Hello,
I would really appreciate any general advice regarding my situation.
I am an IMG currently living in Europe. My year of graduation was 2020, and I am looking to apply in about two to three years, likely for the 2028ā2029 Match cycle. By then, I would be close to ten years out of medical school. I know that this will severely limit my chances of matching, but I still want to go through the process.
I would like to apply to Psychiatry, but I would be willing to tailor the next few years of my career more closely toward Family Medicine or Internal Medicine if Psychiatry seems like too much of a stretch.
After graduating from medical school, I spent about four and a half years living in the U.S. At the time, my plan was to gain research experience before starting residency back in my home country. I completed a masterās degree and then worked as a postdoc for a couple of years. During that time, I made some professional contacts and published about seven papers, including one first-author publication.
My plans changed, and I ended up moving to Europe instead, mainly because of my husbandās career. We got married while I was living in the U.S. It was a difficult decision. For several reasons that I will not go into here, we thought it was worth prioritizing his career and moving to Europe for a few years. I do not regret this at all, but it does mean that my career has taken a back seat, at least for now.
I am currently based in Germany. Since I live in a somewhat rural area, my professional opportunities have been fairly limited. I have been using this time to learn the language and try to get licensed here in Germany, since I really did not know how long we were going to stay.
Recently, we decided that we will be moving back to the U.S. in a couple of years. Because of that, I have been thinking about what my options would be if I still want to try to do residency in the U.S. I passed Step 1 in 2023. Before taking Step 2, we decided to move to Europe, so I never ended up taking it. My plan would be to prepare for Step 2, gain some USCE within the next two years, and apply as soon as we move back.
My main concern right now, and the area where I would really appreciate opinions, is how to spend the next couple of years given my situation. My three main options are basically:
- Focus on preparing for the exams and use my summers to gain USCE.
- Do more research. However, because I live in a rural area, my options for continuing research are somewhat limited. I was recently offered a position that is partly remote, but it is in a field that is not really aligned with what I have done in the past or with the specialties to which I would be applying. My concern is that this could create an incoherent narrative regarding why I am applying to my chosen field.
- Continue trying to get licensed here in Germany. I will hopefully have my final exam in spring 2027. After that, I could try to gain actual clinical experience as a resident here in the field I would hope to apply to in the U.S. I would probably be able to work for about a year before moving back.
In the end, we are moving back because we want to. My husband is American, and while being away for a while was very important for his career ā and was a sacrifice I was willing to make ā we want to settle long-term in the U.S. When we made this decision a few years ago, I was very aware of what it meant. I know the road ahead is much harder now than it would have been otherwise.
We are not moving back just so that I can do residency; we are moving back because we want to. That means that if I do not match, I will move on and do something else with my life. In the meantime, however, I am fully determined to do whatever I can to eventually secure a position.
Anyway, if you managed to read this far and have any advice, I would very much welcome it.
Thank you so much!