U******u
发帖数: 5829 | 1 来自主题: MedicalCareer版 - 想上就上吧 干嘛拍你啊？都PGY-2了。再说，也舍不得了。拍得下次不来了,俺吃不上点心了不是？
说吃，俺也高兴。
昨天和今天猛吃了两顿鸡蛋辣椒炒松菇--昨天隔草时见路旁松树下突然雨后钻出一
大群蘑菇，赶紧停了拖拉机，去拿了个篮子摘了半蓝子，让刀太到地里摘些自己种
的辣椒和鸡蛋炒了一半，还剩一半明天吃。
摘时。故意留个根，如果今明两天下雨，国庆节时，大奔跑来还能捞一嘴新鲜的。。。。
再打只兔子，来个辣子兔丁就更。。。。。。。
俺现在就急吼吼地盼9月快来，可以开始打猎季节了。。。。。。。
dok |
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e*****a
发帖数: 1334 | 2 Both should be "No". You don't need an intership (PGY-1) to get the MB
degree in China. |
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a**e
发帖数: 5094 | 3 因为国庆节,所以病人争先恐后的跑回家。眨眼间神经科病房还剩了仨。一想到还要
cover ICU，交班的时候血压又上去了20mmHg.后来ICU的senior安慰我说，护士先叫ICU
fellow，如果fellow需要你看病人才会呼你，心就放下一大半。剩下急诊，不需要请示
attending，我和senior就把病人直接送回家了。
统共就收了一个外院transfer病人，attending早就打电话嘱咐好了。唯一不爽的是半
夜两点半睡得迷迷糊糊的时候护士呼我说病人到了，时间早点晚点都行啊。我的senior
从12点多一直睡到了早上7点交班，最后问了我一个问题“我睡觉没打呼噜吧"
刚发现我们这里从学生到attending的白大衣都是一模一样的，除非仔细看胸牌，不然
跟本看不出谁是resident，谁是attending。一个病人看了看我，说你不是intern吧。
我说我不是，I am the Neurology resident。病人好像不太理解这个resident是什么
意思，很配合的做了H&P。突然发现PGY-2还有这等好处哈。:) |
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x******g
发帖数: 42 | 4 这个没有办法啦。无法得到这样的数据 :(
但是可以得到这样的数据，
AMG毕业人数16008人，而所有专业AMG的申请人次数是23343，这就是说平均每一个AMG申请了1.5个专业。
独立申请人数20964，而所有专业独立申请人次数是22966，这就是说平均每一个独立申请人申请了1.1个专业。当然有的专业可能就根本没有独立申请人报名。
～～～～～～～～～～～～～～～～～～～～～～～～～～～～～
不过发现NRMP的一个投机的地方，它所算的match率是基于active applicant，而不是
所有的applicant。
实际上FMG total applicant 11267，
withdraw 2144，
matched 3112,
实际match率35%
形势还是严峻的。
当然对于CMG而言70～80%的match率还是有可能的。
下面的百分比是FMG在不同专业中所占的比率仅限于（PGY-1）
IM 27.5
FM 20.9
Neuro 26.7
Path 16.3
Psy 15.4
Pre- 25.4
Surgery
相对容易的专业是IM，Neuro，和pre-surge |
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e*****a
发帖数: 1334 | 5 If compare the data of how many non-U.S. IMGs registered for USMLE step 1,
and how many of them actually enrolled in PGY-1, the success rate is about
30%.
When people registered for the USMLE step 1, they INTENDED for the residency
match, but
Some of them failed on step 1;
Some of them failed on step 2 CK;
Some of them failed on step 2 CS;
Some of them gave up on personal reasons;
Some of them didn't get any interview invitations;
Some of them submitted ROL but didn't match (even after the scram |
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e*****a
发帖数: 1334 | 6 Yes increasing medical school enrollment is a bad news for IMGs. It's not only for IMGs, at our school people felt more competition this year. Some good candidates didn't get the prefered specialties.
Here is a good news for IMGs:
A "Resident Physician Shortage Reduction Act of 2009" was introduced in
Cogress on May 5, 2009. If passed, the bill would increase the number of Medicare-funded residency training positions by 15,000. This translates into roughly 4,000 new PGY-1 positions per year.
The |
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c****y
发帖数: 59 | 7 It is a good news indeed, but I don't hold my breath for it. The majority of
bills and resolutions never make it out of committee.
only for IMGs, at our school people felt more competition this year. Some
good candidates didn't get the referenced specialties.
Medicare-funded residency training positions by 15,000. This translates into
roughly 4,000 new PGY-1 positions per year.
apply for primary care or general surgery slots, or slots that emphasize
community-based training; further preference |
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x******g
发帖数: 42 | 8 07年也有相应的法案，但是没有通过；
希望这次的结果会好一些
only for IMGs, at our school people felt more competition this year. Some
good candidates didn't get the prefered specialties.
Medicare-funded residency training positions by 15,000. This translates into
roughly 4,000 new PGY-1 positions per year.
apply for primary care or general surgery slots, or slots that emphasize
community-based training; further preference will be given to hospitals in
States with fewer Medicare-sponsored residency slots than medical studen |
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d**********n
发帖数: 103 | 10 Thanks dok and Jimmy师兄. 及时雨, as always!
Appreciate it very much!
My biggest fear now is that soon I might end up destroying a specimen at some point...
Sincerely,
Cathy |
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e***s
发帖数: 138 | 13 没有入门的人也得谢谢，连我似乎都看懂了:D
jimmy大哥绝对是金牌写手，谢谢。 |
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p******6
发帖数: 410 | 15 已收藏。尤其是在做了两周的observership后，才体会到其重要性，好好学习一下。 |
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U******u
发帖数: 5829 | 16 good one, every new path intern should read it!
dok |
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A**A
发帖数: 224 | 17 下面附了中美税约的19和20条。免联邦税与签证无关，H1，J1,F1都适用。似乎你可钻
20条trainee的空。只有每年5000刀免税。过去认识一印度PGY-1，H1，直接从印度来的
她都交税的。另外，你是直接从中国来作住院医生吗？若不是，大概20条也不行。
ARTICLE 19
(Teachers, Professors and Researchers)
An individual who is, or immediately before visiting a Contracting State was
, a resident of the other Contracting
State and is temporarily present in the first-mentioned Contracting State
for the primary purpose of teaching, giving
lectures or conducting research at a university, college, school or other
accredited e |
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a**e
发帖数: 5094 | 19 看了乖乖虎的感慨，把我自己的一点感想写出来
每个program的教学都不同，我自己刚开始的时候也愤青了好一阵子。不过将来，病人
是不会听你解释你是从哪里training出来的。如果外界条件不具备，自己创造环境主动
去学。
我个人观察，学得比较不错的同志有以下值得学习的优点：
随时随地的学习，内科很多东西非常琐碎，一天忙下来，自己也忘了要看什么东西了。
一个好办法就是在iphone/PDA上装uptodate，有问题自己随时就查。
uptodate是内科一大宝，可以把自己当天要看的主题打印出来，晚上好好学习。以前一
个很优秀的PGY-3，他说自己三年都没看过书，都是靠uptodate。
有问题主动去问attending，很多private practice attending，teaching并不是他们
的任务，但是并不等于他们不愿意教你，如果你主动问，他们还是很愿意讲的。当然他
们时间很紧张，经常要跑很多地方。我个人观察下午6点到7点是个比较relax的时间段
，这时候他们愿意聊得多些
先写这几点，大家补充吧。 |
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e*****a
发帖数: 1334 | 20 Agree, he was a student and still under the master degree program. In U.S.
some TAs give lectures. Instructor on the other hand, is an academic staff
job.
In our sub-I we perform PGY-1 duties, but we can't declare that we're "
residents". |
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a**e
发帖数: 5094 | 21 终于干上了自己喜欢的专科，别提多开心了。
我们这里pgy-2非常苦，30 hour Q4 call，一干就是大半年，然后3年级不干病房，只
做elective，4年级当floor senior，教resident和meds student，俨然就是attending
-to-be。传闻我们这里以前真有人就在泡医院里长年不回家（单身的说），听起来很恐怖
日程：每天早上7点钟开始自己看病人，大家坐一起汇报病例，然后attending从meds
student开始一个一个问，这么每天过堂，回家再累也得看书，不然太丢人了。中午
noon lecture后，处理病人一些情况，继续看书，看paper，因为大家讨论的问题书上
已经不能涵盖了，只能看paper.如果不值班，大概6点钟左右回家
教学：比我以前呆的地方强太多了，比国内也是强了不是一个档次，和哈喇汤一个感觉
，就和以前没学过医一样;( 病例的丰富程度不比国内差，记得neuro-onc讨论的第一个
病例就是Li-Fraumeni,这个我以前只在paper中见到的名字。：）以前有人说
university program的住院医生没有first |
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a**e
发帖数: 5094 | 22 PGY-1 is prelim IM for neurology.
the premium of malpractice for Neurology is not high.
last
in |
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b****m
发帖数: 30 | 23 Last year I only matched to a preliminary position. Should I use ERAS to
apply for next year's position? Or I need contact individual programs to get
the vacancy info?
Thanks a lot. |
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U******u
发帖数: 5829 | 24 very much!
One AMG surgical intern quit surgery and worked with me in the lab for one
yr, and then back in path PGY-2 directly at UC.
usually, surgical preli, welcome to apply for anesthesia, path, and many
other hot specialities.
dok
apply |
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a********a
发帖数: 57 | 25 另外没有做过神经科的observership，真正对它的了解并不多
- I do think a LOR from a practicing Neurologist inthe US is necessary to
apply to Neuro; otherwise the PD may think you are not a serious applicant
and may stay in IM after the PGY-1.
再请问preliminary 的PS我本来打算就用内科的，需要单独写一个吗？是不是得强调计
划申请神经科？
- The Prelim PS is very different from the Categorical one, you should
emphasize why you like Neuro and why you think a solid background in IM is
critically important for your future career as a Neurologist. You also need
to co |
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e*****a
发帖数: 1334 | 26 Preliminary medicine is the PGY-1 for specialties such as Aneths, Rads,
Neuro. If you're interested in IM just apply for categorical IM. Choosing
preliminary medicine people may think you use IM as backup. |
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e*****a
发帖数: 1334 | 27 For anesthesiology the PGY-1 internship year can be internal medicine,
surgery, or transitional. Transitional year is usually offered by community
hospitals. It has several months of electives so lifestyle is better, thus
much more competitive.
In terms of work load:
Preliminary surgery > Preliminary medicine > Transitional
In terms of competitiveness:
Transitional > Preliminary medicine > Preliminary surgery |
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e*****a
发帖数: 1334 | 28 In 2009 1,151 preliminary surgery positions were offered. It depends on what
will you like to do after PGY-1, that can help you decide which type of
program to apply. I think not many CMGs will apply for surgery-related
fields.
why?
less |
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s******h
发帖数: 31 | 29 If I want to apply to 2 different specialties (advanced programs), should I
indicate PGY-2 Specialty interests when I apply to the preliminary program?
Thanks! |
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e*****a
发帖数: 1334 | 30 Here is an example, the PGY-1 is called "clinical base (CB) year" by
Northwestern program:
The CB year optimizes the experience of the perioperative physician. The
first ten months are devoted to four months of general internal medicine
rotations, two months of medical intensive care, and single-month
assignments to the emergency department, coronary care unit and cardiology
inpatient service, hematology-oncology, pulmonary consultation, and to
critical care medicine in the surgical intensive ca |
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h****a
发帖数: 234 | 31 Thank you, Eric,
Just to make sure, a categorical program means I don't need to worry about
finding a preliminary PGY-1 myself, right?
Does an interview for categorical anesthesia require meeting with faculties
from preliminary specialty (like IM/Surg)?
have to rotate through other departments for the broad training. |
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l****u
发帖数: 77 | 33 Thanks! May I ask how you got these information? |
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e*****a
发帖数: 1334 | 34 You may apply for Neuro and prelim medicine at the same place. Apply for
categorical IM at other places.
You can't use prelim surgery as the PGY-1 for Neuro, because it won't offer
enough required IM trainings. |
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e*****a
发帖数: 1334 | 35 Either preliminary medicine or transitional will wok, but it must include
a 6 to 8 months of internal medicine. That's why preliminary surgery can't
serve as a PGY-1 for Neuro. |
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o*****2
发帖数: 11 | 36 Same as Emily2009. Can we apply for both prelim and categorical, then
indicate our PGY-2 Specialty interest(s) as IM? |
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a********a
发帖数: 57 | 37 Can we apply for both prelim and categorical, then
indicate our PGY-2 Specialty interest(s) as IM?
-This does not make any sense, it is much much tougher to get preliminary
year IM interviews compared to categorical IM at the same institution. Your
chances of getting an interview is not going to be increased by applying to
preliminary year. |
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a**e
发帖数: 5094 | 38 傻呵呵的跑去值班，到晚上才知道已经开始没有senior resident和我们一起值班了。
害怕了一分钟，然后就忙得连害怕的时间都没有了。
一个病人在病房crush了，medical ICU的resident死活不肯转到medical ICU去。病人
建不了peripheral line，他还在那里说，does the patient need an iv access？我
当时真想跳上去狠狠敲他的脑袋，说一句，你该重新去做PGY-1。后来想想还是忍住了
。最后实在没有办法，我们自己neuro ICU attending救了我一马，收到Neuro ICU去了
,当时我真想抱着attending大哭。结果medical resident看到我动真格的了，和
medical ICU fellow打了声招呼，结果fellow立刻把病人从neuro ICU转到medical ICU
。整个过程僵持了5个小时。
第二天，attending闻信，说了一句，congratulation Dr.Acne, you did not get
murdered last night! :) |
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J*J
发帖数: 201 | 39 2010 UCSD病理面试
UCSD的面试发得很早，是我收到的第一个病理IV。SD是我们家最喜欢去玩的地方，那里
气候宜人，风景美丽，有Sea World and Legoland，小朋友们百去不厌。当时受到面试
邀请，全家都兴奋了好几天。
值得提一下，他家的PC相当好，e-mail response回复特别快，面试当天的流程安排得
有条不紊。
我去的那天一共有5个candidates, 全部来自加州，两个AMG,三个FMG，其中一位是他们
系里的fellow,一位是本校的博后。
面试早上八点开始，先是PD介绍该program的情况，一共21个住院，今年招4个PGY-1.PD
特别强调了他们program的education,特别比较了他们住院in service exam和全国的平
均分数，以及近几年来的board passing rate. UCSD现在有外科病理和神经病理两个
fellowship programs,血液病理正在筹备中。然后椅子匆忙赶来，欢迎致词，就开始面
试了。
面试官由PD和四位faculty组成，在五个相邻的办公室内，一对一，每30分钟交换一轮
，所以效率高 |
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b*********n
发帖数: 162 | 40 Thanks, chad and bluesky. Actually, prematch to prelim is good or bad. Good
thing is security, but bad thing is that usually the prelim is a small
community hospital so the teaching quality and workload are not ideal.
However, if you can get into a categorical neuro program, you have much
better PGY-1. based on the IV number of your guys, you most likely go to a
categorical one, so what you have to do is waiting with patience. That is
all you need. |
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p******h
发帖数: 3 | 41 我正在做PGY-1的外科INTERN,想请教同行:
1. 其重要性.
2. 能否推荐一些实用的复习材料? 谢了. |
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L********8
发帖数: 248 | 42 September 2009--Allegheny General Hospital in Pittsburgh, Pennsylvania has
an opening for a Preliminary General Surgery PGY-1 intern starting October 1
, 2009. Candidates must have taken and passed USMLE Step 1, Step 2 Clinical
Knowledge, and Step 2 Clinical Skills (or COMLEX equivalent). Allegheny
General Hospital sponsors only ECFMG-sponsored J-1 visas. Other visa
holders will not be considered.
Qualified applicants should send the following items for consideration in
one E-mail with attac |
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L********8
发帖数: 248 | 43 Sorry that I can not input Chinese in this computer. I am staying up in my
call room now.
Many factors may cause PGY-1 vacancy. People may quit after 2 months because
the program is not as they expected or the surgery specialtiy is not as
they expected. People may also be fired due to some reasons. In such case
the program have to find someone else to fill the position immediately. Such
position is exactly same to what you get through match after half year
struggling, except that this start now |
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h****a
发帖数: 234 | 44 I am not supposed to get them until scramble time, but I will try.
And this year's interview season is coming up, do you think the program will allow me to interview for PGY-2 (anesthesia)positions after I get in? since the start time is Oct.1....
Thanks. |
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s**o
发帖数: 57 | 45 在NRMP中search program 时，program type 中有advanced , categorical,
physician only, preliminary, primary，对于第一年申请的人，应该选那个呢？那位
可以给
解释一下呢？ 还有，你们有没有申请时碰到让你们选PGY-2的专业的情况? |
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s****2
发帖数: 57 | 46 True story, my friend --- a PGY-1 resident of 2009. step1 82/ step2 83,
failed step3 and matched to path at a univ hospital last year.Everybody
thought it's impossible for him to get matched last year.But he made it. Of
course, he spend a lot of time on other works to polish his package."Think
about me whenever you're frustrate"--the last words he said to me before he
relocate to another city. |
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L********8
发帖数: 248 | 47 To those who have finished Prelim Surgery PGY1 and are frustrating for next
position, this is may be a chance!
September 2009--The Department of Surgery, at SUNY Downstate Medical Center,
at Brooklyn has preliminary PGY 2 position to be filled immediately.
The position will commence on October 1, 2009. Interested applicants’
should forward e-mail or fax the following documents:
ERAS Application
USMLE Scores
Curriculum Vitae
ABSITE Scores
Operative Case Log Report
Letters of Recommendations (3)
M |
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a********e
发帖数: 3771 | 48 来自主题: MedicalCareer版 - 现在真想哭 呵呵，大家一起走过，唱着歌就gross完了。
今晚去一个朋友家做客，他LD也是path PGY-1，快十点才到家。急急忙忙吃完饭就进屋
准备presentation去了。 |
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d******e
发帖数: 2541 | 49 来自主题: MedicalCareer版 - 现在真想哭 看你们这些抱怨，俺都不知该说什么。就像对80后、90后的真想象老毛一样都给送下
乡去插一段队再说，回来就什么P话抱怨都没了。
你们要是能经历哪怕一个月的外科PGY-1，绝没如此抱怨的。
我这人皮糙肉厚，那段时间虽被折腾的掉十几斤，可是特快乐--整个受虐狂心理。
所以，转病理后，俺觉得简直就是享受死了。俺那单位没有PA，全靠我们住院GROSS标
本，SIGN CASE，早7点进，晚七点结束，完事，我逼着所有人留下帮当日GROSS的住
院，直到活干完，大家一起回去。有人不请愿，俺当即不客气：你也有标本多干到
11点的时候，你想耍赖，就别想别人帮你！所以从俺这届，全部住院，包括高年级
的，都要参加当日GROSS，大家有福同享，有难同当。主治 们对CMG们再无二话和训
斥不说，一致好评。而以前，训CMG跟训犯人一样，大家也各自为战，自顾自，有的
就很SUFFER。也很为主治们所看不起。
你们现在绝大多数有80小时制度保护，再抱怨，真是身在福中不知福。很SHAME！
dok |
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e*****a
发帖数: 1334 | 50 Still work on PS? Just use your Neuro PS and change a few sentences to talk
about why the PGY-1 training is important for you. |
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