By Guest on Saturday, 23 April 2011
Posted in Match Center
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Hi there!

Are there any successful UK/Irish students/grads here who have matched into a US Ortho residency, either recently or in the past? If so, do you have any hints, tips or wisdom to pass on to a UK third year student hoping to take part in the 2013 Match?

I'm a third year student in a competitive UK medical school with a particularly strong Orthopaedic and trauma department and US connections. I recently had an absolute blast on my four week Orthopaedic rotation with a top-notch consultant (attending) who is now my Ortho mentor. My rotation was very hands-on and I got to scrub in and assist with various trauma and arthoplasty cases. In addition to the usual cutting, suturing, diathermy, suction, retraction and holding of various body parts, I got do some drilling, measure out and put in screws, assist with hip reductions, get a feel for knee scopes etc. The hours flew by and after a long day, I couldn't wait to be back the following morning. Amazing stuff. Really enjoyed learning from Ortho surgeons in the OR, the teamwork aspect of patient care and getting my hands dirty. Following patients was interesting since the operations made a distinct difference to their lives.

I've talked stuff through with my mentor after receiving encouraging feedback and decided that Ortho is the career path I want to pursue. Ortho appeals to me because of the blend of technical and active nature of surgeries, 3D visualization of anatomy, use of imaging and provision of tangible results - not to mention the combination of camaraderie in an Ortho team (great personalities and best people!) and high standards. Since finishing the rotation, I've started a surgical log book and been going back to the Ortho theatres (ORs) whenever possible to learn as much as I can and help out when an extra pair of hands is needed.

I'd like to do my residency in the US after finishing medical school (5 year program). I know Ortho is beyond competitive but I will give it my best shot. I have a previous published group project in anesthesia but I've set up a fourth year Ortho project with my mentor early in fourth year and will be working to get it published. I'll also be taking Step 1 and Step 2 CK next academic year. I know I need to ace them. I plan to do at least 3 rotations and get US LORs in the summer between my fourth and fifth year before Sept 2012, mostly at places where my mentor has connections. While doing US rotations, I will also take Step 2 CS. Any hints, tips or wisdom on how to succeed in matching to a US ortho residency?
I am not a UK grad, but why are you not seeking training in UK? especially if your school has a top ortho program like you say. You've already made connections it as it seems, it'll be much easier for you to get trained in a system you are already familiar with.
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15 years ago
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I'm not a US citizen or a permanent resident but have family ties to the US and when I lived there it felt like home. I'd like to live in the US permanently. Switching systems is easier right after medical school, hence the plan for a US residency.

The orthopaedic route in the UK takes 10 years post-med school: 2 foundation years (consisting of 6 4 month rotating internship jobs) and 8 years of specialist training (ortho). The EU has limited training hours to 48 h a week - more lifestyle friendly, perhaps, but not an ideal situation for learning and training in surgery. Most surgeons and surgical trainees are not happy about the situation and are working towards changing the rules.
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15 years ago
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I am finishing up my residency so I have a reasonable amount of knowledge about the application process and resident selection in US programs......

1. YOU ARE A FOREIGN MED SCHOOL GRAD.....ableit the UK is better than Algeria med school....this is a serious stigma in ortho and you must realize this.....most programs do not take foreign med graduates period.....

2. Med schools in the US are expanding the number of students....which means more US med grads to compete with....the goal here is to have less FMGs and more US grads in US residencies.....this means ORTHO IS GETTING EVEN MORE COMPETITIVE......

3. Without smoking your USMLE exams you have no chance....so unless you get a 240 or better on step 1.....I wouldnt be very confident....and a 240 is a solid starting point....remember you are an FMG and you have to look better than the US grads to even be considered....

so with no USMLE scores noone can even guess your chances....

You need more research.......so do more than one paper...thats just a starting point.....nothing awesome...

This is a serious uphill battle....be careful not to burn your contacts in England because by no means will you be assurred a spot in the US...

best of luck
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15 years ago
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I would recommend rotating at solid, less known programs (Aka less competitive).

However I agree with the above that without any usmle scores it is impossible to even begin to speculate.
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15 years ago
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Thanks for your replies. I realize my IMG status closes doors and I'm certainly not expecting things to be easy. Naturally my USMLE scores will only be a starting point for evaluating my chances of matching into Ortho. If my scores were not competitive (once I take Step 1 and Step 2 CK next year), I would reconsider my options. I do not intend to burn any bridges here in the UK. Trust me, I have a realistic attitude. By the same token, I want to give the USMLEs and US Ortho my best shot.

I do know that Irish grads have matched into Ortho in the US (not sure about UK grads) and if there are any around here, it would be great to hear how you guys did it.
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15 years ago
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From what I have seen, FMGs who matched Ortho did research at programs for a year or two where they matched.
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15 years ago
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As far as I understand, research is probably the most common way for IMGs to get their foot in the door. I have heard of Irish grads matching straight into a US ortho residency after med school though. If there are any of you guys around, it'd be great to hear from you.
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15 years ago
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Yeah, research for an entire year, or some type of 1 year experience is just about mandatory. And I think that just puts you at baseline. Also, I would look at programs that already have IMGs as they would be more friendly. On the interview trail I recall Buffalo having a couple.
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15 years ago
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Cool, will keep the research/1 year experience thing in mind. Thanks for the heads up on Buffalo. Was thinking of rotating in the US where our Ortho dept has links and applying widely when the time comes.
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15 years ago
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Yeah, research for an entire year, or some type of 1 year experience is just about mandatory. And I think that just puts you at baseline. Also, I would look at programs that already have IMGs as they would be more friendly. On the interview trail I recall Buffalo having a couple.


Buffalo has a few IMGs. One of them was an attending orthopaedic trauma surgeon in europe somehwere and another was a general surgeon I believe. Another was a Caribbean grad who had published some papers but not sure if he took a whole year. They also have a DO in the program. So certainly a program I'd consider if I was an IMG.
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15 years ago
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Great info, thanks!
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15 years ago
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Hi! I know this was posted a long time ago but I was wondering if you ended up going to the USA to do your Orthopaedics residency??
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2 years ago
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