materials, that’s okay too, but make sure you have a plan in place that focuses on high-yield topics in a smart way. What Is the Average Timeline I Need to Achieve a Score of 260+ on the MCCQE1? On average, I would recommend that IMGs allocate at least three months, and some may require six to twelve months, to adequately prepare for the MCCQE1. However, the exact timeline will vary depending on your existing baseline knowledge. If you have a strong foundation, you may need less time compared to those starting with less background knowledge. It’s important to assess your individual circumstances and determine the appropriate study duration. Remember, the more solid your baseline knowledge, the less time you may need to invest. Is there a difference between an IMG and a Canadian medical graduate when preparing for the MCCQE1? When you speak to Canadian medical graduates, they may tell you that they only studied for a few weeks or a couple of months. However, it’s important to understand that your situation as an IMG is different from theirs. Canadian medical graduates are already familiar with the concepts covered in the MCCQE1. Throughout their medical training, they have repeatedly encountered similar questions and topics, which makes it easier for them. Additionally, for Canadian graduates, it’s often sufficient to simply pass the MCCQE1. However, as an IMG, the expectations are higher. While some programs might claim that they don’t consider MCCQE1 scores, in most cases, they do take them into account. It serves as a measure of your excellence and proficiency because it’s one of the few objective ways for programs to assess your capabilities. Having strong MCCQE1 scores demonstrates your outstanding medical knowledge and increases your chances of success during residency. https://videos.files.wordpress.com/SqV1bQ95/video-2.mov What is your strategy for achieving a score of 260+ on the MCCQE1? I recommend IMGs approach their MCCQE1 preparation in three distinct phases, which I refer to as the Aspiring Canadian Clinician phase The Revision phase and Ace the Exam phase Let’s explore this in detail. What is the Aspiring Canadian Clinician Phase for MCCQE1 preparation? In this initial phase, which I call the “Aspiring Canadian Clinician” phase, it is important to familiarize yourself with all the subjects. I recommend starting with Toronto Notes and reading it comprehensively from beginning to end as much as possible. While Canadian medical graduates may advise focusing on a few specific areas, I encourage you to grasp a broad understanding of the entire Toronto Notes content. Let’s consider the example of the cardiovascular system. Simultaneously, engage with USMLE World questions in tutor mode, focusing specifically on Cardiology. Alongside this, utilize First Aid to reinforce your knowledge. This approach follows an organ-based system of studying, allowing you to solidify your understanding of one organ system at a time. During this phase, it is beneficial to take notes, particularly in your First Aid book. If you encounter challenging concepts, refer to textbooks, which you can access from libraries or other resources, without necessarily needing to purchase them. This will help clarify any difficult topics, such as pulmonary function tests or other specific areas. While studying, create a list of topics that you find difficult to remember or concepts that involve numbers. Keep a separate notebook for these notes, as they will be useful during the final week of exam preparation. For instance, you may want to write down normal values like tidal volume or forced vital capacity as examples of concepts to memorize. By the end of this phase, you will have developed a solid understanding of all the concepts covered. As you progress, make sure to review and revise these challenging topics in the days leading up to the exam. https://videos.files.wordpress.com/8nkMFXmX/video-4.mov What is the Revision Phase for MCCQE1 preparation? The subsequent phase, known as the revision phase, involves focusing on USMLE World. Here, it is recommended to tackle one block at a time, utilizing either timed or tutor mode, depending on your preference. Personally, I suggest using timed mode to simulate exam conditions. Complete a block and then allocate two to three hours afterward for thorough revision. During this revision period, refer to

Tennessee Breaks Barriers for IMGs to Practice Without US Residency

Tennessee breaks all barriers and let international medical graduates (IMGs) come into the USA and practice as fully licensed physicians without having to do residency in the USA. Tennessee has taken significant steps to remove obstacles faced by IMGs when it comes to practicing medicine. Tennessee has implemented measures or policies that are favorable and supportive of IMGs in their pursuit of practicing medicine within the state. This implies a positive development that highlights inclusivity and opportunities for IMGs in Tennessee’s healthcare system. Let’s jump to find out more about this, who is eligible and how you can apply for this. Why did Tennessee allow IMGs to practice without a US residency? Welcome to the enchanting state of Tennessee, known for its breathtaking landscapes and vibrant culture. The capital city is Nashville, a hub of creativity and music. Tennessee shares its borders with eight neighboring states, creating a diverse and interconnected region. However, a pressing concern looms on the horizon: a projected shortage of approximately 6,000 doctors by the end of 2030. While the shortage predominantly affects family practice, other specialties also face significant shortages. It’s important to note that Tennessee is not alone in grappling with this issue; numerous states across the country are confronting similar challenges. To address this, a new law has been introduced to offer potential solutions. This law aims to benefit IMGs by providing them with an opportunity to work directly in Tennessee for two years, subsequently leading to a full state license. In my opinion, this pathway offers IMGs the freedom to pursue careers in academia or private practice. However, specific details regarding this path are still being clarified. The implementation of this law holds promise for alleviating the physician shortage and creating a more favorable environment for IMGs in Tennessee. As the state progresses in this endeavor, it aims to attract and retain talented healthcare professionals who can contribute to the well-being of its residents. https://videos.files.wordpress.com/DQGBRvLi/video-law.mov What are the eligibility requirements to work in Tennessee without US residency? Now, let’s discuss what this means for you as an IMG. First and foremost, it is crucial that your Medical College is recognized by the World Health Organization (WHO). This recognition is a requirement that you must fulfill. You can check your medical college/school by clicking this link. Second, you must complete your residency or postgraduate training in your home country. You should be a licensed physician in your specialty issued from your home country. To be eligible for job opportunities in Tennessee through this pathway, it is important to adhere to these basic requirements. Understanding and fulfilling these criteria will enhance your chances of success. Moving forward, the next step is to identify programs within the state of Tennessee that offer ACGME-accredited residency programs. It is important to note that, to my knowledge, being affiliated with an academic institution, specifically with an ACGME-accredited Residency, is a prerequisite to be eligible for this particular pathway. In my opinion, an ACGME-accredited Fellowship program should also be eligible to hire these IMGs. By following these guidelines, you can ensure that you are on the right track towards pursuing opportunities in Tennessee and making informed decisions about your career as an IMG. https://videos.files.wordpress.com/h7xtX0No/video-residency.mov How crucial is the Year of Graduation (YOG) for this pathway? In contrast to applying for residency, the conventional consideration of the year of graduation may not hold as much weight within this pathway. In this case, hospitals are likely to prioritize the experience of IMGs over their year of graduation. It is reasonable to assume that hospitals would favor more experienced IMGs over those with less experience. This is because, through this pathway, after two years of working in Tennessee, IMGs will have gained valuable experience and be ready to practice as consultants/attending physicians in the state of Tennessee. Given the accelerated timeline of this pathway, hospitals are more likely to value the expertise and practical skills acquired through experience rather than solely focusing on the year of graduation. Consequently, as an IMG on this pathway, having additional experience under your belt can be advantageous in securing a position. However, it is important to note that individual hospital preferences may vary. Therefore, it is advisable to conduct thorough research and stay informed about specific hospital requirements and preferences during the application process. What is the application process for IMGs seeking positions in Tennessee? The specific position you should apply for within this pathway may still require further clarification. However, based on my understanding, it is likely to be a fellowship or a specialized position. Alternatively, you can directly contact the hospital and express your interest in pursuing this particular pathway, where you would undergo two years of training and subsequently become a fully licensed physician in the state of Tennessee. Let’s consider a few examples to illustrate this further. An IMG who has completed a residency in Internal Medicine from their home country can apply directly to an Internal Medicine Department for a fellowship or specialized position through this path. Similarly, if an IMG has completed super specialization (DM/Fellowship) in Cardiology from their home country, they can directly apply for a cardiology fellowship in order to enhance their knowledge and skills in the sub-specialty. For individuals who have completed an anesthesia residency followed by a pediatric anesthesia DM/fellowship from their home country, they can explore opportunities to apply directly as a fellow in anesthesia or pediatric anesthesia. It’s worth noting that applying for specialized positions may offer a higher chance of acceptance due to the specific demand for these sub-specialties. https://videos.files.wordpress.com/mFYbn9DQ/video-medicine.mov What are the next steps after completing two years of training in Tennessee? Once you complete the two years of supervised training within this pathway, you can anticipate functioning as a fully licensed specialist, such as a cardiologist or a pediatric anesthesiologist, within the state of Tennessee. At that point, you would apply to the Tennessee State Medical Board to obtain a full license, with the eligibility requirement being the successful completion

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.

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