What is the biggest challenge for usmle, an American medical practitioner?

Matching is the biggest challenge of USMLE, because after that, you will enter the American resident training program, and you will become an American clinician without any accident.

Introduce collocation briefly, and then pay attention to 20 17 USMLE guide for medical students in China.

Necessary conditions for residents

When you get ECFMG certification and get a visa, you are eligible to apply for admission to the American residence program. However, before you apply for the residency program in the United States, it is best for international medical students to do internships in American hospitals. Through internship, you can accumulate valuable clinical experience in American medicine and let American clinicians write letters of recommendation for you.

2. Choose hospitalization items

There are four different training methods for internal medicine residents: transition, primary, classification and foundation.

The transition class group is a one-year system: participating residents need to rotate a different hospital department every two months. Although this is a one-year training, it may not provide enough credits for your second year of residency training.

Preparatory class is a one-year program: it is for those who want to become specialists but need one-year internal medicine training.

The classification class is a three-year system: qualified students can train until they are qualified to take the exam. Classification is a traditional project, which is mainly carried out in hospitals.

The basic course group is a three-year system: the focus is on community outpatient service, which is becoming more and more common. Those who don't want to be a specialist can consider applying for this method. If you want a complete internal medicine training and then have the opportunity to go to a specialist training, you should apply for a classified class group.

Although classified and basic class groups are more attractive, it is better to participate in transitional or elementary class groups than not to participate in any class groups.

3. competition- Category group matching

Applicants must participate in the National Resident Matching Program (http://www.nrmp.org? ) so that the computer can match the applicant and the hospital group according to the ranking preference of both parties. Since 2004, all institutions participating in the NRMP main competition must register and fill all vacancies in March, except those participating in other matching projects. (Source: February 2003)

The applicant started registration on September 15. For example, 20 17, 20 16 12 1 is the deadline for applicants to register. Some basic courses and medical professional associations will provide matching project procedures or provide more information about their resident courses.

Some inpatient medical departments require applicants to apply through Electronic Hospitalization Application Service (ERAS). Era is a graduate of ECFMG Management International Medical College. Every year, about 33,000 applicants come to match 24,000 permanent positions. There is a "User Application Guide" on NRMP's website to provide detailed information for international medical students. Applicants can refer to the user manual of http://www.nrmp.org. Applicants applying for their favorite class group must submit all application documents and match the registration before 20 16 12 1.

Generally speaking, the application documents include a resume, a copy of the application form for university residents, an application letter to each resident department director, a medical school diploma and a recommendation letter from an American doctor, and a personal statement detailing the applicant's unique qualifications.

Although American graduates only need to apply for 5- 10 classes, foreign graduates must apply for at least 25 classes to get the best matching opportunity. The more applications, the more opportunities. Send the application as soon as possible, preferably in September, at the latest in 10. After reading the application documents, the resident medical director will invite suitable applicants for an interview. About 14% candidates will be interviewed and 8% candidates will be hired. So the applicant is very important on the application form. After being invited for an interview, the applicant needs to be fully prepared to make the best impression. Interview is the key link of resident program application.

That? Matching sorting table

In mid-February, when the interview phase is over, both the applicant and the class group should submit their respective ROLs to NRMP. Applicants can submit 15 courses, or more courses need to be paid extra. There is generally no need to list courses above 15, unless you apply for a highly competitive major. However, the more classes there are, the greater the chance of matching.

Matters needing attention in compiling ranking preference list

1 Never fill in the class group that you applied for but didn't give you an interview, because the class group that hasn't interviewed you won't choose you. Seriously consider which course to fill in your ROL. Matching is determined by the class group that ranks highest in your choice list and is willing to accept you. This is a contract. Participating in this matching project means that both parties accept the constraints of the matching results.

Never join the ROL class that you will never go to. If you are admitted, you must go. The only exception is when the applicant can't meet the necessary conditions of the company, such as the applicant can't get a visa after matching.

When filling in ROL, be sure to use the current information of the class group, such as code number, and make sure to receive your list before the deadline. After submitting the ROL, you can modify it many times, but be careful to add the modification date every time, because the latest ROL will be used to match the project.

According to the choice of the applicant and the course organizer, NRMP will match the two parties in mid-March every year and announce the results. For example, 3/ 17/20 17 pm EST 1, the information of matching and matching failure is published on the website of NRMP.

At 5 3/ 18/20 17 eastern time 1 1: 30, the full and full seats of each class and group are announced on the website of NRMP. The addresses of all vacant seats will be announced at noon Eastern Time 12. Applicants who fail to match can contact the class group with vacancies after noon 12 eastern time.

This is the so-called scramble. The applicant is anxious to find a class group, and the class group is anxious to find someone to fill the vacancy. If there are vacancies in the class group you are interviewing for, you'd better find them first. Maybe they will reconsider you. Some classes will recruit people in the newspaper, especially when they know that there will be vacancies before the match day. Within 48 hours, most of the seats will be full, and it will be difficult to find another seat.

If you can't match and find a seat in the competition, you still have a small chance. July 1-August1Some seats will be available a few weeks before hospitalization. Sometimes, residents don't come or leave early. The class group with your file is more likely to let you fill the vacancy. So, if it doesn't match, submit a complete application form to several class groups before June 1. It's hard to get a seat after the summer vacation.

In 2006, the competition provided 24,085 seats. Even if you plan to apply for a seat outside the competition, you should register on NRMP to increase your chances of finding a seat.

There are two ways to apply for off-site seats:

First, directly ask the team if there are any seats outside the competition, and if so, how to apply.

Second, compare the class groups of Green Paper and NRMP. If there is one in the Green Paper and NRMP doesn't, then these classes are not in the matching range. If you think your chances of matching are not high, you can look at last year's results. Those seats that have not been recruited may be easier for international medical students.

Most states can issue training licenses to foreign graduates who have passed the American Medical Certificate Examination and ECFMG certification. Training license requirements for foreign graduates from various states can be found. Depending on the type of GME training visa issued to foreign graduates, if you decide to practice medicine in the United States after completing residency training, you may need a new non-immigrant or immigrant visa.

4. Application Form-No Errors

With the increasingly fierce competition, applicants must spend more energy on the application form to express themselves. Only the information on the application form can determine the interview opportunity.

Guidelines that must be followed

1. The application form must be neat and tidy, with no spelling or grammatical errors.

2. Make sure the application form is complete and accurate, including your NRMP application number (if you have already signed up for the competition).

All application forms must be original. Don't use copies of application forms sent to other classes.

Don't miss the application deadline.

Your resume (CV)

Resume is very important. Be sure to highlight your unique qualifications and make you stand out from thousands of individual applicants. Write down your education, such as research or teaching, no matter where you received your training. While writing down your favorable qualifications, you should also be prepared to provide more details. If you are invited to an interview, you are likely to be asked about your qualifications on your resume. Class groups began to pay attention to community service. If you have been a volunteer, make sure this is a prominent part of your resume. Test scores are also very important. Many class groups first screen applicants with grades. Many preparation tests are irreplaceable.

Recommendation letters

Letter of recommendation is the last necessary part of the application materials. Your recommendation letter can be aimed at different class groups; You can use as many letters of recommendation as you want. However, MyERAS can only send no more than four letters to each class group. It is best to contact each class group to find out their recommendation letter requirements. Although the recommendation letters from foreign schools can provide you with more background information, they are not very helpful because the standards of foreign medical schools do not match those of the United States.

Therefore, for foreign medical students, the best way to get letters of recommendation is to gain some experience in American medical institutions before applying, preferably teaching. Unfortunately, this opportunity may not be easy to win. There is no exercise program for foreign medical students in the hospital. Therefore, foreign medical students mainly rely on themselves to find opportunities.

Usually, the best way is to contact every hospital near you and introduce yourself as a well-educated foreign medical student and willing to be a volunteer. Offer to do any work at night, on weekends and whenever necessary. Even in this environment, a short experience can give you a letter of recommendation and increase some practical work experience in the United States. A letter written by someone who has never seen you in a clinical environment will make you stand out from other applicants and often get you an interview. If you really can't get clinical experience in a teaching hospital, let's see if you can be a researcher in a hospital laboratory. So that your tutor can write you a letter of recommendation. Doing research in the hospital will often lead you to the hospital and finally give you a chance to see the clinic. No matter who wrote the letter of recommendation, it is important that the writer knows you and can write about your ability.

The whole class wants to see a letter of recommendation that can provide the applicant with practical ability. Letters written by people who don't know you can provide nothing. Almost all applicants will be asked to provide a letter of recommendation from the director or dean of medical college, mainly to see if there are any major problems in your performance in medical college. Everyone in the class knows that people who write letters generally don't know the applicants, so they don't pay much attention to them. They pay more attention to letters of recommendation written by people who can prove your ability and your ability to be a doctor in America, such as American clinicians.

Personal statement

Some courses require you to provide a personal statement as part of the application materials. This is a way for you to stand out from all the applicants. Even if you don't need a personal statement, it is beneficial to provide one. As long as it's not very long (less than 2 pages printed), it won't let you lose points. Personal statements can make applicants look more humane than standard application forms. Add your background, including why you decided to be a doctor and why you want to go to the United States for training.

In the whole process of preparing the application form, remember that applying for a package is the key to whether you can get an interview. You should try your best to stand out from the crowd.

interview

When all the application forms are received, the class teacher or the selection committee will select the interviewee according to the information in the application form. Most applicants will attend the 8- 12 interview. However, people who want to enter a highly competitive major or who are not very good themselves may need to attend more interviews to increase their opportunities.

It's important to prepare for the interview, because it's your only chance to make a personal impression on the head teacher;

1/ arrive on time and make full preparations.

Know the interviewer's name and title in advance, as well as the information about the hospital and class group you are applying for. Class groups usually send an information manual about class groups to the interviewer. Reading it sometimes helps you get familiar with class groups and facilities. In this way, you only need to spend less time asking basic questions and more time getting to know the class group. Sometimes it helps to talk to someone who is familiar with this course in advance, as long as this person can provide accurate information. Candidates who ask targeted questions are far more popular than those who don't ask questions or care.

2/ Observe "consultation" patients

Most interviews begin with a brief introduction to the class group, and then the applicant will take part in consultation. Then there is a brief interview with the head teacher, attending physician and chief resident. Here both sides have the opportunity to get to know each other and see if they are suitable. Although each team examines applicants in different ways, there are some qualities that everyone wants to see. They are sincere, have a positive attitude towards the class groups and the majors they apply for, and have a stable personality and strong resistance to pressure. Many class groups ask few questions and prefer them.

Applicants will ask questions. Of course, you should be prepared to answer several standard questions, such as: why did you choose this major and this class group; Your goal; Your strengths and weaknesses; And what you can bring to this course.

If there is anything unusual in your experience, you should be prepared to be asked. If you have been away from medical school for a long time, haven't done any research or have low test scores, the other party may ask you this question.

3/ Non-US citizens

Be prepared to be asked about your immigration status. If you are not an American citizen or have no green card, you are likely to be asked about your visa. Signs of problems with the required visa may damage your chances of being accepted. Get a visa and don't do it after the deadline, that's what you should do.

4/ After the interview

Usually after the interview, the applicant will have the opportunity to talk to the resident about his daily feelings as a resident in this class. Take this opportunity to understand how this class treats residents, what kind of work plans and arrangements, and what the working environment is. Happy and satisfied residents are a good sign. Be careful of classes that don't allow you to communicate with residents. This may be because the residents are too busy, or the management doesn't want the residents to meet the applicants because the residents are unhappy in this class.

5 Special circumstances

This is a standard procedure, and you should be prepared for accidents. Some classes will have a written test during the interview, while others will videotape the applicants. Many classes will ask the applicant to tell a medical record he/she has seen recently. This is usually the only opportunity for the class group to evaluate the applicant's clinical ability. Even if you haven't seen any medical cases recently, you'd better prepare two medical cases that you feel comfortable talking about.

6/ Full-day interview

The interview usually takes a whole day. Make full use of this time to ensure that all your questions are answered satisfactorily. At the end of the day, you should feel that you have correctly expressed yourself to the class, and the class has also correctly expressed yourself to you.

7/ Interview follow-up

The only follow-up after the interview is to write a short message to everyone who interviewed you and thank them for giving you the opportunity to interview. If you are interested in this class group, express it by SMS. Thank you letters always make people feel good. In this highly competitive application process, anything that can make you stand out is beneficial. However, don't call the class group to ask about the possibility of your being hired, which will lose points. If you are not interested in this course, write to the class teacher and tell him your decision. Sometimes when the team approaches the competition day, they will call the applicant to test their interest. You don't have to disclose the ranking of your class group. Interviews usually end before the end of 1 month, and most applicants will not hear an accurate reply from any class group before the competition day in mid-March.

Source: American Medical Association (AMA)