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Medicine is unlike any other field in the sense that it is based on experiences of it's practicioners, and not the label of where you trained. Training at John Hopkins or King College Hospital doesn't make you a competent doctor. All over the world doctors use the same textbooks and diseases don't change. Your experiences in seeing how these diseases are managed make you a good doctor. While in 5th year, medical students from IMs spend more hours in hospital shadowing senior doctors, trying their hands out in simple procedures under supervision. And spending nights in hospitals watching and learning from senior doctors. All this while reading for tough exams which are way tougher than most international exams. By the time they graduate most IMGs can confidently deal with simple things with little supervision. And adapt well to many other health care systems. Most IMGs work 70 hour weeks while preparing for multiple exams. On Calls are week long at times. And patients are too many. Amongst these pressures they still study and excel in international exams. I was surprised when one 5th year student of one school in London told me they never dissected cardavers and only learnt anatomy by watching power point slides.
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