alphahmed
Forum Junior
Topics: 5
Posts: 40
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Hi people,
I am still trying to finish my step 2 CK which I may take at the end of 2007, but I just have a question....
If an IMG finished all the steps including step 3, can he have the opportunity to get a job as a general practitioner in the US? why everybody is jumping to the residency and the Match directly? I really don't know about the rules over there, but it is just a question....
Thanks in advance for the reply. 
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| Xtant
Forum Junior
Topics: 6
Posts: 36
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There is no longer any such thing as General Practice in the USA.
The primary Care Physicians are either Family Medicine physicians or Internist.
You CANNOT work as a doctor WITHIN the USA without doing Residency
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| bbb
IM Program Coordinator
Topics: 32
Posts: 4,657
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USMLE is the qualifying exams to allow you into residency. Each state has requirements as to how much US training you have to complete to be licensed in each state in the country.
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bbb - trying to combine common sense and humour into realistic answers, but not going to guess on anyone's chances of getting into a position....
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| alphahmed
Forum Junior
Topics: 5
Posts: 40
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Xtant... thanks for you reply, but if it is so... why do they give a full liscence and calling it "A LISCENCE"?
Do you mean that it is absolutelty forbidden or it is just dificult to get it?
The reason behind my question is: "If I am an IMG and I have just got passing scores with my exams... I don't think that I will get a position at any residency program among the current high competition, so what should I do? I spent a lot of time and money...."
BBB. thanx a lot for your answer... so how can some states ask for a previous experiance? should that experiance be only through the residency?"...
Thanx a lot people.
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| dev
Forum Guru
Topics: 70
Posts: 1,794
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there is no way to practise as a doctor except thru residency.
what you get is ecfmg certification. ONly the exams are called licensing exams, cause eventually u will get a license.
hence in most states when they say need experience for license they do mean residency.
That is one the reasons everyone is trying to refine their profiles with great scores, USCE, US LORS and stuff.
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| dev
Forum Guru
Topics: 70
Posts: 1,794
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Please go thru some websites like
USMLE.org
ecfmg.org
http://internationaldoc.com/
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| alphahmed
Forum Junior
Topics: 5
Posts: 40
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Thanks a lot dev.
I went through the websites you provided, Frankly speaking I am getting more confused, there is a gap between the Step 3 and having H1-B visa, if you look att he diagram of the internationaldoc.com sebsite, you find that you can get a the visa without passing through the MATCH, how? nobody really knows, and even in the explanation text of that website you find that it is not clear.
I went through the one of the attornies websites provided and I found that there are certain country-areas in need for priary healthcare.
Anyway, I think that it is better for me to be more patient and just try to get a residency, though it is seeming to be more and more hard for me as much as I read over the websites about my chances.
Thanks a lot for your great help pal.
Take care.
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| bbb
IM Program Coordinator
Topics: 32
Posts: 4,657
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Yes, there are areas of the country that will give you a waiver and then permanent residency status AFTER you complete a residency.
Bottom line:
1. Graduate medical school (in your country of choice)
2. Study, take and pass the USMLE exams. Step 1, 2 - CS and CK
3. Obtain ECFMG certification.
4. Apply for residency, interview, hopefully match into a position
5. Obtain license for the state that you have your residency (usually an educational or limited or someother term that means you are in a residency). The residency program will help you with the license information.
6. Obtain a visa (the program will help here with information, etc).
7. Start residency.
8. Decide if you want fellowship or "what you will do when you grow up"
9. Once residency is completed (or depending on the state that you live in) you can get a full medical license and a federal DEA (controlled substance) license.
I can't make it any clearer than I have.
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bbb - trying to combine common sense and humour into realistic answers, but not going to guess on anyone's chances of getting into a position....
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| bbb
IM Program Coordinator
Topics: 32
Posts: 4,657
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p.s. Step 3 is needed if you are applying for an H1b visa, not a J-1 visa. You will however need Step 3 to get your full medical license, so it will have to be taken at some time.
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bbb - trying to combine common sense and humour into realistic answers, but not going to guess on anyone's chances of getting into a position....
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| EvyBrasil
Forum Junior
Topics: 10
Posts: 56
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Very helpful bbb!
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| alphahmed
Forum Junior
Topics: 5
Posts: 40
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Thanks a lot for making things clear BBB.
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| lucky
Forum Guru
Topics: 23
Posts: 505
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does passing step 3 improve your chances of getting a residency if u have low scores on step 1 and 2 ?
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| ing
Forum Guru
Topics: 45
Posts: 435
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bbb,
What about if move to a different state after the residency? Do you need to get a license for different state?
thanks,
ing
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Never give up!!
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