Steps on how to became a pediatrician in the USA

Debora Duro, MD. MS. Program Director,

Pediatric Gastroenterology, Hepatology and Nutrition Broward Health – Chris Evert Children’s Hospital, FTL, FL, USA

Instructor in Pediatrics at Harvard Medical School, Boston, MA Associate Professor in Clinical Pediatrics at NOVA Southeastern University , Fort Lauderdale , FL

Associate Professor of Clinical Pediatrics at University of North Carolina, Chapel Hill, NC Associate Professor in Clinical Pediatrics at Florida International University, Miami, FL

• Medical Boards – view as a protocol

• As a foreign medical student it is important

to do an extra mile – endurance!!!

• YOU just have to START the process…

• The United States Medical Licensing Examination ® (USMLE®) is a three-step examination for medical licensure in the United States and is sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners® (NBME®)

http://www.usmle.org/

http://www.usmle.org/pdfs/bulletin/2016bulletin.pdf

MEDICAL BOARDS

http://www.ecfmg.org/ http://www.ecfmg.org/2016ib/registration-test-delivery.html

ECFMG identification number: first step to register for the USMLE $65

Steps to became a US doctor

1. English proficiency : Toefel 2. Step 1 : Basic Science 3. Step 2 : Clinical Knowledge (CK) 4. Step 2: Clinical Skills (CS) 5. Step 3 : Apply Medical Knowledge and Management

6. Visa (J1 – ECFMG sponsor) or H1 – Research Visa * US medical rotations/research exposure 7. Pediatric Residency (ECFMG certificate) – 3 years (ERAS) Electronic Residency Application Service http://www.ecfmg.org/eras/index.html 8. Board certification and recertification every 7-10 years 9. Pediatric fellowship (GI) – 3 years 10. Subspecialty board certification and recertification every 7-10 years

= ECFMG Certificate

Step 1 STEP & PURPOSE STEP 1 assesses the examinee’s understanding and ability to apply important concepts of the sciences basic to the practice of medicine, with special emphasis on principles and mechanisms underlying health, disease, and modes of therapy. *anatomy, physiology, genetics, microbiology, biochemistry, principles of statistics…

FORMAT Approximately 310 multiple choice questions, divided into seven 60-minute blocks Computer based – administered at Prometric Test Centers around the World (Brazil – Curitiba, Rio, SP…)

LENGTH One day test session – eight hours * Study material: books , download Q/A or Kaplan live preparatory course intensive 3-6 weeks $865

http://www.usmle.org/

Step 2 (CK) STEP & PURPOSE STEP 2 assesses the examinee’s ability to apply medical knowledge, skills, and understanding of clinical science essential for the provision of patient care under supervision, with an emphasis on health promotion and disease prevention.

FORMAT Clinical Knowledge (CK) Approximately 350 multiple choice questions, divided into eight 60-minute blocks Computer based – administered at Prometric Test Centers around the World (Brazil – Curitiba, Rio, SP…)

LENGTH One day test session – nine hours * Study material: books , download Q/A or Kaplan live preparatory course intensive 3-6 weeks $865

http://www.usmle.org/

Step 2 (CS) STEP & PURPOSE The clinical skills examination is a separate component of STEP 2 and uses standardized patients to test examinees on their ability to gather information from patients, perform physical examinations, and communicate their findings to patients and colleagues.

FORMAT Clinical Skills (CS) 12 patient cases: 15 minutes for each patient encounter (live) plus 10 minutes to record each patient note Administered at six test centers in the US – Atlanta, Chicago, Houston, Los Angeles, and Philadelphia

LENGTH One day test session – eight hours *Study material: practice and observeship/rotation in US the “SOAP note” Subjective Objective Assessment Plan $1,505

http://www.usmle.org/

Step 3 STEP & PURPOSE STEP 3 assesses the examinee’s ability to apply medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine, with emphasis on patient management in ambulatory settings. Day 1: FOUNDATIONS OF INDEPENDENT PRACTICE (FIP) assesses the examinee’s knowledge of basic medical and scientific principles essential for effective health care. Day 2: ADVANCED CLINICAL MEDICINE (ACM) assesses the examinee’s ability to apply comprehensive knowledge of health and disease in the context of patient management and the evolving manifestation of disease over time.

FORMAT/ELIGIBILITY • Possess an MD degree • Pass USMLE Step 1, Step 2 CK and

Step 2 CS • If a graduate of a medical school

outside of the US or Canada, obtain ECFMG certification

• Prometric Centers in the US Day 1 (FIP): Approximately 260 multiple choice test questions, divided into six 60-minute blocks, each containing approximately 44 questions Day 2 (ACM): Approximately 200 multiple choice test questions, divided into six 45-minute blocks, each containing approximately 33 questions Thirteen computer-based case simulations (CCS). Each simulation is allotted a maximum of 10 or 20 minutes of real time

LENGTH One day test session – seven hours Non-consecutive days (NEW) One day test session – nine hours * Study material: books , download Q/A or Kaplan live preparatory course intensive 3-6 weeks and practice $830

http://www.usmle.org/

Steps to became a US doctor 1. English proficiency : Toefel 2. Step 1 : Basic Science 3. Step 2 : Clinical Knowledge (CK) 4. Step 2: Clinical Skills (CS) 5. Step 3 : Apply Medical Knowledge and Management 6. Visa (J1 – ECFMG sponsor) or H1 – Research Visa * US medical rotations/research exposure 7. Pediatric Residency (ECFMG certificate) – 3 years (ERAS) Electronic Residency Application Service http://www.ecfmg.org/eras/index.html 8. Board certification and recertification every 7-10 years 9. Pediatric fellowship (GI) – 3 years 10. Subspecialty board certification and recertification every 7-10 years * Study material: books , download Q/A or Kaplan live preparatory course intensive 3-6 weeks * Study material: books , download Q/A or Kaplan live preparatory course intensive 3-6 weeks

ECFMG Certificate

“What is a mentor? I'll tell you: it isn't someone who teaches something, but someone who inspires the student to give of her best in order to discover what she already knows.”

Broward Health International welcomes physicians from all around the world and offers the opportunity to observe our physicians in practice. Our observership Program provides a 4 to 8 week insight into the day-to-day responsibilities of Broward Health physicians in their respective specialties.

Broward Health International Observerships

Broward Health International Observership Student Checklist

1. Statement Regarding Student Sponsorship • BH Physicians must complete and sign

2. Observational Experience Acknowledgement Form 3. B Visitor Visa -

http://travel.state.gov/content/dam/visas/VisaFlyer_B1B2%20March%202015.pdf 4. Data Security & Confidentiality Form 5. Completion of Health Screening

• TB Screening • MMR Immunization • Varicella Titters Status

6. Completion of Online Broward Health Orientation 7. Read Code of Conduct Form & submit Acknowledgement Form 8. Submit copy of a Government Issued ID (i.e. Driver’s License, Passport, etc.) 9. International Travel Insurance – Copy of policy and I.D. cards must be sent to

Broward Health at least two weeks before beginning observership 10. Fees: $100 Application Fee and $500 tuition fee for the Observership 11. Concierge Service – Assistance with lodging options, transportation and destination

information

Broward Health International Observership Student Contact Information

YOU ARE THE FUTURE…

Just do It!!!!!!