 |  Opportunities after FP residency in India
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| Author | 6 Posts |
drgoyal
Forum Junior
Topics: 7
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Hi..I was wondering if someone knows people how have done FP residency in US and then gone back to India. What kind of opportunities did they get when they went back. I'm asking this because per se there is no family medicine residency program in India. So do Indian hospitals take people who have one their FP residency in US and then gone back?
Part two of my question is if I do my residency on J1, go back home to India for two years to satisfy the home residency requirement and then want to come back, will there be job opportunities here? Do american hospitals take people who have practiced out of US after doing their residency in US and then want to come back?
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| msyamp
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Indian hosptals dont have such postions but there are some corporate hospitals which take general physicians and family practicioners too. if you could establish a private practice then it would be well and very good. In corporate hospitals because of availability of specialists you shud do more of a side job.it is the same even here. with family practice unless you have a private clinic you dont have good practice in cities. its ok with community hosp or rural setting.
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| drgoyal
Forum Junior
Topics: 7
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Thanks msyamp. That was pretty much along the lines I was thinking in. Do you however know any specific examples of people who did their FP residency here and then went back. What did they do?
By the way I did come across an interesting link while researching this topic..
http://www.massmed.org/AM/Template.cfm?Section=Ho...
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| drmamu
Forum Elite
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I dont agree with mysamp idea of famil practice- your openion is an extrapolation of the Inian view to US. The main differene between the payment system in Idia and Us is that the doctors are payed by the insurance company. 99% of super specialist do not accept direct patient with out reference of their primary physicians. If an isolated spacialist sees such patients without reference of the primary physician, he is welcome to do that, but the patient has to billed amount directly. Most insuranse companies pay 75$ per patient to super specialist and 50$ to primary physician. They compensate by the better cut off patient load-most icurance companies allow 20 for primary care and 15 for specialist. Now if the insurance decides to refuse the payment, patient has to pay the direct billed amout- which is usually 150 for specialist and 130$ for primary. So it is cery unlikey for a patient to go for a visit that will not be covered by the insurance. So in US, the insurance company practically decides a large part of practice. So fp physician will get the patient load designated by the insurance company he is obliged to as PPO, HMO or PPP. That is the reason why there is so much demand for derm because majority of the procedures in derm are not insurance covered. So they can give direct bill.
So where does the specialist make more money? Procedures. Eg- primary care are certified for simoidoscopy which is recommended by USPSTF. But during patient education when you tell that colonoscopy may be more predictive than sigmoidoscopy, they may opt later and this can done only by gastroenterologist. Simillarly catheterisation proceedures for cardiologist.
So please dont underestimate or discriminate any particular residency without correct information. If you are not planning to do fellowship, family practice is as good as im. But also remember that there are abot 800 or so fellowships for 20000 internal medicine residents each year.
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| msyamp
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hmmm THANK YOU VERY MUCH AND VERY SORRY MAMU. I AM A KINDA STILL TO KNOW A LOT ABOUT THE US PACTICE< THANKS A LOT>
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| rashmi_k3
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Good info mamu
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