ECFMG certificate - arcticwolf

[ArchivalUser]

it is per country's decision. usa decided to evaluate the medical students and MD graduates from usa medical schools, so they designed tests that is administered in 4 parts and name it usmle. these exams are then made for the usa grads to sit. passing this would be the only mean by which they can apply for residency training.

they also recognize MBBS from outside the states, so they allow those with MBBS to take the same exam the usa grads have taken, the usmle. passing that exam would also mean that these MBBS would be able to get into residency just like their usa counterparts.

so to make things fair for the usa, since they would have to take out loans of up to 100k to do medical school, they are given first opportunity. majority of the usa grads matched, even the low scores would still be preferred over the 99s from outside usa. in a way it is to be fair for the usa grads, also they would trust more those that have graduated in their own backyard, whom have been taught in the manner of usa practice since starting medical school. those from outside usa have training that varies, so they would be more erred in whom to take.

[ArchivalUser]

they would set out criterias and be strict with foreign medical graduates (fmg). fmg would only roughly get about 3 or 4 interviews. usa grads would get 10 plus interview. even if the fmg passed with 99 all steps and that the usa grad passed with 80s in all steps.

[ArchivalUser]

ideally one should be of equivalent level to the MD degrees after passing all 4 exams, because essentially these are what's taught in usa medical school. however, they do not give out MDs because they are not a medical education institute, they are a governmental organization that has been assigned the task to test everyone that wants to practice in the usa. medical school do the education and testing, they would set out as to retest these graduates again.

[ArchivalUser]

because usa wants also brains from outside usa, they open the path that those with their MBBS can also get to do this governmental exam, upon passing they would take the same path as the usa medical graduate with MD.

so there is nowhere there it says that one would have an MD degree. so, since doctors in usa are known as MDs, even MBBS would be regarded as MDs. but when writing their degrees, they would write MBBS. usa grad would write MD.

note that the degree that is considered in this case is the primary medical degree, which is the undergraduate degree. in usa, it is called MD, in almost every other country, it is called MBBS

[ArchivalUser]

now this path has been in this manner since years ago. it is an open path for all foreign medical graduates as long as their medical school is in FAIMER list.

[ArchivalUser]

note also that MBBSs and MDs from usa are doctorates degree "by profession". so one can be considered as doctorate with this primary medical degree. PhD is a doctorate degree by academics and it has been carrying the doctorate degree at large, MBBS and MDs from usa are doctorate "by profession". their degree only applies in medicine, not transferrable to other fields. (although it is in some circumstances some may utilize medical degree for other field since it is tertiary level education anyway, so that person should be an educated person and be able to handle job they gonna assign to them).

anyway within that doctorate "by profession" there are also levels, there is undergraduate medicine and there are postgraduate medicine with fellow degrees and professors as the highest

[ArchivalUser]

anyway that is usa

as for another country say australia:

once one pass medical school in australia, they would get MBBS degree. the country deems these graduates as fit to start practicing undersupervision so, MBBS graduates start practicing right away as a job. the country do not want to test MBBS graduates in australia as they think they are already fit to start practicing. so unlike usa whom make grads sit usmle, australia have no such exam.

as for foreigners going in to australia: well australian authority decides that they are not fit for practice in australia. they have to prove themselves. the way to prove themselves is by sitting the exam amc. so passing it, one can then enter and practice in usa.

well it doesn't stop there it goes further goes as in this manner: australia accepts specialist from big countries. they would just go through and register without having to sit for amc. they have to provide proof that they have specialist training and degree, so with this australia allows them to start practicing. they would practice as a specialist, well under supervision at first. but they don't have to start as young doctors nor have to sit for amcs.

this is not the case with america. america mandates that everyone has to go through residency training. specialist or no specialist, everyone have to do residency training. residency is america's specialist training. so one may be a specialist elsewhere, there degrees cannot make them be a specialist in usa straightaway. they would have to go through specialist training in usa. this is guided by law, and because of this, it is very difficult to have it any other way. they cannot do anything about it. they would have to change the law before they can create another path such as australia having paths for specialist. they want everyone to go through residency training in usa.

[ArchivalUser]

as for foreigners going in to australia: well australian authority decides that they are not fit for practice in australia. they have to prove themselves. the way to prove themselves is by sitting the exam amc. so passing it, one can then enter and practice in australia, not usa as above

[ArchivalUser]

you go to nz, it is about the same as australia.

you go to any other country, it would be in a similar manner to australia.

only usa conducts things differently.

so if you plan on going to any country to practice medicine there, you would have to search out how they conduct things there. what are the pathways. it is the country who decide how the system should be. medical schools are institute for educating people to become medical doctors and give them a degree. the rest of the path rests with the government and how they conduct things. so degrees are transferrable, but, country rules when it comes to how one gets across.

there is no super-degree such that one can practice anywhere, even harvard degree cannot just barge into any other country and practice there. they would have to go through the formality of the process that has been put in place by that country's government.

[ArchivalUser]

well i am saying government, but one would realize that the committee that handle such and drafted such paths included practicing doctors. if it was made in the past, you would find out that in addition to lawmakers, there were doctors there in that committee, since apparently the government have to assign some people to design the system for a country. so in addition to politicians and lawmakers and whomever, doctors are there in such committees. there are such committees in every country and they would decide what are the paths for a country for medical practice.