“Why Don’t More Doctors Discuss Vaccines With Their Patients?” That is the question being asked on one of my favorite reads, the Wall Street Journal’s health blog. The author, Ms. Laura Landro, goes on to point out:
…high level of…failure by many physicians to discuss vaccines with their patients, let alone administer the ones recommended by the CDC…
For doctors, it often comes down to costs….
Mayo Clinic in Rochester, MN. A medical institution much admired by medical professionals and touted as a model of high quality, high efficiency healthcare by no less than the President. Justifiably so, I suppose.
Recently however, Mayo decided to drop Medicaid patients from two nearby states – Nebraska and Montana, citing “low government reimbursement rates”. Government reimbursement rates are admittedly found to be low by many institutions and physician practices, not just Mayo. One wonders what happens to these patients and the hospitals that will be providing care to these patients now that Mayo is no longer available to them. Are they somehow going to be reimbursed at a higher rate than Mayo? Highly unlikely, one would think.
The proposed healthcare reforms and the resultant debates are the rage nowadays. Proponents and opponents are getting in each others’ face in ways not perhaps imagined by the administration. The head butting is so intense at times that to a casual bystander, it might appear that people have forgotten why they were arguing in the first place. No one is ready to give an inch as they stand nose to nose, screaming and sending spittle flying, the viewers’ eyes riveted to their jugulars which appear dangerously close to burst point.
In this milieu, hospitals and doctors’ offices continue to go about their business as usual. As a matter of principle, we tend to keep our views to ourselves, as surely a majority of doctors do. Sometimes a patient would attempt to get us sucked into the current national argument but they don’t get very far, running into our carefully crafted stone wall of non-committal answers. But there are other times, when one encounters a situation that tends to precipitate musings. I found myself in such a situation on a busy office day recently. A situation which can be frustrating and is probably played out almost every day in physicians’ office all over the country.
Who is the foriegn / international medical graduates’ chief competition? Is it the American Graduate? or the other international medical graduates?
Doing well on the United States Medical Licensing Examination (USMLE) is very important, obviously! In applying for residency in the USA, an IMG is up against the American graduates as well as other IMGs.
Now that you know the stiff competition you are up against, it’s time to start preparing for USMLE. As always, information is critical! You need to know:
If you are thinking about doing a residency in the USA, you must’ve given it a long, hard thought by now. The most important first step in the process is gathering information, which is why you are on this blog !
Know the process and deadlines beforehand. Be very very aware of the deadlines because getting delayed in the process – even a little – can severely effect your application. Residency programs get hundreds or thousands of applications each year and if you missed deadlines, you better have a sparkling, blindlingly brilliant CV for you to call and ask them to review your (missed) application.
You are an international medical graduate, i.e. IMG (or Foreign Medical Graduate?) and you would like to get a residency in the USA. Very good intention! But where do you begin?
The process, to summarize, consists of the following:
