IMG Secrets

International Medical Graduates Resources

Is MRCS Valid in Canada?

Hey everyone, I’m Dr. Rajeev Iyer, and today we’re unpacking a big question for international medical graduates (IMGs): Is the MRCS Qualification Recognized in Canada for Medical Practice? In other words, Is the MRCS degree from the UK your golden ticket to practice medicine in Canada? Let’s dive in and clear the air. What is MRCS, and what does it signify for a surgical trainee? MRCS, or Membership of the Royal College of Surgeons, is an esteemed qualification in the field of surgery, predominantly recognized in the UK and Ireland. It’s a hallmark of excellence for those on the surgical career path, indicating that a trainee has successfully demonstrated a certain standard of knowledge and skills. In the UK, obtaining MRCS is akin to completing your surgical core training; it’s an affirmation that you’re primed for the next stage: specialty training. However, it’s crucial to understand that MRCS isn’t an endpoint but a juncture in the journey of becoming a consultant surgeon. Can MRCS enable independent medical practice in Canada? The straightforward answer is no. In Canada, medical practice standards and certifications are regulated by provincial colleges, and they require qualifications that are in line with Canadian postgraduate training. While MRCS is a reputable qualification, it doesn’t equate to the Canadian standards for independent practice. Canadian authorities don’t recognize MRCS as a standalone qualification for licensure. It’s crucial for IMGs to understand that each country has its unique medical regulatory environment, and qualifications are not universally interchangeable. Is pursuing an MRCS worth it for those aiming to practice in Canada? If your end goal is to establish a medical career in Canada, the MRCS may not be the best investment of your resources. Instead, it’s wiser to direct your efforts toward activities that enhance your portfolio for Canadian medical boards, like securing relevant clinical experience, participating in research, and passing the Medical Council of Canada Evaluating Examination (MCCEE) or its successor exams. These steps align more closely with the requirements you’ll face and improve your competitiveness in the Canadian healthcare landscape. Then, who actually benefits from having an MRCS? There are specific scenarios where an MRCS could be advantageous: Those who aim to practice within the UK or other countries where MRCS is a recognized and respected credential for career advancement in surgery. Individuals who find value in the educational experience and the global networking opportunities provided by membership in a Royal College. Surgeons who may not necessarily be looking to practice in Canada immediately and are open to working in the UK or other nations where the MRCS is esteemed, before potentially transitioning to Canada. What’s the better strategy for IMGs determined to practice in Canada? If Canada is your destination, the focus should shift from MRCS to the completion of Canadian qualifying examinations and obtaining Canadian clinical experience, which are pivotal. The MCCQE1 would be the benchmark to aim for. Networking with Canadian healthcare professionals, understanding the healthcare system, and potentially participating in observerships or clerkships can make a significant difference. What are the real advantages of being an MRCS-certified specialist in Canada? Q: What are the real advantages of being an MRCS-certified specialist in Canada? A: While MRCS itself may not open doors in Canada, if you complete your specialist training in the UK and achieve the status of a consultant with a Certificate of Completed Training (CCT), your expertise is more likely to be recognized. With a CCT, you may be eligible for the Royal College of Physicians and Surgeons of Canada certification without the need for residency in Canada, which is a more direct and favorable pathway to practice. How can IMGs navigate the process to become licensed physicians in Canada? Canada offers several routes for IMGs to enter the medical profession. This includes passing exams like the Medical Council of Canada Qualifying Examination (MCCQE) Part I and Part II, and obtaining a residency position through the Canadian Resident Matching Service (CaRMS). Another pathway is through the Practice Ready Assessment (PRA) programs for family physicians and specialists, which is province-specific and requires applicants to demonstrate clinical skills and knowledge comparable to Canadian-trained physicians. Dr. Rajeev Iyer MBBS, MD, FASA Associate Professor of Anesthesiology & Critical Care Medicine, University of Pennsylvania, Philadelphia, USA The opinions in this article are author’s own and does not represent the opinions of the University of Pennsylvania or any other organization I want to work with Dr. Rajeev Iyer

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

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.

10 Tips to Match Into a Top Canadian Residency Program

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

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

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

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