prakishaa dina na puula jasto chha ni

[Love Nepal]

hi ,
First of all let me say discussion about USMLE is very good because people ought to know the realities surrounding it.I can tell you from my personal experience that most of the things i heard about USMLE back in Nepal were wrong.The post about USMLE by dipen is great please follow that.

TO JAPANESE

1.For people with even a bit of understanding a name in itself serves a lot,when i see your name, it doesnt show ur love for this empovorished nation to me,i hope i am wrong.

2.Statistics is a very powerful tool to highlight the facts in modern medicine,i hope u too are a student of medicine and u too know it,so dont discard the might of stats and they do tell the truth.

3. For the sake of stats: there are 100+ nepali Drs.seeking residency in US right now and when u have one job oppertunity there are 200+ applications in nepal.Bujhne lai yettinai kafi cha.

4.Who is ur friend who is frustrated because of being unmatched when the match date is two and half months away(MARCH 14TH).Very few people get prematch and it also depends on which kind of programmes have u applied to?When did u apply and when did u pass your CS.I know that 15 people have got prematch already(these are the people i know personally,the real number must be higher) which is really good.In the college that i have got prematch they are taking many nepali docs because earlier nepali students did very well.As a matter of fact a Nepali doc(there were 2 of them) was resident of the year of that hospital last year.

5.For the sake of stats too: Not just graduates but even post graduates are giving USMLE because of the oppertunity in US and lack of it in nepal.I will give you an example of Dr.Paras Mani bhattarai,he topped TUTH when he did residency in pediatrics.But when he applied for a seat there prof.ko close relative(i think it was his bhanji and she passed out from india) was preferred.Dr.Bhattarai gave USMLE and is doing pediatrics residency in RUSH medical college,chicago.

6.My personal experience is nepalis have the talent and the right attitude towards work and we get to handle patients very well in our med schools and later as house officer so we are a lot better off.If you give your best shot ther e is no reason why u wont get residency in US.

7.I believe if only the 10% of the people leaving for US comeback with their knowledge and the money then the things that they can do to our healthsector is overwhelming.

[srijana]

this is an interesting discussion going on here, and very difficult to get one right thing to do. Because it's true that if the educated and capable nepalese go out of the country and work elsewhere, nepal is going to be poorer and poorer. but think of nepalese economy right now, doesn't it seem that most of it is maintained by all those who work abroad and send the money back home? otherwise, most of the youngsters can't stay in villages due to maoist. in cities, work is hampered by nepal bandhs. the tiny infrastructures we have are being destroyed in the name of maoists. tourism is virtually going towards zero. isn't it better to work somewhere rather than be jobless and non productive in home country.
as for doctors, it's evident to all the no. of young doctors private medical colleges in nepal are producing and the minimum no. of health care facilities and the opportunities for higher studies. also everyone wants to stay in the capital. well, no one can be blamed, coz the situation in rural parts situation is so difficult to survive. if i haven't served in those areas, i can't preach that other should go there and serve. but it's the fact that we all should do something to make nepal better in whatever way we can, no matter how small the contribution is. Also if you go abroad like U.S. and other developed countries to do PG or work or train, you will learn a lot that you can use to make changes in nepal. so what's wrong with young doctors wanting to go abroad?
the only thing is that we the young generation should do something to make things better in nepal rather than pointing fingers at each other.

[Love Nepal]

I agree with you srijana.There are some people in Nepal and also some nepalis abroad who think they should go abroad get the best of knowledge but the rest of the nepalis should stay in nepal,struggle for everyday living and they will preach of empty nationalism from abroad and we should stupidly listen to them.
This is wrong and foolish.
I am not saying this because i have passed USMLE but i am saying this because i have been in nepal and i have faced hardships myself.There are no jobs,there is rampant corruption and nepotism.If i say i want to go abroad and learn arulai kina tauko dukhne????Its for me and my virtues to decide how and when i want to serve my nation and my fellow nepalis.
All those people who seem to be dead against USMLE dont even know the facts about the exam.Nor have they given it and like everything else in the world it has its flaws and some people dont make it but isnt it the rule with everything else.
Somebody passed a studpid comment about money:I have this to say to him: I DONT HAVE 18 LAKHS FOR THE PG IN MANIPAL INDIA AND 12 LAKHS FOR PG IN NEPAL BUT I GAVE USMLE AND PASSED AND SOON I AM FINISHING EVERYTHING AND COMING HOME.MONEY IS NOT THE ISSUE HERE.

[Pal]

Yes I do agree with love nepal and srijana both of them might be senior to me so I will call them dai and didi.

I am totally agree with you, I am also thinking for usmle, I will come back after my residency but for now no matter what will happen whether I get the residency or not I will go for it.

Idealism is different thing and reality is different. I have seen my batch topper didn't get job instead some relative of the senior people. Life is really tough, tough enough to walk through it.

Right now usmle cost ~ 9 Lakh and I guess most of the medical student can offer it. No matter what the result, I am on it.

[drekta]

Well,love nepal has pointed out so many important things and that's the ultimate truth.I would like to say something to japanese.U said ,giving USMLE requires a lot of money.That's very true......but those who have decided to undergo all the hardships of USMLE,do u think that should tease those who can't afford it?That was a very very negative attitude i should say

[Love Nepal]

About the cost of USMLE:

The cost of USMLE may be round about what PAL said but Its not that u give that much and give USMLE.Many of us work and earn money enough to give step I,II CK and fill the form for step II CS and then go to US.Then earn there to pay for Step III and to meet the expenditure there.

[Japanese]

Originally Posted by love nepal

TO JAPANESE

1.First of all I like to let you know that I put my nick name in whim....so plz don't bring such primitive things in front..These are the things which make the discussions too personal.I hope you are matured enough to understand this.....

2.I admire those including you who got success in USMLE exams but I was expecting somekind of "intellectual" and "diplomatic" suggestions for those whom the USMLE can't be an option.It is said that there are three kind of lies: lies, damned lies, and statistics.When you talk about statistics, it soley doesn't depend upon your personal experience and feelings.I was just disappointed that you were citing only one possibility after medical graduation and that was USMLE citing some statistics.

3.Plz be advised that I would be more than happy if there would be the examination center in Kathmandu.What I had expressed was more as a citizen...When your friend tries to close the door allegedly you are cheating him ...what do you say?Don't you expect your friend to talk with you about the things going wrongly before giving you a penalty?BUJHNE LAI YETI NAI KAFEE CHHA...what you said earlier..

[Love Nepal]

There are three kinds of people on this Earth.

1.Some dont know anything and know that they dont know anything.
2.Some know everything and they know that they know everything.
3.Some dont know anything and they think that they know everything.

You are on the third catagory JAPANESE.

I have worked in nepal for 3 years as a doctor before i left for US.I know the ground realities,by the way how long have u worked in nepal Japanese??I am not here to discuss just for discussion sake.I have better things to do friend.I am here to share my experiences so that other friends can benifit.

I will say i am not the most diplomatic person on this site but u are the most arrogant one i have seen for a long time.

There are lots of options for residency apart form USMLE,if you had known u wouldnt have left this stupid comment.I talked of USMLE because we were dicussing this issue.What do you think when 100 out of 1000 people are giving USMLE what are the other 900 doing.If u want a discussion on what other avenues are there for residency then i think i can share few things about that too.

It doesnt matter whether u become happy or sad if the USMLE centre opens here.And I wont say ECFMG was rude to close the centre also, they are trying to be fair.If we indulge in something which gives us unfair advantage then we will be penalised.As i said earlier nepal is not the first country to face it,ITS A FAIR GAME FRIEND.

About people not getting visa after giving USMLE.I know of only one guy in the last 3-4 yrs who has suffered this fate.May be some people had to reapply to get it though.If u think there are more u can tell us.Visa is so much talked about and I remember an incident one day when i went to bir hospital and a resident there told me so many people are stranded with visa prob and all that and i said OH REALLY WHO ARE THEY?? then he said...dunno i heard it from someone.I didnt hear it from someone though,i know that one guy and i know that all the other friends that i know personally got through very easily.

[Japanese]

Originally Posted by love nepal

There are three kinds of people on this Earth.

1.Some dont know anything and know that they dont know anything.
2.Some know everything and they know that they know everything.
3.Some dont know anything and they think that they know everything.

You are on the third catagory JAPANESE.

I have worked in nepal for 3 years as a doctor before i left for US.I know the ground realities,by the way how long have u worked in nepal Japanese??

I don't want to be too much personal as I told earlier.If you are enough to understand well there is nothing arrogant in my view.My view is not against anyone.
I just want to add one more thing that, it doesn't matter in which category of people I am,there is another category of people too..
"Some knows something and they know that there are still many things to Know ".These people don't claim I know everything.I suggest you to lie in this category...By the way the second category of people does not exist in reality,in which you probably might have assumed you.....

[Japanese]

Originally Posted by drekta

I would like to say something to japanese.U said ,giving USMLE requires a lot of money.That's very true......but those who have decided to undergo all the hardships of USMLE,do u think that should tease those who can't afford it?That was a very very negative attitude i should say

Plz Dr. Ekta I am sorry if you feel negative attitude in my view.I like to encourage,admire and wish best of luck to those who are sitting for USMLE. I , in reality,don't have negative attitude.... may be I got emotional in my view and expressed something I feel.I know you can understand it.I wished I could start that thing in another thread but poured here..okay take it easy..