USMLE

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    Jan 01, 2011 8:39 AM GMT
    Ok, so Im a British medical student set to graduate next year. Im wanting to possibly move to the USA and practice medicine there just because the USA is at the forefront of medicine and Im bored of the UK to be honest.

    So I understand that there are 3 steps to the USLME. The 3rd step is done during residency training. Does that mean I can enter a residency programme after just completing the first 2 stages, and then complete the third with my american counterparts? or is it a requirement that foreign doctors pass the third step before they start residency?

    Also, once Ive done it, can I practice in all states? or am I restricted to working in only 1 state for the rest of my career?

    I would appreciate any advice from the doctors or med students on RJ.
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    Jan 01, 2011 8:49 AM GMT
    You need ECFMG certification before sitting for Step 3. Foreign graduates can take Step 3 before beginning 1st year of residency.
    ECFMG certification requires that you pass Step 1 and Step 2 CS&CK. ECFMG is the only certification required for you to apply to a residency program. You can take Step 3 along with your US counterparts at the end of the 1st year of residency.
    State licensure depends on the state medical board. You will need it before you can practice medicine in any state. They are rather easy to gain, if a bit time consuming, after you finish your residency. Everyone wants doctors.
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    Jan 01, 2011 9:30 AM GMT
    cheers mate, now I have a rough idea of what I need to do.
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    Jan 01, 2011 1:02 PM GMT
    Being a fellow foreign medical graduate, you should realize that the competition will be extra tough. Its true that to apply for a residency, you need to clear step 1, step 2 CK and step 2 CS. While you're supposed to clear step 3 by the middle of your second year of residency (some want it before the second), if you need a visa, you'll need to have your step 3 score at the time of applying if you want the program to sponsor you. While most programs won't overtly ask for this, the reality is that the visa issue is a HUGE deal. Of course it you're a US citizen or greencard holder, you'll have an easier time.

    My advice to you...study your ass off...you'll need scores in the 90s on all the exams (CS is only Pass/Fail). Also, while you're in med school, get a couple of US electives (preferable in the field you want to go into)...they literally saved my ass when I went on my interviews. You'll need to explain the time you took off to study for your steps and you'll have to give them some indication that you're familiar with the US health system.

    It not easy, but its not impossible either....i ended up getting a pre-match at one of my top 3 programs (the only perk for being an FMG is that you can pre-match). Focus on getting above a 90 on step 1 and step 2 CK, passing CS and getting some US clinical experience under your belt for now.
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    Jan 02, 2011 9:40 PM GMT
    Where are you originally from Dr NY? India? Im British (Indian Descent) and I heard they go extra hard on indians and pakistanis that want to go over just because there are so many. Apparently they are easier on us Brits, fingers crossed. That being said, Im not taking it lightly.

    Also, do they have a set bank of questions that they reuse year after year? or do they make new questions every year? I suppose if I just make it part of my day to go over some questions I should be fine? Or is it recommended that I dig out all my old text books and start cramming all over again?
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    Jan 02, 2011 9:55 PM GMT
    Just don't overwhelm the "patient" with your British accent...you'll do fine. (I think the CS is just so that they can screen out people with thick accents) icon_razz.gif
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    Jan 03, 2011 12:12 AM GMT
    hahah! cool, ive got a south london accent naturally, but it all goes very Britsh Neutral when I have my doctor hat on. Im sure the accent thing wont be a problem. xxx