Showing posts with label Exam Time. Show all posts
Showing posts with label Exam Time. Show all posts

Friday, September 3, 2010

The road less taken.. and how much it'll cost

I’m going to make a list of the moolah spent by an IMG (Indian in this case) if they want to do a Residency in the US of A.
The journey from USMLE to MD ( Yeah! Borrowing term from Digital Doc :D) is a long, and, of course, expensive one. A lot of juniors at college have asked me this question time and again - "How much will it cost me if I decide to work for a Residency in the USA?"
Having been through almost 3/4th of the process, I’m just listing the basic $s that I have spent on the process till now. By the end of this post you should have a gross idea of how much it’ll cost, and thus you can make a realistic decision of what you want to do next – AIPGEE or USMLE.
(I assume that you have basic idea of what the USMLE and the whole process is like on the whole, and are familiar with the terminology.)
-A lot of costs vary by individual choices. So I’m going to list what I spent as an example where this difference arises.

Exams:
There are a lot of exams that you need to take to be fully ECFMG certified.
TOEFL: An optional exam that is steadily converting into almost a mandatory one if you want to have a competitive CV for electives- Fee $130  Its $165 now.
USMLE Step 1, 2 (CK & CS): A little over $1400 ($700*2) for USMLE Step 1 and 2CK, and $1200 for CS. EDIT: Exam now costs much more than that. USMLE Step1 $880, Step 2CK $895, CS $1295. Check official website for regular increments!
USMLE World: QBank plus the Self Assessments- They’re worth every penny. For Step 1, a two month UW subscription plus UWSA will cost you $195 ($135 + $30*2). And Step 2, will be $165 ($135+$30)
NBME Self Assessment: To assess your prep, you’ll end up taking online NBME practice tests. Since each test costs $45 to take (and $60 for one “special test’ for each exam), the number of tests you take depends on your preparation. There are some who take none while others end up taking all tests. I spent a total of $375 for NBME SAs for both exams.

Electives:
Application: Most Universities have an application fee of $100 or so. Although there are some that are free too. Umar Tariq’s website has a comprehensive list of all information for electives. (I spent about $500 on applications)
Tuition Fee: This totally varies by University where you end up doing electives. Some like Harvard and Tufts have a fee of $2000-3700, while others like Cleveland Clinic and NIH are free. (I paid about  $1400 as tuition)
Malpractice Insurance: This is another thing that is new for us and since there seems to be just one company that provides MI to students on a monthly basis, they have been increasing the premium with every passing year! I ended up spending about $600 for MI.
Travel and Housing: Of course travel to the US will cost another $1000-1500.
Housing will vary from $300 to $500 per month depending on the location. This cost multiplies depending on how long you stay in the US. (I’ll take my expenditure as $500 since I was in luck wrt housing.)
Misc: Add to it other costs like travel insurance, visa fees, immunization titers before going to the US.
Then there’s the whole other set of expenditure on FOOD (major spending if you don’t know how to cook daily meals!), travel within the country and, of course, SHOPPING in the United States. ;-)

Fed Ex:
Giving this a special slot since there is a LOT of paperwork to be sent! There are numerous applications, college documents and Godknowswhat!! Each packet costs about $50, and I’m sure I’ve sent over ten such packets. (= well over $500)

Applying for Residency:
After all this preparation, we come to the main application! It costs a bundle, especially for an IMG!
Registrations: $50 for NRMP and $90 for ERAS token
Application: Come September 1, and a major hole in your pocket is just one click away.
In ERAS, applying to 30 programs in each specialty adds up to $305, and then for each additional program its $25 per program. So, if you are a regular IMG who needs a visa, and is not a big hot shot already in the medical world, you’ll apply to over a hundred programs.
You do the math.
(I ended up spending over $2500, plus another $70 for a USMLE transcript release)

Then there’s more:
Although till now this is the stage I’ve reached in the process, there’s a lot more to come.
Travelling again to the US, expenditure of travel within the US for interviews, USMLE Step 3, living there for about six months… and it goes on.

Bottomline:
Going by this list, USMLEtoMD -till now- has cost about a total of *drumroll* $11,350 *faints*
For those who are planning to start on this journey, this was just a preview for you to have an idea of what the costs are going to be like. Just a thought to keep it realistic.
(And now I won’t have to explain the details individually to anyone who inquires- I can just direct them here! :D)

Note: I’ve tried to keep all figures correct and comprehensive according to my memory. If there is something that you’d like to add or remove, let me know. Hope this post was useful! 
:)


Image credit: Google Images

Saturday, May 1, 2010

10 things that show that I've gone into pre-exam mode

10. Sleeping > 15 hours per day. With mornings that happen around noon, and pulling late nighters-- which include lots of random googling, surfing and browsing the web (and no studying, of course!).

9. Watching re-runs of FRIENDS, Full House or even Sarabhai/Sarabhai every chance I get.

8. Then again, going into anxiety mode over time that was wasted watching shows or sleeping!

7. Twitter stream filled with study facts (which ARE sometimes useful btw!) and rants about How I Slept For Another (Hour) (<-apologise for the extremely poor attempt at rhyming with HIMYM!)


6. Breakfast> Brunch>Lunch>Mid-day snack after nap> Pre-dinner>Dinner>Late night coffee. Repeat.

5. Ten different alarms on the phone for waking me up. To be repeated everyday! (First alarm starts at 6.30am. I duly wake up anytime after 10am)

4. Googling up any bit-of-information-about-any-obscure-person-or-thing that I come across. (Ritz pointed this out to me yesterday)

3. Being perpetually online, and knowing about every little update on Facebook/Orkut/Twitter. (Notice how, even at this stage of boredom, I did not resort to extreme measures like taking quizzes or playing farmville or deciding who my 'friend/enemy/lover of the day' was!)

2. Cribbing to anyone who will listen about the upcoming exam and how its making my life miserable.

1. Writing blog posts, like this one.

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