Immigrating to Canada and the United States

I think you want to go to skilled migration.

The possibility of going to the United States is zero, because skilled immigrants in the United States first need a five-year work visa. Because our medical education is not recognized, it is a serious criminal offence for you to engage in any clinical medical work in the United States. Your employer will lose everything and become a foreigner, and your minimum punishment is to ban entry for life.

Going to Canada? At present, 38 skilled immigrants are allowed to become medical experts. More than one year's full-time working experience is required.

I really don't understand the concept of high marks upstairs. First of all, if you get 55 points, you still need 12 points, that is, IELTS has at least two high scores, and the standard for IELTS is 7.