Question

[Compassion MD]

Signature says it all.

[alira123]

Da ghoer , ni na wei?

[Compassion MD]

Signature says it all.

[chichang]

以個人名義恐怕困難重重。大概都需要透過親朋好友的介紹吧。醫院方面接不接受個人申請，還牽涉到法規問題。

其實我也不了解。不過這個問題在這邊問得到答案的機會很少，因為這個論壇主要以開業醫師為主。你或許應該主動寫信問想要去的醫院部門比較直接。

The University of Sint Eustatius School of Medicine ？在加勒比海的某個小島 ? http://en.wikipedia.org/wiki/Sint_Eustatius
屬荷屬安的列斯。

[dmdmd]

Da ghoer , ni na wei?

Let me translate for you if you don't mind: "大哥, 你哪位?"

FYI, graduates from Carrebean medical institutions are still considered IMG (international medical graduates) in the US although some schools may allow them rotate in their hospitals.

[金城武]

1You can apply hospital for internship and residency in USA if your USMLE
grading up to 85.
2有僑居加簽嗎? 有的話請向僑委會申請
3若沒僑居加簽,請向教育部與各大醫院申請

[Compassion MD]

Signature says it all.

[Compassion MD]

Signature says it all.

[blind faith]

I am US Citizen

This ia a key point!
Why do you consider the internship in Taiwan?
To experience more? to learn more? or ??
Are you looking for the backdoor deal??

Why do you attend medical school in the Caribbeans rather than in the States? Why not choose the best one?

I notice that your Chinese is not good enough. Is your plan to practice in Taiwan after you are certificated/qualified ?
If so, it would be a stupid idea.
You even could not communicate well with patients here !!

[alira123]

Da ghoer , ni na wei?

No one really. Just a regulary medical student that wants to know how I can do some elective rotations in Taiwan for my 4th year medical school. Also hoping that I can go back to Taiwan after I retires in the 50s to practice for free.

應該很多醫院都歡迎吧

自己主動跟醫教會聯絡比較重要

[金城武]

樓主不知道僑居加簽
請問樓主有中華民國護照嗎?
若有
去北美臺灣辦事處(美國有6處)詢問僑居加簽
若沒有
可能沒辦法進入臺灣當醫師
只能拼美國醫院

[Compassion MD]

Signature says it all.

[delirium]

Here in our hospital, there are plenty of foreign medical students doing elective rotations.
Not all of their universities has exchange programs or is affiliated with our university hospitals.
I know that most of them contact directly with personnel in the school of medicine.
Try this if you are interested in our hospital:
http://www.med.ntu.edu.tw/main.php?Page=A3B3

[Compassion MD]

Signature says it all.

[dmdmd]

I highly doubt that is true because I heard that there are ways you can still practice in Taiwan and later become citizen too. That is the reason I am here to find out information.

Sorry for having to burst your bubble. You seems overly idealistic to me. However, I can empathize with your fear of failing the US match as you have to compete with AMG (MD's> DO's>>>>> IMG/FMG's). You also leave me the impression that you have limited knowledge about Taiwanese medical community. Aren't you aware that there has been a critical cut in physician's income since implantation of universal health care in Taiwan about 10 years ago? I personally am not aware of any Taiwanese colleagues of mine willing to practice in Taiwan. The standard of living, political stability, professional earning/development, research opportunity and (more importantly) educational system for their future generations are way better in the US. True that foods taste better in Taiwan but I sometimes wonder what I ingest when I eat at food stand in Taiwan. Furthermore, haven't you seen the contaminated milk scandal recently? Foods prepared using ill/dead porks? SARS? Chinese missile threat? So why going back? Practicing for free is a total BS talk IMHO. Actually, wouldn't "medecins sans frontiere" be a better choice for you?

[Compassion MD]

Signature says it all.

[blind faith]

I don’t know anything about Taiwanese medical community and I 100% careless about physician’s income in Taiwan. That doesnt affect me at all. Not that I am indifferent about Taiwanese medical community or politics but just want to go back to my hometown and help.

God bless you.
Money is not everything but you are nothing without money.
If you love Taiwan so much, why immigrate and get the US citizenship?
Just stay and face all the bad we have together.
Were I you, I would take it into consideration what comes first rather the life after your "retirement."
No one would know if Taiwan still exists decades later.

Being a really good doctor takes lots of efforts and sacrifice.
The realism hurts and is a totally different world in campus.

I also agree " Practicing for free is a total BS talk. "
What could a radiologist do without expensive machine (CT,MRI....)? doing intervention procedure after transferal only? reading CXR without
diagnosis and treatment of the disease?
You just choose a career without facing the patients and solve the problems directly.
If you are so ideal and want to save more patients, go for more practical expertise as an internist, surgeon, ER doctor.....

What if compassion is just the excuse of greed?
Hmm, you really never know.

I also found you just changed your mind:
" Later to return to my hometown to practice after I finish all my residency/fellowships in USA. "

Life after retirement?

Sorry to be skeptical/critical.........

[dmdmd]

Your colleagues will have to pass the qualification exam first as soon there will be a change in legislation (please read other threads in this forum). I also have serious doubt that you have the capacity of passing it because your knowledge in Mandarin and understanding of Taiwanese culture appear on the poor side to me. Another issue is that the american model of patient care probably can not be successfully implanted in Taiwan as no one would let you take 20 minutes to see a patient (let alone 1-2 hours lol). Do you think you can handle patients at this pace?

Chinese milk powder got imported to Taiwan and some Taiwanese infants did develop nephrolithiasis; try to read more news online. "To burst one's bubble" is just a slang that people commonly use. Student doctor is indeed a good source of information. Good try but unfortunately your assumption is erroneous.

Knowing that you care about the 1M a Radiologist can make each year, now please try to convince me that you would give up 20 years of earning (>20M!!!) by age 50... That's about 30 Ferrari's. Good luck with your connection making in Taiwan.

[Compassion MD]

Signature says it all.

[dmdmd]

今天用了蠻多時間寫這些因為放假中. 但是我突然感到罪惡感. 這位小弟弟, 我應該跟你道歉.
其實你在哪裡實習或工作, 跟我無關緊要. 我不應該這樣地小氣. 並且有點毒舌.
在此跟你說聲對不起. 我錯了. 我修養不夠...
倒是Delirium比較大量. 不過, 你需要的幫忙我真的無法幫你. 直接打到台大問問看吧.
你好好地加油吧. 沒有絲毫惡意, 也不是說反話.
祝你實習愉快.

[blind faith]

Also, I apologize for being too skeptical.

You said you would "practice for free" after retirement but you also mentioned " I am not interested in internship, residency or fellowship but only as a MS-4 [medical student – 4th year] to do some of my elective rotations as a medical student. Later to return to my hometown to practice after I finish all my residency/fellowships in USA." in the other thread.

It is a confusing statement. Correct me if I misunderstood.
[ You would come back to your hometown(Taiwan) after you finish your training courses in US? or after your retirement ???]

If you try to have the elective rotation in any hospital and realize what's going on in this small island, be my guest and enjoy.
Actually, I am sorry for no idea how to help you.

A resident doctor working in the US hospital asked related question a couple of months ago, I would suggest you to see this topic first "我應該回台工作嗎?":
viewtopic.php?f=85&t=21901

[Compassion MD]

Signature says it all.

[金城武]

沒有臺灣國籍
很奇怪
我看無


在臺灣行醫
外國人應該有臺灣醫師執照
外國人來臺灣行醫
必須有工作證
再向衛生署以外國醫師執照換臺灣醫師執照或考醫師執照?

現在留臺灣的醫師
應該是教會醫院發給工作證
羅東聖母醫院and 臺東基督教醫院
外國醫師應是如此這般留下來


很想請問大家外國醫師如何在台灣行醫?

很想請問大家外國藥師如何在台灣執行業務?

[Compassion MD]

Signature says it all.

[ulcamed]

ok. i am going to answer your questions.

1. you can come back to taiwan to do your MS4 rotations. it is kind of complicated. it is nearly impossible to come back to individual hospitals yourself without getting prior approval from the health authorities since it will involve patient care, though you will mainly be shadowing the docs here. so i assume it is hopeless in this regard.

2. you can try a few foundations which does this kind of exchange student program. one of the fellowship that i highly recommend is the AFMAC which stands for American Foundation of Medical Advancement in China. It has China in it because this was set up a long long time ago. Is it AFMAC or ABMAC? I don't quite remember. You do need to apply to this clerkship exchange which is also pretty tough to get in.

3. You can also request to get help from the TECO government representative and see if you can come to Taiwan. However I think your optimism will soon be buried by the bureaucracy.

[ulcamed]

To come back to taiwan to practice, free or not.

1. if you are born in taiwan, by taiwan law, you CANNOT, renounce your citizenship even though you are already a US citizen. so naturally you can just go to TECO and apply for a passport. However to get a Taiwanese ID will be more difficult since you have to get it from the Registry in the Township and that means you have to come back to taiwan using a taiwanese passport and that means getting into trouble with military draft. say if you come back when you are older, well, that probably takes care of a lot of issues.

2. you will have to pass national boards I and II to work in taiwan as a physician. the exams are much tougher as they ask very tiny little details, in my opinion. but it is worth a try to do it while it is still fresh in med school. you can do that but it is also difficult to get notarization from the TECO of your high school, college, med school diploma and things like that. you will get frustrated. believe me. not very easy thing to do.

3. once you pass your exams and then you need to get certified by the individual specialty boards which you will also have to take exams (i think family meds might be an exception).

4. discouraged? well...should i stop?

[ulcamed]

now about coming back to practice for free

1. even if you make your own schedule, i can tell you that the reality is you will not even get one patient who will walk into your clinic because in private practice you just simply don't do this sort of thing. people walk in to see you. if you work in the hospital, unless you are the super chief, your schedule is controlled by the hospital. you will not get to pick patients.

2. even if you have the money to sustain a practice, there are still laws governing where you can practice. say, you can only provide medical care in settings designated by the health authorities. that is, if you want to moonlight at a place, you have to REPORT it to the health authority beforehand otherwise you are VIOLATING the law. you know what i mean?

no matter what i encourage you to come back. it is a good feeling to work with your own people. a good thing indeed.

[Compassion MD]

Signature says it all.

[alira123]

let me calm you down....

http://www.socialforce.net/blog/blog_7757__116927.html
病患醫成植物人 名醫判賠1000萬 中國時報 2008.03.22

曾是陳水扁總統雲嘉南地區醫事團體召集人的花蓮門諾醫院副院長許文憲，10年前在台南新樓醫院服務期間，被控醫療疏失導致陳姓病患成為植物人。全案經3度送請衛生署醫事審議委員會鑑定均認定他有過失，法官也判賠1000萬元，過程如同「白色巨塔」翻版。
政治立場一向親綠，但日前現身馬蕭醫藥衛生後援會成立大會，不僅公開表態投藍挺馬，還痛批第一家庭「真是罊竹難書講不完」。
............................

這起醫療官司，起緣於民國八十七年十月廿四日下午，家住台南縣麻豆鎮的陳吉成，因發生車禍胸痛、呼吸困難，被送到新樓醫院麻豆分院急診。

　當時，擔任新樓醫院副院長的許文憲，剛好從台南總院前往麻豆分院探視1位肺癌病人，因此，被緊急邀請前往加護病房會診陳吉成胸腔傷勢。

　後來，陳某發燒多日且有持續性右胸腔下方模糊不清，懷疑有血塊淤積或右側橫膈膜病變，如果沒有處理將引起膿胸導致敗血症死亡。該院外科醫師原擬施行右側開胸手術，但他建議以較不侵犯性的胸腔檢查及清除血塊或膿瘍為先。

　不料，十一月四日陳某接受麻醉後，2度翻身以左側朝上的姿勢準備進行內視鏡手術時，卻因血胸、右肺下葉塌陷、右下肺葉挫傷及右側橫膈膜破裂，隨即改為開胸手術。

　手術後，病患因意識及運動反射不佳，經會診神經外科醫師發現第4、5頸椎神經完全性損傷。最後，陳某雖保住一條命，但卻變成植物人，家屬質疑新樓醫院及他有過失，於是向法院訴請侵權行為損害賠償。

　一、二審法官3度送請衛生署醫事審議委員會鑑定，均認定陳某麻醉翻身時，許文憲因疏於注意保護對方受傷的頸椎，才導致頸椎神經完全性損傷，判他及院方應共同賠償1019萬多元。

http://blog.udn.com/wangkwo/2288149
花蓮市農會鍾姓女員工5年前在門諾醫院進行腳膝蓋關節腫瘤手術後，指控醫師曾茂雄手術不當，造成她行動不便。花蓮地方法院民事庭昨天審結，認定曾茂雄有醫療疏失，判決他及門諾醫院要賠償鍾女96萬7371元。

曾茂雄3年前已離職，現在基督教台東醫院外科服務。門諾醫院回應判決結果，暫時不便評議，等收到判決書研議後，再決定是否上訴。

鍾女告訴法官，民國92年間她左腳膝蓋關節處長腫瘤，門諾醫院神經外科醫師曾茂雄診斷後決定開刀清除，術前他告知只是小手術，20分鐘就可完成，不會對她的身體造成任何影響，未料手術後她感覺手腳無力，經復健檢查才發現腫瘤處的左總腓神經已被不當切除，致有垂足症等行走障礙。

她說，後來到另家醫院進行二次手術，擷取其他部分神經修補，治癒率僅6成，迄今仍行動不便；曾茂雄手術不當，門諾醫院是雇用機構，應共同負擔責任。

曾茂雄答辯，他行醫廿多年，曾在科技發達的美國接受專業訓練並執業，依世界權威的醫學中心論述，鍾女病例是難診斷病例，他依專業考量切除腫瘤，沒有醫療過失。




不用謝我了...

[alira123]

http://blog.udn.com/wangkwo/2281627

http://blog.udn.com/wangkwo/2292063

http://blog.udn.com/wangkwo/2500623

http://blog.udn.com/tzuchiorg/1950378