Then medical students in North America must graduate from undergraduate course to enter medical school. Their major originally required science and engineering, but later, with the change of medical model, it was not limited to majors. Generally, medical school lasts for 4 years, and you will get a doctor's degree after graduation. If you take a science degree, your time in medical school will increase by 2-3 years.
You must pass the license exam to practice medicine in America. Medical students in the United States will pass Step 1 and Step2 before graduation, then enter the residency training stage, complete Step3 during this period, and finally obtain the qualification to practice medicine independently in the United States. International medical graduates (IMG) who have obtained medical degrees outside the United States also need to pass the USMLE exam if they want to obtain medical qualifications in the United States. For IMG, you can take the USMLE exam at the student stage or after graduation. However, in Canada, you need to pass the MCCEE exam.
Medical students need continuous examination after graduation, the first is RMS. The interview plan of residents is directly linked to the test scores before USMLE. The better hospitals and specialties, only the best children can learn, without exception! After residency, there are continuous examinations, first-year training (PGY 1), senior residency training (PGY2+) and license preparation (PRA). Different specialties in North America have different stages of residency training. General practitioners only need three years, gynecologists need five years, and neurology, trauma and orthopedics need eight years at the longest. Why did Grey's Intern take so long? Because the doctor is not good, it really takes so many years! Of course, the salary starts from the internship period, and it is rising year by year, which is directly proportional to the knowledge and skills! Therefore, many medical students can't bear hardships and choose family medicine instead.
In fact, there is still a long way to go before the residents. It takes at least two years of fellowship training. This is an intensive training. All kinds of operations are basically done by you and the attending, and Fellow is responsible for the basic rounds. Attendees usually only check once or twice a week, and fellow is in charge of several attending patients. Crucially, fellow's current basic requirement is to have articles. At present, in North America, I think most of the fellow in obstetrics and gynecology are three years, and there are further sub-majors plus 1 year of scientific research training, specializing in clinical research or basic research articles. Some time ago, I saw a lot of noise in China saying that doctors in North America should not write articles. I really laughed. Doctors abroad have to write articles, which is even a conscious behavior, whether you are in a university hospital or a group of doctors. Only when you have articles can you have resources, and only when someone refers you to patients can you have resources. Then we must provide medical services! There are more research resources for patients to hold, which complement each other.
In fact, the ranking of North American medicine in China has long been wrong. Residents of North America, Britain and China are first-class. Fellow training in North America and resident specialists in Britain should be equivalent to attending in China, and the training time is the same. Fellow in North America and attending in China are equivalent to senior titles, and there is no longer a positive or negative distinction, while Associate Consultant and Consultants in Britain are just like vice consultants and positive high in China. Those who can practice medicine independently outside are attending or assistant consultants or Oberarzt in Germany.
The North American model of teaching is very good. The attending doctor is always teaching and asking questions. It seems very important for young residents and researchers to keep in mind the statistical data of various diseases, such as the incidence rate of the population, the survival rate and progress of a certain disease. But it is very useful, because when you talk to patients, you can tell them the general situation of your whole disease with figures, which is very convincing. In fact, North America is really a good place to apply mathematics, and many things need modeling.