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Thread: Recent Accident to My Son

  1. #941
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    So far so good. Brian only has eight days left on the OBGYN rotation. He'll be done on July 17. After OBGYN rotation he then has two weeks off until he starts the ICU rotation.

    During the two weeks he'll study for the OBGYN SHELF Exam and the STEP 2 Board Exam that he takes in the fall. He has decided that he is not going to do the three year residency after medical school instead he will concentrate on health care policy.

    Roger

  2. #942
    So how many babies did he get to "catch"? I have a friend who is has a T4 injury, and is a family planning nurse practitioner. I always tease her that she is in the perfect position to spend her day doing pelvic exams...!

    (KLD)

  3. #943
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    This last week of the OBGYN rotation for Brian. He then has two weeks off until he starts the ICU rotation. Brian said that the ICU rotation is a difficult rotation because of the pressure. The residents and doctor can be mean especially to each other and the students on clinical rotations.

    Only two rotations remain, ICU and Prep for Residency. After the ICU rotation he'll study for the STEP 2 exam that he'll take in Philadelphia in October of November. The Prep for Residency rotation will occur after Jan 1.

    Roger

  4. #944
    Just curious....you mentioned your son will elect not to do the residency. I'm not clear on what it consists of. Another poster here seems to indicate that many medical students do not do the residency.

  5. #945
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    Triumph

    As Brian describes it the three years of residency is total hell. Very long hours and difficult working conditions. This is particularly true for someone with physical limitations. Because of the long hours and difficult working environment the other residents get stressed out and become resentful when they feel that another resident is not doing their full share of the work. This is one of the major reasons that Brian does not want to do residency. He doesn't want to feel like he is not performing up to expectations.

    Residency is required in order to be a practicing doctor. Brian is planning on going into Public Health Care Policy, that's why he took a year off from medical school and did the Masters in Public Health program at the Bloomberg School of Public Health.

    Roger

  6. #946
    Thanks for your comments.
    Wise decision on getting that M.A.

  7. #947
    Actually, in most states you can be licensed as an MD (and practice) without a residency, as this is required for specialization. Physicians who did not do a residency are considered GPs (general practitioners). They must graduate from medical school, and take the national physician licensing exam. Specialists must, in addition, complete a residency (which varies from 2-8 years, depending on the specialty) that is accredited by the specialty board organization, and take their board certification exam. So for example, physiatrists do 3 years of residency in PM&R following their completion of medical school (at which time they obtain their MD license). Residents and fellows are already MDs. Most medical schools no longer have interns; they have replaced this title and role with first year residents. A fellowship is additional training after the residency is completed, and may be required for some specialties. For example, in order for a PM&R physician to sit for the SCI Medicine board exam now, they must complete both a specialty residency and board certification (usually PM&R) and then take a special SCI Fellowship of 1 additional year.

    (KLD)

  8. #948
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    Thanks SCI-Nurse clarifying this. The years of training that a doctor is required to complete is unbelievable. The general public should be educated about the difficulty and the years that a doctor has devoted to learning the profession. On the news we hear about the rogue doctor who have stolen Medicare money by cheating.

    Roger

  9. #949
    Quote Originally Posted by SCI-Nurse View Post
    Actually, in most states you can be licensed as an MD (and practice) without a residency, as this is required for specialization. Physicians who did not do a residency are considered GPs (general practitioners). They must graduate from medical school, and take the national physician licensing exam. Specialists must, in addition, complete a residency (which varies from 2-8 years, depending on the specialty) that is accredited by the specialty board organization, and take their board certification exam. So for example, physiatrists do 3 years of residency in PM&R following their completion of medical school (at which time they obtain their MD license). Residents and fellows are already MDs. Most medical schools no longer have interns; they have replaced this title and role with first year residents. A fellowship is additional training after the residency is completed, and may be required for some specialties. For example, in order for a PM&R physician to sit for the SCI Medicine board exam now, they must complete both a specialty residency and board certification (usually PM&R) and then take a special SCI Fellowship of 1 additional year.

    (KLD)
    Sort of.

    Once you graduate medical school, you get the M.D. title or D.O. if you graduated from Osteopathic School.

    You then apply for a Post-Graduate Year 1 Internship in an American College of Graduate Medical Education accredited training program. The PGY-1 internship can be in General Medicine, Surgery, Psychiatry, Pediatrics etc. There are also Transitional Internships that provide a broader specialty exposure and more electives. For other specialties, its possible that you might do an internship at one hospital and a residency at another and not necessarily in the same state.

    Each year, on the 3rd Friday of March, the National Resident Matching Program holds a "match" for Internships and Residency Programs. If you love a program and they love you back, you both rank each other highly in hopes that you will match. If you don't get a match there's a secondary process that helps unmatched doctors find unfilled spots in internship and residency programs.

    With a completed Internship year and having passed all three US Medical Licensing Examination steps, you can apply for a state medical license. Once you have the state license, you can work in the medical profession and obtain permits to prescribe medications. But without residency training and specialty board certification, you'll have trouble obtaining hospital privileges and your access to insurance networks may be limited. Getting malpractice insurance may also be more difficult.

    The typical PM&R SCI Fellow will have had had one year of internship (usually in Medicine or Surgery) /PGY-1, three years of PM&R Residency/ PGY2-4 and a year of Fellowship/ PGY-5.
    Last edited by 2drwhofans; 07-16-2015 at 10:20 PM.

  10. #950
    Roger, FYI. SCI nurse has noted the website www.usajobs.gov for another medical student on this site who is not planning on doing a residency. I have checked this website and wanted to let you know in case your son wants to explore the process for application for Federal employment. The application process can take a while. The Federal government is aggressively seeking disabled applicants many in high level positions.

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