messirules

Dear All,


My brother works as a doc in the NHS pretty young but finally the grind has got to him and he wants to up sticks and move to a different country and he is banking on the US.

He has done the USMLE exams and loves it out in the States. He is struggling to cope with NHS politics and relentless demand from the punters there.

Also he has seen doctors in the US making handsome salaries e.g $400k for cardiologist which is like 5 times higher than England.

Just wondered if anyone here got any advice for him as the best way to go about it? I know he will have to do residency etc but are there jobs out there in the US for UK qualified and trained doctors. He is not fussy about location.

Any hints or tips grateful?

Thanks

Noorah101

Have him read this link to see which visa category he might fall under. My guess would be maybe J-1 or H1B.

http://britishexpats.com/wiki/Pulask...ork_in_the_USA

Rene

Bob

I'm sure there are doctor based forums, Ozzidoc has mentioned some in the past, so perhaps could find them.

I don't think the politics and the faff will be all that much different in the US, you just have the faff against a different master, the insurance company or the corporation that employs you over the government.

The high salary comes at a cost of high liability insurance.

Speaking of which, and this is a really extreme case but it made me laugh. The missus was chatting to a couple who got really excited about winning a two for one dinner at a "posh" restaurant, which they had never been to as it was too expensive. Turned out to be around $30 a dish, so not that crazy at all. They just couldn't afford it, he's a lawyer bringing in a quarter large while the wife is a surgeon bringing in a half mill.

It's mostly down to the liability insurance for the pair as they have both been sued a few times over their careers....having a couple of leased Porsche's probably doesn't help mind

messirules

yeah i think he prefers H1B as apparently its a faster route to GC for a brit I think??

messirules

sounds very extreme if you have incomes around 1million and cant afford 30 bucks in a restaurant got to wonder where the money is going. I dont think malpractice can be that much.

Noorah101

Only if the employer is willing to sponsor his GC. He should get that in writing, in the employment contract, with a specific date that the employer will file for his GC.

Rene

Noorah101

I believe malpractice insurance CAN be that much.

Rene

Bob

Living in an expensive part of the country with a few kids, a couple in college, doesn't help matters.

It is an extreme example, but just pointing out that focusing on the dollar amount will paint a very wrong impression.

messirules

well Uni in UK is about the same as the US now he is single etc etc so UK is fast catching up costs wise and with such punitive tax in the UK most your income goes to other people so dont think much benefit staying in the NHS tbh

messirules

from what he says H1 is better as when finish residency can get a job who will likely sponsor a GC as H1 can convert to GC - yes i know likely who knows but anyways

with a J1 he says you have to go home at end residency for 2 years what point in that! hence he wants to avoid if possible.

Jerseygirl

What? You cannot even begin to compare education costs of a doctor in the US vs UK.

SanDiegogirl

Must be loads of medical trade journals, Medical group websites, agencies on the web who advertise doctor/physician vacancies.

Would have though they would be the best place to look.

If not fussy about location, then pick somewhere you fancy working and Google Medical Groups in that area.

Noorah101

Only if the J-1 visa has the 2-year home residency requirement attached. Not all of them do. Plus, you can apply for it to be waived.

Rene

messirules

apparently all the j1 for medical residency have that 2 year home thing i guess the j1 research etc dont have that

Bob

9K per year in the UK is peanuts compared to the costs in the US....and tax costs aren't any different in the US, they just like to make it less obvious, what with medical insurance not actually being called a tax and the like.

Won't be a pauper that's for sure, but you won't suddenly quadruple your doctors salary's take home pay either.