The Basics… The Basics…

Grace DosanjhGrace DosanjhCanadian Rotations LiasonCanadian Rotations Liason

Hope everyone knows already… Hope everyone knows already…

Start rotations after writing the stepStart rotations after writing the step

Usually can start before you get your scoreUsually can start before you get your score

No longer have to wait for the mail….No longer have to wait for the mail….

ECMFG website – Register for the email where ECMFG website – Register for the email where you get updates and noticesyou get updates and notices

RotationsRotations

SUSOM requires the following:SUSOM requires the following:

Core rotations: 42 weeksCore rotations: 42 weeks– 12 weeks surgery12 weeks surgery– 12 weeks IM12 weeks IM– 6 weeks pediatrics6 weeks pediatrics– 6 weeks obs/gyn6 weeks obs/gyn– 6 weeks psych6 weeks psych

Elective rotations:Elective rotations:– 30 weeks total, each rotation b/t 4 and 8 weeks 30 weeks total, each rotation b/t 4 and 8 weeks

durationduration– Required: Required: 4 week Primary Care Elective: Family 4 week Primary Care Elective: Family

Medicine, Primary Care Medicine, Ambulatory Medicine, Primary Care Medicine, Ambulatory Medicine and Pediatric MedicineMedicine and Pediatric Medicine

– Required: Required: 4 week Internal Medicine Subspecialty 4 week Internal Medicine Subspecialty ElectiveElective

Rotations in Canada are considered teaching Rotations in Canada are considered teaching and thus are automatically greenbookand thus are automatically greenbook

Fork in the path…Fork in the path…

Find all cores and elective rotations in Find all cores and elective rotations in CanadaCanada

Or, Complete all cores and electives Or, Complete all cores and electives rotation in the US rotation in the US

Or, a little of this and a little of that Or, a little of this and a little of that

Ok so you want to do rotations in Ok so you want to do rotations in Canada…Canada…

Good News Good News – Totally possibleTotally possible– Saba grads now doing Canadian residenciesSaba grads now doing Canadian residencies

Bad NewsBad News– On your own to set upOn your own to set up– Be prepared to hear NO!! alot…..Be prepared to hear NO!! alot…..

““I’ve heard that if I have more than 12 weeks rotations I’ve heard that if I have more than 12 weeks rotations per calendar year that will void my chance of obtaining per calendar year that will void my chance of obtaining residency or even licensure!”residency or even licensure!”

Simply not true. Personal conversations with Dr. Nick Simply not true. Personal conversations with Dr. Nick Busing, CEO of Ass. of Faculties of Medicine of Canada: Busing, CEO of Ass. of Faculties of Medicine of Canada: revealed most residence directors simply want to see revealed most residence directors simply want to see you complete your rotations while displaying competency you complete your rotations while displaying competency and desire.and desire.

Personal conversations with Katherine Clarke, PR at Personal conversations with Katherine Clarke, PR at CPSO has stated that it is irrelevant to CPSO where you CPSO has stated that it is irrelevant to CPSO where you did your rotations, as long as you have fulfilled your did your rotations, as long as you have fulfilled your degree requirements from SUSOM.degree requirements from SUSOM.

Disclaimer : this information is not first hand but very reliable, ie from last Disclaimer : this information is not first hand but very reliable, ie from last semesters liasons ;)semesters liasons ;)

12 weeks “rule” 12 weeks “rule”

The 12 week rule simply does not exist…The 12 week rule simply does not exist…on paper.on paper.It is an unofficial agreement among It is an unofficial agreement among Canadian medical faculties that they can Canadian medical faculties that they can arbitrarily impose to limit international med arbitrarily impose to limit international med studentsstudentsThe purpose of the 12 week rule is to The purpose of the 12 week rule is to conserve resources for Canadian medical conserve resources for Canadian medical studentsstudents

Any hospital that has affiliations with a Any hospital that has affiliations with a Canadian medical university has signed a Canadian medical university has signed a formal affiliation agreement.formal affiliation agreement.

This agreement stipulates that the hospital This agreement stipulates that the hospital must accommodate medical students from must accommodate medical students from the affiliated university.the affiliated university.

But But

Thas not unique ….Thas not unique ….

“ “ The Nova Scotia Program” The Nova Scotia Program” Sort of only for students originally from that areaSort of only for students originally from that area

Students work thru their own contacts or those of their Students work thru their own contacts or those of their NS peersNS peers

Dalhousie is affiliated with almost every hospital in NS, Dalhousie is affiliated with almost every hospital in NS, the big 3 in NB, and has an unwritten agreement with the big 3 in NB, and has an unwritten agreement with PEI.PEI.

What does this mean? If you go through Dalhousie, What does this mean? If you go through Dalhousie, they will only allow you 12 weeks a year for all 3 they will only allow you 12 weeks a year for all 3 provinces.provinces.

New Dal Extension in NB may change some things in New Dal Extension in NB may change some things in 2009? 2009?

ROS- Nova ScotiaROS- Nova Scotia

You will work in Nova Scotia one year for every You will work in Nova Scotia one year for every year of residencyyear of residency

Based on your residency, they will tell you where Based on your residency, they will tell you where you will end upyou will end up

If you choose to opt out, you will repay $5000 If you choose to opt out, you will repay $5000 per month opted out plus interest at 2%.per month opted out plus interest at 2%.

How to set up rotations…How to set up rotations…

SANDY’S RECOMMENDATION - You should start SANDY’S RECOMMENDATION - You should start making contacts making contacts nono earlier and really earlier and really nono later than 4 later than 4thth semester.semester.

First thing : Find a preceptor. A physician that is willing to First thing : Find a preceptor. A physician that is willing to take you for the rotation… take you for the rotation…

Uncle Joe ScenarioUncle Joe Scenario

Do some homework, Does the preceptor work at a Do some homework, Does the preceptor work at a university affiliated hospital? How close of an affiliation is university affiliated hospital? How close of an affiliation is it? it?

You might need to do paperwork for the affiliated You might need to do paperwork for the affiliated universityuniversity– Formal ApplicationFormal Application– FeeFee– Processing fee ex $500, non refundableProcessing fee ex $500, non refundable– Resume/CVResume/CV– Transcripts Transcripts – Whatever else they want….Whatever else they want….

Gardner needs to be involved because Sandy needs to sign off on Gardner needs to be involved because Sandy needs to sign off on your paperwork your paperwork

Technically you’re not supposed to tell the hosp that Saba pays for Technically you’re not supposed to tell the hosp that Saba pays for the rotationthe rotation

If $ money comes up, you refer communication to Gardner If $ money comes up, you refer communication to Gardner

The other path..The other path..– Perform all core rotations throughout the U.S. Perform all core rotations throughout the U.S. – Take a few elective rotations in Ontario, Manitoba, Nova Take a few elective rotations in Ontario, Manitoba, Nova

Scotia, or where ever you can ..Scotia, or where ever you can ..– Being a 4Being a 4thth year med student has its advantages year med student has its advantages– Write all USMLE examsWrite all USMLE exams– Take MCQE1 and MCCEE for CARMSTake MCQE1 and MCCEE for CARMS

MCCEE (medical council of Canada evaluating exam) MCCEE (medical council of Canada evaluating exam) – US residency = take the exam in January of their match year.  US residency = take the exam in January of their match year.  – Canadian residency= take the exam by Sept of the year beforeCanadian residency= take the exam by Sept of the year before

Basically make yourself eligible for both systemsBasically make yourself eligible for both systems

– Residency in US if Canada doesn’t work outResidency in US if Canada doesn’t work out

Apply as a relocating MD via CPSO: they Apply as a relocating MD via CPSO: they take USMLE exams on par as MCC take USMLE exams on par as MCC equivalents, you will still have to sit for equivalents, you will still have to sit for either CFPC (family practice) or RCPS either CFPC (family practice) or RCPS (specialist)***under review. (specialist)***under review.

VISAVISA

For US rotationsFor US rotations

Not a problem!Not a problem!

School gives you a letter and you hop all School gives you a letter and you hop all the way to the border ! the way to the border !

Only glitch maybe with time limitsOnly glitch maybe with time limits

For ResidencyFor Residency

J-1 “Alien Physician” (ECFMG sponsored)

H1-B “Specialty Occupation Worker”

J-2 “Dependent”(Spouse of J-1 principal– But you can only stay in the country as long as

you spouse is there

After your training, If you want to stay in After your training, If you want to stay in the US, you can petition the H1Bthe US, you can petition the H1B

LawyersLawyers

$$

Some hospitals may support your effortsSome hospitals may support your efforts

Others may discourageOthers may discourage

SAMPLE POLICY OF A HOSPITAL GROUP SAMPLE POLICY OF A HOSPITAL GROUP

Policy on Foreign Medical Graduate - H-1B Visa Policy on Foreign Medical Graduate - H-1B Visa

It is the policy of the Public health Trust to accept foreign residents who wish to It is the policy of the Public health Trust to accept foreign residents who wish to petition for an initial H1-B visa or a renewal of an H1-B visa to this institution.  petition for an initial H1-B visa or a renewal of an H1-B visa to this institution.  However, the Public Health Trust will not sponsor anyone who currently has an H1-B However, the Public Health Trust will not sponsor anyone who currently has an H1-B visa and wishes to obtain permanent status (alien resident) in the U.S.A.visa and wishes to obtain permanent status (alien resident) in the U.S.A.The Public Health Trust will not be responsible for any and all legal fees.  Any fees The Public Health Trust will not be responsible for any and all legal fees.  Any fees assessed to the employer will be the responsibility of the respective department assessed to the employer will be the responsibility of the respective department appointing such alien physician.appointing such alien physician.The Public Health Trust will not guarantee to hold a position for a physician, pending The Public Health Trust will not guarantee to hold a position for a physician, pending obtaining or renewal of such visa, since there are no guarantees of acquiring or obtaining or renewal of such visa, since there are no guarantees of acquiring or retaining an H1-B visa.retaining an H1-B visa.ProcedureProcedureThe physician must obtain and retain legal counsel during his/her residency training The physician must obtain and retain legal counsel during his/her residency training for the purpose of applying, processing, transferring the H1-B visa, while still in for the purpose of applying, processing, transferring the H1-B visa, while still in foreign resident status.foreign resident status.

Legal counsel for the physician will provide Physician Service Office with all Legal counsel for the physician will provide Physician Service Office with all necessary paperwork and documents necessary for petitioning an H1-B visa.necessary paperwork and documents necessary for petitioning an H1-B visa.

During the course of the residency training, it is the resident’s responsibility to During the course of the residency training, it is the resident’s responsibility to perform/complete all administrative functions required to maintain H1-B visa status.perform/complete all administrative functions required to maintain H1-B visa status.

Failure to renew/maintain H1-B visa status will result in termination. Failure to renew/maintain H1-B visa status will result in termination.

STANDARD DISCLAIMER________STANDARD DISCLAIMER________This product is meant for educational purposes only. Any resemblance to real persons, living This product is meant for educational purposes only. Any resemblance to real persons, living or dead is purely coincidental. Void where prohibited. Some assembly required. List each or dead is purely coincidental. Void where prohibited. Some assembly required. List each check separately by bank number. Batteries not included. Contents may settle during check separately by bank number. Batteries not included. Contents may settle during shipment. Use only as directed. No other warranty expressed or implied. Do not use while shipment. Use only as directed. No other warranty expressed or implied. Do not use while operating a motor vehicle or heavy equipment. Postage will be paid by addressee. Subject to operating a motor vehicle or heavy equipment. Postage will be paid by addressee. Subject to approval. This is not an offer to sell securities. Apply only to affected area. May be too intense approval. This is not an offer to sell securities. Apply only to affected area. May be too intense for some viewers. Do not stamp. Use other side for additional listings. For recreational use for some viewers. Do not stamp. Use other side for additional listings. For recreational use only. Do not disturb. All models over 18 years of age. If condition persists, consult your only. Do not disturb. All models over 18 years of age. If condition persists, consult your physician. No user-serviceable parts inside. Freshest if eaten before date on carton. Subject to physician. No user-serviceable parts inside. Freshest if eaten before date on carton. Subject to change without notice. Times approximate. Simulated picture. No postage necessary if mailed change without notice. Times approximate. Simulated picture. No postage necessary if mailed in the United States. Breaking seal constitutes acceptance of agreement. For off-road use in the United States. Breaking seal constitutes acceptance of agreement. For off-road use only. As seen on TV. One size fits all. Many suitcases look alike. Contains a substantial only. As seen on TV. One size fits all. Many suitcases look alike. Contains a substantial amount of non-tobacco ingredients. Colors may, in time, fade. We have sent the forms which amount of non-tobacco ingredients. Colors may, in time, fade. We have sent the forms which seem to be right for you. Slippery when wet. For office use only. Not affiliated with the seem to be right for you. Slippery when wet. For office use only. Not affiliated with the American Red Cross. Drop in any mailbox. Edited for television. Keep cool; process promptly. American Red Cross. Drop in any mailbox. Edited for television. Keep cool; process promptly. Post office will not deliver without postage. List was current at time of printing. Return to Post office will not deliver without postage. List was current at time of printing. Return to sender, no forwarding order on file, unable to forward. Not responsible for direct, indirect, sender, no forwarding order on file, unable to forward. Not responsible for direct, indirect, incidental or consequential damages resulting from any defect, error or failure to perform. At incidental or consequential damages resulting from any defect, error or failure to perform. At participating locations only. Not the Beatles. Penalty for private use. See label for sequence. participating locations only. Not the Beatles. Penalty for private use. See label for sequence. Substantial penalty for early withdrawal. Do not write below this line. Falling rock. Lost ticket Substantial penalty for early withdrawal. Do not write below this line. Falling rock. Lost ticket pays maximum rate. Your cancelled check is your receipt. Add toner. Place stamp here. Avoid pays maximum rate. Your cancelled check is your receipt. Add toner. Place stamp here. Avoid contact with skin. Sanitized for your protection. Be sure each item is properly endorsed. Sign contact with skin. Sanitized for your protection. Be sure each item is properly endorsed. Sign here without admitting guilt. Slightly higher west of the Mississippi. Employees and their here without admitting guilt. Slightly higher west of the Mississippi. Employees and their families are not eligible. Beware of dog. Contestants have been briefed on some questions families are not eligible. Beware of dog. Contestants have been briefed on some questions before the show. Limited time offer, call now to insure prompt delivery. You must be present to before the show. Limited time offer, call now to insure prompt delivery. You must be present to win. No passes accepted for this engagement. No purchase necessary. Processed at location win. No passes accepted for this engagement. No purchase necessary. Processed at location stamped in code at top of carton. Shading within a garment may occur. Use only in well-stamped in code at top of carton. Shading within a garment may occur. Use only in well-ventilated area. Keep away from fire or flame. Replace with same type. Approved for veterans. ventilated area. Keep away from fire or flame. Replace with same type. Approved for veterans. Booths for two or more. Check here if tax deductible. Some equipment shown is optional. Booths for two or more. Check here if tax deductible. Some equipment shown is optional. Price does not include taxes. No Canadian coins. Not recommended for children. Prerecorded Price does not include taxes. No Canadian coins. Not recommended for children. Prerecorded for this time zone. Reproduction strictly prohibited. No solicitors. No alcohol, dogs, or horses. for this time zone. Reproduction strictly prohibited. No solicitors. No alcohol, dogs, or horses. No anchovies unless otherwise specified. Restaurant package, not for resale. List at least two No anchovies unless otherwise specified. Restaurant package, not for resale. List at least two alternate dates. First pull up, then pull down. Call toll free before digging. Driver does not carry alternate dates. First pull up, then pull down. Call toll free before digging. Driver does not carry cash. Some of the trademarks mentioned in this product appear for identification purposes cash. Some of the trademarks mentioned in this product appear for identification purposes only. Record additional transactions on back of previous stub. Decision of judges is final. This only. Record additional transactions on back of previous stub. Decision of judges is final. This supersedes all previous noticessupersedes all previous notices