Thinking to Consider USMLE in 2023? Look at this first

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Everything about USMLE in 2023. Answering all questions.

USMLE. Every medical student’s dream nowadays. Whether they are in the US or outside, whether they’re AMG’s or IMG’s. USMLE and being a doctor in the US is basically a dream job for every medical aspirant in 2023. Here in this blog post we will look at some of the main reasons one should consider USMLE and also why you would choose not to go for USMLE. Before you start reading, Do comment at the end if there is a question you need asked regarding USMLE so that I can answer it for you.

Your Own Country’s Perks For Doctors

Doctors pay in countries

This is the first and foremost questions that should arise in your mind. Is your own country a developed one? Is the town, city, district that you currently reside in with your family most probably a good one for doctors? can you grow to be highly competitive there? can you have a comfortable life in the next maybe 10 years? Is it mentally not too stressing over your health? Is your preferred specialty considered worthwhile there? are you satisfied with the living standards there?

these are some of the few questions that every student or health professional has in mind when they consider a job and most importantly should. Times are tough and making the right decision is critical.

Here are some of the countries that I have researched and prove to be worth living in before you consider moving to the US for a job. One can also consider moving to these if US is a hard pill to swallow

  1. United Kingdom
  2. Germany
  3. Japan
  4. Switzerland
  5. Singapore
  6. Luxembourg
  7. Iceland
  8. Qatar
  9. Denmark
  10. UAE
  11. Netherlands
  12. Australia
  13. Norway
  14. Canada
  15. Sweden
  16. France
  17. South Korea
  18. Italy
  19. South Africa
  20. China

I have complied this list based on the salaries provided to doctors. Click here to get a deeper insight into the salary. Come back to this page if you wanted to read that one.

USMLE In 2023 Is Not For Everyone. It Is Tough

You may not even have to read this if you considered USMLE then the first thing that you must have known about it is that it is the toughest most tiring medical exam any student from any country can go through and therefore it is very difficult for every student to go through with it. You maybe the brightest student in your class but USMLE takes more. It takes time, determination, consistency, focus and mental strength. For some students going through Step 1 alone takes 7-8 hours daily for a year. You get the idea how hard it can get but if you are up to it, it’s definitely doable.

Financial Drainage

USMLE exams itself cost around a 1000 USD each. For some this may not be much of an amount but for most students it is alot, especially those whose family is not well off already. Besides the exam fee, in 2023 you need to have internships, research publications, LOR’s and many more skills to be able to match into your residency program and all that takes around a total of 20-30K USD in a span of about 3 years. Consider this if you choose to opt for USMLE.

Financial burden of USMLE

Not Getting Your Preferred Residency Program

USMLE although is the best choice for AMG’s (American Medical Graduates). It may not be for others as the residency programs offering jobs to IMG’s are few and in specific specialties. here are some of the match rates of IMG’s in 2023 specialty wise.

Top IMG Friendly Specialties of 2023 by Ratio

PGY-1 IMG % Filled Positions US IMG Non-US IMG MD Senior MD Grad DO Senior DO Grad
General Surgery (Preliminary) 44.5% 582 73 186 246 22 47 7
Internal Medicine (Categorical) 41.3% 9345 1200 2659 3592 133 1688 70
Pathology 40.9% 607 63 185 242 19 87 11
Family Medicine 30% 4511 793 562 1484 90 1511 70
Neurology 26.8% 843 56 170 461 6 148 1
Pediatrics 21.6% 2900 226 401 1635 22 608 6
Interventional Radiology 17.6% 51 3 6 37 0 4 0
Psychiatry 16.4% 2143 202 149 1343 32 403 13
Child Neurology 14.9% 174 8 18 125 0 23 0
Radiology – Diagnostic 14.7% 143 8 13 90 4 28 0
Emergency Medicine 14.3% 2456 289 61 1274 52 730 50
Internal Medicine (Preliminary) 12% 1576 72 117 1205 30 149 2
Transitional Year 11.9% 1524 95 87 1015 26 293 8
General Surgery (Categorical) 10.3% 1667 77 95 1062 153 243 36
Internal Medicine/Pediatrics 8.5% 388 12 21 307 4 44 0
Anesthesiology 7.9% 1606 58 69 1199 20 245 15
Neurosurgery 6.3% 240 1 14 211 10 3 1
OB/GYN 5.8% 1499 49 38 1102 46 249 15
Physical Med and Rehab 4.9% 206 6 4 118 3 74 1
Plastic Surgery 3.9% 207 2 6 191 7 0 1
Orthopedic Surgery 1.3% 899 8 4 690 69 119 7
Dermatology 0% 29 0 0 21 1 5 1

 

Top IMG Friendly Specialties by Number of IMGs

Internal Medicine (Categorical) 3859
Family Medicine 1355
Pediatrics 627
Psychiatry 351
Emergency Medicine 350
General Surgery (Preliminary) 259
Pathology 248
Neurology 226
Internal Medicine (Preliminary) 189
Transitional Year 182
General Surgery(Categorical) 172
Anesthesiology 127
OB/GYN 87
Internal Medicine/Pediatrics 33
Child Neurology 26
Diagnostic Radiology 21
Neurosurgery 15
Orthopedic Surgery 12
PM&R 10
Interventional Radiology 9
Plastic Surgery 8
Dermatology 0

 

According to the NRMP:

The top five IMG friendly specialties for US-IMGs were:

Internal Medicine (categorical) (1,200)

Family Medicine (793)

Emergency Medicine (289)

Pediatrics (categorical) (226)

Psychiatry (202)

The top five IMG friendly specialties for Non-US IMGs were:

Internal Medicine (categorical) (2,659)

Family Medicine (562)

Pediatrics (categorical) (401)

General Surgery (Preliminary) (186)

Pathology (185)

This list has been taken from Matchresident. You can read more about it there.

Year of Graduation

This is one of the main things residency programs consider in their interviews. If you are too old or have more than 5 years of graduation time then your chances grow weaker to match into your program. So it is great if you are in medical school or have just graduated.

USMLE Visa and travel restrictions in 2023

Travelling to the US for internships, electives, and even your USMLE Step 3 exam is not feasible for everyone. The US is very strict with its visa policy and only allows certain individuals and other countries are blacklisted from entering so consider this before spending all your time and resources into USMLE. We wont read more into this as it is a topic in itself and will probably write an article on this soon.

ECFMG and 2024 Policy Changes for USMLE

ECFMG is the global Educational Commission for Foreign Medical Graduates which moderates students online for foreign countries. It is making changes into its policies for international medical graduates as of 2024. The in depth description is given Here. Ponder on where your country and college stands before leaping onto this path.

Enough with the reasons not to consider USMLE. Let me show you why you should definitely consider living in the US as a doctor.

You maybe already have researched about it but I will not write this in headings or points. Just read this paragraph and you will know why you should go to the US. First of all the salary for a resident of any specialty is around 4000-5000 USD after cutting off all taxes and insurances. That is more than many countries around the world and after residency the positions available for consultants are numerous and you get 10000-15000 USD minimum right at the start of your consultancy in the US. There is only more growth after that. A consultant generally earns around 300k-900k depending upon the specialty annually in the US.

Most competitive health professionals around the world force you to be one too. You will be better than anyone else in your own country or any other country. The packages and facilities in US hospitals are like a dream for some. You have better opportunities to grow yourself over social media too. Take for example the amount of vloggers that are doctors, most of them are from the US because that is where the healthcare is the best and that is why everyone prefers to watch them. Most of the journals internationally are from US doctors. The best authors of the best medical books are from US. The books you read in your medical school, imagine working with the authors of those books and someday publishing your own. The opportunities are endless and the life itself is the best. US doctors are the elite in the country because they have all the perks and are the most respected community there. All it takes is 3-4 years of hardwork and you will be living the dreamlife of every doctor around you. The healthcare situation nowadays is declining everywhere except for the US because the competency of the doctors there increases every year. Statistics are proof of it. You will come across many seniors and many of your consultants who will share stories of failure and time wastage pursuing USMLE but it is because those are the ones you probably see in your real life. Those who have succeeded are living their lives and will motivate you to pursue yours too. Do not give up and do not be weak hearted as the USMLE journey is very doable and what lies beyond it is more than worth it.

If you have any questions regarding USMLE do care to comment, I will try my best to answer them in the most understandable way. Happy Studying!

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