Sadly, I believe it's much easier in the USA than most other Western democracies. Despite everything I complain about, we have much more latitude here and patients frequently fly over from Europe to see USA doctors.
Sadly, I believe it's much easier in the USA than most other Western democracies. Despite everything I complain about, we have much more latitude here and patients frequently fly over from Europe to see USA doctors.
A lot of docs come to the US to train thinking that it's some kind of medical mecca; most of the ones I've met return home gladly and as soon as they can. They have received both training in their specialty (which they could have obtained at home), and an education ( about propaganda, which they could not have obtained at home).
That may also be due to immigration law. In the old days, it's my understanding, that foreigners who studied in the USA had to return to their homeland, or at least leave the USA for five years or some such, before they could return and presumably become resident aliens working here. Decadent as we are, the USA is still a damned sight better than most of the world. If this were not true, then millions of (mostly) poorer impoverished people would not eagerly seek to come here, legally or otherwise.
Perhaps such laws are still on the books. Doesn't really matter, since laws don't mean much any more -- just ask the millions of illegal aliens already here. The government doesn't even enforce laws any more; they don't even know how many illegals are here.
True, but my point was that most of whom I know who came here felt it was better back home (both in Europe and in Asia) and based on my experiences I have my dental work done in Asia because the quality and service is somewhat superior to what I've had in the US.
I'm not a huge consumer of medical "services," so have little personal experience to base a judgement on, but from what I've seen, the docs elsewhere are generally far superior to what we have were, the propaganda notwithstanding. I've known more than a few who come here thinking that they would get something special by training here, but they soon realize that their hopes were really dreams.
We are friends of a cardiac vascular surgeon who came here for a fellowship at a "world renowned" program who was shocked and more than a little disgusted at what was going on, and was recrutited to stay here and teach, but he turned the offer down without hesitation. Things were much better at home. His daughter recently graduated from a med school in their home country in fact. Could have easily come here for training if desired but she knew she'd get real life experiences there that she'd never get here.
For instance, the "world class" hospital I mentioned only allowed* its eye residents to assist in surgery during their last year whereas first year residents actually perform eye surgery in their first year (but under very strict guidance), and come out of their programs with judgement and skills that put ours to shame.
People typically want to think the best of their country and even the ancient Greeks had the methods of pandering to that sentiment well rehearsed. Plato's Menexenus explains it all and is a fascinating read. Short yet enlightening too. https://freeclassicebooks.com/Plato/Menexenus.pdf
Ideally, I wouldn't want the first year guys to do mine either, but I sure as bleep wouldn't want the guys who left training with no hands on experience and little responsibility trying their luck on me.
The first year guys start out doing simple things and tackle more complicated stuff as they demonstrate increasing competence and they are very strictly supervised.
Sadly, I believe it's much easier in the USA than most other Western democracies. Despite everything I complain about, we have much more latitude here and patients frequently fly over from Europe to see USA doctors.
A lot of docs come to the US to train thinking that it's some kind of medical mecca; most of the ones I've met return home gladly and as soon as they can. They have received both training in their specialty (which they could have obtained at home), and an education ( about propaganda, which they could not have obtained at home).
That may also be due to immigration law. In the old days, it's my understanding, that foreigners who studied in the USA had to return to their homeland, or at least leave the USA for five years or some such, before they could return and presumably become resident aliens working here. Decadent as we are, the USA is still a damned sight better than most of the world. If this were not true, then millions of (mostly) poorer impoverished people would not eagerly seek to come here, legally or otherwise.
Perhaps such laws are still on the books. Doesn't really matter, since laws don't mean much any more -- just ask the millions of illegal aliens already here. The government doesn't even enforce laws any more; they don't even know how many illegals are here.
True, but my point was that most of whom I know who came here felt it was better back home (both in Europe and in Asia) and based on my experiences I have my dental work done in Asia because the quality and service is somewhat superior to what I've had in the US.
I'm not a huge consumer of medical "services," so have little personal experience to base a judgement on, but from what I've seen, the docs elsewhere are generally far superior to what we have were, the propaganda notwithstanding. I've known more than a few who come here thinking that they would get something special by training here, but they soon realize that their hopes were really dreams.
We are friends of a cardiac vascular surgeon who came here for a fellowship at a "world renowned" program who was shocked and more than a little disgusted at what was going on, and was recrutited to stay here and teach, but he turned the offer down without hesitation. Things were much better at home. His daughter recently graduated from a med school in their home country in fact. Could have easily come here for training if desired but she knew she'd get real life experiences there that she'd never get here.
For instance, the "world class" hospital I mentioned only allowed* its eye residents to assist in surgery during their last year whereas first year residents actually perform eye surgery in their first year (but under very strict guidance), and come out of their programs with judgement and skills that put ours to shame.
People typically want to think the best of their country and even the ancient Greeks had the methods of pandering to that sentiment well rehearsed. Plato's Menexenus explains it all and is a fascinating read. Short yet enlightening too. https://freeclassicebooks.com/Plato/Menexenus.pdf
*That may have changed by now.
IтАЩm not sure I want a first year resident doing my eye surgery. Not sure I want a fourth year assisting it either.
Ideally, I wouldn't want the first year guys to do mine either, but I sure as bleep wouldn't want the guys who left training with no hands on experience and little responsibility trying their luck on me.
The first year guys start out doing simple things and tackle more complicated stuff as they demonstrate increasing competence and they are very strictly supervised.
I used to see a fair number of Canadians.