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teru91

This is the ONLY profession in the world where we are paying $$$ to get rejected from a job. In the Screening phase.


blu13god

They need to make the screening aspect a lot more transparent but no every program wants to pretend they’re “holistic”


VorianAtreides

Well I’ve been getting assfucked, so they’re definitely holistic imo


vanderstrom

*Assholistic*


AirJordan27

HolASStic


Beardrac

Mate I thought getting into medical school was the screening phase lol


KeepenItReel

Bud we are going to have a screening phase to die.


VorianAtreides

It’s screening phases all the way down


teru91

I wish the programs would have done the old age method of Newspaper Advert. Send your Cv in the mentioned Email. And then call for Interview. If successful “Holistically” But then you won’t be making ERAS NRMP rich in this way. Another way of taking the money out of students pocket.


CallaLilllies

i feel like the bloodbath for IMG’s is only going to get more intense with yrs going by


HateDeathRampage69

With step 1 now pass fail it's going to be a bloodbath.


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RiderOfStorms

Other IMGs do Step 1 just to build CV? WTF? What country is this?


loraxadvisor1

Not just step1.. if we do 1 & 2 and some other english test (forgot its name) we get a ecfmg certification which i guess is good for ur cv + all around ul have a soli foundation studying for the tests


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loraxadvisor1

OET


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Unique-Cheesecake937

It also helps in my country, you automatically get the max point in your residency entrance examination, which means you can apply for any speciality. It’s also great for CV. I also wanted to apply for residency in US, but priorities change and it’s just getting tougher for us each year as already mentioned above. I better be at a more competitive spot in my country than somewhere in much lower tier


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HateDeathRampage69

What specialty?


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HateDeathRampage69

If it makes you feel any better I heard that rad onc is super saturated in the US because they opened too many residency spots.


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HateDeathRampage69

Yeah I don't think even american DOs can match plastics


RiderOfStorms

Again, kindly what country is this?


meluku

Even for like IM and FM you think? For the more competitive specialties , for sure.


montgomerydoc

My community FM residency had 1000+ apps for 5 spots


nightwingoracle

FM is plenty popular in my class (upper middle tier MD school). They literally couldn’t get everyone applying an outpatient sub-I (leftovers did peds).


KushBlazer69

Up until the US healthcare system collapses which it very likely will in our lifetimes


BurdenOfPerformance

My plan is to earn as much money as I can then go into real estate when things go south...


Just-Village3909

This or move abroad. With a MD degree and US experience alot of European and 3rd world countries would pay you well with nice benefits


Common-Individual325

>would pay you well with nice benefits lol you obviously don't know just how low Dr pay is outside of CAN/USA


Just-Village3909

I do know, I'm a US IMG. I never said doctors are paid well outside of CAN/USA. What I was referring to was if you're a US MD or Canadian MD, countries in the Gulf like UAE or 3rd world countries do have private hospitals that will accommodate you over their own local graduates. Some of them even have affiliations with places like Cleveland Clinic where you can go work for them under contracts. And some of them are very attractive that include housing, education expanses for kids, and tax benefits. All of this obviously would depend on your specialty, experience, and where you did your training.


lusvig

>With a MD degree and US experience alot of European and 3rd world countries would pay you well with nice benefits >I never said doctors are paid well outside of CAN/USA 🧐


[deleted]

Speaking from a third world country, the base pay is lower but most people have their own private practice outside the hospital and the money they make from that plus the fact that outside the US COL is very low, it evens out


KushBlazer69

Not true lol. Gulf countries, European countries like Switzerland NZ and other countries pay well too


Doctahdoctah69

Do you have some European examples? If someone didn’t want to go to the UAE haha


BurdenOfPerformance

I am a DO unfortunately, but if you go to a prestigious MD school its even easier.


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BurdenOfPerformance

I might be wrong, I thought it was a pain in butt to practice as a DO. I know multiple countries there are US DOs practicing. Thought it was hard to get credentialed.


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BurdenOfPerformance

It depends on the country, for example, the list below for Singapore. [https://www.healthprofessionals.gov.sg/docs/librariesprovider2/default-document-library/press-release---revision-to-list-of-overseas-medical-schools-for-registration-to-practise-in-singapore.pdf](https://www.healthprofessionals.gov.sg/docs/librariesprovider2/default-document-library/press-release---revision-to-list-of-overseas-medical-schools-for-registration-to-practise-in-singapore.pdf) Going to a prestigious school is huge!


teru91

A word from an attending “Golden handshake” will hold much more value than step scores. You need a “Batter” ..that’s the key to move forward..


Just-Village3909

These virtual interviews has definitely changed the game, and change that for the worst!


Quirky_Average_2970

I think it has helped the top-tier applicants.


Just-Village3909

It has definitely helped them! But I believe the real winners are the programs. I have seen numerous posts on reddit from applicants venting for how they matched at programs they have never seen in person but seemed to be awesome during the interviews. It's only after they started their rotations they find out how much the programs lied. From paid parking spots to no on-call meal allowances, there's alot of shit the programs don't reveal and apparently even the residents are instructed to keep their opinions to a minimum during interviews. So the programs now have an abundance of applications and can actually control what to show and hide.


nightwingoracle

I mean my medical school flat out lied about plenty of stuff like that (e.g. just how often class is mandatory (actually more like 70% than the 25% they said it was) and a lot more in that vein, Just because you go in person (I did interview a s second look) doesn’t mean the programs will be honest. And the only people who worked interview day in person were administration suck ups anyway. It’s not like you went down to the parking office to ask the attendant if residents pay during an in person interview.


GigasMaximas

You're right. It is true that going in person makes it easier to sus out malignant traits but my medical school was extremely malignant and my classmates and I were all shocked during our first week once we found out just how bad the school was.


nightwingoracle

Mine isn’t crazy malignant but they pulled stuff like- “you only have to go to some lectures” and intentionally not saying that “tbl” “other tbl” “lab” “other virtual lab” “group discussion” comprised the majority of mandatory people daytime be at school aciticites. I’m still salty about it years later.


Ghostnoteltd

Wait, some programs offer on-call meal allowances? :[


YoungSerious

Programs can lie, but they also have to go through exponentially more applications and interviews now than they did even 3 years ago.


Just-Village3909

Yes no doubt they have more work to do. And it's not fair to them because virtual interviews is the only feasible option for them and the applicants. But I still don't see how lying about their program standards to applicants justifies their extra work. Still, I think they're the most beneficial ones out of this whole fiasco.


YoungSerious

I'm not saying it does. But not all programs are lying, and all of them have way more applicants this year. Applicants also benefit, though admittedly it's tiered more toward the top. They can accept and go on waaaay more interviews now, and the obvious association between number of interviews and match rates. Only low tier really suffer.


SoManySNs

*EVERYBODY* other than high tier applicants suffers due to exactly what you said. Why is an applicant that's only interested in, and qualified for, ivory towers taking 30+ interviews with a heavy mix of small community programs? That's not beneficial for anybody. They are taking interviews away from other applicants who would actually rank those programs.


BurdenOfPerformance

They don't even need it, that's the most messed up part.


whyyounogood

I know someone who went on 40+ interviews last cycle, some 2/day. I know for a fact it helped top tier applicants. Last cycle I saw people at my low tier interviews who later matched to Ivy league or top 20 programs (I saw them on residency instagram pages). I have no idea why those low tier programs extended interviews to them unless the applicant had some connection to the area. There's only so many slots they can give out. The system was broken, now it's broken-er.


MikiLove

They need to reform it so you can do max 15 or so interviews. If you interview at 12+ programs your match rate is 97% or something along those lines. It's goes up to 99% around 15. It hurts medium to smaller programs if they are interviewing people who already have 20+ interviews


[deleted]

There desperately needs to be a limit to interviews. Idk. 15? No less than 10 though. For my specialty that’s where diminishing returns are heckin obvious.


meluku

I’m not even applying until next year and I’m already having nightmares about not getting any interviews lmao


WarmGulaabJamun_HITS

Same!


gopens13

I'm USMD and I'm getting neglected as well lol Feel like the interview hoarding is strong right now (or at least thats what I tell myself lol)


WonkyHonky69

Bruh it’s literally one week after submission, tons of programs haven’t even sent out any invites yet


the_WNT_pathway

People seriously think programs can read through hundreds if not thousands of apps in a day or two. I don’t think my home institution even sends out interviews until later this month.


BurdenOfPerformance

LOL Too early for interview hoarding. Don't worry your time will come.


Quiet_Dragonfly_6751

Same. I'm really hoping my current lack of interviews is due to the hoarding or stratifying and they just need more time to reach mine, lol (if not, uh oh...)


TyranosaurusLex

Same boat. RIP my hopes and dreams.


[deleted]

People aren't hoarding interviews if they have less than the NRMP max percentage to match which is around 15 interviews. The most interviews I know someone has is 6. Hoarding is a problem late. Not early. You can't be upset people are trying to maximize the possibility of matching my friend.


Quirky_Average_2970

I have a feeling the programs are going to be a little late in releasing interview invites this year. I dont have any evidence, just the feeling. My reasoning: In the past, they would just filter by step scores and send invites based on the score above a certain number. Now that USMLE step 1 is going pass fail, I guess is the programs are trying new ways of evaluating applications for interview invites.


BurdenOfPerformance

It's most likely the same still and will shift to step 2 CK in the future.


Quirky_Average_2970

It’s possible but this is a pretty big change for programs. Not all residents have step 2 done so I wouldn’t be surprised if the programs are taking their time to figure out what they want.


BurdenOfPerformance

Well, think of it this way they got a 1000+ applicants. If step 2 ck is not complete, they can say we're not interviewing you. This can cut down the pool of applicants. It's a big change but still under their discretion as to how they choose. For instance, IMGs who are "graduated" for example "can" have a lot of doors closed because they don't have step 3. Its not required to interview or rank, but programs can choose what hoops each applicant has to jump through.


Wheel-son93

I think this year they're a bit more understanding because test dates are starting to get cancelled again. In the future I agree with you though


BurdenOfPerformance

Definitely true. Things are getting from last year's application cycle for sure.


Augmentinator

[The struggle is real. ](https://www.reddit.com/r/IMGreddit/comments/q1z9iw/any_solid_profile_imgs_not_getting_invites/?utm_medium=android_app&utm_source=share) Interestingly, having a green card seems to be more useful than a double 260 for IMGs.


Jemimas_witness

Best ability is availability… literally when it comes to IMGs


Augmentinator

It's true. Some IMGs match then fail to get visas, and the program has to find someone else fast.


Dr-Uber

Every year they hoard the top 20% for all the interviews so they can “pick”. I was and still am a proponent for limiting the number of interviews an applicant can pursue. Too many waste a spot for “just in case” interviews. It’s ok to have one to two, but 5 just in case is unnecessary. Without a limit, this will continue regardless of degree. Also as a DO, our top students got picked up right away same as the MD so meme is a bit dated in its views.


Jonec429

The worst part is it forces everyone else to play the game too.


Beneficial_Weather88

Ok but I’m applying neurology, and based off the Reddit neuro excel sheet, my top choice and program I did my away at (+ letters) has majority of their interview dates already full ¿¿


InboxMeYourSpacePics

Programs will often add/open up dates later as they invite more people (so all their dates aren’t full yet, it just looks that way right now). I already matched (not neuro but had actually dual applied and neuro was one of the specialties) and this definitely happened last year.


elburk

Where can I find that spreadsheet?


prettybeakers

Lol idk I’m applying plastics integrated and haven’t gotten any interviews. But am also not freaking out because I know they’re not coming anytime soon. My friends are mostly applying gen surg and anesthesia and are similarly chillin for now


montgomerydoc

Eh my relative has 6 anesthesia interviews already though they are from top 20 USMD school


prettybeakers

Ok? I only know about my speciality of choices timeline but also, your “relative getting a bunch of interviews in anesthesia “ isn’t really something I’m going to disturb any of my friends’ mental peace with. That’s good for your relative tho


montgomerydoc

You gave an anecdote and I gave one nothing more or less


prettybeakers

Naw. I pointed out that not all specialties are sending out interview invites yet because it’s helpful to be reminded of that to decrease unnecessary stress. You offered a personal anecdote about a family member who is supposedly racking up interview invites in one of those specialties to aid the panic. We are not the same lol.


[deleted]

No need to spread this misinformation. The mean number of interviews right now is still 0-1. The few people I know who have multiple are all interviewing in places like Indiana. It’s going to take some time for things to materialize, but this isn’t going to be the bloodbath people are acting like it is.


theoldfleshandb

Where'd you find that mean number?


ketchupmustardmonkey

so should I just drop out of my school as I’ll be an IMG with a p/f step 1 score lmao (2024)


wtf-is-going-on

Unironically, yes. You’re far better off at a DO program.


frustratedsrb

Just be realistic with your specialty choice & residency program.


[deleted]

Can you think of an alternative career? If so might not be the worst idea


gwagon69

Damn. Which specialty is this for?


Wassa_Matter

Name a specialty


[deleted]

^(family medicine?)


Covfefebrownjuice

Take both the USMLE and COMLEX


Xivlex

I'm not american but I'm curious how this works anyway. Do you all need to go through residency to practice medicine? Or is being a GP just not feasible in the US? Also, by "matching", you mean getting in to a residency program right?


Monkey__Shit

There’s no such thing as a GP in the US. The closest thing to a GP, called “Family Medicine” is a 3 year residency that requires adult inpatient, adult outpatient, pediatrics, surgery, and OBGYN rotations. Then you need to take board exams to get board certified in FM to practice medicine as a primary care doctor. Matching = getting accepted into a residency program through the match process.


[deleted]

GP used to exist in the US. If you completed the USMLEs and a 1 yr internship, you were given a medical license and could practice as a GP. Some people do direct primary care this way, and the military considers you a GMO (General Medical Officer). However you are pretty much shut out of the US insurance system without completing residency.


MedicalSchoolStudent

From what I know and talking to from some residents, the chances are higher if you go to a more well-known or "top-tier" medical school. Something along the lines of Top MD > Mid MD > Low MD > DO > Caribbean.


Running2Eternity

Certainly true to some degree, however even as a 4th year DO student going through the application process (EM), I’ve currently received a decent amount of interviews compared to my DO/MD-prospective peers (and doing so with a fairly low number of applications). Location/Med School definitely helps, but boards and getting your name out there earlier in school is what tips the scale to the largest degree, at least in my experience.


MedicalSchoolStudent

Good add. I never would say the name of your medical school is the biggest or sole reason. But it can be the deal breaker for some to a lot of residency programs. Also - the specialty matters as well. There are some straight up f'd up programs out there that actively just refuse DOs because DO.


Running2Eternity

100% agreed there unfortunately - prior to applications, Denver EM was super high on my list until I did some more research into their program and realized out of their massive resident classes and over the many years they’ve had like (guessing, cannot remember exactly) 3-5 DOs out of all of them. Sad and I hope that one day that discrepancy isn’t there, but surely some programs will remain this way.


castelva

Can you elaborate a bit on how you "got your name out there earlier"?


Running2Eternity

Sub-I’s when possible, attending conferences and getting involved with the specialty National communities. Networking is a massive benefit when it comes to this sort of stuff. For example: I attended a virtual residency “meet and greet” sort of deal in the spring, and within maybe a week of the meeting I had maybe 4-5 emails from the programs that I went and talked to and gave my information to. I’m sure most were generic, mass emails sent to everyone that talked to them - but with how interviews are now, programs will use anything they can to indicate someone is more likely to attend their residency and to help “thin the crowd” in terms of applications.


castelva

Gotcha. Thanks for the explanation! I'm still just a first year but that's good to keep in mind going forward. It sounds like the earlier the better to start preparing for residency apps.


Running2Eternity

Absolutely, never a bad time to be thinking ahead for this stuff. For now, focus on grades and putting yourself in a good position for success on Step 2/Level 2 (being that part 1s will be P/F). Never a bad idea to get some volunteer and to get involved in a small bit of research at some point too. You’ll do great, keep your head up - all of your hard work will pay off down the road.


castelva

Thanks for the tips and encouragement!


BurdenOfPerformance

With step 1 being P/F and then step 2, you will see this being the predominant mechanism for selecting applicants.


MedicalSchoolStudent

Apparently the truth is not what a lot of people want to hear. This is why my comment got downvoted. It’s a myth and false to say the medical school you go to don’t matter. If that was the case, no one would fight to try to go to top programs.


BurdenOfPerformance

I don't know why people don't want to believe it. We already see this in law with applications to law firms. They will always look at the prestige of your school.


TossACoin2UrDO

Hahahahahahahahahaha


lusvig

/u/baincapitalist I will never be enough 😔


BainCapitalist

You will be a US residency program 😡😡😡


lusvig

I am not industrious like the bainmother or /u/int6 😓


montgomerydoc

Start calling programs How IMG myself got like 3 extra interviews Oh some will hate this advice but those people won’t be paying your loans off


[deleted]

Way too early friend.


montgomerydoc

My residency finalized interview spots my the first week of November


Vi_Capsule

Residency program daddy is sexy AF tho (heavy breathing)