Hello, again!

February 25, 2014

Hi, Readers,

Checking in again, as promised before the Match. Has been an interesting few weeks at home; took a while to settle down as this is the first time since 2009 that I haven’t had something pressing to study for/apply to–no board exams to prep for, no semesters to shop for, no rotations to set up. It’s a good feeling, relaxation, but I’m still nervous about the upcoming Match. I’ve gotten good news from many of the programs with which I interviewed–correspondence that they will be ranking me, which is great to hear, but it makes my ROL decision tougher. While I haven’t changed my original Rank Order List since I certified it shortly after my birthday, I think about changing it daily, sometimes hourly. There are so many factors to consider: location, program size, available fellowships, program reputation, graduate placement, research opportunities, facilities, gut-feeling, program director and faculty, call schedule, patient population, benefits. My head is swirling.

I’m facing the last big hurdle a student from the Caribbean must face. There’s a lot of nasty opinions and forum posts out there about how Caribbean grads never match and how there won’t be enough residency spots available in the coming years to support Caribbean grads.

I think it’s clear at this point that I will match somewhere, but now my dilemma is where to go.

A big concern of mine when choosing a Caribbean medical school was California approval. Ironically, I ended up going to a school which has not been visited by the California inspectors yet, but is not on their disapproved list. While I’m not pursuing a program in California, their list has had an impact on the licensing requirements of many state boards of medicine. I’d found comprehensive resources back in 2010 which stated that most of the states I was interested in settling down in, were not specific about IMG requirements in order to obtain licensure. Some states require careful scrutiny of a student’s Core clinical rotations and require them to be completed at a hospital either directly affiliated with a medical school or at a hospital in which there is a residency program in that field (“Greenbook”). Others are fine with core rotations which have been completed at a hospital which has residencies, but not specifically in that field (“Bluebook”). Some states have no requirements at all, as long as a student has successfully graduated from a medical school, has completed his/her clinicals in the US, has ECFMG certification, and has passed the USMLE Step 1, Step 2 CS, and Step 2 CK exams. My research back in 2010 revealed that most of the states in which I was interested, fell into the latter category–there were no requirements.

During my 3-week hiatus, I took the time to contact the State Medical Boards of some states that I had interviewed in, just to make sure that things hadn’t changed and I wouldn’t have a problem obtaining licensure there, only to find out that they had changed their requirements. Uh oh. It’d be horrible to match to a great program and then not be able to go there because the state won’t recognize your clinical training and therefore won’t license you.

I’m waiting to hear back from the folks in my school’s clinicals department–surely they have dealt with licensure issues in the past and can offer some insight. Kind of coming down to the wire, though, since ROL’s are due at 9:00 this coming Wednesday. Might have to change my list and go with a more conservative option in a state where I know I won’t have licensure issues. #thoughtIMGproblemsweregone

Will keep you all updated on what I find out.

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Update

February 5, 2014

Hi, Readers!

Checking in from my break-month, back at home in NC. Finished up in OK and have once again, relocated the bulk of my possessions back to my folks’ house for a temporary break. Interview season is over! It’s rank order list time! Tough decisions to be made, taking time to sit back and think “would I be happy there, with those people, doing that for the next few years?”

Got my last tuition left-over check back from my loan. It dwindles further. I got $600 to live on for the semester back after the school took out tuition from my $15k loan [minus the loan origination fee]. Ridiculous, no? I don’t know how other students from the US are doing it, other than perhaps utilizing the MBA program. Though I couldn’t imagine taking business classes when you need to be focusing on interviews, match stuff, and 4th year rotations. More power to those kids. I’ve accepted the fact I’m forever indebted to my parents and couldn’t have made it this far without their support.

Meanwhile, I’m working out on a daily basis trying to get back down to my pre-Chicago weight. (I’m close) And now, researching my March rotation in Louisiana–where to fly in, where to stay, etc. I have a place lined up to stay at in VA in April but I’m not getting a lot of details about LA. Oh well, patience.

Will be in touch before the match. Best of luck to everyone!