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CARIBBEAN MEDICAL SCHOOL RESIDENCY PROGRAM

This is by far the most important aspect. Remember, the M.D. degree can be earned anywhere. It is a residency that will be your ultimate goal.

There were 16,893 U.S. medical graduates in 2011, and there were 26,158 total residency positions available in the United States NRMP residency match. This means that the difference of 9,265 spots were available to the "Independent Applicant pool."

This pool includes U.S. D.O. (Doctor of Osteopathic Medicine) graduates, Canadian medical school graduates, and all International Medical Graduates (IMGs) from all over the world, regardless if they are a U.S. citizen, Canadian citizen or a citizen of any other country.

In 2011 a total of 20,842 Independent Applicants were competing for those remaining 9,265 spots.

Caribbean medical schools place their students in clinical rotations in affiliated hospitals in the United States during the third and fourth year of medical school. Therefore, Caribbean medical students are at a far greater advantage when competing with other IMGs for U.S. residency (post-graduate training) positions.

Residency programs tend to feel more comfortable with students that have been trained in a U.S. hospital and are familiar with basic procedures and technology. This also gives Caribbean medical students the benefit of establishing contacts and friendships with the doctors and supervisors during the clinical years. Those people will not only write your letters of reference, but can aid you in obtaining a position in a U.S. residency program.

U.S. RESIDENCY PROGRAMS

Residencies for recognized specialties are diagrammed below.
The length of each bar represents the years of training required for certification.

1 2 3 4 5 6
FAMILY PRACTICE      
EMERGENCY MEDICINE      
PEDIATRICS SUBSPECIALTIES  
INTERNAL MEDICINE SUBSPECIALTIES  
OBSTETRICS/GYNECOLOGY    
PATHOLOGY    
GENERAL SURGERY SUBSPECIALTIES  
NEUROLOGICAL SURGERY  
ORTHOPAEDIC SURGERY  
OTOLARYNGOLOGY  
UROLOGY  
TRANSITIONAL
or
PRELIM MEDICINE
or
PRELIM SURGERY
ANESTHESIOLOGY  
DERMATOLOGY  
NEUROLOGY  
NUCLEAR MEDICINE  
OPHTHALMOLOGY  
PHYSICAL MEDICINE  
PSYCHIATRY  
RADIOLOGY - DIAGNOSTIC  
RADIATION ONCOLOGY  

 

COMPARISON OF RESIDENCY POSITIONS
AVAILABLE IN CANADA AND THE U.S.

FREIDA (www.ama-assn.org/go/freida) lists all ACGME-accredited residency programs. The U.S. column in this table is the NRMP (www.nrmp.org) list, which only has those programs that participate in their Match, which is a lower number. In the U.S. a certain number of residency positions are available outside of the NRMP match (non-NRMP residencies).

The Canadian column is complete (stats taken from www.carms.ca). Keep in mind that the U.S. Match is much better for Caribbean grads as it has around a 50% IMG match rate; whereas the Canadian match rate for IMGs averages around 10%.

Residency
Program
Spots in Canada
in 2011
Spots in the U.S.
in 2011
Anatomic Pathology 24 1081
Anesthesiology 118 841
Dermatology 26 362
Diagnostic Radiology 88 1124
Emergency Medicine 65 1626
Family Medicine 1089 2708
General Surgery 114 1108
Internal Medicine 402 5121
Neurology 40 594
Neurosurgery 16 195
Obstetrics/Gynecology 100 1205
Ophthalmology 38 Non-NRMP
Orthopaedic Surgery 81 670
Otolaryngology 29 283
Pediatrics 157 2482
Physical Med and Rehab 23 373
Plastic Surgery 28 108
Psychiatry 131 1097
Radiation Oncology 21 171
Urology 32 Non-NRMP

 

Residency Program % IMGs
in the U.S.
in 2011
Avg hrs/week
(PGY-1)
Avg Salary
(U.S. $) (PGY-1)
in 2011
Anesthesiology
14.4 61.6 48,343
Anatomic Pathology 37.1 50.9 47,505
Dermatology 3.5 45.2 49,142
Diagnostic Radiology 10.3 51.7 49,973
Emergency Medicine
8.7 56.3 47,912
Family Medicine 41.6 63.3 47,394
General Surgery 20.5 75.5 48,023
Internal Medicine 53.7 64.2 47,699
Neurology 40.9 64.4 48,786
Neurosurgery 11.8 76.6 47,580
Obstetrics/Gynecology 20.2 71.1 47,793
Ophthalmology 6.9 51.6 49,062
Orthopaedic Surgery 2.9 70.5 47,577
Otolaryngology 2.4 67.6 47,556
Pediatrics 32.1 65.6 48,090
Physical Med/ Rehab 19.7 54.6 48,959
Plastic Surgery 10.6 64.9 55,151
Psychiatry 38.7 56.2 48,448
Radiation Oncology 3.6 50.0 49,120
Urology 4.9 66.4 49,771

 
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