미국에서 의학 박사 되려면 (how to become a doctor in usa: usmle, ecfmg)......... www.cuckorea.com

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How to become a doctor in USA:

all about USMLE, residency and ECFMG

ECFMG

It’s a program of certification for foreign students of Medicine universities and schools.

There are 1400 world medschool and universities that included in World Directory of Medical Schools List published here: www.ecfmg.org

If you graduated one of mentioned institutes, you need to verify your knowledge and pass several tests to become a doctor in US. ECFMG certificate is only a first part of this long way.

You need to apply for this certificate and provide copies of various documents like diploma (with translation), School transcript and personal documents.

USMLE

It’s a general medicine test compulsory for all doctors. More information: http://www.usmle.org

Why pass USMLE?
Anyone who wants to work in medicine sphere should pass this test. Anybody is welcome to try it, not regarding the age or year of university graduation.

Structure of the test
USMLE consists of 3 steps.

How to pass it?
First two steps all US doctors pass while studying in a medschool. Third step should be passed during residency training which takes 4 to 6 years depending on speciality.

Step 1
Step 1 checks on how well a person can apply science concepts into practice. It includes questions in basic science:
Biochemistry and molecular biology
Biology of cells
Human development and genetics
Biology of tissue response to disease
Gender, ethnic, and behavioral considerations affecting disease treatment and prevention, including psychosocial, cultural, occupational, and environmental
Multisystem processes
Pharmacodynamic and pharmacokinetic processes
Microbial biology and infection
Immune responses
Quantitative methods
And all the rest like Normal processes, Abnormal processes, Principles of therapeutics, Gender, ethnic, and behavioral considerations affecting disease treatment and prevention, including psychosocial, cultural, occupational, and environmental. All the list you can see here: http://www.usmle.org/step1/intro.h tm

Step 2
Step 2 checks if a student or a graduate is able to apply his/her knowledge and skills to provide a necessary care to patient. Nowadays this step consists of two parts: clinical knowledge and clinical skills. Ins second part you need to deal with people trained to act as real patients and provide you daily situations.

Step 3
Checks on if a doctor can apply his/her knowledge and skills to provide a care without supervision.
All questions have multiple-choice answers. Test is computer-based, with 7 blocks of 50 questions each, 1 hour for each. 45 minutes is for breaks and 15 minutes for computer instruction. Alltogether is 8 hours!

Test points
Different questions give you different points, depending on difficulty. You need to answer right 55-65% of all questions. Some of them give you no points. It’s better not to leave questions without answers, try to guess at least.

You need to get a high point if you plan to enter residency training in prestige university or for specialty like ENT, neurosurgery, dermatology. If you get low points you can enter general therapy, family medicine, psychiatry with no problems.

You will get your result in 6 weeks after the test. You will also get a performance profile that will state your strong and week points.

However, you can check your result quicker but only if your score was reported in score report part.
Step 1: Go to this website: http://oasis.ecfmg.org/
Step 2: Click on the OASIS button at the right
Step 3: Fill out your USMLE ID and password
Step 4: Click on USMLE/CSA Score Reporting Information at the left
Step 5: Check if your score has been reported.
If your score has been reported, go back to http://oasis.ecfmg.org/
Step 6: Click on the ECFMG Home button on the left
Step 7: Click on Interactive Web Application (IWA)
Step 8: Scroll down
Step 9: At the bottom left you will see "Begin new application"
Step 10: Click on "Step 1,2, or CSA"
Step 11: Scroll down and click on "Proceed with IWA application"
Step 12: You will see this
ECFMG Examination History
Have you ever s ubmitted an application to ECFMG for any examination, even if you did not take the examination?
Yes, and I know my USMLE/ECFMG Identification Number.
Yes, but I do not know my USMLE/ECFMG Identification Number.
No, I have never submitted an application to ECFMG.
Step 13: Choose the first option and click next
Step 14: You may have to log in again on the next page with your USMLE ID and password
Step 15: The screen will ask which exam you are interested in. Select the exam you took and click next
The next screen will be in red print saying that you have successfully taken this step and can't re-apply for it if you passed. If you failed, it will let you go on.

Residency

You need to prepare to study 3 to 6 years depending on specialty. After finishing residency study, you can:
- Start working
- enter a fellowship
- stay and work in an university

태그저장 취소

“침술, 메디칼 안된다”

- 미국 한의사(=침구사)는 더욱 기반확보에 큰 어려움을 겪을 듯!

가주 예산삭감 정책에 밀려

* 캘리포니아 주지사가 침치료를 보험지급에서 제외한다고 한 조치는 새삼스러운 것이 아니다. 본래 캘리포니아 주에서 한의사로 자칭하는 침구사란 면허증은, 의료보조인의 지위이다. 하지만 캘리포니아 침구사 면허증은  민간자격증인 NCCAOM 보다는 훨씬 권위가 높은 주정부 면허증 이다. 때문에 의사에게만 지급하는 의료보험을, 침치료를 전담하는 침구사(의료보조인)에게는 지급되지 않는 것은 당연한 법규정이라고 보는 시각이 많아졌다.

아직도 한국에서 미국 침구사 캘리포니아 면허증을 한의사로 잘못 인식하여, 정식 의사로 분류될 것이라는 혼돈을 하고 침구사 면허 시험을 준비하는 분들이 가끔 보이고 있다.  미국으로 건너가 낭패당하는 사태를 미연에 방지하기 위하여,  적극적인 미국 동양의학 제도의 실상을 계도하는 조치가 절실하다.  

또한 미국, 캐나다에서는 역시 자연의학 NMD 의사가 대체의학의 대표적인 의료인 직업으로 자리잡고 있다는 사실을 알려 보다 많은 한국 개업 한의사가 아메리카에서 의료인으로 대접받는 기반을 확보할 수 있도록 홍보를 해야 할 필요가 있다.

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지난달 아놀드 슈워제네거 캘리포니아 주지사가 서명한 2009~2010년 예산안에 정부보조 의료보험 메디칼(Medi-Cal)에서 침 치료 혜택을 제외하는 내용이 포함된 것으로 밝혀졌다.

캘리포니아 주정부는 400억달러가 넘는 재정적자를 해결하기 위해 전 부서에 걸쳐 총 150억달러에 이르는 긴축재정과 예산삭감 정책을 발표했고, 침 치료를 메디칼 대상에서 제외하는 내용이 포함됐다.

침 치료의 메디칼 폐지는 오는 7월1일부터 실시되며 침 치료 외에도 카이로프랙틱 치료와 심리상담, 검안, 치과 치료 등도 메디칼 대상에서 제외됐다.

가주한의사협회(회장 김갑봉)는 “침 치료는 지난 80년대부터 메디칼 대상으로 포함돼 저렴한 진료비와 우수한 치료효과로 환자와 보험사 모두에게 이득을 주었다”며 “어렵게 명맥을 유지해 오던 메디칼 침 치료 커버리지가 중단됨에 따라 한의사들은 물론 환자들도 피해를 입게 됐다”고 밝혔다.

메디칼은 침 치료를 선택 수혜사항으로 분류해 환자 1인당 최고 30달러까지 진료비 수가를 지급해 왔다. 가주한의사협회 남형각 사무국장은 “주정부가 메디칼 침 치료에 대해 지급하는 진료비가 1회에 5.75달러에 불과하다”며 “메디칼 침치료 폐지는 경제적인 문제보다는 정부 의료보험인 메디칼이 침 치료를 제외하면서 일반 의료보험에도 영향을 미치는 것이 더 중대한 문제”라고 지적했다.