Categories
Electives USMLE

8 Clinical Electives without Step 1 Scores or VSLO (2018-2019)

If you are reading this article, you are probably in your 4th year of MBBS. You are thinking of doing a clinical elective after final year because you are not sure if you want to go the USMLE way. You just want to test the waters and see if this is your cup of tea. (Still confused? Check out our article on Reasons why you should do Clinical Electives in the US)

“I will start applying later, they say you have to apply 6-8 months in advance” remember saying this to yourself in the beginning of the year? Well, if you are a final year Indian medical student, you have most likely planned on doing electives in the early part of next year. So, now will be a good time to apply.


But, like most Indian Medical Students, it is likely that you have not given your USMLE Step 1. If you already have your USMLE Step 1 scores, check out our article on Clinical Electives WITH Step 1 scores. 

More and more clinical elective programs in the US now require you to have Step 1 scores in order to be eligible for electives.

Also, a lot of the universities in the US are now accepting applications only through VSLO (Visiting Student Learning Opportunities), which is a common online portal for visiting students to apply for electives. While this is a great initiative, to apply through VSLO, your medical school should officially be a VSLO partner.

99% of medical schools in India are not part of this program (blame it on the fees the college has to pay to become part of VSLO).

“So, does that mean I can’t apply for electives this year?” Absolutely not! There are still places that accept international medical students for clinical electives without Step 1 scores or VSLO. Rather that you having to scour through pages and pages of google searches to find the right pick for where you should apply, The Indian Medical Student has an updated list prepared just for you!

We strongly suggest that you start with your application process at least 8-9 months in advance given the vast number of documents required and the way our college offices function.

(The Indian Medical Student Team)

If you have any questions regarding this topic, ask us in the comments section below.

We would love to receive similar articles from you or know about your elective experiences. You can send in your article from the Contribute page and stand a chance to feature on our blog!

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This article has been written by Dr. Rohit Nathani who is an intern at Seth GS Medical College and Kem Hospital, Mumbai, India. If you have any questions you can ask him in the comments section below.


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Categories
Electives USMLE

Reasons why you should do Clinical Electives in the US

So, you have heard time and again how clinical electives are very important in strengthening your application. Clinical electives are a subset of the several types of United States Clinical Experience (USCE) that you can gain while you’re still a ‘student’ – this means before you graduate, that is, the day you receive your “MBBS” degree. USCE is ANY experience that you get in the US health system. USCE is not optional and is, in fact, one of the many filters used by many programs while evaluating your application.

The more clinical experience you have, the better.

So why should you do these clinical electives?

Experience

experience

Pretty straightforward, as the name suggests, this will help you understand firsthand how the US Health system works. When you go for electives, you will be treated as a ‘visiting student’. This means that you will do everything that is expected from a 4th year US medical Student. This includes attending rounds and conferences, working up cases, taking a history and physical exam as well as presenting cases on rounds. That is a huge advantage as opposed to observerships where you are only allowed to ‘observe’ what the other people are doing.This experience goes a long way in helping your application. By the time you join residency you will have a fair idea of how things work!

Building Contacts

Networking is extremely crucial in this process. You will meet a lot of people, right from attendings, fellows, residents, other students (Both American and International). Talking to people will give you an idea of how to go about USMLE from whatever stage you are in. You will get an idea of what people all over the world are doing. Some of these contacts may even help you get a residency spot in the future! But above all you will make friends, sometimes even the best of friends.

Practice for Step 2 CS

As an international medical graduate, we are very unaware of how to deal with patients in the US clinical setting. The Step 2 CS exam tests just that. This exam, which is a practical exam, focuses on a student’s ability to take a good history, perform a thorough physical exam, write a good patient note, speak fluent English and have basic bedside manners. I recommend that you try to give your CS exam after you complete your electives as when you are doing those electives, you pick up the simple clinical habits which your examiners expect of you in the Step 2 CS Examination. You may also meet others who are giving the exam making for good study partners!

The Step 2 CS is a practical exam and having a study partner is always better (Another advantage of networking!)

Letters of Recommendation

Most people consider this to be the MOST important goal, but trust us, keep this as secondary. Instead try performing your best.

Get in early, leave late, participate in conferences and seminars. Give them a chance to know the best version of you so that they write a personalized letter rather than just a generic one given to everyone else.

Of course, towards the end of your rotation, you could always politely ask if they would be ‘comfortable’ giving you a ‘strong’ letter of recommendation.

Independent living

This will also probably be the first time a lot of you will be living by yourself in a foreign country, and though short, this will be an invaluable experience for you to grow as a person. Also, it will teach you the ways of living in a country that you are looking to potentially live in for 3 years, if not more.

Vacation

Above all, you have worked hard through the year. Although clinical electives are academically demanding, you do get spare time for yourself. Spend some time roaming the city and go for a mini vacation to unwind. (You need to be super charged for the long road to USMLE that lies ahead).


If you have any questions regarding this topic, ask us in the comments section below.

We would love to receive similar articles from you or know about your elective experiences. You can send in your article from the Contribute page and stand a chance to feature on our blog!

If you liked this article do share it with others too using our social share buttons!


This article has been written by Dr. Rohit Nathani who is an intern at Seth GS Medical College and Kem Hospital, Mumbai, India. If you have any questions you can ask him in the comments section below.


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Categories
NEET

5 Lessons I learnt from NEET (PG)

Today we have with us Dr. Pooja Pande, giving us her 2 cents (or maybe 5) on the lessons she learnt while studying for NEET (PG). Having done her MBBS from BJ Medical College, Pune, Dr. Pande took a drop year and studied for her exam. She performed exceptionally well with an All India Rank of 366 and a Maharashtra state rank of 54. She is now pursuing MD (Radiology) at TATA Memorial Hospital, Mumbai.

This article is especially relevant for those of you going through Internship as well as those who have taken a drop year studying for NEET. Today I am going to share with you “The 5 Lessons I learnt from NEET”. Hope it helps you too!

Too many cooks spoil the broth.

In the initial days of preparation, your anxiety and excitement work together to create a mental blueprint of your steps ahead into the year. The first question that comes to your mind  when you start preparing this blueprint is,  “What books should I be reading?” Just like the assorted basket of breads in an “all you can eat” spread, you land up with an assortment of study materials.

  • Your class notes
  • The topper’s notes
  • Your friend’s notes
  • Your Ex’s notes
  • A collection of guidebooks and what not!

To add to all of this, you have limited time. Congratulations! you have the perfect recipe for disaster.

Many study resources + Limited time =  DISASTER!

The syllabus of MBBS and NEET is limitless. The NBE (National Board of Examinations) that conducts NEET has the capability of crossing that limitless limit to ask you questions.

Out of the 300 questions asked, you are never going to be prepared enough to answer more than 70% of the questions. And that is perfectly normal. But the game is to answer those 70% correctly.

So I recommend that you use your own handwritten notes and one guidebook per subject. That is it. Period.

 

First Read reveals art, Revision reveals artist!

This is probably the most difficult step for someone preparing for a competitive exam. You have a vast syllabus (19 subjects) and very little time. Yes, you will never get enough time to read all the little details of the 19 subjects. Confused how to start?

Take a paper. Note down the total time you have from this point on. Divide that time according to each subject. Take into account your strengths and weaknesses too.

The first read will take time. Roughly a little more than a week for major subjects and around 5 days for the minor ones. Divide the subject into topics (example Medicine into CVS, CNS, GI, etc). Read your notes on the particular topic and simultaneously read the guide book if you feel you can add something to your knowledge. Immediately add extra points to your class notes!

The next step is to solve MCQs. Highlight the ones you got wrong as well as the ones you guessed right and the ones you think are really important. By the time you finish with a particular topic in this sequence, you should feel confident that you will not have to open the guidebook again (except maybe for the marked question topics).

Plan ⇒ First Read ⇒ MCQs ⇒ REPEAT

Trust me, that repeat is very crucial. By the end of your First Read, you should have with you:

  • Your complete class notes
  • Circled MCQs
  • Basic idea of the trend of exam questions

These 3 things are what you will be revising in the future. When exams come close, not only will you gain weight, you will also have a very good cushion of FAT : Frequently Asked Topics.

 


Practice Tests. You can never take enough of them!

We style our preparation in a “one subject at a time” way. This gives us a false belief that things are totally under control. The truth is you will forget the stuff you have read a month before if you do not keep revising. the only way to prevent this is by giving Grand Tests regularly. They have mixed sets of questions that stimulate those precious gray matter neurons that have synapsed together to make you remember the things that you have learnt throughout your MBBS. You will be stoked at the amount of information you already have stored in your head from all those years of studying. This gives you a strong guessing ability that is super important while solving MCQs.

The more tests you solve, the more you come to know about important topics, the more grounded you become as you realize that you still have a long way ahead. You get to keep a track of your progress and appropriately change your study pattern. These tests will help you reassess your study blue print.

Discipline yourself and give tests. Stay Fresh, stay alert and advisably simulate exam conditions.

Good table, chair, laptops (not cell pones), timers and a well lit room.

 

Because all of us need parasitology charts on our toilet doors!

Yes! we do. You are going to realize the need for short and concise FATs (Frequently Asked Topics). CD markers, culture media, interleukins, most commons, life cycles, etc, etc, etc. Make them while revising and revise them close to exams. They are going to be your best friends close to the exam date.

 

A walk to remember.

You cannot measure your preparation by the amount of hours you put into study. If you are a post intern, you need to make sure you dedicate time to a physical activity that you like. Or, just head out for a walk! You are going to need that rush of endorphins. You cannot just sit in the captivity of your room or library. You do NOT have to sacrifice sleep or your health. After all this exam tests your presence of mind more than your memory.

Have the conviction that you are going to crack it.

There are going to be tough days. You are going to have a million breakdowns. But, you are going to get stronger with each passing day if you do not give up! Discipline yourself. Consistence matters in this rat race.

P.S. Point

There is no fixed formula that separates toppers from the rest. All that matters in the end is that you structure the year in a way that brings out the best in you. Home or library? Group studies or solo? 6 hours or 12 hours studying? Only You can answer these questions. Stay away from negativity even if the source of it is you. Stay away from people who constantly make you question your decision to do MBBS, the education system, time shortage, engineer Dinesh’s 9 lakh package , etc. Make yourself comfortable, have all the confidence you need and above all stay happy and enjoy the journey.

-Pooja Pande

 

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