Reasons for signing
See why other supporters are signing, why this petition is important to them, and share your reason for signing (this will mean a lot to the starter of the petition).
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5 years ago
I would just also like suggest a friendly modification to this petition- for a limited medical license option (where 1 needs to be in direct or indirect supervision with a fully licensed MD/DO), some states do NOT require passing Step 3 prior. In those states, Step 3 is not a requirement to start residency, which should remain. The last thing this petition would want to do is contain self-imposed hurdles that are not needed. Goal is to seek available relief for leading to full licensure lacking residency placement, not blocking that ability (some may simply not even have the funds to pay for the Step 3 without work, or due to waiting so long for residency placement, may surpass the 7-year-from-Step 1 time limit for Step 3. Some states can work around that by requiring more direct supervision time and their own state license exam vs Step 3).
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5 years ago
US citizen/residents IMGs should have preferential status for match or residency placement, just as other jobs where those with citizenship of another country would not be displacing US-based residents. It's frustrating to constantly hear of "physician shortage" problems in the US, yet never hear admitted the true root cause of the issue-it's not a true "shortage" since there are PLENTY of us qualified ECFMG cert/US citizen IMGs...it's a hospital position shortage for not only residency, but also not have adequate alternative license-to-practice means to work towards full licensure! It shouldn't be that PAs and NPs can have full practice rights w/prescribing rights and hospital/outpatient clinic privileges with or without (depending on state) MD/DO supervision...while US citizen/resident ECFMG cert IMGs go unemployable, unable to work in their training/schooling for the same privileges that NPs/PAs get in the country. It is a tragedy that US citizen/resident ECFMG cert. IMGs who are tax payers can't get bankruptcy relief for the massive debt burdens when the residency system is so stacked against their success of getting hospital placement, that being a main requirement for nearly any possible medical license in practically all US states. Why force the financial demise on an otherwise successful MD graduate due to factors with residency placement that are usually out of their control?? Why should a successfully completed and obtained MD degree ever be deemed "useless" if one cannot secure residency placement, and be left many times at or below the poverty level in the US, ruining their futures and viability?! This is actually an easily fixable problem, and you don't focus on admitting more med students, you fix it by taken advantage of us who are ALREADY finished, qualified to be trained and at least have the ability to do a limited medical practice with supervision to work towards full unrestricted licensure WITHOUT having to compete with non-US citizen/resident IMGs. If I as a US citizen attempt to apply for medical licensure in another country, I would have to go through many hurdles and not get preference, as it should be. In some countries, like Panama, one can not even apply for a medical license unless you are a Panama citizen FIRST! So, while we as the USA want to be a beacon for opportunities for others in the world who work hard toward their dreams legally, it must be implemented and understood that US citizens/resident MD IMGs have responsibilities to the US government (repaying loans, taxes, etc), and are entitled to preferential status for residency/job placement. Congress needs to release residency spot caps on hospitals/specialties, Congress needs to release more funding to be available to those increased hospital residency spots to permit proper payment to resident doctors needing to make a living while training, and residency programs needs to be held responsible to place or hire US IMGs first before and Non-US IMG. In fact, is the Match system even necessary?! Is it creating too much of a monopoly/bureaucracy for something that should truly be a simply job-interview-hire situation for doing a residency? It's an employment, so why can't one directly, without all the fees and extra hurdles, directly submit credentials to the program director/hospital for interview/offer? Exactly as this petition addresses, there are already states (Missouri) who took steps to relieve the "shortage" problem by hitting the true root cause and immediately make available a path for US IMGs to do supervised practice, which can lead to a full license. Again, the solution is not difficult, do this and just remove the time limit of graduation/USMLE pass year, etc. One is getting direct medicinal practice training anyways, so that in itself is a current training on what is currently done in the US medical field, so no need to only graduate within 2 yrs, etc. We dedicated our lives, sacrificed our financial status, life goals, etc to PRACTICE medicine, not to be unemployable in our field of study/training and go into poverty/EBT/bankruptcy, etc while being displaced by non-US IMGs who get to fully benefit in the US while US IMGs suffer. Let us work! Let us live out our training as physicians! Let us help the American health crisis! Let us truly "MAGA"! Don't forget us, President Trump! Thank you for this necessary petition. This has gone on long enough!