The United States of America
There has been a real surge of interest among medical students and residents in global health in USA. While the US remains the world’s most popular destination for international students, it’s also among the most expensive choices. This has resulted in numerous activities, as well as a growing awareness of the need to avoid efforts that largely focus on “medical tourism” or that focus more on providing brief “aid” instead of contributions that are more enabling and long term. There are a growing number of residency programs, particularly in internal medicine, and fellowship programs, particularly in infectious disease, that offer formal or informal global health tracks. For example, as part of its participation in the Review Committee for Internal Medicine's Educational Innovation Project, the University of Pittsburgh developed a global health pathway that includes rotations in developing countries. The University of Washington is another example of an institution that is making great strides in providing meaningful, authentic experiences for students and residents. And there is a long list of institutions developing these opportunities. A good resource for those interested in these efforts is the Global Health Education Consortium.
However, due to its cost factor USA remains the best choice for a post-graduation and residency/Ph.D option rather than a medical graduation degree.
- Scholarships - Although study in USA is the most expensive but USA provides around $2-$3 million scholarships for students across the globe
- Shorter course duration – International Students can also avail the facility of US Undergraduate program of 1.5 years before Graduation and therefore can complete Medical Graduation in 5.5 years only.
- Affiliation - The medical degrees in America are MCI, WHO, ECFMG and MCC approved.
- International Recognition - A medical degree from USA is Internationally recognized and entitles a candidate to practice medicine in any part of the world.
- High Commercial Value - Doctors certified in USA can start earning between $2,00,000 - $3,00,000 from the first day of their practice.
- No MCI Screening for practicing in India – Indians who study MD in USA are allowed to practice in India without any MCI screening test and also can seek employment opportunities without giving FMGE.
- Free of charge Post Graduation Opportunity – All students who successfully complete MD in USA are entitled to pursue Post Graduation for any specialization they choose without any course few or supplementary charges
- Stipend during Post Graduation – All Students undergoing Post Graduation in USA are also entitled to receive a stipend of $50000-$55000 annually till they complete their residency.
MBBS IN USA
Medical Graduation in USA is termed ‘MD’ (Doctor of Medicine) and not ‘MBBS. Admission generally takes place in the month of September. Once enrolled in a medical school the four years progressive study is divided into two roughly equal components: pre-clinical (consisting of didactic courses in the basic sciences) and clinical (clerkships consisting of rotations through different wards of a teaching hospital). The degree granted at the conclusion of these four years of study is Doctor of Medicine (M.D.) or, less commonly, Doctor of Osteopathic Medicine (D.O.) depending on the medical school; both degrees allow the holder to practice medicine after completing an accredited residency program.
Eligibility for MBBS in USA
Direct Admission : For a direct admission to a USA top medical school, one needs to fulfill the following criteria
- A minimum score of 60% in PCB at 10+2 and a B.Sc degree in India, or a 4 Trimester(16 months) B.S degree in USA itself
- One will need to clear IELTS/TOEFL, MCAT, NEET to apply for an admission
- The highest scorers in MCAT will get an opportunity in the top medical schools in USA
- Letters of recommendation
Admission through Caribbean : Apart from this one can also get admission through Caribbean, please refer to Section 6(i) for the same
Course Fees :
Studying medicine in USA is among the most expensive in the world. Depending on schools, the course fees vary between Rs. 10 Lakhs to Rs. 20 Lakhs per annum i.e between $20,000 to $40,000. Living Expenses are approximately $300 -$400 per month
Medical school typically consists of four years of education and training, although a few programs offer three-year tracks. Traditionally, the first two years consist of basic science and clinical medicine courses, such as anatomy, biochemistry, histology, microbiology, pharmacology, physiology, cardiology, pulmonology, gastroenterology, endocrinology, psychiatry, neurology. DO students also study Osteopathic Manipulative Medicine. USMLE Step 1/COMLEX Level 1 of the medical licensing boards are taken at the completion of the preclinical phase of study. Please click on the below button to download the complete curriculum.
POST GRADUATION IN USA - FREE POST GRADUATION WITH STIPEND
Upon completion of medical school, physicians enter GME. The first year of training is typically called ‘internship,’.
For the next few years, trainees are called ‘residents’ until they are eligible for certification in their specialty. Each of the specialties in medicine has established its own curriculum, which defines the length and content of residency training necessary to practice in that specialty. Programs range from 3 years after medical school for internal medicine and pediatrics, to 5 years for general surgery, to 7 years for neurosurgery. Each specialty training program either incorporates an internship year to satisfy the requirements of state licensure, or stipulates that an internship year be completed before starting the program at the second post-graduate year (PGY-2) All GME in USA has been structured around six competencies : Patient Care, Medical Knowledge, Interpersonal & Communication Skills, Practice-based Learning and Improvement, Professionalism & System-based practice. Nearly all GME is accredited by the Accredition Council of Graduate Medical Education (www.acgme.org). After GME training, most residents and fellows will attempt to become board certified. The American Board of Medical Specialties (www.abms.org) houses the 24 major boards.
Type of Residency :
There are 4 tracks within an internal medicine residency program: transitional, preliminary, categorical and primary care.
It is best to choose the program that best suits one’s individual needs and goals.
- Transitional programs rotate 1st-year residents through hospitals every 2–3 months. A transitional program counts as 1 year of training, but it may not provide enough credits to move to the 2nd year of training.
- Preliminary programs are 1-year programs for those wishing to specialize and who need a year of internal medicine training.
- Categorical programs are considered more traditional and hospital-based. These are 3-year programs that may allow residents to train up to board eligibility if performance is satisfactory.
- Primary care programs provide increased emphasis on ambulatory care experience in the community and are becoming more prevalent. Those who are sure that they will be working as a generalist are advised to apply to a primary care program
International medical graduates should submit applications to a minimum of 25 programs to have the best chance of being matched to a residency program.
Applicants must register with the National Resident Matching Program (NRMP), which matches applicants and hospital residency programs according to individual preferences.
LICENSURE AND OCCUPATION IN USA FOR INTERNATIONAL MEDICAL GRADUATES (IMG)
An International Medical Graduate is an individual who has graduated from a medical school outside of the United States or Canada. An IMG must have had at least four credit years in attendance at a medical school that is listed in the International Medical Education Directory (IMED) of the Foundation for Advancement of International Medical Education and Research (FAIMER). The Educational Commission for Foreign Medical Graduates (ECFMG) assesses the readiness of IMGs to enter residency or fellowship programs in the United States that are accredited by the Accreditation Council for Graduate Medical Education (ACGME) through its program of certification. IMGs account for almost one quarter of the nation's active physicians. Eighty percent of IMGs are involved in patient care and 16% are involved in academics. Thirty percent of IMGs are internists, representing 36% of total physicians in internal medicine. IMGs are most heavily concentrated in New York, California, Florida, New Jersey, and Illinois. The top five countries of medical education for IMG physicians are India, Philippines, Mexico, Pakistan, and the Dominican Republic.
VISA AND IMMIGRATION
IMGs who seek entry into U.S. Graduate Medical Education (GME) programs must obtain a visa that permits clinical training to provide medical services. Most IMGs who are not U.S. citizens or permanent residents enter the U.S. on a J-1 Exchange Visitor visa or an H-1B visa
SCHOLARSHIPS AVAILABLE IN USA
US FEDERAL STUDENT AID PROGRAM
Your Medical School may offer financial aids from different resources including some from their own funds. This you can check from their Financial Aid page on their website. However, if any College is NCFMEA recognized, you should be going for no second alternative because this is where you can claim a luck for the US Federal Government Student Aid to fund your studies.
The U.S. Department of Education awards more than $120 billion a year in grants, work-study funds, and low-interest loans to more than 13 million students. Federal student aid covers such expenses as tuition and fees, room and board, books and supplies, and transportation. Aid also can help pay for other related expenses, such as a computer and dependent care. Thousands of schools across the country participate in the federal student aid programs; ask the schools you’re interested in whether they do!
There are three types of federal student aid:
- Grants—financial aid that doesn't have to be repaid (unless, for example, you withdraw from school and owe a refund
- Work-study—a work program through which you earn money to help you pay for school
- Loans—borrowed money for college or career school; you must repay your loans, with interest
In order for a foreign medical school to be eligible to receive U.S. Federal Student Aid (Title IV of the Higher Education Act of 1965), they must satisfy an additional number of criteria: First and foremost, the school must be NCFMEA-recognized (as I have described above) and must possess the administrative capability to manage Federal Student Aid.
Also, The school must meet one of these three criteria:
- The school must have had a state-approved clinical training program (like New York or California) since 1/1/1992 and remain approved to this day. or…
- The school must have at least a 60% non-US student body, AND have at least a 75% pass rate for all the step exams administered by the ECFMG (i.e. USMLE Step 1, Step 2 CK, Step 2 CS). or…
- The school must have had a state-approved clinical training program since January 1, 2008 and remain approved to this day, AND have at least a 75% pass rate for all the step exams administered by the ECFMG (i.e. USMLE Step 1, Step 2 CK, Step 2 CS).
UNIVERSITIES IN USA
- Harvard University
- Johns Hopkins University
- New York University (Langone)
- Stanford University
- University of California - San Francisco
- Mayo Clinic School of Medicine
- University of Pennsylvania
- University of California - Los Angeles
- Washington University in St. Louis
- Duke University
- Columbia University
- Corneil University
- University of Pittsburgh School of Medicine
- Yale School of Medicine