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International Students Applying to U.S. Medical Schools International students in the USA on a Visa without permanent U.S. resident status ("Green Card" ) often find it surprising that it is much more difficult to enter a U.S. medical school (M.D. or D.O) than it is to enter a U.S. university graduate school to study for a Ph.D. or M.S. degree. Many U.S. medical schools give preference to legal residents of the geographic state in which the school exists, as they operate under instructions from the state governmental officials to 'produce' to meet the health care needs of the specific state. Eligibility for many U.S. Federal Government sponsored financial loans may well be defined by being a U.S. citizen, or a U.S. permanent resident ("Green Card" ), or PERHAPS being designated sometimes as a 'political refugee', fleeing violence in their homeland. Information on such issues can usually be found on U.S. college campuses in the Financial Aid Office (@ UGA in the Hunter-Holmes Academic Bldg. near the Arch)and in the Office of International Education (@ UGA on the 2nd floor of Barrow Hall) or Office of International Student Life (@ UGA in Memorial Hall). Some students may benefit from discussing their situation with an attorney knowledgeable in immigration law and procedures in applying for U.S. residency. Some international students not eligible for U.S. Federal Government Loans, but have the ability to pay (such as through family financial resources), sometimes write the Admissions Offices @ U.S. medical schools to declare such an ability to pay. Specific schools to consider applying can be compiled by studying the book in the UGA Premedical Studies Office in Room 102 Memorial Hall: "Medical School Admissions Requirements", where schools are listed alphabetically by state, and each school posts whether or not applications from international students are considered, and how many international students, if any, entered with a recent class of 1st year students at that school. This site's posting of 'foreign' matriculants should represent international students to U.S. M.D. schools in recent years: https://www.aamc.org/download/86034 [...] at3web.pdf This internet weblink was posted by the NAAHP in 2004: http://www.naahp.org/resources_InternatMed_Article.htm and another in 2005: http://www.naahp.org/resources_Int [...] tm#schools and another in 2009: http://naahp.org/resources_Interna [...] June09.htm In the spring of 2010, the UGA Premedical Studies Office received an announcement from the Duke University School of Medicine regarding its joint activities with the National University of Singapore, which noted this collaboration to be an option for outstanding international students. http://www.duke-nus.edu.sg http://www.facebook.com/DukeNUSGradMedSchool The information in the next section below was posted in 2006 by the Premed Advisor @ a NE 'Ivy League" college to a U.S. Premed Advisor Listserv to note how he provides information to his international students): INFORMATION FOR INTERNATIONAL APPLICANTS: "It is extremely difficult for international applicants who are not citizens or permanent residents of the United States to gain admission to American medical schools. State-supported medical schools rarely consider international applicants for admission, and those private schools that do accept applications generally require that international students place in escrow the equivalent of one to four years tuition and fees (U.S.$40,000-$200,000). Unlike undergraduate education there are virtually no scholarships available for medical school, and in order to qualify for U.S. government-sponsored loans the applicant must be a citizen or permanent resident of the United States. Thus, international applicants who are considering a career as a medical doctor and hoping to receive their education at an American medical school should think carefully before applying for admission to an undergraduate program in the United States. "Although we (at _______) have a few international students admitted to medical school each year, it is traditionally to MD/PhD programs that are financed solely through the funds of the medical school. These students in general entered the university with the intent of proceeding to a PhD program." In 2003, another Premed Advisor from a small U.S. western college posted: "..meanwhile, this is my sense of it. Medical schools are funded by state and/or federal funds which require students to be citizens or permanent residents. I think that as few as 100+ students who are not US citizens nor legal permanent residents matriculate at US medical schools annually now among the 17,000 or so matriculants. This may be an average of 1 per med school in the country. This number is considerably lower than it was 20 years ago. Not all US medical schools accept students who are not citizens or legal residents of the US. It is important for international students to know that they need not only to be viable candidates in the academic sense (grades, test scores) and in the other ways candidates are assessed. Medical schools which do accept foreign nationals usually require matriculants to have official evidence of a bank escrow account with funding to cover all four years of tuition and living costs, which can be as much as several hundred thousand dollars. In twenty years of advising hundreds of students, I have had only one student enter a private medical school who was a foreign national, and who had the family funds to be able to establish this large escrow bank account, about 15 years ago. It is important for students coming to the US for undergraduate education to be aware of whatever the official facts are in this regard. The above information does not necessarily apply to combined MD- PhD programs, but I am not sure of that. It does not necessarily apply to schools of dentistry, and I am not sure about all the other health professions." Posted in Dec. 2005 by an Administrative Director for U.S. MD-PhD Program in the Mid-West (a most selective school generally seeking very high MCAT scores and most impressive academic credentials and meaningful college laboratory research experiences): "It is important, however, that the MD-PhD is not viewed as a 'backdoor' into a US medical degree. Only individuals truly interested in the physician-scientist career should be encouraged to pursue such training. Training positions for international students are rather limited. Please see: http://www.intransit.us/international/ for an unofficial list of institutions that have offered funding to internationals. (This list was compiled by a Cornell MD-PhD student; there is no official list that I am aware of.) In terms of stipend & tuition remission, it costs a private institution around $350k to train an MD-PhD student. Because of this tremendous investment, MD-PhD admissions committees scrutinize applicants carefully to ensure that their motivation is true .....The scrutiny is probably most intense for international students because the institution must utilize nonfederal training funds to support these students. Over the past decade, our MSTP has offered admission to an average of 5 international students a year. (All these individuals did undergraduate work at US & Canadian institutions; we do not accept students with degrees from other countries, unless they have spent at least two years in a domestic postbacc or masters program.) We are enthusiastic about these students, and find that they are almost always among the top students in our program. So, do encourage your outstanding international students truly dedicated to the physician-scientist career to apply to MD-PhD programs. But I ask that you discourage those individuals who are not committed to a career in academic medicine." Note: http://www.nigms.nih.gov/Training/ [...] w-MSTP.htm http://www.nigms.nih.gov/Training/ [...] t-MSTP.htm Posted in Dec. 2005 from a U.S. medical school in Chicago: "The University of Chicago Pritzker School of Medicine accepts 5-15 international students each year, (and matriculates 3-10 each year for the past several years) and we have some private scholarship money with which we can help them. We evaluate their readiness for medical education in the same way and with the same standards we evaluate US citizens or permanent residents. The observation that it "is very difficult for international students to apply for scholarships" is on target. Moreover, there is little loan money available to them unless they find a credit worthy US citizen or permanent resident to co-sign the loan. So funding medical school education is usually the obstacle." Unsavory Practices The intense competition for admission to medical school has stimulated, in the past, some rather unsavory behavior on occasion on the part of a small minority of the premedical students at some schools, including many with excellent academic reputations. These unsavory practices include the sabotage of other students' experiments in laboratories, removal or destruction of assigned reference material and cheating. In those schools where such practices are found or are believed to exist, premedical students find themselves stigmatized and ostracized by their fellow students. Such happenings are very rare, perhaps non-existent among students at UGA, but there have been recent disturbing reports that there is an increase in cheating. Premedical students will be the big losers if there should be an increase in such behavior here. All premedical students should therefore be aware of the implications and be ready to assist in stopping such practices before they become established here. The University has adopted a strong policy on Academic Honesty and there are strong sanctions against anyone convicted of academic dishonesty. Any student who would resort to such behavior as plagiarism, cheating, or deliberate sabotage of a fellow student's laboratory experiment would be guilty of a flagrant violation of this policy and would not be recommended for admission to medical school. Unsubstantiated charges cannot, of course, be forwarded to a medical admissions committee, but if a student has been convicted by the Student Judiciary of any of the unethical practices listed above, this might decrease chances for admission. A routine check is made with the UGA Student Judiciary as well as the UGA Office of Academic Affairs before faculty ‘packets’ are completed to determine if any applicant has been convicted of anything that would indicate unsuitability for a career in medicine. Avoid activities that raise any appearance of academic dishonesty. Avoid also any criminal behavior or any activities requiring investigation by judicial/law enforcement agencies. Avoid illegal drugs and those who partake. Remember that under-aged alcohol ingestion is illegal, as is driving while impaired or intoxicated. Do not place yourself or others at risk to harm yourself or others. More and more medical schools are initiating ‘background checks’ on applicants. Most UGA premeds work together, study together, and all usually celebrate when one is admitted to medical school. This type of attitude is most important in maintaining a pleasant atmosphere in which to live and learn. Many of your fellow premedical students will be lifelong friends as well as professional colleagues in the years ahead. It is to your advantage to get to know them as undergraduates. The healthy attitude that exists among our premeds is a very significant factor in the excellent admissions record that our graduates have made during the past several years. Medical schools are not seeking applicants with ‘character flaws.’ They wish to admit ethical, moral students. NGS/RAL (Please send all questions and comments to resa@uga.edu, Memorial Hall, Athens, GA 30602)
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