 Hey guys, my name is Boris. I'm a physician assistant. Today. I have a very very special guest doctor How do you say that? I pictured it with my American accent, but what makes this guy very special is he's actually a physician He's trained in India, and he's making his way over to becoming an MD a medical doctor in the United States so today we're going to be talking about exactly how to do that and Kittles journey and Yeah, for those of you who might be interested in that topic So get over. Yeah, I keep trying to call you Kittles, but it's Kettles. Yes I'm doing my best All right, so that's all you're a doctor from India. Why did you decide to become a doctor in the United States? So there's a pretty long Conversation, I would say a family conversation So It wasn't decided until my final year of my med school So my mom and dad they traveled Europe and they saw the healthcare facility the infrastructure and the way the healthcare was there They were very impressed my actually my dad had that thought that I would like he wanted me that I come Like I go somewhere in Europe or US and get my further fellowship degree So he wanted me to explore these options. So after completing my med school, I thought like, okay What are the options which I see? So I didn't want to do surgery. I wanted to like I'm more of a medicine person So I thought like let's go with the US MLE. Let's explore this option So I started preparing for my US MLE exams and basically I don't I wanted to do a fellowship here in the US in Particularly in cardiology. So yeah, so to do that you have to do a medicine degree here in the US And that's the way it goes. So I started preparing for my exams and here we are today So basically you said your parents traveled through Europe. Yes, and they wanted you to practice medicine in Europe Yes, in US or you or also the US or Europe not India So it is not like that not India like I always have a option That's my home country and I would like to like basically Ever in future I would like to go back and disseminate my knowledge or disseminate my Like experience to to the people of my country, but like to as I said my Education is like one of the key thing in my family They always try to like be on the front end or the painting edge of getting like the best education as you can So my mom and dad they wanted me to get my MD degree or the fellowship degree from here So I give a thought and while I'm doing my rotations like I have done at least five and a half months of rotations here The US till now. So I think From my experience here. I think I would like to do it here like through my fellowship and MD here So you're getting your MD in India So no, so that's that's the degree which we get in India after completion of med school It's called the MBBS, which is basically Bachelor of Medicine and Bachelor of Surgery That's what is MBBS. MBBS. Yes. That's the degree you have. Yes, and you're completing MDD here So after taking two of your USMLE steps and getting certified by the ECFMG That's the Education Commission for foreign medical graduate because I'm a foreign national for US Yes, I'm a foreign medical graduate here So after you get your ECFMG certificate, your MBBS degree is equivalent to MD degree for the US So my degree I can say I'm an MD here. Okay. I have taken my step three So that is more valid. Like I have taken all the exams which are required to practice independently here in the US After step three you can practice independently here in the US provided that you are Affiliated to a hospital or you are working with some physician who is like working here already Yeah, so you get your MBBS. Yes, and that is the equivalent of a MD or a DO here in the US Yes, but then in order to practice in the US You still have to do step one, step two and step three. Yes, you are perfect And then you're eligible of course for fellowships here in the US. Yes. Yes But for fellowships you need to go through the residency program After completing your residency you can go with the fellowships like Internal medicine after doing that you can go for cardiology, infectious disease, rheumatology, immunology There are a lot of fellowships available. So you can go with either of them Yeah, I think I skipped the step. So you got your MD now. Yeah, you need to do residency I think that's what I meant. I mixed the two up fellowship and residency Okay, that sounds good. Got you. And so coming back to the original question Why did you decide to pursue residency training here in the United States? So The ultimate goal for me is to do a fellowship here in the US and To do that I have to do a residency here in the US. So my ultimate goal is to do a fellowship And that's the way I can like do via my residency So why is just because of the education? I think like We all know that US is on the bleeding edge of innovation in medicine They have the best healthcare system, best infrastructure. My country they are like they have the best physicians. I would say they have the One of the most renowned of the best positions. I have trained under them and I know them But I would like to improve or like enhance on my existing knowledge here And I'm dissimilar way back in my home. Okay, so your main Motivation for becoming an MD here taking step one step two step three going through residency is to get a fellowship here Yes, because you think that that's going to be the best education you can get for cardiology. Yes, okay understood I didn't know that Actually didn't know any of that. So I'm hoping that's educational for you folks Yeah, so basically if you do have a Bachelor's of medicine and surgery be MBBS MBBS from India. It's a bachelor's degree in India But it's it's comparable to an MD or a deal here in the United States Yes, which makes you that eligible for residency and fellowship. Yeah in the United States wants to pass step one step two and Yes, Emily. Yeah, got it. Okay. So that's something I didn't know. So thank you for that And so now that we know why you decided to train in the United States now You're already training in India. Yeah, I'm gonna take a follow-up question to that. Why did you decide to become a doctor in general? so There was a family dream. I'm a first-generation doctor in my family. So congratulations. That's awesome. Thank you very much So that's always a special feeling you have my my dad He dad and like everyone in the family thought that someone will be a doctor my dad He wanted to become a doctor, but like to get into med school. There's a pre-bord exam So just prior to a few days before the exam my dad He was like he got into some minor accident and he he wasn't able to score very good in the exam So he failed to get into a med school And like there was a bad luck, but I like I didn't know this or I didn't I was a kid when this all happened Again, I think I was not even born when this this was happen. So when I like when I had the understanding of all the family things and my understanding when I got that like I thought I want to pursue my dad's dream Sure of becoming a doctor And even I like the medicine feed because I've seen my family My like that's a personal thing my Uncle he passed away like he has he had a certain cardiac arrest and he wasn't able to like being revived because Not a lot of people were aware aware about the CPR techniques Like really? Yes, that's still a thing like not everyone is aware of how to give a CPR on how to like when do you start a CPR? Yeah, that is one of the key thing my grandma she like she passed away She also had some heart issues Probably heart failure we never knew so the health awareness of health care was not very prominent Back like that happened 10 years back to my grandma and my uncle I was not I was not born then But yeah, that's how I got a sense that I want to like pursue medicine as my future And that's a family dream too. So I'll be I am the first generation doctor and I'm the first one who will be practicing or learning medicine Also outside like in the US too. That's what I could answer. Oh, yeah So first off you had two family members who had undiagnosed probably heart disease And of course they were taken from you. So that was emotionally difficult Plus your father always wanted to become a doctor but because of some bad luck He was not able to do well enough on his exam. Yeah You can't retake the exam So you can but like back then after like you you you'll be uh, there was a thing like, uh, there's a and b group Like that's a board thing. Yeah, I won't go into much detail But yeah, he could have taken it again But he did like he just went with whatever was available to him because My family like it was not the richest family They always want to settle and start earning as early as they can so that makes sense. Yes So instead of sitting for a year and taking the exam again, he went with like doing the engineering He is a electrical engineering in a very good company in that's a renaught country oil and natural gas cooperation So yeah, he's doing very well and that is the reason I am here So did he have to wait a whole year to take the test again? So he didn't take the test again well to try to retake it. Yes with the scores available He was he managed to get into engineering school and he became an electrical engineer. Okay. Yes I mean we like we put pressure on ourselves here in the u.s. On the sat act GRE you know mcat, but you can retake those things five ten fifteen times I mean nobody takes them that much but like in one year you could take each one of those tests four times easy So that is not the thing so board exams they are conducted once every year So if you if you get like if you pass or fail this year If you want to like if you don't get a satisfactory score and you want to try again You will get to try again in the next year. You have to put your life on hold for a whole year. Yes Yes, so I can see why he just said no screw it. I just want to build a life and yeah Let's continue with what we have and let's go forward. Yeah guys, those of you who live in the united states like I Just be grateful for a minute that we don't have to let's say okay. Let's say something like to his father. What's your father's name? Sanjay, right? Sanjay. Sanjay. Yeah, Sanjay. Sanjay. Yes. So let's say you're like Sanjay And your whole dream your whole life is to become a doctor and you're going to this exam You're ready. You're ready to pass it and get a high enough score to go to medical school And then something happens like car accidents or so that was like he went to a temple to pray Yeah, and the the door was not very well done. Like it was just being newly renovated. It was not fixed well So when he was coming out the door fell on him and he got a fracture of his arm So when he managed to take the test, but he didn't like complete the test. So he didn't score Okay, like that That must have been my god So you're you're ready for this test and it's like the only thing standing between you and your dream Is passing this test and then you go to med school and that's it And then as you're coming out of the temple to pray to do well on this test the door falls on you and breaks your arm And then you still take the test and you get a good enough score to be an engineer So that's what you do and then you pass your dream on to your son Yeah to become a doctor. I one of like my motivation to do or my Role model who inspires me to get this thing that that's my dad my mom and dad they both And my uncle who is here in the u.s. Who is practicing medicine? Like I saw him for like when I came to the u.s. I like when I saw him practicing medicine I was like he's 54 And the way like the time or the dedication which he has for like for the field of medicine and for his patients I was like I was not even 50% of that So I look forward to like be like them someday when I start practicing actually for In the field Wow That's amazing. You have some very good role models. Oh, yes I'm grateful for everyone like for everything. I have what you till now and what I'm here to what you Do all this people my mom dad and my uncle. They are my Role model The phone keeps keeps closing on us. But so man I mean that's uh, that's as good a motivation as any to go through the trials and tribulations and becoming a doctor And especially going over to the u.s. Is your father's dream to live out losing some family members wanting better for them? Good on you. I see why you're so motivated. Oh, yeah Okay, and so I'm gonna just to inform the audience I'm going to move on to question two here and the obvious answer to this one's going to be yes But I'd like more details So the question is can a doctor from a different country transfer their md to the united states and if so, how? So yes The the main thing for this question is your degree should be recognized by the medical board here in the u.s So the mbbs degree which is done. I think in india and in pakistan I think it's a say i'm not sure about pakistan that this it is called the mbbs But degree which you get from anywhere in the world. It should be recognized by the medical board here in the u.s You can just check check on the Medical directory here in the u.s. Like if your degree is valid here if the if they are considering your degree You just need to take your steps the usm le exams and that's how you become md like a doctor of medicine here Okay, so if you have one of the qualifying degrees such as mbbs Yes, um from india and pakistan and how do you search that would it be through the aamc here? Or you just google it. I think so it should be through the aamc. I'll search and maybe I'll help you In the comment section by writing mentioning that Like 100% yeah, so we'll put that Information maybe right in the video or at the very least in the notes Yeah for the one thing I would like to add is like Not only a degree, but your med medical school should be recognized by the world director of foreign medical education Like there's a website called swf me. Okay, so they Uh Your medical school should be recognized by with them So even if the degree is Valid like even if the degree is considered valid by the medical board here in the us Your medical school has to be recognized by the wf me too So you can get a a medical degree From a school that is not recognized by the us Yeah, you can get like you can get your degree from any medical school But your medical school as well as the degree both of them should be recognized by the medical board of school Okay, so you have to make sure you check that Yes, and that might also if you're considering going to medical school in india capistan and anywhere in the world Yes, uh, that should be if you do want to practice in the united states Do you know your planning and good due diligence to make sure you choose a school in a degree that will be Recognized here. Yes, because I'm assuming you can't really fix it. No Yeah, you have to choose your medical school Like if you think that you want to become a doctor someday in the us then you have to make sure like Go through the Credentials that your medical school and the degree which you'll get from there are verified or recognized by the us medical board Yes Yes, so what we're going to do is we're going to put information the websites either right on the video here or in the notes And i'll see if kentula and I can get together and maybe make a little document Yeah, yeah websites where you can do that Yes, okay So because the purpose of this video is to help you people out You know folks that want to do the same thing that he's doing So i'm going to get together with him. We're going to make a little pdf and we'll share it with you Okay, and that'll be in the notes for the video because we're trying to be helpful. Hopefully we are I'm never going to be able to memorize this. I should just write it down Uh, two three one two six zero Okay, yeah, i'm not great with numbers. That's why i'm not an engineer Okay, so that's how a doctor from a foreign country not the united states can't become an md in the united states So Since you have to have So basically if you're a foreign medical grad your school and your degree have to be recognized by the us MLE or by the amc Yes, uh as something that's appropriate in order to transition to md in the united states Yes, and then you still have to pass step one step two step three us mle steps So since that is a requirement, how did you study for step one step two and step three? Okay, so The journey and the exams. They are very lengthy like the usmle step one exam Seven blocks eight or exam step two eight blocks and nine are exam. So they are pretty long exam. You have to train Like not just by reading the books or reading the material But it is just you have to train physically enough that you sit for eight or nine hours straight and you can just Perform equally on throughout the day. So How I prepared for my exam. So I used to meditate every morning. I used to say, yes I do I used to do meditation. I even I do today to like every day That has been a part of my lifestyle now. So I meditated meditated every morning That's how I start my day. I go for a jog Like I used to go for a jog or walk in the morning every day And apart from that, there is a lot of medical Review materials available for usmle. So now I'll come to that portion So regarding materials You solve a question bank the q banks and u world is on the top of that There are a few other Question banks available, but I just went with the u world because that's the u world for a few world Yeah, so that's one of the Top-notch q bank available. There's one more emboss. I used it during certain part of my preparation But majority of my study prep was from the u world and the first thing that's a book Like it is literally a first aid for anyone who is preparing for this journey the usmle So for step one and step two these two things remain the standard You have to prepare on the only on the base of that like you read the u world and the first aid There are a lot of materials depending on what subject you're preparing for So for microbiology, there's catchy like those who are good with the pictorial memories catchy is a Resource which which will help you like for microbiology and pharmacology as well Yeah, and for pathology. I used to do the pathoma. That's one of the best I like after reading pathoma for the first time during my meli journey Uh, I thought like why didn't I use this material while I was preparing for pathology during my med school? Oh, sure. Yeah, it is that good. So yes pathoma is a really good material for pathology, but uh, yeah apart from that There's kaplan kaplan q bank or the kaplan material you can use for Reviewing your biostates or medical ethics question. It is really good. I forget for the those questions even for the behavioral science questions Wait, let me let me interject here really quick question. Yes So there's a bunch of different question things and it seems like you're using certain question banks for certain topics So, uh, the material which I'm talking about it is just the review materials The q bank is just one that you would yeah So that there's one in one q bank one q bank link There are two or three more q banks, but I use one you will and the second was Second one is called as the emboss which I use for like a certain portion of Repetition not all all the things. Okay. Yeah, okay, and then the other ones is review materials Yes, you review all the questions like all the topics or the subjects from there And then you can practice the questions from the you work you bank Okay Got you and this will be in the documents as well. Yeah, but basically Is uh the question banks that he used the materials that he used and what he recommends for which Yes, so yeah, definitely good inside knowledge. Oh, yeah And I'm not going to ask you to share your stats and your scores But did you do pretty well on your step one step two? So, yes With the thing with which uh, which happened with me was like I used to do really very well On my nbmes I used to score in 250 40s and 50s. What percentile is that? I don't know the exact percentile It's half 10 percent. It's half 20 percent. I was never the top 10 percent. I would never not say that Should be 30 or 40. I think that's pretty good. Yeah, that's in the top. Yeah, for sure. Yes Yes, so I pretty like I performed Above average on all the steps and that's good. Like I have mostly since I shared that Yeah, so yeah, I'm done with all my steps now and I'm above average in all the steps Not the step uh, no, like That happens with everyone that after using the score you feel like I could have done better But you know, it's feeling like yes, but we are the point that now we cannot change anything So yeah, it is what it is you have to accept and move on How good of a scores on step one step two step three Do you have to have to match for cardiology? Actually, you're going for fellowship fellowship So you're matching to internal medicine residency. I think a score of 240 on step one A score of 245 to 250 on step two. That's really a good score If you go for your step three two before applying then a score of 230 is good enough Yeah, I was Near all of this course in all the exams. Okay, so that's for internal medicine. Yes, that's why But if you plan to go for a surgical branch, then you need to be on the top top 10 percent of Like top 10 percent of the Scorers so that you get into that residency So that would be around 260 or 270 If you score that much good in all the steps And it would be like you would be Most welcome as an IMG because for internal international medical graduates It is much that you have a very good score on your steps Yeah, that makes sense. Yeah, so they're even more strict before medical grads As far as their scores for their steps if you want to get into a competitive specialty neurosurgery orthopedic surgery dermatology Psychiatry is getting a bit competitive here in the u.s for IMG. Is it? Yeah, interesting But they like for psychiatry you don't need a score of 260s or 250s 240 250 is good enough So it's slightly higher than internal medicine. Yes. Okay. What about like pdx or x primary care? That's almost same as internal medicine. Okay. Yeah, like plus or minus five times. Okay Uh, actually the most the best thing to go through will be to go through the nrmp match data They release every year because nrmp they share all the steps like how many percent of the IMG is they match into which specialty And what when they're average scores And what when like what was the research experience they had what was the how was their cb? Everything is shared like every small Statistical detail is shared by the nrmp in a form of pdf So you can always visit the nrmp website and you can like retrieve all those data from The recent match and maybe five or ten ten year back to match that Okay, the most recent class. Yes. Okay. So if you want to match into a certain specialty Let's say you're a foreign medical grad your dream is to be a surgeon a general surgeon. Yes in the united states You can know exactly what kind of score you're going to need in order to get on step one step two Yeah, so, you know, how hard you have to study? Yes, I highly recommend like you go through the nrmp match data and that will help you a lot with like You know that what you what score or what you are targeting for so that so that you know Gosh, and that'll be in the document as well. Yes a link to that or at the very least from last year Yes, so I know all these things so As somebody that applied to a medical program not medical school the VA school It's daunting trying to find all this information. Oh, yeah It's daunting trying to find out the links even though it's just a simple google search It's it's very daunting trying to find the links to all these things whether they're accurate Uh, how to apply all the different things. So it's just any little bit that we can do to help Yeah, it's always good like if you have someone to guide I I got a lot of good guidance from my seniors and my like alumni from my med school. So Like I would definitely thank them for all the efforts or all the help they have done to me And I would like to do the same for anyone who is like incoming or Pursuing the same journey. Absolutely. Thank you for sharing your knowledge. Oh, yeah Question three was how did you study for step one step two step three? We discussed that Okay, so switching gears a little bit So as most of my audience knows I'm a physician assistant if you guys are new here I'm a physician assistant. You don't know what that is google it But so three people in my own program in my physician assistant school were kind of in your position They were foreign medical grads. So they got their training in india one guy was from congo And they decided instead of taking the steps and all of that and becoming an md in the united states They decided to become a physician assistant Or nurse practitioner. So those are all also options. Yes What do you think about that option instead of studying for the steps and trying to become an md Using your degree and becoming a pa or an mp. Yeah, so I would say it depends on The individual what they want to do with like what they want to do in the future And there are a lot of different variables that can affect what you are going to do Actually in life everybody wants to do something and they end up doing something else that can happen with everyone even with me I'm not sure but yeah, I'm sure that I am I want to do fellowship and I have in cardiology and I will do that but If you are a fresh graduate then Doing md or like the residency here in the u.s. Is the top priority which everyone Look forward to do that But for an older graduate what they can do is like they can go with They can take a longer path of going through physician assistant school and taking the physician physician assistant Experience first hand and then they can apply For residency maybe later in the future if they want to like it depends on the individual Sometimes like I have seen or I have heard that If a certain individual Went unmatched to the cycle like He applies for the cycle He get he went unmatched like he didn't match into a residency program. He applies again He didn't match into residency then in that case like to keep waiting for Years and years it is better to go to the physician assistant school or the What the other options? Yeah, no spectators. No spectators. And yeah, yeah Yes, so you can go with that path. Yeah, it depends that smart I actually didn't think about that because I was thinking like you have an md from a different country You choose, you know and he a md, but He's talking about let's say you Maybe your english isn't very good or for whatever reason you're not a great test taker For whatever reason you didn't score high enough on the us mle step one and step two in order to match into the residency That you wanted or many residency possibly. Yeah And so what are your options? You can just keep waiting or you can maybe You can go with a PA or Registered nurse. Yeah Into especially like it depends on how motivated you are to do the to pursue what you are dreaming of. Yeah, so there is one of the thing So That takes a lot. Yeah to become empty here Like you need to be highly motivated because to keep on taking the exams Apply and to go through the cycle. Everybody does that But not everyone is lucky enough to get into a medicine program. So Just keep working towards it and whatever happens in life. That's like everything happens for a good reason. I believe in you I think so. Yeah. Yeah Because I mean PA is a great career field. Yes, it is a great career anything related to medicine I would say that's always a blessing that you are there you are pursuing that and you are able to So people are While being on the front end so anything like that be grateful. I can believe Yeah, it's definitely a privilege to be able to practice medicine In any field, but yeah So if you happen to be in that position and for whatever reason you're having trouble With the exams, just know that there's other options for you. Look into physician assistant. Look into nurse practitioner. Look into RN one of the other options is doing an mch That's uh, I forgot the full mch. Yeah, what's that? mch, I forgot the full form of that. I need to cut this portion, but I know Uh, what is the job? So that's basically being epidemiologist like studying about the disease prevalence. You do some research studies while you're studying mph, sorry, mastering public health. That's mph. mph. So there's one. Yeah, so there's one more option of be Going to mph school. There's masters in public health while studying for mph people do take like, uh, prepare for the steps and they take their Resident like they apply for residency by the end of their mph or while they are pursuing mph There are certain mph programs that would allow you to Attend the lectures online when you mention the residency program So there's also one way people do that one of my colleagues like she is doing that She she is doing mph right now and then she'll be applying for residency So there are a lot of options to ultimately end up into doing medical like residency here in the us these are all the paths which Everyone prefers like I prefer to directly go with the md residency I'll be directly applying after completing all my steps Some people while preparing for these programs like being a physician assistant or big like Going for the mps school. They prepare and then they apply for residency. It's up to an option too. Yes That's always an option. It's a very long game. Yes very very long Because the whole I mean residency if you do a fellowship plus studying for everything that you're definitely looking at a decade Yeah, at least at least like the fastest you can do is six years Not before that even for a three-year residency That's what you're looking at because cardiology like the residency itself takes So the residency is three years three years of fellowship. So that takes six years at least Yeah, so watch all the applying and the study. So it's a very very long path Yeah So definitely for those of you who want to come have a very good life in the united states make very good Money practice medicine, but maybe not, you know have the md or do the exact field that you want to you can always be a PA you can always be an entity, you know, that's what I chose I'm not a foreign medical grad. I you know, I went to school here in the united states But yeah, it's just it's always a good option And if you want more information on being a physician assistant look at my other 200 plus videos All right, there's definitely more than enough information on being a pa. That's not what this video is about Yeah, okay, and so question five. I think we definitely already covered a practical specialty. Do you want to practice? So, yeah, the cardiology is the one Before that, like I was more into neurology. I did like Shadow of physician back at home in india for a few months. Yeah, I wanted to do neurology but I also like neurology and cardiology were the options I was looking forward But with the as I said with the history with like my family history I had regarding cardiac conditions which they had which was not recognized or which we were not aware of Like my dad is super into health like the He do meditation. He goes for a job. That's where you get that. So yes, I got I said my dad is my motivation like He's the source of everything for me. Like yes. Yep. He sounds like a man. Yes, he is So yeah, so that's how I decided like Between neurology and cardiology. I went to cardiology. I did some shadowing with a physician here in the us He was one of the best physician like every patient whom I saw while I was shadowing him The patient would tell like just look at me and tell you are in good hands. And I would say yes. I know so That's that's that's where I the patients like him too. Yes And I saw like the way he practiced medicine and because the communication skills he put here So that was amazing. Yeah, and that's how I molded my way that I go with cardiology as my future Is an exception. Yeah, I don't think you're going to have any problem with that Definitely motivated your communications. Fantastic. You're just fine. It's very welcoming You know, yeah, I think you're going to be just fine. I think you're going to do great Your patients are going to be lucky to have you. Thank you. So you want us to practice cardiology? Very very different from neurology. Oh, that's we are tremendously different. Yes, very different patient population and very different everything Yes, but yeah, okay, so we're going to switch gears again a little bit And my next question is what are some major differences you notice between India and the united states not even in healthcare. Okay. I'm just talking about culture people priorities Just what are some cultural differences? So the first cultural difference you see We like we are coming here to pursue our residency or to study to get our higher like Future education here in the u.s. So we are leaving our family behind at our home and we are coming here So the first thing which we realize after coming here is like you don't have family here. Yeah, so that's the big Oh, what would I say? How would I describe it? But yeah, that's the big thing You will instantly realize you definitely meet good people around you. You make new friends. You make like Make a big Welcoming community wherever you go. I have been like this is the second state new york where I have been but Everyone I I have made here matt here. They are really welcoming and very like You know that you know, that's right. Yeah, they're very welcoming and they always want to help you So that is one of the Thing that pushed me like want like made made me want to do a residency here in the U.s. The people here are very welcoming are very good Very well mannered and very well culture. That's nice to hear. Oh, yes Because I am saying as it is. No, I have seen or I have felt so that's true And there are a lot of cultural differences Like You know describe everything in a single not everything just what what jumps out. What's the first thing? That's just different like you get off the plane here. You start talking to people in the united states What's the first thing you just notice like oh, wow, that's that's different Everything everything everything everything is different But I miss the like the cultural thing the The social or the cultural thing I miss those from my home or my country I feel like I would want to feel that I feel that way which I miss here But you always make some friends you always connect as we are living in this generation 5g and the phones and video because you are always connected with the family but Being away from the family is the only thing I miss The both the beauty about us is after coming here. I have met people from like Mexican people Spanish people Native American people and there's the beauty that us and india share together. That's a country of a big diversity a big Like there are a lot of languages different languages different cultures here. I have seen that people are Living together with all the diversities here if you see in the same batch of residents I have met like A doctor who is from china a doctor who is from pakistan a doctor who is from india a doctor who is from korea korea so That's not very common. I have never seen something like that back at home in india So that's a very unique a unique thing which I have seen here in the us that you meet People from all the different nationalities from everywhere. That's a very unique thing So that helps you like you get to you get Sensitized with all different cultures and learned Different things about different cultures and that's the best thing I would say Yeah, if you can't you can take the best of every culture. Yes. Yes hope to improve If I was like if I stayed back at home in india, I might not have like I I might not have been in touch with any one any one of these people and learned About these different cultures unless I like actively look forward to learn about this thing You wouldn't just run into them your everyday life. Yes. Yes. That's the key difference I have seen and that I am enjoying it. I am like I admire that that I am lucky enough to be here and Be connected with these people around. That's something you take for granted Because a lot of countries in the world Like there's immigrants. There's people from other places. There's tourists But it's not like the united states where everybody is from somewhere else Literally everybody is from somewhere else within one usually two generations. Yes, you know places like india. It's just it's not China it's not japan. It's not. Yes, you know, it's it's definitely something we take for granted here That's the best part of that's a beauty or the best part of the u.s. You meet people from every nation. It's everywhere Yeah, it is really cool. Yes. Okay. So that was culturally. How about medicine? What's the main thing that you notice is different between the united states and india as far as medicine goes So the way the practice uh, the way our doctor practices here in the u.s And uh, they're in india is a bit different the medical knowledge or the algorithms of protocols which you follow is is the same thing It's not going to change the same. Yeah, they are they are the same like how do you diagnose a case of Heart failure it will it will remain the same. It's not going to change right here. Yeah You guys use the heart for you guys you sent or you guys everything is the same. Yes, that's the same thing It's not going to change that's refreshing but the thing that changes how we practice it. So in india Uh For not i'm not talking about the private hospital the big private hospitals, but the majority of the hospitals where you go Doctor, uh, doctor have their given and the patients come in like the uh Patients have to visit the doctor The patient doctor examines the patient they take the history they diagnose they treat the patient Yeah, and the patient uh now the patient goes a second patient comes in So doctor has a cabin and the patient is the one who would come in and get examined and Why is that so different here and here in the u.s. It's completely opposite Patients have their own cabin like there are 10 10 patient 10 offices The patient sits there the doctor would come after those from patients to patients. Why is it like that? I'm not sure like but this is the first thing which i realized like which i experienced here after coming like I was amazed. Okay, we have to we go there We have to visit the patient in their offices. So that's that doesn't change how you practice That's just a setup of the practice, which is very different from back at home in india. That's interesting Yeah So for those of you that practice here in the united states Can you imagine that you just sit in your office with your exam table You're all of your tools and then the patients are the ones that come in You're not knocking on the door and coming into their room. Yeah, they're coming in to see you Yeah So in some of the private hospitals as i said, there are some of the private hospitals the big private hospitals They have this system like us where a patient gets their own Own office and the doctor goes and visits them. So there is there is one of the infrastructure or Foundational thing But the the way doctor practices is the is the same thing that there's nothing Different in that the way they practice. Yeah the availability of the latest techniques like there are Uh, these hospitals, they have like bleeding as they are Doing some research in finding new techniques to treat or to diagnose The india or any other developing nation. They are like, uh, still developing those things They are not at the bleeding edge edge of that. We are still developing on that We are just following or we are still exploring all these things US is ahead of everyone right now in the field of health care in the field of surgical Management or surgery Germany or the europe they are on the bleeding as they are on the top of there. So every nation has their own benefit or Uh, uh, own advantage of being ahead in something the doctors in uh, india They can like they examine up to 100 patients a day Up to 100 patients a day in the government setting if you see Some some some practices they might see even more than that 150 in one day in one day That so that's the thing if you practice in india if you practice in a government setup government hospital You will be skilled enough that you will be able to see all these patients in and get the things right most of the times Like I would say 95 or 99 percent 95 percent of the times that you are to the point and you are diagnosing and treating perfectly So 100 patients a day. Yeah, that happens if you go to a government setting that that's uh, that's how it is Let me ask you this. Do you document? Yeah, documentation is the key thing even no matter how many patients you see you have to go like Those doctors. They are fast at everything examining documentation history taking treating everything. How do you examine? Make a treatment plan see discuss being with 200 patients a day and also document So, uh, that's a skill that never was over time. Nobody Nobody on the first day would be able to do that. Oh, no, and that's a hell not a single Doctor is going to do that. That's a team of doctors like three or four doctors who'll be covering up all these patients in Entire duration. So it's not 200 per doctor. No, no, that's not it's like 40 per doctor 40 or 50 50 Okay, that's what I'm seeing at origin here now, and I'm slow. Okay. Yeah, okay Okay, I was about to say 200 is no I've heard of people doing 90 in a 12 hour shift Not not 200, but so that's between a team of physicians. So, okay, so you're seeing like 40 50. Yes. Yes, okay That's totally believable. I've seen that I've done that That I believe in yourself to document everything, but okay. I was about to say 200 that's impossible No, that's because if an individual is seeing 200 per day, then there is a lot of chance that you are getting something Exactly You're missing on documentation. You are misdiagnosing or something can get Yeah, because that's we now want to compromise health care at the cost of just for turnover Yes, yeah, which a lot of practices do kind of want to do we call we call it a meat grinder It's the worst metaphor ever, but it's they call practices that do that They just want you to see as many as you possibly can and they don't care about the quality of care They call that a meat grinder Because they just like they want to get in and out see and get the money and They don't care and so that people that care about other people's health care the whole reason we're doing this It's very difficult for folks like that to work in that environment. Yeah, so that's why when I heard 200 a day Okay, so 200 divided by 5 you got it so 40 in it. Okay, still a lot But yeah much more manageable Okay, and it's interesting that you said that germany and I guess the rest of europe is more on the cutting edge Surgery we are here. Yes. Also so Two of my like one of my batch made and one of my seniors they are like they want to pursue surgery as well as like residency in surgery So they were also looking for options and they came up with like Europe like germany they have the best surgical residency or the surgical future And they are yeah, they are on the bleeding edge like in the robotic surgeries and the ai The ai is just evolving But regarding robotic surgery they were like keen on getting into robotic surgery So they are pursuing residency like one of them is pursuing a residency one of them is still in the way So, yeah, that's eventually robot you've heard of that. Yes. Is that from germany? I'm not sure about that. But I like I got the insight about surgical residency being best in germany from these people I never Searched for the options for surgical residency because I I didn't look forward for surgical residency. So, yeah Didn't know that I mean, I guess it makes sense German engineering I just I always thought, you know, as an American we have the best but Obviously not, you know, some of the world does things way better than we do. Yeah, that's interesting We definitely have the most expensive But yes, they have the best and that is the reason collaborating in medicine is better for every nation and everyone around there for For the patients for the doctors collaboration is the best thing which we can do Like we can Expand our knowledge. We can exchange our thoughts. We can exchange our technology and exchange our exchange the way we treat medications So, what would you say is the best here? You said like cardiology training would be the best in the united states Why is that? Is that because of the medications we have because of the institutions the training? Why is it better and then why is surgery better in germany? I I don't have any good answer for that. So But you The education in general I would say in us it has a lot to offer to people who want to pursue like future Future in medicine because the u.s. Has a good education system and infrastructure and technology to offer Here in the u.s. For medicine Interesting. I didn't know that as I don't know that you I mean I knew the u.s. Especially for for certain specialist degrees medicine included Was kind of top of the line a lot of people from different countries come here You know go to any college town syracuse included around the college You'll see tons of very expensive vehicles from all the foreign money sending their kids. Oh, yeah You know that I'm sure that happens in other countries, too But it happens here at every single major university So u.s. Education believe it or not higher education is still top-notch, you know world class So that's good to hear. Oh, yeah, we're doing something right. That's very encouraging. Yeah, okay And I guess we're going to skip a seven and eight Correct. Um, yeah, we're getting those. Okay. Sorry. You guys don't get to hear answers to seven and eight We decided to not discuss these things. Yeah Okay, so the last hard question and then we have two easy questions. Okay, let's go So the last hard question if you could give one piece of advice to someone who wants to become a doctor Doesn't have to be an indian doesn't have to be in the united states Just anybody who wants to become a doctor. What is that piece of advice? So first I'll go with in general advice not not pertaining to medicine or being a doctor so Pursue or do what you you like enjoying like you enjoy doing Because in the future if you go 10 years down the lane, I like I personally ask this question to a lot of doctors Even my uncle who is practicing here like There everybody had the same answer I felt the same thing that if you are doing something you which you like You won't feel that you are working every day. You are just doing something we should like every day. You're playing Yes, that's just being on autopilot mode and just you go you do something We should like and you come back home and you are always like you already you are always in a good Uh mental condition like mental status that you are you are not stressing enough So that is the first thing I would say now regarding medicine if you are thinking of medicine like you have decided that you want to pursue medicine Being consistent is and hope keeping hope hope in the sense You have to be a believer in yourself that you can do it and You have if you have a good family support, then I I bet that you can do that Without failing and that's how I made it here until here and if I will make it in future too That's just because of my family support and the both and the belief my I would Get I would say a single word that is my belief system that my mom and dad and the family support The belief which I have in myself That's how it keeps going So first off figure out that it's exactly what you want to do If you're stressed out every time you study something in medicine or you don't like it You know, you're not going to want to do that every day You're not going to put in the 16 hour days. You're just you're just not if it's something if it feels like play You know, I'm not saying that studying medicine is not hard work It is hard work and you don't always want to do it But when you're doing it to any degree if that feels like play, you know, you're getting your experience You're working as a medical assistant You're getting your experience and you get to talk to a patient and you just you could do that forever Yeah, then you're in the right field. Yes, you should enjoy what you are doing And that's how we do it be on autopilot mode. I would say autopilot Yeah, and so like once you've decided that then he says be consistent Because being consistent is very is the key thing like the USMLE exams which we took I took all three exams in the duration of two years. I started in May of 2021 and I completed my step three May of 2023. So that's two years and I took all my exams Those who are preparing for USMLE or who have done USMLE, they might be aware that To take all these exams in this certain amount of time, it's difficult and it requires consistency While you are practicing like you are doing some practice at your home And preparing for your exam and you want to come here and get some US clinical experience Everything being together and Being like finishing all this thing. It requires your dedication and being consistent throughout the journey So you need to believe in yourself. You need to have a good support from your friends I would like to thank my friend circle like we prepared for all the exams together and that's how I would say they were one of the key reasons I was able to make it Happen in this short consistency Everyone's doing the same thing same thing. You can't do it all. There was always a healthy competition between us I won't say that I won't say that there was even a competition. There was always a discussion We used to do like everyone competition. Yeah, healthy competition. I would like that's a word which which can which I can cause here But we would keep like we would push each other like some days. I would feel like okay I am not able to do this or I just want to break they'll push each other in Everything and that's how we made be all all like all of us are from our group We were preparing for the journey. We are almost worth the end of the journey And we'll begin a new journey from now. So yeah, oh, yeah the journey never ends Yes, congratulations to you. Congratulations to your whole team of thank you very classmates I definitely vouched for that in my post back. I had two friends I mean I was friends with the whole group one two friends that I was very consistent with Jackie and security Jackie is in medical school security just finished law school I see So and like it's just something about people going through the struggle with you Like you said you wake up. You don't feel like studying today And then there's security who's already read the whole chapter and she's taking notes and you're like security What the heck what is wrong with you? But she's just brilliant and she just she does that and that makes me feel inadequate But in a good way because now I have to do work And then maybe she got a 98 and I got a 92 it's like all right. I'm fine And let's say Jackie got a 95 but then it's like my two friends are doing better than me I don't want to be the worst friend. So now I have to study harder on the next one And maybe I'll beat them. You know, you never beat security, but maybe I'll beat Jackie I don't know but either way. So it's just like You need your teammates and your camaraderie and your family if you're lucky enough to have that too Yes, yes, you're blessed enough if you have someone like you have made these friends through the journey You're blessed enough to be grateful to everyone and be thankful to everyone That's how you make it a consistency is a big one. So Medicine is not something you can cram. Yes, unfortunately for one's ass. Yes So here I would like to add in this Journey like not only us Emily any journey you prepare for it's a marathon and not a sprint So you have to You at some part of the track you have to push hard and at some part of the track you have to slow down and just keep walking But Baby steps are important than no steps. So just keep working. Keep keep taking a step and that's how you will make it But remember, this is a marathon and not a sprint. So you have to keep working Yeah, just keep going back off. Yeah, and prioritize health Yes Sleep is very important. You can never tell me I'm going on about one and a half hours Definitely fading. This is coffee number three Um, but yeah, try to prioritize sleep. I don't know not everybody needs it. I guess. Yeah, but I really liked Yeah, I am tired just dropped my cup. Uh, so I really like what you said I think when I asked you about preparing for the test The first thing you said wasn't about studying or like your resources. It was about meditation and taking a job You said first things first. I had my routine. I took my meditation and I took my jog I got into a good mental state and physical states. So prioritizing your health is very important when you're doing something That's going to take it. Nothing is above yourself Like if something if you are doing something and it is not like you are not being satisfied by the end of the day That's not worth doing. Yeah So do something which you are like which you enjoy It should be like I would repeat that be on autopilot Do something which you enjoy and it shouldn't be Like you shouldn't feel that you are just actively making an effort doing that It should be just passive. You're just doing it because you like it or you enjoy doing that. Yeah, you're not watching the clock All day, you're getting lost in it. You know, you're trying to learn more. So that's how you know, you're passionate about something I'm not saying there aren't days when you're watching the clock. You want to go do something you're tired But at least not all the time. Yes, you know, okay, so that's your One piece of advice for someone who wants to become a doctor. So front questions. What's your favorite food? So my favorite food, it's pizza. I would never say no to pizza. Okay, didn't know that. Yeah, pizza is my favorite food But um Here after coming to us, I have like very little choice of pizzas because I am a vegetarian I don't eat like any kind of meat So I just get one that's the cheats pizza or I can just make my own pizza by adding Vegetables on like all the veggies on the pizza. So yeah, but back at home in India There are a lot of different varieties you like the viewers who are from India from India Though they might be aware like they will be aware that there are a lot of different options So which you can have some of them. Yeah, that's my favorite food I didn't know india was big for pizza. Yeah, people love Is it made like it is here in the united states so there's a little sauce and the cheese. Yes. Yes. Yes, really So there are like Very different kind of pizzas available like you can get italian style pizza In style pizza the classic new york style pizza like it won't taste taste or feel like it's new york style pizza But they do try to make it that way But yeah, you get a lot variety of pizzas back at home in India and I did not know that I didn't know that you go to india and everybody's eating pizza. I thought everyone's eating indian food. No, they're eating pizza So indian people when they are in india, they Enjoy every different like they want to have all all kind of food apart from indian food. Sure So and while they're while they travel here to the u.s They want to have indian food. So we are the people why it makes no sense. That's that happens like that's a common thing here after coming here We would find Where do we find an indian restaurant or where can we get some indian food? And while we are in india, we would go and have some macaroni or pasta or pizza What is it called there's a really good indian restaurant here. I can't remember what it's called Oh, but it's very close There's also pizza. Yeah, there's definitely plenty of pizza. All right. What's your favorite color? Blue I can see that kind of blue or this kind of blue. I got a lot of different blue here any kind of any blue I just like blue All right, and can I ask a lot of it or no? I'm going to cut it out. Yeah, sure Sure as you might get you know, there's a billion indian people, right? It's okay. You might get a lot of emails I would be happy to help. Yeah, for sure People americans especially have been hearing me say that are going to be like you're so mean But no, it's all a good fun. Um, so basically a question 11 And that's why I asked him permission was if people want to get a hold of you ask you questions Specifically for going, you know from doctor in india to doctor in the united states What are your options because I get a lot of youtube comments on how do I do this? How do I do that? Do us schools take this certificate or that certificate? I don't know these things But yes, so I'll be really very happy to help you because I have been through there and I know how it feels when you get someone who knows And will help you so definitely I would really have to So I'm going to put it on the screen and also in the actually I'm not going to put it on the screen I'm going to put it in the information for the video. Yeah, it's going to say contact kituil It's going to be his email. Yes Because you might get flooded with questions and we might have to remove it So I'm not going to put it on the screen. I'm just going to put it in the information Because there's a chance we may have to remove it at least for some time if you're very busy, you know So at least for now until he gets flooded with questions If you want to contact kituil and ask him about his journey just for motivation or if there's any specific questions He at least at this time is happy to help so I'll put his email in the information for this video Yeah, that's I think that's about it. Can you think of anything else we should talk about? You can like Talk about the us life that The journey about p or if you have definitely talked about that in your previous videos, but That's it. I don't think I know anything else. So I think I have a slight obsessive compulsive messy disorder but personality So we're going on 58 minutes and 53 seconds. I really want this to be under 60 seconds or 60 minutes Yeah, we have a minute left. It's totally arbitrary. It's useless, but as just for me I think that way. Yeah, and so I guess I'm just going to say some party words first off kituil. Thank you very much for coming on the Podcast Yeah, I know But anyway, so hopefully you guys got something out of that We're definitely expanding the audience for not just going pa anymore. We're going health. We're going medicine medicine Talking about my car like the channel is going to expand into different topics But I really do want to start talking to anybody I meet that's interesting and can help a lot of people In whatever field it might be, you know, so so an opportunity Yeah, it was my pleasure. Yeah, likewise. This was very interesting. I learned a lot So hopefully y'all appreciated that like I said any questions for kituil the information for his email Is going to be information for this video You can post a comment on the video. I'll see if I can relay it to him But it'll be easiest to just get in touch with him. Yeah personally. So anyway guys, I'm Boris. I'm a physician assistant This is dr. Kituil Marot signing off. Hope you guys enjoyed that. See you in the next video Oh god in our two seconds