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Thanks for the help!That's an interesting story...
There are a few 3-year direct entry NP programs in the country. That's your best option IMO.
Dang man this sounds like a lot i reading cause you sound like you have a family spouse and kids. How about physician assistant since all you have to do is take the gre and already have clinical experience. Do your research on that because obviously you traveling etc is messing with your family move back to the states and become a PA it's a short length of time so you can hurry up and start working use NHSC scholarship to pay back loans and pay for school as a PA student
The military is also a good option you can join and a officer still at 32 and use your healthcare skills still and get your loans paid off. Yes you should weigh you options but nursing school isn't easy either what do you truly want to do Forget the loans they have good repayment options regardless you should do what truly makes you happyI've thought about going to PA school but all my friends that are PA strongly recommended AGAINST it
They all said they wish they coasted thru Nursing and DNP to basically make the same money as a PA
Now PA school is 2 years but these accelerated DNP programs are 3 years, I am sure both are difficult but I would think PA would still be harder
Im pretty sure it has to be in terms of difficulty MD/Veterinarian>Dentistry/PA/Pharmacy>Nursing
You can also consider finish your MD... There are a couple of states that passed new laws allowing MD who don't match to practice as Assistant Physician (AP), but the implementation of these laws has been rocky so far.I thought those direct entry programs require a nursing bachelors degree?
Forget the loans they have good repayment options regardless you should do what truly makes you happy
thanks for correcting me didn't know the armed forces had a limit on loan repayment but still think it's great alternative given that you meet the physical requirements the armed forces usually hiring you'll make enough to support you familyThey only do loan replacement for healthcare professionals who are licensed and become officers (many other requirements and paperwork involved). There are a few fields where this is possible, but not a medical student in poor standing. The repayment maximum is somewhere around $120-150k, so it won't necessarily pay off everything.
A possibility is becoming a Physician Assistant which requires 500+ hours of hands-on patient care, grades good enough (or almost good enough) to get into medical school, and a strong GRE. PA schools are highly competitive and with the problems the OP is having, there is no guarantee here either. Might be worth a shot, though, depending on other factors the OP didn't discuss.
NP does require a nursing degree (BSN) before matriculation.
There are quite a few SDN threads on Caribbean grads who don't get a residency and what other options they have for jobs. I suggest the OP read those, because the chances of getting a residency as a Caribbean grad aren't great to begin with, and failing Step 1 significantly reduced your chances further.
Ill keep my story short
Started out at a US medical school in 2008
Passed all classes except Pathology which led me to withdraw in 2011
Began at a mid tier Caribbean medical school in 2012 - passed pathology then began studying from 2013 to 2016 for Step 1 due to my huge lapse of time from 2008-2010 during which i took all the basic courses of med school
I was averaging 240-250s on my practice tests
I paid for and completed (in the 230-240 range) around 5-6 NBME
I attended Kaplan, listened to the videos, and took notes
I read and understood First Aid and completed Kaplan, UWorld (2x), USMLE Rx, and TrueLearn QBanks
I took the real test in August and scored a 186, basically 6 pts from passing
Now my options are as follows:
- return back to the island to redo courses in order to sit for step 1 again
- transfer to another Caribbean school (way more shady and bad reputation) - still have to take classes on the island most likely but also may just let me sit for step 1 after some clinical courses in the US
- transfer to a Polish medical school in hopes they will let me take my Step 1 again
I understand fully that my chances to land a residency are pretty much 0% but with an MD, even from a Caribbean school, I should be able to land a decent teaching job at a high school for around 80-90k or another type of job that requires an MD but not a state license
I have explored other avenues of medicine and due to my age (32) none really interest me on top of the fact that many of these programs are saying my dual honors (university and biology) degree from 2008 is no longer valid due to passing of time
- NP (2-3 years of nursing school and then 3-4 years to become an NP)
- Anesthesiology Assistant (wants me to retake MCAT - wont accept my USMLE - and wants me to take undergrad courses
- Pharmacy - only a few options (Vegas/Utah) again ****ty schools unless i take more undergrad courses (think orgo 1 and basic biochem) and take the PCAT if I want to apply
- Vet/Dentist/Lawyer - too difficult, too much work, and not very interested in doing that to begin with
Now I am sitting with 12-15 years of knowledge of medicine with really nothing to do with it and honestly no idea how to proceed further. I have been waiting over 3 months for the decision to retake Step 1 from my Caribbean school. Even after months of emailing, calling and leaving voice mails, a decision has not been reached. It is literally driving me mad and tearing my family apart. Any and all suggestions would be great.
thanks for correcting me didn't know the armed forces had a limit on loan repayment but still think it's great alternative given that you meet the physical requirements the armed forces usually hiring you'll make enough to support you family
Top tier: SGU, ROSS, AUC, SABA"Mid tier Caribbean school"
The Caribbean schools have tiers now?
1) How did you get to 12-15 years of knowledge in medicine if you're just hitting step one? Even with the initial failure at the US school that's doesn't add up to 15 years. Do you have a different healthcare degree? Healthcare experience?Ill keep my story short
Started out at a US medical school in 2008
Passed all classes except Pathology which led me to withdraw in 2011
Began at a mid tier Caribbean medical school in 2012 - passed pathology then began studying from 2013 to 2016 for Step 1 due to my huge lapse of time from 2008-2010 during which i took all the basic courses of med school
I was averaging 240-250s on my practice tests
I paid for and completed (in the 230-240 range) around 5-6 NBME
I attended Kaplan, listened to the videos, and took notes
I read and understood First Aid and completed Kaplan, UWorld (2x), USMLE Rx, and TrueLearn QBanks
I took the real test in August and scored a 186, basically 6 pts from passing
Now my options are as follows:
- return back to the island to redo courses in order to sit for step 1 again
- transfer to another Caribbean school (way more shady and bad reputation) - still have to take classes on the island most likely but also may just let me sit for step 1 after some clinical courses in the US
- transfer to a Polish medical school in hopes they will let me take my Step 1 again
I understand fully that my chances to land a residency are pretty much 0% but with an MD, even from a Caribbean school, I should be able to land a decent teaching job at a high school for around 80-90k or another type of job that requires an MD but not a state license
I have explored other avenues of medicine and due to my age (32) none really interest me on top of the fact that many of these programs are saying my dual honors (university and biology) degree from 2008 is no longer valid due to passing of time
- NP (2-3 years of nursing school and then 3-4 years to become an NP)
- Anesthesiology Assistant (wants me to retake MCAT - wont accept my USMLE - and wants me to take undergrad courses
- Pharmacy - only a few options (Vegas/Utah) again ****ty schools unless i take more undergrad courses (think orgo 1 and basic biochem) and take the PCAT if I want to apply
- Vet/Dentist/Lawyer - too difficult, too much work, and not very interested in doing that to begin with
Now I am sitting with 12-15 years of knowledge of medicine with really nothing to do with it and honestly no idea how to proceed further. I have been waiting over 3 months for the decision to retake Step 1 from my Caribbean school. Even after months of emailing, calling and leaving voice mails, a decision has not been reached. It is literally driving me mad and tearing my family apart. Any and all suggestions would be great.
Ill keep my story short
Started out at a US medical school in 2008
Passed all classes except Pathology which led me to withdraw in 2011
Began at a mid tier Caribbean medical school in 2012 - passed pathology then began studying from 2013 to 2016 for Step 1 due to my huge lapse of time from 2008-2010 during which i took all the basic courses of med school
I was averaging 240-250s on my practice tests
I paid for and completed (in the 230-240 range) around 5-6 NBME
I attended Kaplan, listened to the videos, and took notes
I read and understood First Aid and completed Kaplan, UWorld (2x), USMLE Rx, and TrueLearn QBanks
I took the real test in August and scored a 186, basically 6 pts from passing
Now my options are as follows:
- return back to the island to redo courses in order to sit for step 1 again
- transfer to another Caribbean school (way more shady and bad reputation) - still have to take classes on the island most likely but also may just let me sit for step 1 after some clinical courses in the US
- transfer to a Polish medical school in hopes they will let me take my Step 1 again
I understand fully that my chances to land a residency are pretty much 0% but with an MD, even from a Caribbean school, I should be able to land a decent teaching job at a high school for around 80-90k or another type of job that requires an MD but not a state license
I have explored other avenues of medicine and due to my age (32) none really interest me on top of the fact that many of these programs are saying my dual honors (university and biology) degree from 2008 is no longer valid due to passing of time
- NP (2-3 years of nursing school and then 3-4 years to become an NP)
- Anesthesiology Assistant (wants me to retake MCAT - wont accept my USMLE - and wants me to take undergrad courses
- Pharmacy - only a few options (Vegas/Utah) again ****ty schools unless i take more undergrad courses (think orgo 1 and basic biochem) and take the PCAT if I want to apply
- Vet/Dentist/Lawyer - too difficult, too much work, and not very interested in doing that to begin with
Now I am sitting with 12-15 years of knowledge of medicine with really nothing to do with it and honestly no idea how to proceed further. I have been waiting over 3 months for the decision to retake Step 1 from my Caribbean school. Even after months of emailing, calling and leaving voice mails, a decision has not been reached. It is literally driving me mad and tearing my family apart. Any and all suggestions would be great.
You think NP programs are easier than PA? I'm just going out on a limb here and assume an NP is better trained with 4 years of nursing school + 2-3 years for the masters of medical training vs a PA that may have worked as a nursing aid for 6 months to get the clinical hours. That's why nurse practitioners have much more autonomy that PAs.
I guess going off my state NPs can prescribe anything but narcotics while PAs have to work under an physician and the physician has to sign off on their orders.The training is about equivalent.
An NP has an undergraduate degree and a 2 year masters degree. They have no required clinical hours to apply for the NP masters, but several hundred hours are integrated into the degree itself
A PA has an undergraduate degree and a 2 year masters degree. There are no clinical hours integrated into the undergraduate degree but they are required to pick up a few hundred hours on their own to apply
NPs do not, in general, have more or less autonomy than PAs. Culturally many physicians find PAs to be better employees than NPs, because nursing culture is so inherently critical of physicians, but legally NPs and PAs usually (though not always) have the same rights when it comes to autonomy in a given state.
Not that I would recommend any of the above for the OP.
I guess going off my state NPs can prescribe anything but narcotics while PAs have to work under an physician and the physician has to sign off on their orders.
PAs have the same undergraduate training as us, with clinical experience that can just be cleaning up puke and vomit and 2 years. At least NPs have undergraduate training with clinicals and 2 year masters. I feel like overall they're better clinically trained. At least with the NPs and PAs I've met.
Though I don't want to derail this thread so I'll stop here.
The training of PA is better than NP for the most part. Period! Not getting into the details...You think NP programs are easier than PA? I'm just going out on a limb here and assume an NP is better trained with 4 years of nursing school + 2-3 years for the masters of medical training vs a PA that may have worked as a nursing aid for 6 months to get the clinical hours. That's why nurse practitioners have much more autonomy that PAs.
But that's not the point. The point is don't transfer to another medical school. That's stupid.
Also, where in the world do you think you can teach high school and make 70-80k? You must be international because you can't make that in the US. Anywhere.
Also, your degree is expiring? Degrees don't work that way.
You're either totally confused on how everything works, an international student, or a really unfun troll.
That does not sound right... People I know got a score of +/-10 from their last NBME...Dropping from 240 to 186? This doesn't sound right at all.
It's time to accept reality and move on with your life. A career in medicine is not in your cards.
They probably retook the same nbme considering how much time was spent on this, and was memorizing answers rather than learning the material properly. It's not possible to fail for anyone truly getting 240+ first pass consistently, the difference is substantial (getting 87%+ questions right vs 50%) and the scores inconsistent with the rest of the story (failing pathology to the point of getting kicked, etc). Even if these were truly first pass scores and you somehow did that bad on the real, you would be way more confident in the re-take than you are here. For some reason whenever people fail out for academic or professional reasons, they need to spin the story to an anonymous forum to justify themselves and gain some sympathy.That does not sound right... People I know got a score of +/-10 from their last NBME...
"Mid tier Caribbean school"
The Caribbean schools have tiers now?
I guess going off my state NPs can prescribe anything but narcotics while PAs have to work under an physician and the physician has to sign off on their orders.
PAs have the same undergraduate training as us, with clinical experience that can just be cleaning up puke and vomit and 2 years. At least NPs have undergraduate training with clinicals and 2 year masters. I feel like overall they're better clinically trained. At least with the NPs and PAs I've met.
Though I don't want to derail this thread so I'll stop here.
. . . I'm neither a NP nor a PA. Nothing to feel insecure about. I'm an OMS2.You seem really insecure.
"Its my rung of the ladder and I get to sniff the physicians ass you get down there!!!"
Glad you have a lot of belief in him, but you're not accounting for the fact he's already failed out of a US med school once. He has very low chances of landing residencies. He might. But I think you've got a little too much optimism.There is a lot you are not telling us.
IMHO....
Return to your island school and take Step 1 again
Your school is not returning phone calls, emails, etc. Yet, isnt that common with most ECFMG Caribbean schools?
Your school may not be responding because that is SOP.
Get on a plane, show up, walk them through the steps, signed papers, have someone mail your Step 1 Application to ECFMG, and then wait for your next Step 1 exam
What I find troubling about your thread is that you state no Residency Program will take you, "0%". Why?
Certainly not because of failing Step 1. Surely you have other qualities that you can present to the Residency Programs that will persuade them to give you a nod. Foreign languages? Steller CV medical background? Social justice background? If you are open to applying to 200 Residency Programs in places where there exists a pressing need for physicians at your maurity level, you should be able to get a few interviews at the very least
If you are granted interviews, that means your second Step 1 score was considered by them, and now it will be to you to sell yourself
It seems to me you are suffering a lack of self confidence
Take the Step 1 again, persuade your school in person to sponsor your application, walk the application and get all of the required signatures, and rock it
On a side note, something is really amiss with your final score and your UWorld and NBME scores.
Going through Uworld twice usually lifts your chances of doing better than those students who dont even do UWorld once in its entirety
Something is amiss in your story.
Just take Step 1 again but you need to convince your audience that you have what it takes.
First you have to believe it
Others have traveled your path, and they eventually landed a Residency Program.
i know a Latino MD Student, former PA of many years , married and teen kids, who earned his MD Degree at a Caribbean school in his 40s, failed Step 1, retook it, earned an IM Residency slot in Miami. Many more exist like his. His Step 1 score was OK the second time, but his interpersonal skills due to his maturity, got him back on track
why not you?
Go for it! Keep us posted
No PA, ARNP, CRNA, et al path. Stick to MD
No... if anything he has over self-confidence in thinking he has 15 years of medical knowledge, and enrolled in a Caribbean med school after flunking out. Sorry. The standards to get into a US school are not that high. To stay in one takes work but passing is not really that hard either.It seems to me you are suffering a lack of self confidence
So would someone get dismissed that easily from a US school for failing one class?