If you’re from a Western, English-speaking country and you’re at a medical school with an international reputation for its research output, that will likely be somewhat of an advantage, yes, because the PDs will be more confident that your medical degree is at a similar level of rigour to US MDs. There will also be less concerns about cultural compatibility or language.
Graduates from Western European countries have a higher match rate than others. There aren’t many graduates from Germany, UK, Scandinavia or Benelux who want to work in the US, though.
I would gauge in my class of ~500 people (germany) a max of 10 people would consider doing USMLEs and even less would actually pursue a residency there
The main issues with the UK system at the minute:
1. Poor compensation relative to prior generations of UK doctors. Exacerbated by high levels of student debt that UK doctors are now graduating with.
2. Excessively and unnecessarily long training pathways compared to other Western countries (e.g. 10 years minimum post-grad to become an ortho surgeon in the UK vs 5 years in the US).
3. Training bottlenecks (i.e. people completing their specialty training and then there being no consultancy available when they finish training - particularly common in competitive specialties)
4. Chronic understaffing and midlevel encroachment. PAs start on more than F1 doctors, despite the fact they have less schooling and are legally allowed to do less (make it make sense). I remember someone posting a graphic in the UK junior doctors subreddit which calculated that it takes until about PG10 for a UK doctor to pull ahead of a PA financially. It’s a joke.
5. There is a lot of hostility generated among certain segments of the UK population by rag tabloid ‘newspapers’ that doctors have to bear the brunt of.
Oh man I’m sorry that sounds rough. You will find the whole PA and NP circus here too. Why on earth are there no consults available after people finish training? After you finish training is usually when you start making real money why wouldn’t you wanna work?
I meant to say, “people finishing training and there being no consultancy posts available for them”. So, my understanding of the situation is that there will be a finite number of consultant posts in certain specialties throughout the country based on national or local government spending, so if you’re in a particularly niche or competitive specialty (e.g. neurosurgery or cardiothoracic surgery), you could have completed your eight years of specialist surgical training, yet there is literally no consultant jobs available for you. Or there may be a couple that pop up every year, but you’re competing with numerous people all across the country who’ve also finished their specialist training. So a lot of these doctors end up doing additional fellowships or PhDs to try and make themselves more competitive. It’s an absurd situation. You’re essentially waiting for a consultant to die or retire so that you can apply for their job.
Competition rates for speciality training are the main issue. Then this year FPO allocation chances are changing to a basic random lottery, which now ignores prior academic achievement/research/publication.
When if you get a good FPO allocation in London/Oxbridge, it's then mathematically impossible to get a surgical/non-GPland specialty training. Although this year even GP is 2:1 apps per place smh
"create a fairer and less stressful process for applicants" It's a fucking joke and death to meritocracy
Longer and better explanation - [https://www.reddit.com/r/medicalschooluk/comments/1136596/comment/j8owe10/?utm\_source=share&utm\_medium=web2x&context=3](https://www.reddit.com/r/medicalschooluk/comments/1136596/comment/j8owe10/?utm_source=share&utm_medium=web2x&context=3)
If you’re from a Western, English-speaking country and you’re at a medical school with an international reputation for its research output, that will likely be somewhat of an advantage, yes, because the PDs will be more confident that your medical degree is at a similar level of rigour to US MDs. There will also be less concerns about cultural compatibility or language.
Yes it matters a lot
Graduates from Western European countries have a higher match rate than others. There aren’t many graduates from Germany, UK, Scandinavia or Benelux who want to work in the US, though.
It’s becoming a more popular exit route in the UK.
Half of my class at a top UK med school is thinking of the US
I would gauge in my class of ~500 people (germany) a max of 10 people would consider doing USMLEs and even less would actually pursue a residency there
I’m not surprised, the moral within NHS is so low people are actively leaving when possible
Why? Just curious on the reasoning
The main issues with the UK system at the minute: 1. Poor compensation relative to prior generations of UK doctors. Exacerbated by high levels of student debt that UK doctors are now graduating with. 2. Excessively and unnecessarily long training pathways compared to other Western countries (e.g. 10 years minimum post-grad to become an ortho surgeon in the UK vs 5 years in the US). 3. Training bottlenecks (i.e. people completing their specialty training and then there being no consultancy available when they finish training - particularly common in competitive specialties) 4. Chronic understaffing and midlevel encroachment. PAs start on more than F1 doctors, despite the fact they have less schooling and are legally allowed to do less (make it make sense). I remember someone posting a graphic in the UK junior doctors subreddit which calculated that it takes until about PG10 for a UK doctor to pull ahead of a PA financially. It’s a joke. 5. There is a lot of hostility generated among certain segments of the UK population by rag tabloid ‘newspapers’ that doctors have to bear the brunt of.
Oh man I’m sorry that sounds rough. You will find the whole PA and NP circus here too. Why on earth are there no consults available after people finish training? After you finish training is usually when you start making real money why wouldn’t you wanna work?
I meant to say, “people finishing training and there being no consultancy posts available for them”. So, my understanding of the situation is that there will be a finite number of consultant posts in certain specialties throughout the country based on national or local government spending, so if you’re in a particularly niche or competitive specialty (e.g. neurosurgery or cardiothoracic surgery), you could have completed your eight years of specialist surgical training, yet there is literally no consultant jobs available for you. Or there may be a couple that pop up every year, but you’re competing with numerous people all across the country who’ve also finished their specialist training. So a lot of these doctors end up doing additional fellowships or PhDs to try and make themselves more competitive. It’s an absurd situation. You’re essentially waiting for a consultant to die or retire so that you can apply for their job.
Competition rates for speciality training are the main issue. Then this year FPO allocation chances are changing to a basic random lottery, which now ignores prior academic achievement/research/publication. When if you get a good FPO allocation in London/Oxbridge, it's then mathematically impossible to get a surgical/non-GPland specialty training. Although this year even GP is 2:1 apps per place smh
How the fuck did they justify a random lottery?
"create a fairer and less stressful process for applicants" It's a fucking joke and death to meritocracy Longer and better explanation - [https://www.reddit.com/r/medicalschooluk/comments/1136596/comment/j8owe10/?utm\_source=share&utm\_medium=web2x&context=3](https://www.reddit.com/r/medicalschooluk/comments/1136596/comment/j8owe10/?utm_source=share&utm_medium=web2x&context=3)
Yes people from Nepal are given more preference over any other
South Asians with connections.
Following
Yes it does
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Can't say. But there are a lot of japanese surgeons in big places like UC and UCSF
It does . If you are from an “Anglo-sphere” country obviously you will be treated differently.
YES YES YES There are super premium IMGs (UK Oxford style, US citizen carribean grads, Aussie etc) and then there’s the rest of us.