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Transcript of USA – Formale Voraussetzungen und · PDF fileDominican Republic - 3.3% (7,892) 6. ......
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Oliver J. Muensterer Klinik und Poliklinik für Kinderchirurgie Universitätsmedizin Mainz Johannes Gutenberg Universität, Mainz
USA – Formale Voraussetzungen und realistische Chancen
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Warum in die USA?
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Ärztemangel
NY Times Sept 5th, 2009 Vor allem werden Ärzte in "primary care" gebraucht.
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Ärztemangel
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Ausbildung zum Facharzt
Medical School (
NRMP (Match
Residency (3-5 Jahre)
Facharztprüfung
"Attending"
USMLE 1/2
Fellowship (1-3 Jahre)
USMLE 3
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Residency bottleneck
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Verhältnis Bewerber/Internships
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1. India - 19.9% (47,581) 2. Philippines - 8.7% (20,861) 3. Mexico - 5.8% (13,929) 4. Pakistan - 4.8% (11,330) 5. Dominican Republic - 3.3% (7,892) 6. Russia/USSR - 2.5% (6,039) 7. Grenada - 2.4% (5,708) 8. Egypt - 2.2% (5,202) 9. Korea - 2.1% (4,982) 10. Italy - 2.1% (4,978) 11. China - 2.0% (4,834) 12. Iran - 2.0% (4,741) 13. Spain - 1.9% (4,570) 14. Dominica - 1.9% (4,501) 15. Germany - 1.9% (4,457) 16. Syria - 1.5% (3,676) 17. Columbia - 1.4% (3,335) 18. Israel 1.4% (3,260) 19. England- 1.4% (3,245) 20. Montserrat (Carribean) (3,111)
Top 20 Länder, aus denen IMGs kommen
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Hürde Nr. 1 - USMLE
Step 2 pass rates
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Hürde Nr. 2 - ECFMG
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Hürde Nr. 3 - Bewerbung
ERAS Bewerbung (www.nrmp.org) Curriculum Vitae Personal statement Letters of Recommendation Dean's Letter USMLE scores
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Letter of Recommendation (LoR)
Möglichst von Amerikanern geschrieben
Soll Kandidat herausheben
Nicht zu knapp, aber auch nicht
zu lang
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1. Be honest, brief and to the point.
2. Revise, re-read, have others read your essay.
3. Do not write things that are incorrect.
4. Do not exaggerate.
5. Do write your own PS, do not copy - paste from online samples.
6. Avoid the 'Zebra effect‘ of copy/pasting.
7. Think long and hard as to how you can make your essay pop.
8. Point of personal statement is just that. Don’t rehash your CV.
9. Don’t be too modest in stating what you have achieved.
10. Clearly state your role/responsibilities in externships or observerships.
10 Commandments of a Personal statement
http://www.mleresidencytips.com/2011/07/ten-commandments-of-stellar-personal.html
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SPECIALITY NAME PARTICIPATE IN ERAS
PARTICIPATE IN NRMP
ANESTHESIA Naval Medical Center (San Diego) Program San Diego, California
No -
National Capital Consortium Program Bethesda, Maryland
No -
New York Methodist Hospital Program Brooklyn, New York
No -
Naval Medical Center (Portsmouth) Program Portsmouth, Virginia
No -
Nassau University Medical Center Program East Meadow, New York
Yes No
San Antonio Uniformed Services Health Education Consortium Program. Fort Sam Houston, Texas
Yes No
Einige Programme nehmen nicht am ERAS oder NRMP teil
http://www.mleresidencytips.com/2011/11/list-of-programs-that-dont-participate.html
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Hürde Nr. 4 - Interview Wahrhaftigkeit
Freundlichkeit
Professionalität
Begeisterung zeigen
Gute Auftreten
Gutes Englisch
Besonderheiten herausstellen
Follow-up Nachricht 8. Auflage 2013
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Medical residency interviews and match - A Chief resident's perspective. by Kevin Flinn, MD (Peds-IM PGY 5)
How to act in an interview. Be ...
• confident
• yourself
• talkative (but not pushy)
• confident and interesting
(but not showing off)
• Inquisitive (without pandering)
• represent yourself well but honestly
• engage as much as possible
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Wie präsentiere ich mich im Interview?
(JC Penny)
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Hürde Nr. 5 - NRMP
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Hürde Nr. 6 - Visum Typ Voraussetzung Beschreibung
J1 ECFMG Cert. USMLE 1+2 Approbation
Zur Ausbildung (Res/Fellow), Forschen, 2 J Regel !
O1 Außergewöhnliche fachliche Fähigkeiten
Zunächst 3 Jahre, dann jährliche Verlängerung, keine Green Card
H1B Volle US-Lizenz (USMLE 1-3, ECFMG)
Res/Fellow Attending, keine 2 J Regel
Green Card
Mehrere Jahre als H1B (nicht J1 !), Glück
Alle Rechte, keine Einschränkung
So früh wie möglich mit Visum-Antrag beginnen!
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1. North Dakota ~65% 2. New Jersey ~60% 3. Wyoming ~58% 4. Nevada ~46% 5. New York ~45% 6. Connecticut ~41% 7. Michigan ~40% 8. West Virginia ~39% 9. Louisiana ~38% 10. South Dakota ~34% . . (US median ~23%) . 41. South Carolina ~14% 42. Hawaii ~13% 43. California ~12% 44. North Carolina ~11% 45. Utah ~10% 46. Washington ~9% 47. Oregon ~8% 48. Colordo ~7% 49. Montana ~6% 50. Idaho ~5%
Welche Staaten sind IMG-freundlich?
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1. Internal Medicine - 37% (57,029). 2. Anesthesiology - 28% (11,712). 3. Psychiatry - 31.4% (12,999). 4. Pediatrics - 28% (20,318). 5. General/Family Practice - 23.8% (22,250). 6. Obstetrics/Gynecology - 17.6% (7,446). 7. Radiology - 18.8% (1,670). 8. General Surgery - 19.8% (7,419) Source: Physicians Characteristics and Distribution in the U.S. 2008 Edition; AMA, Chicago, Ill.
IMGs nach Fachrichtung
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Fellowship Accredited/nonaccredited Clincal/Research/Mixed Relativ viel gesucht Für klinische Arbeit braucht man License/ECFMG Gut für 1-2 Jahre, für Ausländer, zurückgehen Nur nach accredited Fellowship kann specialty board gemacht werden Verdienst 40-60k pro Jahr
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Attending Eigenverantwortliches Arbeiten Relativ hohe Arbeitsbelastung Rechenschaft Ohne American Board nur in akademischen
Zentren mit außergewöhnlichen Fähigkeiten oder wo dringend Bedarf
Nur in Ausnahmefällen ohne ECFMG certificate Guter Verdienst, je nach Fachrichtung und
geographischer Lage
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Einkommen nach Fachrichtung
www.medscape.com
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Wichtige Aspekte Kann ich langfristig in den USA leben? Lebensqualität Familie Finanzielle Lebensplanung (Kinder, Ausbildung) Bezug zu Deutschland schwindet, Rückkehr mit der Zeit i
?
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Fragen ? [email protected]