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First Aid Q&A USMLE Step 1, 200 pesos

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AllSaints University School of medicine - Dominica--- please an urgent issue

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Dear All,
Please I need your help over here. if its possible I need some one from Canada has finished his/her study at Allsaints university school of medicine - Dominica, I wanna ask about the university accreditation and they stated on their website that the student from Canada they can do their internship for two years inside Canada's general hospitals is this true? please I need to know every things about that university
with my best Regards

One-bedroom Oualie area $600.

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Cozy furnished one-bedroom apartment in a villa overlooking Oualie Beach. Patio, laundry room, swimming pool. Lovely views and breeze. Includes towels and sheets, pots and pans, fridge and stove, all small appliances. Available now. US$600/month including water, electricity, cable TV, wi-fi. email directly to rentals@sweetnevis.com. More info and pictures at www.sweetnevis.com.
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IUHS current student review--completed 7 months at IUHS

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I am a current IUHS student offering an honest review of the school after completing 7 months. I will keep this short, but feel free to ask any questions. For the most part, the school has been impressive. I was shocked to see that the professors teaching the courses are actually teaching the same courses at US Med Schools. The material is fast paced, but doable while working. Be prepared to study like crazy, there have already been people that I started with that are not in the program anymore. Don't think this is going to be a cakewalk, you need to study.

The school will qualify you to take Step 1, but with any FMS you will need to kill Step 1 to get a descent residency. With that being said, plan on taking a review course prior to the test (i.e. Kaplan, USMLE Success Academy).

IUHS is not for everyone, but if you're self-motivated and a hard worker then it could be a great fit for you.

A star medical student feels like he made a terrible decision

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The following was recently written by an anonymous medical student:

It is February of our last few months of clinical rotations. I am a rising fourth-year medical student at a well-known East Coast institution with a not-so-bad track record, I guess you could say. I scored in the top percentile for the USMLE Step 1, honored my third-year rotations, and have comments from attendings about how I am destined to succeed in this career. One might think that at this point in my life, I should feel confident, well-accomplished, and hopeful for the future. In the last month, there’s been a lot of talk about residency and deciding on a specialty. To me, this meant finally looking back onto my life, my experiences, and all that medicine has meant for me. And I can’t help but feel that I have made a terrible, terrible decision.

I have always dreaded, but predicted, this outcome for me in medicine. I know I can make fickle decisions. I didn’t think medicine was one of them. I was an extremely diligent student for all of my life; I follow and play by rules very well like most others in this field. A lover of biology since grade school, I never saw another path for myself. I heard about medicine’s long journey, and many people (and many doctors) had attempted to dissuade me in all sorts of ways: the infamous “scary” cadaver lab, the years of schooling and residency, nights staying up to study and work, the broken health care system, the inevitably jaded fate of many physicians these days. I was a non-believer. I did not think it would happen to me. And onwards I went — learning what patient care and rounds are like while volunteering as a pre-medical student, studying for months on end for the MCAT, taking years off after Uni to continue my dream of becoming a doctor.

Now, I am almost there. I am almost a doctor. I stand at the intersection of many specialties. The difficulties in this choice tell me that I am probably not fit, ultimately, for a career in medicine. I learned that the sacrifices to become a doctor continue into the later years of this career. I learned that there is no such thing as job stability (residency and fellowship are each opportunities to get utterly uprooted from your life). I learned that internists, the quintessential doctor that I grew up admiring, do not have my dream job. I learned that too often do doctors, in general, have to fight the broken system, but internists especially. Broken patients. Broken insurance. A broken health care compensation system that prioritizes crisis intervention, and does not pay doctors to use their intelligence, skills, empathy and sense of humanity to really care for patients.

A star medical student feels like he made a terrible decision-48739widemodern_frustrateddoctor_102213.jpg

And that brings me to my next point: empathy. I entered medical school so that I can care for others and make connections with complete strangers in the most vulnerable time of their life. I learned that empathy, in general, is not rewarded in medicine. On rounds, I learned that empathy, and a person’s humanity and suffering, is not spoken about (but we will talk on and on about the patient’s rise in creatinine, hyponatremia, etc.).

And so, medical students learn quickly how to play this game. We enter noble. We leave jaded. We leave seeing that the smart move is to get out of it. And so the smartest of the smartest, the ones lucky enough to have a choice, go into fields where they limit their involvement with patients: dermatology, radiology, ophthalmology, anesthesiology. It begs the question: why are these the happiest, the most high-salaried, and patient-limited specialties? They all must have a connection.

The winning card of this game was flashed to me early in my third year. I saw that the internist can stay up all night caring for the ICU patient on the brink of death, and have half the job satisfaction (and half the pay) of the dermatologist who sleeps in on Saturdays and refuses to come in for an urgent derm consult. Compensation shouldn’t be the end-all, but numbers tell you how much society values you. And when this doctor-to-be sees that the values that brought individuals into medicine have seemingly vanished in the residents and attendings that he works with, and is not talked about anymore after the interview to get into medical school, he feels like he’s been completely duped.

Gone like smoke, like we’re all in some sort of circus funhouse. Except it’s not fun. It’s jarring, scary, disappointing, and absolutely depressing. But more than being afraid for myself, I am scared for our future doctors, because I know I am not the only one that feels this way.

The author is an anonymous medical student.
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A star medical student feels like he made a terrible decision-48739widemodern_frustrateddoctor_102213.jpg  

Caribbean medical schools are NO LONGER a viable option to becoming an MD.

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Consider this another warning to all prospective students, especially non-American citizens, on the incredible dangers of attending offshore medical schools.

I remember myself, 4 years ago, researching AUC as a recent University of Toronto Honors Bachelor of Science grad with a double major in Neuroscience and Psychology. I would look at this forum, other success stories, even other doctors in my hometown that were practicing pediatricians and family doctors that had also attended AUC.

Everyone told me the same story... just get into a medical school. For a time that mentality seemed to work for most offshore students hoping to become physicians. Unfortunately given the current climate of residency and match, that is no longer true.

I attended AUC as a naive Canadian, fresh out of undergrad and eager to become the best doctor in the world. I started off very strong as a student and even made Deans list TWICE, became a tutor for multiple courses and was even admitted into the Honor and Services society. I worked harder than I had my entire life and felt as though it was my destiny to become a great doctor. I was even naive enough to believe I would be able to return to Canada and practice medicine back home near my family and friends. I attended all of the seminars on how to best prepare for boards, extracurricular activities, honor clerkships etc. and felt as though I had it all figured out.

In retrospect I was being mislead by my own ignorance and willful blindness at the competitiveness of securing a residency that was increasing with every passing year... that would culminate on the year I would graduate in 2015. The school was excellent at hiding these facts from their student body, opting to inspire blind hope rather than reality into its students, ESPECIALLY THE CANADIANS.

After passing my final NBME exam and leaving the island to return home to write my Step 1, I felt a sense of relief that I was moving on from theory to practical knowledge and would not only crush my step 1 exam, but also be one of the best students during clerkships. Given my incredibly strong achievments at AUC basic sciences, I thought that Step 1 would be a walk in the park. Unfortunately for me, I failed to realize that Step 1 was not only a knowledge exam that had material NEVER even taught at AUC, but was also a 9 hour endurance exam. AUC never prepared its students on how to best approach questions, take breaks, or traps to avoid on the exam. AUC's ONLY goal was to teach students JUST ENOUGH TO PASS. Walking into the exam in Toronto, I was sure I was going to do extremely well on Step 1, oh boy was I wrong. At exactly block 4 (4 hours into the exam), my ability to read and answer questions began to plummet. I was never the kind of student to take breaks during exams and opted usually to plow through the tests as opposed to doing them in short bursts. AUC tested its students every 2 weeks in 4 hour blocks. I was already at the breaking point doing these exams but managed to do well regardless. It was then I realized that I did not have the stamina and endurance to complete the exam at the best of my ability. I began to fall behind block after block and eventually all students, yes EVEN YOU, start to give up and just want the test to end.

I left the exam room shocked, and extremely tired. I hadn't finished 2 blocks and had to rush every block after hour 4 because I couldn't keep pace. It was a disaster and I felt cheated out of a good score because of my poor endurance.

After receiving my incredibly sub-par step 1 score of 214, I felt like a massive failure. Step scores are THE MOST IMPORTANT thing in securing a residency, if you score low you are risking not matching at all. It was my dream and passion to become a pediatrician and when I saw that number, my dreams evaporated. So I decided that I would settle with family medicine since that is a less competitive specialty, thus began my clerkships.

I started my first core clerkship at Bronx Leb hospital in Oby Gyn. I was living in a rat infested apartment, in a very dangerous neighbourhood, and was only comfortable once I had arrived at the hospital. I was an extremely involved student, delivered over 14 babies, assisted with 2 C sections as a first assistant, and NEVER was late or missed a day. Even when my other fellow students would come in late for overnight shift in the obstetrics ward, I would always be there for the the full 14 hour shift. Everyone told me I worked too hard, but I knew that hard work pays off. I honored the course and felt proud of myself.... however I learned that my fellow classmates, who would even skip work days, ALSO honored the rotation. I felt cheated. After all of the hard work I put into the rotation, everyone else got honors just like me.

I swallowed this truth and told myself that at least I was being honest.

My work ethic carried through my cores at NUMC in pediatrics, and this time my classmates decided to sabotage me by talking about me behind my back to fellow residents and attendings. Fortunately one of the residents informed me of this and I became much more wary of how cuthroat and devious other medical students can be. I even was able to secure a letter of recommendation.

I then went to the UK, in Slough, which was an underserved area outside of london. I completed IM, Surgery, and Psychiatry and all of the attendings loved me there. While the other students were all travelling Europe, I was actually at work. I was invovled, I cared about my job and tried to impress everyone. I secured another letter of recommendation, even saved a few lives while I was at it. I also did some extracurricular work outside of work hours delivering more kids via C-section in the obstetrics unit.

I then did a family medicine rotation back in NYC bronx, loved the clinic and convinced myself that maybe this was my destiny. I was given my own clinic room, gave lectures to patients in the waiting room on assortments of diseases, and secured another LOR.

It was time to go home to write step 2 CK.

Now I want all of you readers to understand something very important here, once you leave St. Maarten after having completed basic sciences, you will NEVER hear from the school again. They don't give us tips, they don't teach, they give you NO GUIDANCE whatsoever on how to do well on step 2 ck. In fact, step 2 CK is usually an exam that most AMG's do better in that step 1, because they are not only getting hands on experience but also LESSONS FROM THEIR SCHOOL during clerkships. AUC students get nothing. It is basically a self taught thing. I asked every student what the best source material was to study from and the consensus was that NO SINGLE BOOK is best at preparing for step 2 ck. Everyone says, "just do U world and you'll be fine." Ya Uworld is fine if you have lessons in school to go along with it you lucky AMG. I decided to take a DIT course to help me prepare for Step 2 CK, boy was that a mistake.

I passed the mandatory NBME Step 2 COMP first time, was given my certificate and I wrote the exam along with my Canadian MCCEE... the outcome was my worst nightmare realized. I had passed the MCCEE just fine, but then I was given the news I had failed step 2 ck by 2 points with a 207. Passing score for step 2 was recently increased from 180-190 to now being a 209 in 2014.

I was crushed. Failures in the steps are a death sentence. I wanted to quit then and there but my parents pushed me to graduate, saying I had gone through so much to give up now since I was so close.

I pushed on, completing the remaining of my electives with honors, and secured 5 more letters of recommendations. I then went to florida to complete a course on step 2 ck exam, passed the test with a 220 and graduated. Step 2 CS was also done at the same time, passed it no problem first try.

September came along. It was application season and everyone was excited. I had done all of my boards and all that remained was interviews and match.

Letters were in, personal statements done, MSPE etc all in on the very first day of applications. I applied to all 200 programs in family medicine offering J1 visas to prospective residents. Within the first month I got an email invitation for an interview in family medicine, and I thought to myself that maybe I would be lucky after all. Then October came, then November, then December... I asked my fellow Canadians and even AUC students and they all admitted they had only secured 0-2 interviews even in late December...

I began to panic big time.

I emailed programs, updated my transcripts etc but nobody was asking me for interviews. I called AUC and they told me that I needed to be patient.

January came. I went to my interview and immediately felt as though I was not a strong candidate for the residency program as my interviewers did not seem impressed with me. I even asked the other candidates, who were also CANADIAN, how many interviews they had this season, they all replied.. ONE. THE ONLY PERSON in our group that had more was an American girl from AUA that had 11 interviews so far with TWO FAILURES on her boards.

It was then I realized the truth... being an non-US citizen IMG is a disaster waiting to happen.

Now here I am, after match week with NO OFFERS and NO JOB.. having amassed MASSIVE debt and the banks are coming for my family and the house.

Why did this happen? I then began to perform a post mortem on my medical school career. I came upon an article which I feel ALL prospective caribbean students should read, especially Canadians, on how the residency spots are these days: No More IMGs for Residency Training Programs After 2015, Says Journal of American Medical Association | Medicalopedia

Basically, the higher demand for doctors has inspired medical schools to INCREASE enrollment into their schools BUT residency spots have remained unchanged. NOW we have a match climate that even has UNMATCHED AMG's!!!

If you are to take a lesson from this then it is this, DO NOT GO TO A MEDICAL SCHOOL OUTSIDE OF YOUR COUNTRY. All you will accrue is debt, and a useless MD title that is worth absolutely NOTHING in the work world.

If you don't get into a medical school in your home country, keep applying, then apply some more. If you still don't get it, apply again. Eventually you will realize that medicine is not for you and you'll find another career that will lead you to a life that would be better off than if you had attended an offshore medical school.

There is no reason to go to caribbean medical schools anymore, that path has been closed off thanks to the US medical schools and DO programs. And to all of you hoping to match into Canada, it is even WORSE to get into to a residency up here than down in the states. Nobody wants IMG's anymore.

Financial Aid Help!!

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Hello Fellow Medical Students:

I am a 3rd year med student who would desperately like to start clinical rotations ASAP. I am having trouble finding financial aid/student loans. I have been enrolled in the following online MBA/Masters programs in the past: Davenport Universities Online MBA program, Walden University, and University of Maryland. i was just hoping a student could tell me of any other online programs that provide the greatest financial aid refund to student Davenport university used to give at least a $9,000 refund to students. I would even consider doing a bachelors degree online program if I can get a large enough to cover my clinical rotations tuition. If any med student knows of any other online schools that has highest financial aid refunds. Hope someone can help me with some info. Please let me know! Thanks!

Did anyone match this year 2016?

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I'm curious to see whether anyone matched this year from our school. This forum is dead and nobody from the school talks on the myauis forum either, so wanted to know whether we matched anyone this year?

For me I didn't match. I'm really upset and don't know what to do. I was really upset at the school for waiting for the end of the first week to upload my transcripts when i first tried to apply. Then I was upset at SW the clinical dean for telling me don't worry about the transcripts not being uploaded because programs don't make decisions on giving students interviews before October 1. Those were his exact words. When they sent me my MSPE to edit they sent me an MSPE draft that wasn't even mine. I'm a female and it was someone else's name (a guy) with a different AAMC number and they kept referring to me as "he." What was crazy is that they had mixed up some of my information with that of his because it didn't describe me. I basically re wrote the whole thing and sent it back to the school, but I never saw the finished copy before they uploaded the draft.

Also, it was very difficult to get anyone to respond to my emails when I emailed the clinical dean or department. I get sick of people saying well the department is busy and no one is there to answer calls or please be patient. NO. If that's the case hire another person, hire people that are more competent. Has anyone called the clinical dept? The lady sounds like she's asleep everytime you call. SW is not capable of handling this job and no one knows what his background is. Every student who has applied for residency knows you can get interviews on your first day. Many of my friends received interviews in their first week of applying. How can a dean of clinical science tell you don't worry about your transcripts not being uploaded before Oct 1 because programs dont make decisions on your application before then. Are they really this blind I mean no one with any amount of knowledge about residency apps would say something like that. My transcript wasn't uploaded until 1 week after residency applications went out. How do I know that programs didn't just skip over my app for someone else? Unbelievable. I'm still upset about this.

Just wondering, did anyone from the school match this year and how was your experience dealing with the school?

Can my acceptance be taken away if my final transcript grades are too low?

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I'm starting in May, but I just got a couple D's in some random classes my last semester. My GPA this semester was like 2.2. But I was already accepted. Is there a chance they rescind the offer? I already paid the deposit and visa/plane stuff..

BTMD August 2016

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Hi everyone,
I will be enrolling for the BTMD Program for August 2016. I just wanted to reach out to others who are enrolling, and maybe get to know you before the program starts!

sensitivity vs. specificity tradeoff

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you may have seen the usmle biostats question that involves a graph with two histograms and a line (cut-off value) down the middle. the question then asks what happens to the sensitivity of the test if you shift the line to the left. well, if the answer isn't really clear to you, i explained it with the help of animations in my video on youtube.... its called sensitivity vs. specificity and its in my EpiStats channel.


in addition to discussing what happens to the specificity and sensitivity when the threshold for a positive test changes, i discussed the significance of the overlap between the group of patients with the disease and the group without it. if you have any comments, please feel free to make them.... criticisms are appreciated.

4Sale USMLE videos $25 each set

Match Day Reveals Slow Upward Creep in Primary Care Slots

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Medscape Medical News:


Match Day Reveals Slow Upward Creep in Primary Care Slots

Residency Match Day on March 18 came and went with the usual splash of big numbers. Almost 94% of seniors in US allopathic medical schools who submitted program preferences matched to a first-year (PGY-1) position. In all, a record number of 42,370 physicians in training competed for 30,750 positions divided among PGY-1 and PGY-2 positions at more than 4800 programs.

What might escape notice, however, is the continued slow rise in the number of PGY-1 primary care slots.

Of the 27,860 PGY-1 positions available this year, 13,744, or 49%, were in the primary care specialties of family medicine, internal medicine, and pediatrics, according to the National Resident Matching Program (NRMP). The number of these primary care slots has grown 22.4% since 2012, compared with 16% growth for all first-year slots. However, most of the increase in primary care slots came in 2013, when the number rose 13.2%. Since then, the annual growth rate for primary care positions has been between 2% and 3%.

Still, slow growth is better than no growth in a sector of medicine considered short-handed.



Growth in PGY-1 Positions in Primary Care Residency Programs


Programs
Total Positions
Increase Over 2015
Percentage Filled
Filled by US Allopathic Medical-School Seniors
Family medicine
3238
43
95.2%
1467
Internal medicine
7024
254
98.8%
3291
Pediatrics
2689
21
99.5%
1829
Medicine-Pediatrics
386
6
99.5%
329
Designated primary care positions in internal medicine and pediatrics
407
-8
99.3%
244
Total
13,477
316
98.1%
7160
Source: NRMP


US Medical School Students and Grads Fill 75% of PGY-1 Positions

Current students and graduates of both allopathic and osteopathic medical schools in the United States matched to roughly 75% of all PGY-1 positions this year, a repeat of 2015, 2014, and 2013. The remainder of the slots were filled by graduates of international medical schools, including those in Canada.

Of 6638 graduates of international medical schools outside of Canada who filled first-year residency positions in 2016, 43% were US citizens and 57% were non-US citizens.

Some specialties enjoyed remarkable success in filling their PGY-1 slots, according to the NRMP. Dermatology, orthopedic surgery, radiation-oncology, and vascular surgery had a total of 809 slots, and each one had a match. Emergency medicine fell one short of filling its 1895 slots. In contrast, of the 3238 PGY-1 slots available in family medicine, 73 went empty. Internal medicine saw 26 of its 7024 slots missing in action.

More information on the results of Match Day 2016 are available on the NRMP website.

This article was written by Medscape Medical News Journalist, Robert Lowes, on March 18, 2016.

Residency Match List

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Hi everyone,

I'm interesting in transferring to CMU for the MD5 semester. I was on CMU's website and while they had a great list of rotations and affiliated hospitals, I noticed there wasn't a list of residency programs that CMU students have matched in previous years. Does anyone know where I can find this information?

Thanks!

Ross University Loans

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So I am attending Ross summer 2016 term and I had a couple of questions about loans. On average, how much money do you guys take out per year? If I ask for much more or much less than average, would that hurt my chances of getting a loan?

WTS: Brand new iPhone 6s plus 128gb.

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AllSaints University School of medicine - Dominica--- please an urgent issue

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*Dear All, Please I need your help over here. if its possible I need some one from Canada has finished his/her study at Allsaints university school of medicine - Dominica, I wanna ask about the university accreditation and they stated on their website that the student from Canada they can do...

One-bedroom Oualie area $600.

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Cozy furnished one-bedroom apartment in a villa overlooking Oualie Beach. Patio, laundry room, swimming pool. Lovely views and breeze. Includes towels and sheets, pots and pans, fridge and stove, all small appliances. Available now. US$600/month including water, electricity, cable TV, wi-fi. ...

IUHS current student review--completed 7 months at IUHS

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I am a current IUHS student offering an honest review of the school after completing 7 months. I will keep this short, but feel free to ask any questions. For the most part, the school has been impressive. I was shocked to see that the professors teaching the courses are actually teaching the...
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