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Friday Fun Thread for January 12, 2024

Be advised: this thread is not for serious in-depth discussion of weighty topics (we have a link for that), this thread is not for anything Culture War related. This thread is for Fun. You got jokes? Share 'em. You got silly questions? Ask 'em.

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See, the same reason that I can't go to the US also locks me out of Australia, New Zealand and Canada.

It boils down to a single US company/non-profit that accreditates international med schools. Mine happens to meet the legal requirements for India, namely being recognized by our national regulator, but they skimped out on this one, since barring me and a handful of others, few of the previous graduates had any aspirations for going abroad, and those that did chose the UK. This was something I wasn't aware of when I joined, or I'd have dropped a year and tried for someplace better.

So imagine my gut-wrenching horror, years down the line, when I discover I'm locked out of the States, with no recourse short of the med school getting certified, and retroactively too to cover my batch. Which might still be possible. I consoled myself by thinking surely the UK can't be that bad right? But the more I learn about it, including from interacting with the locals, the lower my opinion of it goes.

In terms of alternatives, well, there's Germany and Hong Kong, maybe a few other weird places. None I wish to live in, for one reason or another.

At any rate, the UK still holds some pointless and misplaced sense of pride about its place on the world stage, hence them ignoring that US organization for the large part, even if they're used to verify the credentials of applicants. So that does so far seem the best option.

There might be some places like the Middle East, but I would despise living there, and I need to get more credentials under my belt before it's worth the effort.

How hard is it to get the credentials now?

So far, the ECFMG has been less than helpful, including when my med school reached out to them, but in my personal correspondence, they told me that it was possible, including retroactively certifying me and the other graduates if there was conclusive evidence we met the same standards.

I have been busy with work and studying for the UK, but the moment I get a time to breathe, I'll try and corral a bunch of my juniors and pressure the Admin, though I have tried before, it was only just a handful of us, and I've heard the kids are far more keen on getting the fuck out of here than my complacent peers.

All hope is not lost. I just don't know how much remains.

Is there any way to get a degree with another medical school within a reasonable amount of time?

Is it possible? With enormous difficulty, maybe.

Most people don't end up in the peculiar situation I find myself in, so there's no streamlined route for it. "I'm dissatisfied with the med school I went to, I want to do the whole thing again at a better one" is an extremely weird thing to do, so nobody does it, at most people might end up transferred while in their course. Or study extra hard to get into a good training program, which I am doing, but it doesn't solve the root problem.

I believe even having a medical degree makes you ineligible to apply again, at least in India. Because why would you do that?? And in the US, well, getting into med school is tough enough, I doubt my rationale would convince the committees.

The closest is say, someone who is a refugee. Maybe your med school in Ukraine/Syria/Gaza got blown up, so you plead your case directly and potentially have some requirements waived. My med school is sadly very much intact, it just hasn't done something that is simultaneously expected and also optional.

But even if I could, I don't think it's a good idea. First of all, repeating med school would suck. More importantly, at the bare minimum that's 4 years gone, maybe 5 or 6. I'm already worried about being made obsolete before I finish my full training! There's no way to just fast track med school, and even alternative/parallel careers like nursing/PAs take time, and while I bitched about PAs before, I don't think becoming one is a net positive.

In a very different universe, say if I was to jump back in time a decade, that might be something I could begrudgingly consider, but right now? I'm sure you see why it's a bad idea, at least if you agree with the issue of AI and unemployment.

You could go for a masters or something and do research?

I have considered that, but thank you for suggesting it. The main issue is that a Masters would take about 2 years, and research doesn't pay well, be it in the UK or US.

In a vaccum, I don't think it would have been a bad idea, but for example, I think a Masters in Data Science probably needs more in the way of previous experience, so does something like ML/CS.

They all cost money, they all take time, and while I can grudgingly handle the former, I can feel the clock ticking.

Something like stats or CS could help, maybe in me making a lateral move from medicine to pharmaceuticals, in some kind of advisory or managerial role, but even then the competition is getting stiff.

Yeah normally I would anti-recommend a Masters in terms of value proposition -- but if you are looking for an immigration lever it is one. You could move to the US while you are doing it, another plus.

Moving to US isn't the end all or be all here, either I make enough money to be nigh impossible to dislodge, or gain citizenship.

A Masters incurrs severe opportunity costs, that's about 2 or 3 years of earning potential lost, with added expense, and finally ever dwindling time to make it back.