Thứ Sáu, 27 tháng 11, 2009

Đi chợ trời ở “Old Tokyo”

Một chiếc xắc trưng bày tại boutique Takashimaya đề giá 2.450.000 yen, tương đương hơn 500 triệu đồng Việt Nam (nhưng xin nhớ là một chiếc Honda Civic chỉ có giá hơn 1 triệu yen, điều ấy cũng có nghĩa chiếc xắc “nặng” đúng bằng… hai chiếc Honda Civic!) - xin đừng “sốc” với những chuyện như vậy và tương tự ở Tokyo, một trong những thành phố đắt đỏ nhất thế giới.

Thế nhưng, cũng ở thành phố vừa đắt đỏ vừa xa xỉ ấy lại có một khu chợ trời độc đáo, ở đó người ta có thể mua được những chiếc túi thương hiệu Louis Vuitton hàng “xịn” 100% (có giấy chứng nhận hẳn hoi) với giá chỉ vài triệu đồng Việt Nam.

Và hơn thế, nơi ấy, như “quảng cáo” của người đứng đầu hiệp hội thương mại địa phương quận Taito-ku, ông Tadao Futatsugi với tạp chí Skyward, “bạn có thể kiếm được tất cả những thứ gì bạn muốn, với giá rất rẻ”, nơi mà “người Nhật sau khi vào các shopping mall, kiểm tra lại ví tiền thì đi thẳng tới đây”!

Đó là chợ trời Ameyoko thuộc khu Ueno, phía Bắc trung tâm Tokyo, nơi được mệnh danh là một Tokyo cũ - Old Tokyo mà “đại từ điển du lịch” wikitravel khuyên bạn nên bắt đầu trên hành trình khám phá thành phố này.

Old Tokyo - quá khứ của một Tokyo vàng son

Cần mở ngoặc dài dòng một chút để hiểu vì sao Ueno lại được xem là nơi bắt đầu của một “Old Tokyo”. Năm 628, hai anh em người đánh cá sống bên bờ sông Sumida, dòng sông chính chảy qua thành phố Tokyo ngày nay, kéo lưới nhưng không được cá mà lại vớt được một pho tượng, bèn đem về thờ tại ngôi đền Sensoji, ngày nay là một ngôi đền thiêng ở Asakusa.

Người ta cho rằng chính nhờ bức tượng và ngôi đền thiêng này đã mang lại sự thịnh vượng cho Asakusa và toàn bộ vùng Ueno, thuộc quận Taito-ku, nơi khởi nguồn của thành phố Tokyo. Cho tới trước trận động đất lịch sử năm 1923, trận động đất cướp đi sinh mạng của hơn 10.000 người dân và phá hủy 45% ngôi nhà của Tokyo, trung tâm văn hóa và giải trí của Tokyo chính là quận Taito-ku.

Một biểu tượng của thành phố - ngọn tháp Ryounkaku nằm tại Asakusa đã bị sụp đổ vĩnh viễn trong trận động đất năm 1923 (người ta quyết định không xây dựng lại) mang theo cả sự thay đổi không thể cưỡng lại ở vùng đất này. Sau cuộc chấn động 1923, trung tâm Tokyo bắt đầu phát triển về phía Tây, cụ thể là hai quận Shibuya và Shinjuku trước đó đều chỉ là những ngôi làng yên bình.

Nay Shibuya đã phát triển thành trung tâm mua sắm và giải trí sầm uất, còn Shinjuku trở thành trung tâm hành chính của Tokyo với biểu tượng mới của thành phố chính là tòa tháp đôi cao 243 mét Tokyo Metropolitan. Vậy là Asakusa và Ueno trở thành “quá khứ” của một Tokyo “vàng son”. Một thế kỷ trước, nơi này còn được mệnh danh là “quận geisha” với hàng trăm geisha tập trung sống và hành nghề.

Giờ còn một số geisha (rất ít) vẫn tiếp tục hành nghề mà nếu tới đây vào các buổi chiều muộn, bạn có cơ hội ngắm nhìn những geisha trong bộ áo truyền thống kimono và khuôn mặt tô vẽ cầu kỳ, thực hành nghi lễ truyền thống tại các quán trà đạo hoặc các nhà hàng sang trọng, chủ yếu phục vụ khách du lịch. Khu chợ trời Ameyoko cũng là một “quá khứ” còn lại và giờ này nó vẫn sống nhộn nhịp.

Hải sản, trà - bánh kẹo và hàng hiệu giá rẻ!

Nằm ngay cạnh ga Ueno, chợ trời Ameyoko luôn đón tiếp bạn bằng sự nhộn nhịp của tiếng rao hàng bất kể ban ngày hay buổi tối. Chợ mở cửa từ 10 giờ sáng tới tận 10 giờ khuya. Gọi là chợ cũng được nhưng có lẽ đúng hơn là phố chợ, giống như khu chợ trời Hòa Bình ở Hà Nội hay khu chợ cũ - chợ Huỳnh Thúc Kháng ở TP.HCM, nhưng sạch sẽ, thoáng đãng (dù tập trung tới gần 500 cửa hàng lớn nhỏ) và chỉ dành cho người đi bộ.

Có ba thứ hàng đặc biệt của chợ này, đó là hải sản tươi sống (thứ đồ ăn quan trọng nhất của người Nhật), trà - bánh kẹo Nhật, và đồ thời trang mỹ phẩm, nhưng đặc biệt hơn, tất cả đều hạ giá! Đấy gần như là nơi duy nhất ở Tokyo mà khi mua hàng bạn có quyền trả giá và giá các mặt hàng rẻ hơn ít nhất là 30% so với thứ cùng loại bày bán trong các đại siêu thị.

Các anh và các bác bán hàng hải sản tươi sống (tất cả đều là nam giới) lúc nào cũng vui vẻ cất cao giọng mời chào và vui vẻ cho tôi chụp hình (chuyện này hơi khác so với ở nhà ta), dù lúc đó đã là chiều muộn và có vẻ hàng hóa chưa bán được nhiều. Cá hồi, cá ngừ, bạch tuộc và đặc biệt là cua vua - món đặc sản trên các bàn tiệc được bán rất nhiều ở đây và được bày rất đẹp mắt.

Trà, bánh kẹo cũng là một đặc sản của chợ. Người Nhật vốn nổi tiếng về trà, nơi đã đẻ ra cả một nghi lễ uống trà - trà đạo, nên các sản phẩm trà Nhật vô cùng phong phú, ngoài những loại trà xanh, trà đen, trà nâu, còn có cả những loại trà pha lẫn cả một số loại hạt trông vừa hấp dẫn vừa kỳ bí.

Các loại bánh dùng trong những buổi tiệc trà cũng đa dạng và hấp dẫn không kém. Nghe kể, sáng sớm, những người nông dân ở các vùng lân cận mang rau củ và gạo họ trồng tới Ueno để bán và khi trở về, các giỏ hàng của họ lại đầy ắp bánh kẹo. Những giỏ bánh kẹo này chủ yếu được mang về vùng Aomori phía Bắc để bán lại với giá gấp… năm lần giá mua tại chợ!

Nhưng có lẽ “choáng” nhất với những người Việt Nam lần đầu tới Ameyoko là thấy những cửa hàng bán đồ hiệu hạ giá, nơi bạn có thể mua được một chiếc túi LV “xịn” với giá chỉ khoảng 4-5 triệu đồng, thậm chí chỉ 2-3 triệu đồng, một chiếc túi Coach “xịn” giá chừng 1,5 triệu đồng…

Khi mua, cửa hàng sẽ cung cấp cho bạn giấy chứng thực hàng “xịn” hẳn hoi chứ không phải là hàng nhái “made in Quảng Châu” (!) và mặc dù là chợ trời nhưng ở Nhật bạn có thể tin tưởng vào sự trung thực của người bán - điều mà người Nhật đặc biệt đề cao trong sự giám sát chặt chẽ của pháp luật.

Tuy nhiên, tất cả đều là hàng xài rồi. Tùy theo độ cũ - mới của hàng xài rồi mà giá bán có thể rẻ đến bất ngờ. Phụ nữ Nhật, nhất là những người trẻ tuổi, có tiếng là các “tín đồ hàng hiệu”, việc một phụ nữ Nhật sở hữu khoảng chục chiếc túi LV và thường xuyên đổi món được xem là chuyện khá bình thường, bởi vậy mà thị trường túi xịn second-hand ở đây khá phong phú.

Hàng mỹ phẩm, đặc biệt là các thương hiệu đến từ Mỹ, châu Âu cũng là một đặc sản của chợ này, dĩ nhiên là giá bán đều mềm hơn nhiều so với các mẫu bày bán trong các trung tâm mua sắm, đặc biệt có những món hàng hạ giá từ 60% tới… 86%! Lạc vào những cửa hàng kiểu này, với những phụ nữ mê mẩn mỹ phẩm, nước hoa, có thể mất cả ngày không ra nổi.

Thỏa nhu cầu giao tiếp, gần gũi giữa người và người

Nhưng chợ Ameyoko không chỉ rẻ, mà thú vị với cả người Nhật vì nó là một cái chợ sống động đúng nghĩa “chợ” còn sót lại trong một đô thị hiện đại bậc nhất thế giới, nơi các siêu thị và các đại siêu thị ngày càng lấn lướt. Ở đây, bạn có thể đứng ngay ngoài đường, dưới “gầm” đường tàu điện (xin nhắc lại là rất sạch sẽ) để ăn món “bánh xèo Nhật” nóng hổi được làm ngay trước mắt.

“Ở đây, người mua và người bán đều không giống với những nơi khác ở Nhật. Trong các siêu thị và các cửa hàng lớn, mọi thứ đều ghi giá và người mua mang nó ra quầy trả tiền. Còn ở đây, người mua và người bán được trao đổi với nhau, người bán thì giới thiệu hàng, người mua thì trả giá. Bạn không bắt buộc phải trả đúng cái giá mà người bán đưa ra, mà có quyền trả giá và thường thì giá mua ở đây rẻ hơn mua trong các cửa hàng hay siêu thị tới 30%” - anh Futatsugi, một người bán từ bánh kẹo đến đồ chơi golf ở khu chợ này bày tỏ với phóng viên tạp chí Skyward.

Càng hiện đại, càng công nghiệp, nhu cầu giao tiếp, gần gũi giữa người với người càng lớn. Trở lại nước Nhật lần này, thấy trên đường nhiều hơn những ông già, bà già dắt chó đi thơ thẩn, thậm chí có cả ông cụ đẩy chiếc xe nôi với… ba con chó ngồi bên trong (!), thấy dòng người hối hả hơn, gương mặt đăm chiêu hơn dưới các nhà ga tàu điện ngầm (cơn bão khủng hoảng vẫn chưa lặng gió trên đất nước mặt trời mọc), mới hiểu vì sao không xa khu Ginza (đại lộ thời trang của Nhật Bản, được so sánh với Fifth Avenue của New York) là mấy vẫn tồn tại bền vững một chợ trời Ameyoko.

Ameyoko, một cái tên ghép Mỹ - Nhật, “mở cửa” từ sau Chiến tranh thế giới lần thứ hai, trong những ngày khó khăn nhất của nước Nhật thời hậu chiến. Khởi phát từ chỗ là nơi mua bán những món đồ mà quân đội liên minh Mỹ để lại, chợ trời Ameyoko giúp nhiều người dân Nhật vượt qua thời khắc gian khó và giờ đây, trong thời khủng hoảng mới, một lần nữa, Ameyoko lại chứng tỏ sức sống bền bỉ của mình.

Đi chợ Ameyoko, tôi không mua gì, chỉ ăn một đĩa “bánh xèo Nhật”, nghe tiếng chào hàng lao xao và đón nhận những cái cúi gập người cảm ơn của người bán hàng (dù mình chỉ ngó mà không mua) mà thấy lòng ấm lạ giữa một thành phố xa xôi và đắt đỏ.

Theo THỦY PHẠM
Doanh nhân Sài Gòn Cuối tuần

http://dulich.tuoitre.com.vn/Tianyon/Index.aspx?ArticleID=349651&ChannelID=100

Chủ Nhật, 15 tháng 11, 2009

USMLE Step 1 Preparation Books and Plan

There are two major approaches (or let me call them methods) when it comes to what books are needed to prepare for USMLE Step 1.


Method 1 (Kaplan Lecture Notes)


This method is the most common method seen among IMGs and it has been tested to produce high scores throughout the last 5 years or more.
Kaplan lecture notes are 7 books each deals with one or two disciplines: namely (Physiology; Pathology; Microbiology & Immunology; Biochemistry & Genetics; Anatomy, Embryology, & Neuranatomy; Behavioral sciences & Biostatistics; Pharmacology).
So this method entails cramming on these 7 books (+their DVD lectures) and also First Aid for the USMLE Step 1 to backup the preparation.

Advantages:

You'll get a compact 7 books to cram and no need to get lost finding the high yield information from other resources.
Gives confidence as you are not missing any high yield info.
Less time consuming than method 2.
Proved successful by many many students in the past.
Disadvantages:

Kaplan lecture notes better to be accompanied by the DVD lectures. These lecture are not sold commercially and it's provided only for the students who take the Kaplan course and this is expensive. Of course you can find illegal downloads of these DVDs or from your friends. As for the lecture notes you can buy them from Amazon by clicking on the second link in our Best USMLE Step 1 Review Books page.
Students (and First Aid authors) believe that relying on a single series to cram step 1 is not a good way, though I disagree with this.


Method 2 (Various Resources)


This method is more popular among American grads (but also increasingly seen among IMGs). It has also proven to be a very effective method of preparation.
It entails looking for the best book in each subject (like for example by following our polls and see what is the best physiology book or the best pathology book and so on).
The current top ranked books that students rely on using this method are:

Rapid Review Pathology by Goljan or BRS pathology
BRS Physiology
Clinical Microbiology Made ridiculously simple
Basic Immunology
Lippincott's Illustrated Reviews: Pharmacology
High Yield Neuroanatomy
Rapid Review: Biochemistry
High Yield Behavioral Science
High Yield Biostatistics
High Yield Embryology
Of course in each of the subjects ranking changes from time to time but these are the current winners. Note that I did not mention the gross anatomy book because simply I don't know what's the current highest rank reference.

Advantages:

You get the best in each.
You will cover every little detail that may come in USMLE.
Some experts believe that question makers look up these books before they put the MCQs for the USMLE.
Disadvantages:

More time consuming than method 1. (almost double the number of pages).
Topics might get repeated as for example you may read the sleep stages in BRS physiology and again in High Yield behavioral sciences while in method 1 you'll read topics in one place.

Needless to say, that these two methods are not mutually exclusive, like for example many students (specially Indians) think that Kaplan is great except for it's pathology and neuroanatomy sections. So they supplement method 1 with Goljan pathology (the book, the notes, and/or the audio) and High Yield Neuroanatomy.

Remember that after reading the books you have to do questions and see our Best USMLE step 1 Qbank poll to help you choose.

What is my choice? Method 1.

But for you, The final choice is yours!
From

http://www.usmle-forums.com/usmle-step-1-forum/786-usmle-step-1-preparation-books-plan.html

How to find your IMG friendly residency programs list?

Ok,
This must be the most common question that eligible residents are asking at the time they start their match application journey.
I know there are commercial services out there that can help you such as www.matcharesident.com and www.imgresidency.com and www.residency-match.com and some others.
And I know there are free IMG friendly lists such as the one we have in this website and many others out there.(http://www.usmle-forums.com/img-friendly-programs/)

But I think the most efficient way to do it, is Do it yourself.

Here's how;
After getting your ECFMG certificate (I insist on this point, because you may get matched without it but your chances are much less).
The first step is go to FREIDA online
Use their search function and look for the specialty you are looking for.
Then choose the state (probably you don't mind any state, right!).
Then viola you have the list of all accredited graduate medical education programs in the whole USA.

In that list, you'll have links to all what you want such as the program website and the contact info.
Here' comes your 7 days job.
Call each and every one of them and ask the following;
"Do you currently have international medical graduates in your residents list?", do not ask "do you accept IMGs" because the sensitivity of that answer is very low. You can also look in the current residents lists on their website and see if they mention which school they graduated from (do not simply rely on the faces, because a Chinese or an Indian guy may well be an American graduate just as likely as the other European fellow!).

Occasionally, they don't answer the phone. In this case, try all the emails they mention in their website and call them again and again. Do not leave a message mentioning your name so that u give yourself a chance to call back again tomorrow.

If they answer yes, then put that program in your ERAS list.

Don't ever bother about your years since graduation because you may really be very attractive for them for other reasons.
Now that you have made your long list, you can go and use the other resources that I mentioned in the beginning to help you cross-match with your list. If you find a program that you have not already listed then you may add it (honestly this is a rare event).

The list you will be generating this way may be very long and perhaps many of them will be rejecting you anyway. But never take the risk of ignoring a glamorous university program that probably by chance find something in you that you don't know. Many programs have accepted one or two IMGs on occasions because those IMGs have some eye-opening points in their CVs! So increase the confidence interval of your list by applying to as many programs as you possibly can afford.

This procedure takes time. And you have to dedicate at least a whole week to generate your special list. You may initially get confused as each program website is different from others but with time and efforts and motivation and persistence you'll eventually make your precious individualized and Free IMG friendly list of residency programs.

From http://www.usmle-forums.com/usmle-articles/718-how-find-your-img-friendly-residency-programs-list.html

Thứ Năm, 12 tháng 11, 2009

List of Hospitals Offering Externships

We are compiling a list of hospitals in the United States that offer Externships to medical graduates/medical students with an emphasis on those programs that accept IMG's.

Externships are learning opportunities, similar to internships, offered by hospitals to give you short practical experiences.You have hands on clinical experience working with patients and can get useful LOR's and meets the requirements for most hospitals that require USCE or US clinical experience. However, you have to pay the hospital or institution a fee for the previlege of being an extern. This is an ongoing effort to find the best hospitals that offer externships, so please add more to the list and we will update the main post.

List of Hospitals Offering Exterships Organized By State

California

Natividad Medical Center Program Salinas, CA
http://www.natividad.com/fprp

Arrowhead Regional Medical Center Program Colton, CA
http://www.arrowheadmedcenter.org/Residency.asp

Cedars-Sinai Medical Center Specialty: Psychiatry
URL: http://www.csmc.edu/2813.html Colorodo

University of Colorado Health Science Center
Specialty: Anesthesia / Anesthesiology
Contact Information Health South Rehab Hospital, Colorado Springs, CO Phone: (719) 630-8000
URL: http://www.uchsc.edu/anes/ResInfo/requirements.htm

Washington DC St. Elizabeth Hospital
Specialty: Psychiatry
Duration: 4 Months or more
URL: http://www.stelizabethshospitalresidency.org/

Providence Hospital, DC
Specialty: Internal Medicine
Cost: Free
Contact: Program Coordinator: (202) 269-7747
Duration: 3 Months
Requirements: ECFMG Certification, GOOD USMLE scores, 3 LORs, Copies of Medical Diploma, ECFMG Certificate AND your Resume
Address: Program Director (Internal Medicine Residency Program)
Providence Hospital, 1150 Varnum Street, N.E., Washington, DC 20017 - 2180
URL: http://www.provhosp.org/Physicians/Medical_Int/Medical_Int.htm

Illinois
Chicago Jackson park hospital - Family medicine
Address:
7531 S. Stony Island Ave.
Chicago, Illinois 60649
Telephone: 773-947-7500 - ask for the department of family medicine and enquire about externship opportunities.
URL: http://www.jacksonparkhospital.org/index-1.html

Indiana Indiana University School of Medicine
Specialties: Obstetrics and Gynecology and Family Practice
Requirements: ECFMG Certification, At least one US LOR
Allow Visitors, Student (F1) and even J1 visas
URL:http://housestaff.iusm.iu.edu/externs_temporarys/extern.pdf

Kansas University of Kansas School of Medicine-Wichita (KUSM-W) at Veteran Affairs Hospital (VA hospital)
Specialty: Internal Medicine
Contact: Internalmed-wichita@kumc.edu
Application Requirements: * Universal Application (Download PDF from NRMP)
* ECFMG Certificate
* Dean's Letter
* USMLE scores: Step 1 & Step 2 CK
* Medical School Transcript Mail / Courier all the above material to: Kansas School of Medicine-Wichita
Internal Medicine Residency Program
Attention: Externship
1010 North Kansas
Wichita, KS 67214-3319 URL for application forms: http://www.nrmp.org/res_match/about_res/univappl.pdf
URL for program's website" http://wichita.kumc.edu/im/

Maryland
Dr. Barry Mehta
Specialties: Internal Medicine, Family Medicine, Surgery, Pediatrics, Ob-Gyn
Duration: Minimum 7 weeks tp get a Letter Of Recommendation. Schedule
Cost: $4,400 for 7 weeks (Training + Staying)
Call: 410-730-3961, 443-285-9563 (cell)
This program seems to be organized by a commercial service via fmgaffordable, according to the following url, http://fmgaffordable.com/Schedule.aspx
"The standard program of 6 weeks has two mini-sessions of 3 weeks each. We enroll students for standard sessions only (6 weeks minimum), after which you will have earned two LOR's. Your first assignment will be partially at a teaching physician's office, but mostly hospital-based. Your second assignment can be 100% hospital-based if the student so chooses.
Use the URL http://fmgaffordable.com/Schedule.aspx for schedule dates Harbor Hospital, Baltimore
Specialty: Internal medicine
Contact Program Coordinator at: 410-350-3565
URL: http://www.harborhospital.org/

Massachusetts - Cambridge
Harvard Medical school program The harvard program is only for those who did not graduate yet. Contact: hone: 617-732-5775
Address: 75 Francis Street, Boston, MA 02115 Ask for externship opportunities Not sure if they offer both externships and observerships but for sure offer observerships as per the following
url http://www.mgh.harvard.edu/vep/observerships.html

Ohio Columbus Community Hospital, Columbus
Specialty: Pediatrics Unsure, call (614) 445-5000 and speak with somebody in the department of pediatrics to confirm

Huron Hospital
Specialty: Internal Medicine
Policy Statement: The Internal Medicine Program offers externships, observerships to candidates meeting our minimum criteria, but it is not required to be a resident. We do not schedule externships in the months of June or July. Externships are for one month only and must be approved a minimum of three months prior to starting.

University of Cincinnati
Academic Medical Center Specialty: E.N.T. (Otolaryngology)
NB: Application are considered on an individual basis by contacting Robert Keith, PhD, Director of Medical Education at robert.keith@uc.edu, Department of Otolaryngology-Head and Neck Surgery, PO Box 670528, Cincinnati OH 45267-0528.

Oklahoma Oklahoma State Medical Association (OSMA)
Specialties:- Family medicine, Internal Medicine, Anesthesiology etc.
Application: To Apply, you should fill the Application Form from OSMA
Telephones: 405-843-9571 OR 800-522-9452 Application Form available at
URL: http://www.okmed.org/index-2_internationalsection.html

Tennessee East Tennessee State University (ETSU), Johnson City
Specialty: Internal Medicine - Not too sure, need to confirm
URL: http://www.etsu.edu/com/intmed/
Contact Department of Internal Medicine East Tennessee State University VA Bldg. 1, Box 70622 Johnson City, TN 37614-0622 423- 439-6282 and ask if they have any externship opportunities.

Texas North Richland Hospital, North Richland,TX
Specialty: Pediatrics
Needs further confirmation Contact:
North Hills Hospital
4401 Booth Calloway Road
North Richland Hills, TX 76180 Telephone: (817) 255-1000 and ask to speak with the secretary for the department of Pediatrics, ask for any possibilities for Externships.
Url: http://www.northhillshospital.com/

NB: the states that are not listed do not have any externships that we know of! If you find one, please leave the info as comment below and we will update the list. Add more as comments below and we will update the lis

List of Hospitals Offering Observerships

ALABAMA University of Alabama, Huntsville
Specialty: Family Medicine
URL: http://main.uab.edu/uasom/2/show.asp?durki=108118
"Observerships are available from August to February for International Medical Graduates. March, April, and May are reserved for incoming matched Interns. These observeships can be scheduled for a maximum duration of 30 days. An applicant must be ECFMG certified."
Requirement for Application
1. Current Curriculum Vitae
2. 3 Letters of Reference
3. Personal Statement
4. Copy of Medical School Transcripts
5. Copy of Medical School Diploma (with English translations, if necessary)
6. Copy of ECFMG Certificate
7. Copy of USMLE Transcripts
COntact Info:
Preeti Francis
UAB FM Residency - Huntsville Campus
301 Governors Drive, Suite 334
Huntsville, AL 35801
Phone: (256) 551-4632
Fax: (256) 551-4633

University of Alabama
Specialty: Pediatrics
Offer Four Observership Positions each year
URL: http://main.uab.edu/peds/Templates/Inner.aspx?pid=93401

ARIZONA Maricopa Integrated Health System
Specialty: Internal Medicine
Requirements for IMG's: http://mihs.org/docs/imreq.pdf

CALIFORNIA David Geffen School of Medicine at UCLA
Specialty: Family Practice Observership program for Latino IMGs
Also has Elective Courses in Family Medicine and clerkships for Third Fourth Year Medical Students
URL: http://fm.mednet.ucla.edu/student-opps.asp
Also has summer research opportunities for medical students see the url below
http://fm.mednet.ucla.edu/summer-opportunities.asp

Stanford University
Stanford Emergency Medicine International
Specialty: Emergency Medicine
Progam Title: Stanford Emergency Medicine International Visiting Scholars Program(SEMI)
Program + Application Information
URL: http://emed.stanford.edu/international/

UC Davis Network of Affiliated Family Practice Programs
Specialties: FP, Internal Medicine, Pediatrics
URL: http://emed.stanford.edu/international/

UCSF - Fresno
Specialty: Family Medicine
Program URL: http://www.fresno.ucsf.edu/fpc/apply.htm

UCLA IMG Program for English-Spanish speaking Hispanics and other minority IMGs
Specialty: Family Medicine
Summer Opportunities in Family Medicine
URL:http://fm.mednet.ucla.edu/IMG/img_program.asp

Other opportunities - Ophthalmology Miniresidency Vision International Eye Missions, Santa Rosa
URL: http://www.vision-international.org/training_mini.htm


Colorado: None
See externship list for available externships - atleast one was available
http://www.residentscafe.com/node/2894

Connecticut Hospital: Griffin Hospital
Specialty(ies) offering Observership(s): Internal Medicine
Website URL: http://www.griffinmeded.org/ResidencyProgram/Observership/Default.aspx
Contact Info: 130 Division St. Derby, CT 06418
(203) 735-7421 Toll-free in CT (800) 354-3094
Contact us: mbliga@griffinhealth.org
Special Notes:
For US medical Students: * Students must have finished their core clerkships in Internal Medicine
* Must have passed USMLE step 1
* Be in good standing at the school Foreign Medical Students: * Students in 5 year program:
o Must have finished 4rth year successfully
o Must have finished 4rth year successfully
o Must have passed USMLE step 1 or Step 2
o Be in good standing at the school
* Students in 4 year program (such as Caribbean schools):
o Must have finished core internal medicine clerkships
o Must have passed USMLE step 1
o Be in good standing at the school Other opportunities such as Externships: NA

University of Connecticut
Specialties: Multiple
URL: http://www.resadmin.uchc.edu/

Yale University School of Medicine
Specialty: Radiology
URL: http://radiology.yale.edu/education/visiting.html
Note: "Visitors in Diagnostic Radiology - There are opportunities for students, residents, and scholars to visit or participate in Diagnostic Radiology in terms of education, research or patient care. Charges may be levied, depending on the level of participation."

George Washington University Medical Center
Specialties: Dermatology, Emergency Medicine, Medicine and specialties, Obstetrics and Gynecology, Pathology, Pediatrics, Psychiatry, Radiology, and Surgery
website URL: http://www.gwumc.edu/imp/education/obvtrain.cfm

Washington Hospital Center Specialties: Multiple
Office of International Medicine Programs
The George Washington University Medical Center
2300 I Street, NW, Suite 708
Phone: 202-994-2796
Fax: 202-994-0074
E-Mail: impjss@gwumc.edu

Washington Hospital Center
Specialties: Multiple
This hospital has no formal program but upon approval from the clinical department director, international physicians may participate in observerships to observe clinical activities and participate in academic discussions with Hospital Center physician colleagues.
URL of the program: http://www.whcenter.org/body.cfm?id=555883

Cleveland Clinic Florida
Specialties: Multiple
Website URL: http://www.clevelandclinic.org/florida/research/observerships/default.htm
Application form: http://www.clevelandclinic.org/florida/research/observerships/observershipApplication.pdf
Duration: Two Months maximum
Fees: varies, approximately USD 500.
Phone: 954-659-5360.
Contact Info:
Graduate Medical / Medical Student Education
Cleveland Clinic Florida
Observership Department
2950 Cleveland Clinic Boulevard
Weston, Florida 33331
Phone: 954/659-5360
Fax: 954/659-5622
Email: gme@ccf.org

Medical Surgical Specialists, Naples, Florida
Specialties: Multiple
Wbesite URL: http://www.medical-surgical.org/SiteMap/
Application Form
URL: http://www.medical-surgical.org/images/pdf/observership_application.pdf

Miami Children's Hospital, Miami
Specialty: Pediatrics
Application Information
URL: http://www.mch.com/medicalProfessionals/index.aspx
NB: Also has an annual conference on "Perspectives in Pediatrcs" As per the website, this conference is world renowed!
The 43rd Annual Postgraduate Course will take place from March 7, 2008 to March 13, 2008."

Mount Sinai Medical Center : Mini-Residency Program
Specialties : "ANESTHESIOLOGY , CARDIOLOGY, CARDIOVASCULAR SURGERY, GASTROENTEROLOGY, GENERAL SURGERY, INFECTIOUS DISEASE, INTERNAL MEDICINE, MEMORY DISORDERS, NEONATOLOGY, ONCOLOGY /HEMATOLOGY, PATHOLOGY/LABORATORY MEDICINE, PULMONARY & SLEEP DISORDERS, RADIOLOGY "
Registration fee $500.0 per course
Application form: http://www.msmc.com/body.cfm?ID=319 Program URL:http://www.msmc.com/body.cfm?id=318

International Post Graduate Mini-Residency Program
The International Post Graduate Mini-Residency program is being offered on a year round basis consisting of courses of mini-residencies in 11 specialty areas. This program will offer participating physicians four weeks of intense observer activity in the area of their choice. Participants will be able to observe patient care as it is rendered by attending and housestaff and will participate in discussions, patient-oriented conferences, and other didactic sessions. Participants will not have any responsibility or active participation in direct patient care. Registration is strictly limited to assure a meaningful experience for those enrolled in this program. Selected on the basis of availability and previous experience in the specialty area of their choice, applicants will be notified of the status of their application within six weeks of receipt of their complete application, including registration fee and supporting documents. The registration fee will be processed after being accepted in the program. The courses start every first Monday of the month and a certificate of attendance will be issued at the end of the four-week course. Because of limited spaces on our courses, we recommend you send your application at least 90 days in advance to the starting date of your choice.

Jackson Health System Hospitals
(Includes Jackson Memorial Hospital, South Community Hospital, North Medical Center, Holtz Children Hospital, etc.) Application Fee: 200$
URL: http://www.jhsmiami.org/body.cfm?id=9270

University of Miami Miller School of Medicine (Bascom Palmer Eye Institute)
Specialty: Ophthalmology Observership Programs
URL: http://www.bpei.med.miami.edu/site/info/info_res.asp
Application for Observerships:
http://www.bpei.med.miami.edu/site/info/pdf/StudentElectiveApplication.pdf

University of Miami School of Medicine, Miami
Specialties: Multiple
URL: http://facultyaffairs.med.miami.edu/x135.xml
They have an internation medical student observership program
Teresa de la Guardia; tlaguardia@miami.edu Claudia Zitzmann; czitzmann@miami.edu
Phone: 305-284-2928; Fax: 305-284-3409
http://www6.miami.edu/international-student/observership
Program: US Citizens & Permanent Residents
Observership Program: Visiting Medical Students currently enrolled in medical school International Services:
Teresa de la Guardia; tlaguardia@miami.edu Claudia Zitzmann; czitzmann@miami.edu
Phone: 305-284-2928; Fax: 305-284-3409 US Citizens & Perm.
Residents - Observership Program
COntact:
Mary Palmer - Medical Faculty Affairs
Phone: 305-243-6551; Fax: 305-243-5574
mpalmer@med.miami.edu
Or
James Stegall, Office of Student Affairs
Medical Education
Phone: 305-243-7418; Fax: 305-243-6757
jstegall@med.miami.edu

University of Miami School of Medicine, Miami
Specialty: Nephrology
Program URL: http://www.med.miami.edu/medicine/x690.xml

University of Miami, Miami
Specialty: Obstetrics & Gynecology
Application Information & Eligibility
URL:http://ob-gyn.med.miami.edu/x150.xml
For more information, or to submit an application, please contact Rebecca Cardenas, residency coordinator, at 305-585-5640 or by e-mail at rcardenas@med.miami.edu.

University of Miami, Miami
Specialty: Pathology
URL: http://pathology.med.miami.edu/x76.xml
Any questions, please contact the Department of Pathology’s Administrative Office, Ms. Angela Smith, at (305) 585-6303 or via email: asmith@med.miami.edu

University of Miami, Miller School of Medicine, Miami
Specialty: Physical Medicine & Rehabilitation (PMR - Physiatry)
URL: http://rehabmed.med.miami.edu/x46.xml
cdavis@med.miami.edu

University South Florida, Tampa
"Stephen Klasko Observership Program for International Physicians"
Specialties: Infectious Disease, Anesthesiology, but more may be introduced Observership program's website: http://health.usf.edu/medicine/ia/educationprograms_intl.htm
Application form: http://health.usf.edu/NR/rdonlyres/E20AF2AA-1263-4EB3-ACF6-378ABFC87D6C/0/ObservershipApplication041408.pdf

From http://www.residentscafe.com/list_of_hospitals_offering_observerships

USMLE WITH EXCELLENCE SCORE

Tips for passing usmle step 1 with excellence

i just passed usmle step 1 and i want to share my experince with you.

most important Books to read
- Kaplan notes 2000 edition for Micro, Immunology, Physio, Gross Anat, BH, Biochemistry
- BRS Pathology , Ethics and Physician Patient Relation chapters from BRS for BH
- High Yield- NeuroAnatomy
- Goljan Audio for 3 systems. Wanted to do more but couldn’t due to time restraints.
- First Aid (FA)

I would advise you to be thorough with whole of FA. It’s a great book.

Kaplan is great for all. But Behavioral ‘notes’ I found a little lacking. BRS BH is better in some areas. Even the gross anatomy part I found too concise. a lot of the questions I had on step1 from gross anatomy, however few, were outside the material in Kaplan.
BRS Pathology is excellent and provides all the needed material

Biochemistry Kaplan is enough if we consider material but sometimes I feel Lippincott does is better in explaining things. Biochemistry needs a LOT of cramming and so I guess its better to read something that states enough facts and explains well too. So Lippincott, though slightly more time consuming, might be a better option, specially if you are weak at cramming.

Kaplan’s Pharmacology is good but not great.

HY NeuroAnatomy is one of the best rated resource by FA. But i found it the worse. Its a good collection of high yield facts but don't expect it to explain anything and i found that annoying cos neuroanat is not about cramming. Read HY if you have a good background of Neuro or after reading from Kaplan (I don't thin you'll need to see HY after reading Kaplan)

Approach to different Subjects:
Gross Anatomy : One of the low yield subjects. Don’t waste too much time on it. Mostly questions pertain to Nerves of limbs and MAJOR vessels like axillary, Celiac axis, femoral etc. Histology is important specially the cell structure and cell junctions.

NeuroAnatomy:
One of the highest yield subjects. You’ll find a lots of questions on it during your exam. Work hard on it. Pay special attention to:
- Spinal cord tracts
- Diseases of Spinal Cord
- Brain Stem
- Cranial nerves
- Anterior/Posterior/Lateral views and structures of Brain stem

CT/MRIs: The no of radiographs on the exam is continuously increasing so be prepared. Don’t miss any of the following:
1. Axial/Sagittal/Coronal, Inferior views of Brain
2. Carotid Angiogram
3. Transverse section of Thorax, abdomen and spinal cord
I could not find any good source of high yield MRIs. Though you can try to google Brain MRIs and you’ll find quite a few decent ones.

Embryology:
Kaplan’s embryology is incomplete. But I guess if you combine Kaplan’s embryo with FA, it’s a great combination and more than enough for all questions.

Physiology :
It’s a pretty low yield subject in the sense that very few questions would be directly from Physiology . BUT many questions from other subjects will include something that you’ll be able to understand if you know your Physiology basics. So my suggestion is take your first reading of physio very seriously but don’t take too much time cos its very low yield as far as direct questions go. The high yield topics include Hemodynamics, Respiratory and Renal.

Biochemistry :
I was and literally am still scared of this subject cos it needs very good cramming of pathways. Specially the comprehensive pathway that FA has given should be on your tips. Specially where two pathways join each other. Don’t miss even a single reaction from the vitamins, they are too high yield. The explanations of UW I found very good for Biochem.

Genetics:
Very high yield and high scoring at the same time. Kaplan’s is good enough and Lippincott’s is great too. Be prepared with questions that’ll rack your brains based on your understanding of genetics. Pedigree analysis for simple disorders is also important.

Microbiology :
Gross micro is toooo low yield. Don’t waste your time on it. I wasted 15 precious days intensively studying the whole micro. I think the material given in FA is more than enough. The only part you should know is to identify the organism based on Gram staining, morphology (cocci/rods/commas, clusters/chains), motility etc which can be easily accomplished using FA charts etc. The chapter on comparative Microbiology in Kaplan is good in this regard but not necessary.

Immunology:
VERY high yield. You should know all that is given in Kaplan and FA. Don’t miss anything from Immuno because you’ll surely have a large number of questions on it. Specially the list of Interleukins given in FA is indispensable.

Pathology :
nearly 50% questions on Step1 are directly or indirectly from Pathology . I just did BRS and I think it was more than accepted. Unfortunately I couldn’t complete even BRS.. But then I think USMLE patho is something that can be substituted by your knowledge of clinical subjects. Becos rather than being hardcore Pathology , its more of clinical patho based on etiology, symptoms, diagnosis, variants etc. I didn’t even care to revise most of patho cos the important points that need revision are beautifully given in FA. The only chapter I’ll specially recommend to be thorough with is Renal system.

Goljan audio is just great, though I could just listen to 25% of it. But if time allows do listen to Goljan audio. He’ll give you fundas that you’ll probably never grasp otherwise. His sheer wit and simplicity makes him arguably the best teacher I’ve come across.

Pharmacology :
High yield subject that needs some decent cramming. Specially important are specific adverse reactions and major interactions of important drugs. Don’t start memorising every drug you come across. Just the major drugs’ interactions. And focus on class rather than individual agents.

UW has good questions and explanations on it. There were a couple of questions on newer drugs like Fenoldopam but I guess such questions are usually simple and they give enough hints to reach an answer.

Behavioral Sciences:
Ironically, this subject was a bane for me and it proved to be my undoing in my actual exam too. I performed worse on it. I did Kaplan mainly but the questions, specifically from ethics and physician pt relations are so ambiguous and confusing that no amount of study helped me.

I think BRS BH is much better than Kaplan in most aspects. Read and practice very carefully the questions on ethics. UW’s ethics questions were good but I guess not enough for me..

Question Banks:
- I did not do Qbook
- I just did the questions behind every chapter of Kaplan except patho.
- I used UsmleWorld (UW) and found it great. The questions on actual exam were of similar level as that of UW though the pattern was quite different. UW questions mostly test your knowledge of facts while I felt the actual exam tested more of your understanding and of those facts.
- Specially, the pharmac, Biochemistry and BH questions of UW were pretty good.
- It is said that add 30 to your cumulative UW score to get actual Step1 score. I got a cumulative of 69% on UW so I guess the formula is close. But for that use only random/unused questions mode.
- I continuously altered my line of preps based on my performance on UW. I read the explanations very carefully that’s why it took me a long time and I could do only 1300 questions out of available 1800+
- Kaplan Qbank is also good but I did not use it.
- But finally the major factor that I used to make my preps more focused was NBME’s self assessment test (CBSSA). I took them twice, once after first read (around 28 days before exam). 2nd time about 5 days before actual exam. I specifically took NBMEs very seriously cos they’re said to be the best predictors of your performance on actual exam. I'm a strong supporter of using NBME's tests during your preps.

USMLE CD: It has relatively simpler questions but read them carefully because the actual questions will be EXACTLY ON THE LINES of those, just a more tougher though. Many people get 2-3 questions on actual exam from the CD itself so don't forget to do it. I scored 44-42-45 on it.

i hope this tips will help you all

please share your experience. thank you

From: http://www.facebook.com/group.php?gid=164926586815&ref=mf#/topic.php?uid=164926586815&topic=11255

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My Step 1 Journey
This is, in short, my little journey with USMLE step 1. First of all, let me tell you about myself a bit briefly, I was an average student in the College of Medicine, University of Baghdad. I was not one of those studious people, however, I was not one of those really at the bottom.


My decision to come to USA was rather a condition, not a decision. When I first started preparing for Step 1, my ultimate goal was 90-plus. But gradually, along the preparation process, my limit was going up, till the point where less than a 99 would have been considered a failure for me.

Books,
Kaplan books only, I did not see anything apart from them, in my opinion, they are more than what is needed for the test, but that is still OK, as the test has no limits and you will always need extra. I did not see the 1st Aid and nothing else at all.

First-time study( normally 3.5 - 6.5 months ),
Preferred order ( Physiology, Biochemistry, Anatomy, Behavioral, Immunology & Microbiology, Pharmacology, and Finally Pathology).
Way of Study ( I used to watch a Kaplan video in the evening, starting from 7, for 3 to 4 hours, depending on how patient you are. Then I studied what I watched next morning till the evening, then another video, then again....

Revision ( 3-4 Months ),
Here, a lot of possible options, you could start doing questions ( I started with Kaplan's Qbank), one block ( timed and mixed ) early in the morning, then after the block I studied the books again, in the same order mentioned above, then in the evening, I revised the block I already solved, at the beginning, each block took me 2 days to revise, until I revised 4 books, then I was going a block each day.
Some other option is that you revise the books only, in 6 weeks then start doing Qs only till the test.

Questions, I started with Kaplan's Q bank, then I shifted to USMLEworld, I did 90% of the Qbank and only 28% of the USMLEworld. But finishing both of them all is better.

Score, I got a 99 (242), as I said before, I did not believe in myself scoring it at the beginning, however, my expectations were going higher up over the time.

Recommendations,

1st study is the most important, spend as much time as possible and try to cover each book very well before you move to the another, remember, by the time of revision, you are too exhausted to memorize something new. So why not doing it at the beginning?
Be consistent, try to avoid long time interruptions.
I am a bit slow, so the above times are about me, some can do it way shorter, but longer, I do not think it is healthy, unless there are a lot of stuff in your life to deal with.
As the test is closing in, start preparing physically for it, do a simulated test (7-block) at least once, at least 5 days before the test.
If you are taking an NBME, which I prefer, take one or two or both, but not the others, as those two give the most accurate estimate.
You can do it, and it is a long process, with many ups and downs, just believe in yourself.

All the best in following your dreams...

http://www.usmle-forums.com/usmle-articles/726-my-step-1-journey.html

Thứ Ba, 10 tháng 11, 2009

Một số nguyên tắc khi trình bày Power Point báo cáo khoa học

1. Nên dùng font chữ không có chân và Sans Serif như Arial hay Tahoma để khán giả dễ đọc. Những font chữ có chân như Times New Roman hay Courier làm cho khán giả tốn nhiều thời gian hơn để theo dõi.

2. Nên dùng cỡ chữ từ 18 trở lên, vì chữ nhỏ hơn làm cho người có tuổi khó đọc, còn chữ quá lớn thì tốn nhiều không gian.

3. Tránh viết toàn bộ bằng chữ in hoa vì rất khó đọc, và gây ấn tượng là diễn giả đang la hét!

4. Nên chọn chữ tối trên nền sáng cho giảng dạy hay nói chuyện trong giảng đường nhỏ.
5. Nên chọn chữ sáng trên nền tối cho các báo cáo khoa học và trong các giảng đường rộng. Tránh chữ màu xanh lá cây trên nền màu đỏ vì dễ gây "ngộ độc màu" cho người theo dõi.

6. Không nên cho âm thanh chạy theo chữ. Không nên sử dụng hoạt hình quá nhiều, vì nó gây ấn tượng diễn giải là… trẻ con.

7. Không nên nhồi nhét quá nhiều thông tin và hình ảnh trong một slide, vì nó làm giảm sự chú ý và gây lẫn lộn cho diễn giả.

8. Không nên đọc slide! Ðọc slide gây ấn tượng “trả bài” và làm cho người nghe không có hứng thú theo dõi.

Trích http://tuanvannguyen.blogspot.com/2009/03/ky-nang-mem-cho-nha-khoa-hoc.html

Thứ Hai, 9 tháng 11, 2009

HỌC TIẾNG ANH

Trang này rất hay.Được nghe và nhìn chữ cùng lúc.Đặc biệt có thể nhìn cả cách phát ngôn viên đọc chữ.Tốt cho các bạn có trình độ từ cơ bản đến trung cấp.

http://www.youtube.com/user/VOALearningEnglish