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* Alternate Career options for IMG
  dreamz942 - 03/30/19 06:22
  I am a 2009 IMG graduate (Asia) with 1 year residency training in Microbiology. I left my training to join my spouse in USA. I came here with plenty of dreams. But things have not worked out well. I have finished USMLE steps with scores 206/226/second attempt CS/212 and an EAD holder (H4). I had worked as a Volunteer research fellow in a community hospital for close to 3 years and had done observerships in the same hospital in Critical care unit for 3 months. I have 3 first author publications. I recieved 1 interview from the same Hospital I worked for 2 Consecutive matches but did not Match.I was totally disappointed after this and stopped applying for residency match altogether. I just wanted to come out f this gamble and focus on my family. My kids now go to school. I am looking for an alternate career path to make use of the medical knowledge I have and earn a decent salary. These are the Options I have tried.

1. I had applied for MPH and recieved an offer from local University. However I did not take up as it costed around 40 K.
2. I had applied for a Phd program in Biomedical Sciences and received an interview but was not selected.
3.I tried going into the NP route. Accelerated program require me to repeat all my prerequisites and would requite time commitment of atleast 4 years and lot of money as well.
4. I had the opportunity to talk to a Program Director of a Radiation therapy technology program which needs a commitment of 3 years.

My Spouse works in a different field and supports our family.I do not have the option of going back to my home country. I am looking for a decent job with decent salary. It has been 10 years since I graduated, I have almost forgotten that I am a physician. Is there no value for our degree and the fact that we have passed the USMLE steps in this country?

Please give some some suggestions for having a career in USA (non existent for me right now)
Thanks in advance.
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* Re:Alternate Career options for IMG
  dreamz942 - 04/01/19 11:34
  Could anyone who has gone for an alternate career path give some advice? It will be greatly appreciated.  
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* Re:Alternate Career options for IMG
  kindmd - 04/03/19 15:48
  It is very difficult...There aren't many jobs which you can do in US without a license. Try looking for a research position with a hospital (chances are it might not be paid).  
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* Re:Alternate Career options for IMG
  disme - 04/04/19 01:11
  Have you looked at clinical documentation specialist? That is an option I think you should be aware that very few alternative jobs pay high, the salary of a resident is in the 50s to 70k it only skyrocket on passing the board. As you are looking for an alternative you will be starting at the lower rung of the ladder with less pay

I wonder why you pushed NP aside, This is an option I have in mind if matching does not work out ( I am an old grad, med sch more than 10 years ago). I love clinical practice and was a specialist in clinical practice back home so, for me, most other alternative are out leaving things like PA and NP. The career progression for PA is to become a physician and I will always have a physician as boss while for NP there is relative independence with progression to DNP and option of academic with clinical practice.

If money is a problem one way of going round it is to have cna certification, a friend of mine did his at a nursing home where he was also employed, but do not let them know you are a doctor. The good thing about the cna is that pay is better than most other jobs, for my friend he was teaching anat at a community college the pay is not up to what he makes from cna but hrs are more. You may then go for online NP program.

Another option is to leave medical field entirely.

Hope these help
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* Re:Alternate Career options for IMG
  dreamz942 - 04/04/19 06:39
  Thank you kindmd for your reply. It is very hard to find a paid research position.

To disme. I appreciate your detailed response. I have not looked at Clinical documentation specialist. I entirely agree with you regrading the salary.

Np route did seem appealing to me. The reason I took a backstep was the need to repeat all the prerequisites and the tuition rates are pretty high. I am not eligible for instate tuition rates (Not a green card holder).

I shall certainly look into the CNA certification.
I cannot thank you enough for the suggestions. Appreciate your time!
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* Re:Alternate Career options for IMG
  rezsuccess2019 - 04/19/19 15:48
  ”Are we ‘”Baking a Cake”, here…’?” (Online REVIEWS?)


I do not know about you…but an IMG’s passage of the USMLE with a first attempt high score, for almost anyone with reasonable (1 year) US clinical experience, creates a 70-85% chance of matching in a primary care residency in the USA. Failure, will seriously reduce those numbers…We are not ‘looking for good cake or pie recipes…, ‘ in order to get their (Amazon?) ratings. The numerous –personally failed-people that write very unusual and unverified information on these fora, appear to not have any “idea what they are talking about...“ (‘blind leading the blind???...’).
They also fail to realize that given the above-described importance of the USMLE, and 1 year of “hands-on-“ US Clinical Experience with excellent correlated, Letters Of Recommendation, that these credentials are very likely (add Spanish speaking, and research, and grad degrees etc) to lead to jobs that will start at $160K, and escalate very quickly-with 4-5 years of practice experience- to $210-$270+k per annum in total compensation packages.
In light of the above overall circumstance, I strongly advise you to view an IMG- friend’s (Now a PGY-V) ‘real story-‘ 206,354+ views-(FULL-BLOWN WORK-UP)- blog with the keywords’ search terms provided below (along with a topical index). GL and GB YOU..


FREE Registration Information at TOP KEY WORDS’ SEARCH RESULT (206,354

IMG passed USMLE and got IM residency

• “Landing here…”

• Paid jobs-clinically –based, temporary, with proven results in helping to get into residency
• Clinical experience- (list of 75 opportunities-recurring)

• Research experience- (list of 22 opportunities-recurring)

• Graduate programs- the “How to…”

• USMLE passage-GUARANTEED and non guaranteed (“ THE REAL STORY” regarding the significance of first attempt –passage; relative importance of each step; and why residency review committee - board of directors prefer a step 3 passage prior to interview…and thus it serves as an upgrade of sorts for the ERAS application )

o Course (online, or live or other hybrid, tutoring services)
 Experiences,
 Comparisons,
 Outcomes tallied

• ERAS; W’s and when, in the application cycle… is it too late???

• “IMG-favoring-” residencies

• LORS-examples

• Statements-examples

• Interviews- tips

• Residency- how to navigate the entire hospital system of underlings and superiors..political and non-political…

• Salaries…real medical economics’ data-based figures for primary care practices…of all types

• Practice development…get a jump start on the real process and get in touch with recruiters …NOW..or as soon as you have matched…save lost time in the form of opportunity costs that accrue later…BUILD YOUR NETWORK… NOW

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* Re:Alternate Career options for IMG
  remo2007 - 04/19/19 15:53
  Search for clinical documentation specialist in health care systems that accept foreign medical graduate like Prime health care ( Clinical documentation Improvement) .  
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