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Author: drfuzzPostPosted:     Post subject:

thanks dipsite. my parents have already started searching for an american girl and im receiving many proposals. i have decided to get married after step 2 ck. i dont want marriage to disturb my studies.

Author: drfuzzPostPosted:     Post subject:

RxPG :: View topic - How to decide between PrePG Exams and USMLE? How to decide between PrePG Exams and USMLE?
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Author: dipsite PostPosted:     Post subject:

I recommend
www[dot]shaadi[dot]com than www[dot]fmgamerica[dot]com icon_biggrin.gif icon_smile.gif
dipsite wrote:


@Ash B
You left "drfuzz" query unanswered. It is a quality question.

@drfuzz
Regarding your idea of marrying an American hot chick. Go ahead but before CSA b'coz processing of Visa etc. takes time.



my question is still unanswered. i mean will it help in getting into residency

Author: dipsite PostPosted:     Post subject:

Quote:
thanks dipsite. my parents have already started searching for an american girl and im receiving many proposals. i have decided to get married after step 2 ck. i dont want marriage to disturb my studies.


Ask them to search a chick for me too icon_razz.gif . My studies are getting disturbed without proposals icon_sad.gif . Boys can study well if there are no girls around icon_wink.gif .

Quote:
my question is still unanswered. i mean will it help in getting into residency

This is the best thing you can do. It is better than applying for clerkships, going for American Research etcetera etcetera... icon_biggrin.gif icon_smile.gif

Author: itsjusnobody PostPosted:     Post subject:

hey dipsite me lad..
r u quite sure, about consulting a hitch for sum american 'chick' rather than goin for hard core research and clerkhips..blah blah icon_wink.gif icon_wink.gif

Author: itsjusnobody PostPosted:     Post subject:

AshB wrote:
drfuzz wrote:
hi ashb and others. i hv a query. can u tell me which r the months/ dates during which less candidates appear for <a href="http://www.rxpgonline.com/forum5.html"><a href="http://www.rxpgonline.com/forum5.html">USMLE</a>
</a>
. well if the no of appearing candidates r less then we'll get hi percentile. so i want to know during which months the no of candidates appearing will be less.

I don't think less examinees implies higher percentile. Still the peak months are May to Nov or Dec i guess. I'm not sure which are the months with least number of examinees.


hi ash b-
i jus wanna know if the mle hv a percentile system..bcoz ive come across a lotta sources that tell me that there is no percentile system jus 2 and 3 digit scores to indicate your performance

Author: AshB PostPosted:     Post subject:

itsjusnobody wrote:
AshB wrote:
drfuzz wrote:
hi ashb and others. i hv a query. can u tell me which r the months/ dates during which less candidates appear forUSMLE. well if the no of appearing candidates r less then we'll get hi percentile. so i want to know during which months the no of candidates appearing will be less.

I don't think less examinees implies higher percentile. Still the peak months are May to Nov or Dec i guess. I'm not sure which are the months with least number of examinees.


hi ash b-
i jus wanna know if the mle hv a percentile system..bcoz ive come across a lotta sources that tell me that there is no percentile system jus 2 and 3 digit scores to indicate your performance

No, its not a percentile. Your sources are right. Think of it this way, if it was a percentile with 75 passing score, only 25% people would pass! icon_biggrin.gif

Author: itsjusnobody PostPosted:     Post subject:

EXACTLY!!

Author: drfuzz PostPosted:     Post subject: Sued

Nowadays i'm really worried about the security of doctors in india. Every now and then we are hearing about doctors being thrashed by the patient's attendants for no fault of them. Such incidents have occurred recently at osmania and nilofer hospitals, hyd which have attracted a lot of publicity.
Such kind of illiterate attitude is not seen in usa but we hear cases of doctors getting sued by their patients. How to deal in such situation when you are getting sued?
in your opinion which one is safer getting sued or getting thrashed?

Author: itsjusnobody PostPosted:     Post subject:

getting thrashed, no doubt...
u may lose millions of cash or even ur medical degree/job depending upon the situation(when u get sued)

Author: AshB PostPosted:     Post subject: Re: Sued

drfuzz wrote:
Nowadays i'm really worried about the security of doctors in india. Every now and then we are hearing about doctors being thrashed by the patient's attendants for no fault of them. Such incidents have occurred recently at osmania and nilofer hospitals, hyd which have attracted a lot of publicity.
Such kind of illiterate attitude is not seen in usa but we hear cases of doctors getting sued by their patients. How to deal in such situation when you are getting sued?
in your opinion which one is safer getting sued or getting thrashed?

I'd take legal thrashing any day. At least there is my mistake involved in the majority of cases. Its not that easy to take away your degree etc unless you really f**k up. Getting sued is not a rare phenomenon even in India these days and is on a steep rise.

Keeping the paperwork right is something you get used to in US, so its rare for you to get sued for baseless reasons. Litigation rate is higher in surgical specialties.

Author: itsjusnobody PostPosted:     Post subject:

i agree, but what if ur charged with med negligence..
in US u'r screwed, but here most docs get thrashed especially govt hospitals, where most patients are not aware that they hv a right to sue the docs..

so here you jus get thrashed and u even got the advantage of protesting or filing a complaint against the culprits

in US, for negligence ur carrier's done with all ur cash in addition

Author: dipsite PostPosted:     Post subject:

@itsjusnobody
First of all get a Residency then we'll have a separate thread for discussion of such issues.

Humble Request :- Please restrict your queries related to USMLE. Such issues distract my mind and I start thinking on different lines. If you are so keen to write on India then start posting in INDIAn PG forum. This forum is meant exclusively for USMLE, GRE.

I hope you wil consider my request.

Author: AshB PostPosted:     Post subject:

itsjusnobody wrote:
i agree, but what if ur charged with med negligence..
in US u'r screwed, but here most docs get thrashed especially govt hospitals, where most patients are not aware that they hv a right to sue the docs..

so here you jus get thrashed and u even got the advantage of protesting or filing a complaint against the culprits

in US, for negligence ur carrier's done with all ur cash in addition

Well it seems you missed the reports of private hospitals being attacked and/or the hospital burned by a mob. BTW if you get sued in India its not rosy either. Just try to find out the fate of doctor that appear on these sensationalizing news channels these days in India.

Getting sued for negligence is not everyday phenomenon for a US doc. Its sometimes blown out of proportion. You mostly get sued when you are grossly negligent, so whats wrong about it! If you are a competent doctor why worry about getting sued, which doesn't happen everyday. While getting thrashed in India has nothing to do with competency. Just because you had 5 patients to handle at the same time and one of them dies because it took you 5 mins to complete dealing with the earlier is enough to get you thrashed and being the face of the day on Aaj tak. You live everyday in a state of fear.

Author: itsjusnobody PostPosted:     Post subject:

@dipsite
you should probably direct ur request to drfuzz, my dear man for
i never started it...

@ashb
by med negligence, i meant gross negligence, only in such situations would the pts end up losing their lives and the relatives their heads...
ofcourse if a doc is competent he wouldnt be worried but a wise man cannot rule out such possibilities either.
i dont acknowledge living in every day fear, but fear remains a constant entity,
it shrinks to smaller dimensions when the state of mind changes to better humours including happiness hence one does not realize it..but of course lets not get too philosophical here, and lets not argue just to show our superiority, since i naturally agree to yours.....ur are far more wiser and experienced than i am...so if you still disagree u hv every right to it, and i will consider it.

as for me, i am quite sure about my future being in the US, but the question to me would be as to what type of a doc..but i definitely would not want to get sued, not in the US.

Author: itsjusnobody PostPosted:     Post subject:

hey ashb,
i notice that you write most of your posts with a lot of gramatical discipline..ie to say with a lot of fulstops and caps and colons etc.. do you have some sort of a program correcting it(coz id like to know about it and get one) or its jus own effort(my complements to u i this regard)

Author: aresalan PostPosted:     Post subject:

IS IT GOOD TO DO PG IN INDIA OR APPAER FOR USMLE EXAMS?AFTER PASSING ALL EXAMS OF MLE CAN ONE GETS JOB AS A DOCTOR IN AMERICA OR NOT?IF YES HOW MUCH A DOCTOR IS PAID?IS THERE ANY INDIAN STUDENT AFTER PASSING MLE EXAMS WORKING THERE ???

Author: drfuzz PostPosted:     Post subject:

@dipsite
this forum is centering on deciding between usmle and aipge so here we are supposed to weigh the pros and cons of both the exams. Getting sued/thrashed is one of the factor so i'm discussing it before i commit to any one of the exam.

Author: AshB PostPosted:     Post subject:

itsjusnobody wrote:

@ashb
by med negligence, i meant gross negligence, only in such situations would the pts end up losing their lives and the relatives their heads...
ofcourse if a doc is competent he wouldnt be worried but a wise man cannot rule out such possibilities either.
i dont acknowledge living in every day fear, but fear remains a constant entity,
it shrinks to smaller dimensions when the state of mind changes to better humours including happiness hence one does not realize it..but of course lets not get too philosophical here, and lets not argue just to show our superiority, since i naturally agree to yours.....ur are far more wiser and experienced than i am...so if you still disagree u hv every right to it, and i will consider it.

as for me, i am quite sure about my future being in the US, but the question to me would be as to what type of a doc..but i definitely would not want to get sued, not in the US.

Itsjustnobody when i said 'you live in constant state of fear' it didn't mean YOU. I was just referring to any doctor practising in India.

Thanks for being so humble, I'm no authority to know everything. I have just given my view which is that litigations is a possibility that can't be ruled out anywhere, not just US. Even in India cases of gross negligence are being dealt pretty sternly these days. In US if you had every needed paperwork in place and did everything right, there is a high chance that you'd come out of it with little harm. Every doctor has this malpractice insurance for the same reason, to cover such claims. Stripping you of your degree and/or job is only in cases of a serious offence and negligence which can be proved beyond doubt.

But the way the mindset of Indian public is changing, its scary. They have developed this mob mentality specially against this medical community. My brothers and relatives who are in practice acknowledge that small skirmishes has become an everyday phenomenon these days and its hard to change this mindset no matter what you do. A few rogue doctors have given the whole medical community such a bad name and they're still doing that. The inhuman working conditions and low pay isn't helping either, rather its dragging more and more doctors towards unethical practices.

Anyway, its good that you are considering every aspect of both routes. If you ask me, the fear of getting sued in US is not largely different from the same in India these days.

P.S. I don't have a software to put in punctuation etc. I am just trying to come out of that SMS mode i have been in and trying to get back to writing real English and learn it more in the process. icon_smile.gif

Author: dipsite PostPosted:     Post subject:

Quote:
@dipsite
this forum is centering on deciding between USMLE and AIPGE so here we are supposed to weigh the pros and cons of both the exams. Getting sued/thrashed is one of the factor so i'm discussing it before i commit to any one of the exam.


Hmmm......Impressive !!!

Author: drfuzz PostPosted:     Post subject:

Hi. Yesterday someone sacred me by saying that we cannot apply for usmle untill we have our degree in hand and provisional degree is of no use. I'll be completing internship in april so i'll apply in sep. But i'll not get my degree after completion of internship. I'll be getting only Provisional degree. Original degree will be awarded to me in the Next convocation that'll be a year later.

so do i have to apply after 1 yr or i can apply soon after i get my provisional

Author: dipsite PostPosted:     Post subject:

drfuzz wrote:
Hi. Yesterday someone sacred me by saying that we cannot apply for usmle untill we have our degree in hand and provisional degree is of no use. I'll be completing internship in april so i'll apply in sep. But i'll not get my degree after completion of internship. I'll be getting only Provisional degree. Original degree will be awarded to me in the Next convocation that'll be a year later.

so do i have to apply after 1 yr or i can apply soon after i get my provisional
Well its a complicated query which I would love to answer.

YOu need to have Medical Degree so as to be ECFMG certified. YOu can also get ECFMG certified with your provisional Degree.
Medical Degree is NOT required during interviews.
YOu should have your Medical Degree prior to Start of Residency i.e. around May-June.

I hope it solves your problem if NOT then you need to grease the palms of your academic Section employees.

@Ash B
Finally I got a complicated query to answer, make necessary editions and/or additions.

Author: drfuzz PostPosted:     Post subject:

@dipsite
thank u

Author: Esmolol PostPosted:     Post subject:

ash b wat all steps u have cleared

Author: oopsydaisy PostPosted:     Post subject:

wow...thats excellent information!!thanks..

Author: tickle PostPosted:     Post subject:

yeah,detailed info.

Author: AshB PostPosted:     Post subject:

BUMP!

Author: adi_sim PostPosted:     Post subject:

helo frnds...i m plannin to do my pg in india n then go out for fellowship in usa...can some1 plys elaborate on the expenses...n will i get paid for fellowship....or will i have to pay for the felowship..n is thr something called paid fellowship or non paid fellowship...thanks in advance plys do help

Author: dyingforpg PostPosted:     Post subject: Impressed

Hey i read ur comments on this topic of AIPGE vs MLE posted 3 yrs ago. Man, i have to tell, HATS OFF!!!! Beautifully summarised!!! Cool. Awesome.

But i wanna ask u a few questions too..

1. Are u in the us now and are u in a residency program?? Did u clear all the steps??

2. How is the situation now??? Im really interested in Pain medicine following anaesthesia.. Is it easy to get Anaesthesia in the US??

3. Ive prepared for all india exams. Still waiting for AIPGE 2010(its sooooo bloody frustrating). I havent cleared any step of MLE. Is it too late to start preparing for MLE? I finished my internship in India a year ago.

Reply. I guess im at wits end......

Author: vishawanath PostPosted:     Post subject: Re: Impressed

dyingforpg wrote:



1. Are u in the us now and are u in a residency program?? Did u clear all the steps??




mine is also same q , where are u and what r u doing now ,AshB

Author: AshB PostPosted:     Post subject: Re: Impressed

vishawanath wrote:
dyingforpg wrote:

1. Are u in the us now and are u in a residency program?? Did u clear all the steps??


mine is also same q , where are u and what r u doing now ,AshB

I am in the 2nd year of my residency in US.

Anesthesia is in general more competitive than IM/FP/Psych/Peds, and Pain medicine fellowship is also competitive after anesthesia residency.

Its never too late to start but do it if that's what you want to do and not purely because you are frustrated with Indian Pre-PGs. Its a long and hard road to residency in US and without strong will and commitment it can get difficult.

Author: arjunkrishna PostPosted:     Post subject:

Hi nice to know that you are already half way through with your residency . Could you please elaborate more on how life as a resident in us is different from that in india. Could you kindly describe a peculiar day in a residents life there. Thanks for your time and patience.

Author: samendra_3 PostPosted:     Post subject:

hi,
thats a really nice and informative post... but theres something i was interested in and that is post pg fellowship in the US. what r the requirements for the same... as in mle steps , scores, is it equally tough as residency ... plz lemme know the details... i ll be really obliged.. thanking in anticipation...

Author: aishna PostPosted:     Post subject:

Hi,
Ash b. I have finished my step 1 with 99 icon_smile.gif
In third year MBBS icon_smile.gif. Now i'm really apprehensive about the whole thing.
I want to come back after studying there. can you tell me the scope icon_smile.gif

Author: AshB PostPosted:     Post subject:

arjunkrishna wrote:
Hi nice to know that you are already half way through with your residency . Could you please elaborate more on how life as a resident in us is different from that in india. Could you kindly describe a peculiar day in a residents life there. Thanks for your time and patience.

Life here as a resident would be a big talk, but for want of time I'll give a short roundup. There is a good book to read - 'Intern' by Sandeep Jauhar which gives a very closeup of life as a resident in US.

Kind of work and focus is completely different here as a resident. Its primarily geared to make you ready to become and independent practitioner right after you residency. Less pimping, much more mutual respect, more professionalism, regulated work hours (except many New york "super IMG friendly" type programs), more elective time, , more subspecialist dependent (specially IM), more investigation and protocol oriented care, cleaner and much more sophisticated hospitals, much more involvement in social aspects of health, more responsibility for your actions due to legal implications of your actions, significantly more documentation, more pay, better standard of living even during residency, more academics in most programs.

These characteristics are in an average US residency program, but can vary widely.

Typical schedule again varies with programs but in most programs would be similar to my program.

On Floors:
1st year (Known as internship):
7:00 am - Sign in, take your new patients
9-9:30 am - Work rounds with senior (2nd or 3rd year)
10:30 am - Teaching/Work rounds with attending
12:00 pm to 1:00 pm - Noon lecture (During which you eat)
1:00 pm - Resume work on floors and admit new patients
4:30 pm - Signout (this varies widely with programs)
4:30 to 8:30 pm - One day out of week you are on short call
- On weekends you do one 12 hr shift and get at least 24 hr off.
- Floor months vary between 4-9 among programs in first year, but typically 5-7.
- Rest of the months can be electives in a subspecialty, research, ambulatory (elective outpatient clinics)
- Half day every week you see your own patients in an outpatient clinic
- Most programs have shifted to 1 month of Night float per year where you work the whole month at night

2nd and 3rd year (mostly similar)
7:00 am - Sign in, distribute new patients to your first years
7:30 to 8:30 am - Attend Morning report (Discussion of cases overnight)
8:30 to 9/9:30 - Review labs and admissions on computer
9/9:30 am - Work rounds with your team (typically 2 1st years and 1-3 medical students)
10:30 am - Teaching/Work rounds with attending
12:00 pm to 1:00 pm- Noon lecture (During which you eat)
1:00 pm - Resume work on floors and admit new patients
4:30 pm - Signout (this varies widely with programs)
4:30 to 8:30 pm - One day out of week you are on short call
- Involves more elective/research months
- 1 month of Night float
- Work is more of supervision but involves more responsibility

I hope that helps.

Author: AshB PostPosted:     Post subject:

aishna wrote:
Hi,
Ash b. I have finished my step 1 with 99 icon_smile.gif
In third year MBBS icon_smile.gif. Now i'm really apprehensive about the whole thing.
I want to come back after studying there. can you tell me the scope icon_smile.gif

Congrats on your good score. Apprehension is normal but if you are sure about coming back, considering your PG in India itself is not a bad idea. Going back can be a bit complicated. You have enough time, talk to people and weigh your options.

Author: arjunkrishna PostPosted:     Post subject:

Hi ash thanks for that so elaborate description of residency in us. Well i did manage to read the book you mentioned. I think this was what happened prior to the acgme guidelines being implemented. I did manage to personally ask dr sandeep he said things have changed but not much. Anyway as per your description it appears residency in us is more stressful with regards to emphasis on quality rather than the emphasis on quantity which is in india. That really helps one to be a much better trained doctor. Another query is what have you to say about the year since graduation its two years since i graduated. Will that be an issue? Thanks for your time and patience.

Author: aishna PostPosted:     Post subject:

Why do you say it's complicated to get back.
i know its too premature. But i wanna weigh my pros and cons well icon_smile.gif

Author: AshB PostPosted:     Post subject:

arjunkrishna wrote:
Hi ash thanks for that so elaborate description of residency in us. Well i did manage to read the book you mentioned. I think this was what happened prior to the acgme guidelines being implemented. I did manage to personally ask dr sandeep he said things have changed but not much. Anyway as per your description it appears residency in us is more stressful with regards to emphasis on quality rather than the emphasis on quantity which is in india. That really helps one to be a much better trained doctor. Another query is what have you to say about the year since graduation its two years since i graduated. Will that be an issue? Thanks for your time and patience.

Yes, hours are little more regulated now. Things are still evolving, like the cap on number of patients interns can carry has changed since my first year from 12 to 10.

Residency/work here can be more stressful for different reasons including medico-legal but I personally feel that its a part of being more responsible towards your patients.

Years since graduation matter most when they are >4-5.

Author: AshB PostPosted:     Post subject:

aishna wrote:
Why do you say it's complicated to get back.
i know its too premature. But i wanna weigh my pros and cons well icon_smile.gif

Its complicated because its not simple icon_smile.gif. Its multifactorial and depends on too many variables for anybody to give a simple black and white answer.

Author: aishna PostPosted:     Post subject:

Well,
Say i get a good residency and a fellowship too.
coming back and practicing here, is not a real deal?
Doubt 2:
That i have finished my step1 early, what ways i can draw advantage against my peers?

Author: itsjusnobody PostPosted:     Post subject:

hi there..AshB is right. coming back might not be a good option.

its a deal allright but a stale one.

If you wanna practice in India its better to do the residency there.

The systems in India and the United States are very
different. Though, I cant say much about this cos the med practice in both these places is undergoing one hell of a revolutionary change.
(what with obamacare in states and corporate hospitals takin over in India) Ppl including me arent happy with the proposed changes under obamacare. They are gonna increase the taxes and cut down on the salaries unless u are a prim care practitioner.

anyhow back to your other question-

Since you've finished your step1, you've opened up a plethora of options for electives. People like me, who've not taken step1, can only apply to limited no of med schools.

In addition you can start your step2 prep as soon as you begin your internship.

Author: lovarts PostPosted:     Post subject:

Thank GOD AshB is back.!
Hope you are fine.

You mentioned year of graudation matters when its more than 4-5. Well when ( if everything goes in the rt. direction ) i am all set to apply for a resdiency i will be atleast a 5 yr old gradute. But i will hve completed my PG in India by then (medicine). will that balance out ?
I do plan to apply for IM or Neuro residency..

Your reply will be really helpful in my further journey icon_smile.gif

Author: whynotI PostPosted:     Post subject:

really this thread is very useful.hard wok.but acc to me doing pg in india is best.we should follow acc to our dreams,plans and imp is situation in which are.

Author: jayim PostPosted:     Post subject:

hey ash b...hi...my current scenario is this that i m contemplating on joinin dnb medicine here in india at the same time would like to apply for fellowship later in usa..so i will appear for usmle as well...now i dont know whether i should straight away head to us for observership or externship whatever feasible..as such i dont want to stay in india but my parents are the reason i m stayin for may be 3 years...please reply.....thanks

Author: dr_angel PostPosted:     Post subject:

hello ashb

must say....this is 1 fab research on the hottest topic!

im new...
i wanted to kno for how many yrs is step1 mle result valid?
coz im mostly plannin to take up dnb in may 2010...then once im done wit it,i wud want to pursue fellowship in the US...

(aftr almost a yr of thinking...i've almost decided icon_smile.gif that i shud do some master's degree in india...n then go to the US to pursue a fellowship in the same field...)

Q2. im interested in pursuing dermatology...
so how is the scenario in thUS wit respec to an Indian 's chances of gettin into residncy program/fellowship?

pls help ....(coz i read the first part of the thread,n u thought exactly lik the way i m thinking rite now)

Author: suchitra4u2 PostPosted:     Post subject:

hi ASHB , lovely thread thanks so much for helping us all out .. im an intern presently preparing for step 1 (giving in oct or nov) ... im interested i taking up int med and paeds but the scary situation in india during residency and slim oppurtunities for fellowships here and life post md and meagre salaries discourage me from giving aipge/cet .. i want to know the follwing :

1)is a one month elective good enough as usce or i will HAVE to do more observerships to get into a good progam (considering i have good scores ?)

2) also what are the prospects of comnig back to india after practising there for a few years ( i know many ppl have already asked u this but i know i will probably feel like cming back to india once im 35- 40 yrs old ,,) what are our oppurtunities here ? if im prepared to work with low pay scales and low infrastructure can i come back .. or will it be that my training there will be sooo different that i can never manage cases here in india?

Author: dust88 PostPosted:     Post subject:

thnx man

Author: papai_mcc PostPosted:     Post subject:

Hello everybody!
I am pursuing MD Anaesthesiology course in India. Is it possible for me to get fellowship in USA in Critical Care/ Cardiac Anaesthesia after USMLE?
Thanx in advance....

Author: heman466s PostPosted:     Post subject:

hey..i think thats me ur talkin about...i amin the same position as u r...rite now..can u tell me wat u r doing and where r u now??!!!kunal...??



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